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PIJAT PERUT MENURUNKAN TINGKAT KONSTIPASI PADA LANJUT USIA Erna Dwi Wahyuni; Silvia Lusiana Suwandi; Setho Hadisuyatmana
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 6 No. 2 (2018): APRIL 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.627 KB) | DOI: 10.20473/cmsnj.v6i2.12833

Abstract

Introduction: Constipation is one of the results of decreased body structure and function in the elderly. One way that can be used to prevent constipation is by doing abdominal massage. The purpose of this research was to determine the influence of abdominal massage on prevention of constipation for elderly. Method: This research used Quasy experiment method by using pre-test-post-test with control group design. The study population was elderly at the nursing home which had risk of constipation amounted to 38 respondents. The sample was 30 respondents with sample random sampling technique. Independentvariables were abdominal massage and the dependent variable was constipation level. Data were collected using Constipation Assessment Scale. Data were analyzed using the Wilcoxon sign rank test and Mann-Whitney test.Result: The results showed statistic test using Wilcoxon in the treatment group showed there was a decrease of constipation level before and after receiving an abdominal massage, with p-value = 0.001 and in the control group there was no difference of constipation level with p-value = 0.057. The results of MannWhitney, showed a difference in abdominal massages to prevent constipation in the elderly with a value of p = 0.033.Discussion: Stimulation from the outside with abdominal massage can help stimulate the parasympathetic nerve in the intestine and accelerate blood circulation, so that weakened bowel peristaltic becomes increased. In this study, abdominal massage was statistically significant against the prevention of constipation in the elderly but clinicallynot too significant.
HUBUNGAN PENGETAHUAN PERAWAT TENTANG PEMBERIAN LABEL TRIASE DENGAN TINDAKAN PERAWAT BERDASARKAN LABEL TRIASE DI IGD RUMAH SAKIT PETROKIMIA GRESIK Erna Dwi Wahyuni; Abu Bakar; Wieji Santosa
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 1 (2015): OKTOBER 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.07 KB) | DOI: 10.20473/cmsnj.v4i1.12816

Abstract

Introduction: Triage is a selection system and patient selection to determine the level of severity and handle patient priority. There is an error in sorting triage so that should be handled on an out patient poly but it handled in emergency room so that there are patients who need immediate care treatment cannot handled well. The purpose of this study was to analyze the relationship between knowledge about labeling triage and action based on labeling Emergency Room. Methods: This study used descriptive correlation design with cross sectional method. The population was nurse in emergency room at Petrokimia Hospital Gresik. Total sampling was used in this study. The sample in this study were 12 respondents. The independent variable was knowledge about labeling triageand the dependent variable was action based on labeling emergency room. The instrument of this study used questionnaire and observation paper then analyzed using Spearman Rho statistical test with level of significant of p<0.05. Result: The results of this study showed that there was very strong relationship between knowledge about labeling triage and action based on labeling emergency room (p=0.002; r=0.802).Conclusions: From the result of this study were expected the description for nurses that so the influence of knowledge and attitude in handling emergency patients. Nurses were motivated to do better action by increasing knowledge of discussions and continuing formal education.
Theory of Planned Behavior Development Model to Compliance Behavior in Vap Prevention at ICU Kusnanto, Kusnanto; Suadyani, I Ketut; Wahyuni, Erna Dwi; Arifin, Hidayat
Jurnal Keperawatan Soedirman Vol 15, No 1 (2020)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2020.15.1.1044

Abstract

Background: Ventilator-Associated Pneumonia (VAP) was the leading cause of death in Healthcare-Associated Infections (HCAI) requiring treatment in its specific prevention. Prevention of VAP had not been done optimally, such as nurses had not done hand hygiene and oral care according to procedure, head elevation not yet done as indicated. Purpose: applying Theory of Planned Behavior to nurse compliance behavior to prevent VAP case in ICU of Catholic Hospital Surabaya. Methods: The study was explanative observational with cross-sectional approach. The population was associate nurses working in the ICU and obtained 30 sample with total sampling. The research variables were general attitude, age, education, experience, knowledge, attitude toward VAP, subjective norm, perception to control, intention, preventive compliance behaviour VAP. Instruments in the form of questionnaires and observations. Data analyzed using bivariate Chi-Square (p<0,05) and Partial Least Square. Results: The results showed that: 1) attitudes, age and experience were associated with intentional support factors (p <0.05), while education and knowledge were not related to intentional support factors 2) intentional support factors related to intention (p <0, 05) 3) Intention related to VAP prevention compliance behavior (p <0.05). Conclusion: Nurse compliance behavior in VAP prevention consider their background factor, support factor of intention, and intention.
Classical Music Decrease Stress Level And Blood Pressure Primigravida In The Third Trimester Ni Ketut Alit Armini; Erna Dwi Wahyuni; Praba Diyan Rachmawati
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.149 KB) | DOI: 10.20473/jn.v3i1.4984

Abstract

Introduction: Many changes in psychology and biology increase primigravida’s stress in the third trimester. The stress response makes blood pressure being unstable, it causes bad effect for pregnancy. Classical music can be used as one of relaxation facilities that can reduce stress. The aimed of this study were to analyze the effect of classical music on stress level and blood pressure.Methods: This study was used a quasy experimental purposive sampling design. The sample in this study were 14 pregnancy women in the third trimester in RSIA Cempaka Putih Permata Surabaya. The independent variable in this study was classical music and the dependent variable were stress level and blood pressure. Data were analyzed by Wilcoxon Signed Rank Test, Mann Withney U Test, Paired t Test and Independent t Test with significance level α≤0.05.Results: The result showed that the stress level in controlled group with p=0.567 and intervention group with p=0.025. The result of blood pressure in controlled group with p=0.522 in systolic blood pressure, p=0.35 in diastolic blood pressure and intervention group showed p=0.103 in systolic blood pressure and p=1.00 in diastolic blood pressure.Conclusion: It can be concluded that listening classical music can reduce stress level, stabilize blood pressure, although blood pressure hasn’t significant result but mean of blood pressure show that it was stable. Further studies should be considered to used cortisol to identify stress biology response spesifically. 
PENINGKATAN KEMAMPUAN MELAKUKAN PERTOLONGAN PERTAMA PADA KECELAKAAN SISWA SMU DI SEKOLAH MENENGAH UMUM MELALUI METODE SIMULASI DAN ROLE PLAY Ninuk Dian Kurniawati; Makhfudli Makhfudli; Nadia Rohmatul Laili; Tintin Sukartini; Erna Dwi Wahyuni; Deni Yasmara
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 2 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v2i1.18086

Abstract

Pendahuluan: Kecamatan Cerme merupakan salah satu kecamatan di Kabupaten Gresik dengan angka kejadian kecelakaan yang cukup tinggi dibandingkan dengan daerah lain. Kecelakaan ini memerlukan bantuan dan penanganan awal yang bisa dilakukan oleh orang awam, termasuk siswa SMU untuk mengurangi angka kecacatan dan kematian. SMU Muhammadiyah 8 dan SMK Muhammadiyah 3 berlokasi di tepi jalan raya dimana kecelakaan lalu lintas tersebut sering terjadi, namun pihak sekolah mengungkapkan belum bisa memberikan bantuan karena kurangnya pengetahuan dan ketrampilan dalam memberikan pertolongan pertama. Dengan demikian diperlukan suatu strategi untuk memberdayakan masyarakat dalam memberikan bantuan atau pertolongan pertama, yaitu melalui pengabdian masyarakat dalam rangka peningkatan kemampuan siswa SMU di Kabupaten Gresik dalam memberikan bantuan hidup dasar. Metode: Kegiatan pengabdian masyarakat dilakukan melalui pemberian edukasi melalui simulasi dan bermain peran (role play) kepada para siswa. Alasan dari pemilihan metode ini adalah karena siswa SMU pada dasarnya lebih menyukai pembelajaran partisipatif dibandingkan dengan ceramah. Pembelajaran simulasi akan memberi siswa kesempatan untuk belajar secara langsung melalui melihat, mempraktikkan, serta bermain peran cara melakukan pertolongan pertama pada kecelakaan atau memberikan bantuan hidup dasar. Dengan demikian diharapkan para siswa akan mengalami peningkatan pengetahuan, sikap dan tindakan dalam penanganan kecelakaan. Hasil: Kegiatan pengabdian masyarakat menghasilkan perubahan yang sesuai dengan target luaran yang telah ditetapkan yaitu peningkatan pengetahuan siswa tentang pertolongan pertama pada korban kecelakaan, meliputi tindakan bantuan hidup dasar, bebat bidai, dan transportasi khusus untuk orang awam. Kesimpulan: Pemberian edukasi melalui simulasi dan bermain peran dalam pengabdian masyarakat pada siswa SMU di Wilayah Kabupaten Gresik meningkatkan pengetahuan dan ketrampilan siswa akan pemberian pertolongan pertama pada korban kecelakaan.
The Effects of Combination of Range Motion and Deep Breathing Exercise on Pain in Post-Orthopedic Surgery Patients Sukartini, Tintin; Sasongko, Hery; Wahyuni, Erna Dwi; Putra, Made Mahaguna
Indonesian Journal of Medicine Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.374 KB)

Abstract

Background: Broken bones can cause soft tissue edema, bleeding in the muscles and joints, tendon rupture, damage to nerve tissue and damage to the vasculer and surgery are ways that are carried out to restore the movement function of extremitas and the impact that occurs due to these actions is pain. Acute pain is still found in postoperative non-pathological fracture patients who have received analgesic ketorolac.Subjects and Method: This was a quasy experiment study conducted at Dr. Soetomo Hospital, Surabaya, East Java. A sample of 46 patients post orthopedic surgery was selected for study by purposive sampling. The dependent variable was pain. The independent variables were range of motion and deep breathing exercises. Pain was measured by visual analog scale (VAS). The data were analyzed by t-test.Results: After treatment, pain level in the inter­vention group (mean = 2.43; SD = 1.41) was lower than the control group (mean= 3.48; SD= 1.38) with p= 0.014.Discussion: Combination of range of motion and deep breathing relaxation therapy effective to reduce pain among post orthopedic surgery patients.Correspondence: Hery Sasongko. Masters Program in Nursing, Universitas Airlangga. Email: herysasongko.ners­@gmail.com.Indonesian Journal of Medicine (2019), 4(1): 46-53https://doi.org/10.26911/theijmed.2019.04.01.08
Pengaruh Edutainment Ular Tangga Terhadap Perilaku Remaja Tentang Personal Hygiene Menstruasi Zuhriya, Cholilatul; Armini, Ni Ketut Alit; Wahyuni, Erna Dwi
Jurnal Keperawatan Muhammadiyah Vol 3, No 2 (2018): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v3i2.1763

Abstract

Background:  Teenagers have problems related to personal hygiene during menstrual periods due to lack of explanation and health services. Lesser sources of information lead to lower knowledge and will impact on the attitudes and actions of teenagers. Edutainment of ladders snakes can be applied as a solution to this problem. Objective: The purpose of this study was to explain  the effect of  ladders snakes edutainment to teenagers behavior about personal hygiene menstruation. Methods: Quasy experiment was used to design this study with the sample consist of 33 respondents for each treatment and control group.  Data were obtained from questionnaire to measure teenagers’ knowledge, attitude, and action about  personal hygiene menstruation. Analysis data of this study was using nonparametric method based on Wilcoxonn Signed Rank tests and Mann Whitney U-Test with significance value α ≤ 0,05. Results:  The results of the study showed an increase in knowledge (p = 0,000), attitudes (p = 0,000), and action (p = 0,000) after intervention of the treatment group. This data is also reinforced by statistical analysis Mann Whitney U-Test shows significant differences for knowledge (p = 0,000), attitude (p = 0,000), and action (p = 0,000). Conclusion:  The conclusion is edutainment of ladder snakes has an effect on improving teenagers behavior about personal hygiene of menstruation. As an educator, nurse could be use edutainment of ladder snakes for  alternative for gives entertain health education on school.
PENGARUH PENDIDIKAN KESEHATAN MEDIA BOOKLET TERHADAP PENGETAHUAN DAN SIKAP KELUARGA TENTANG SPEECH THERAPY PADA PASIEN STROKE DI IRNA SERUNI A RSUD DR. SOETOMO SURABAYA (The Influence Of Health Education With Booklet Media On Knowledge And Attitudes Towa Nimah, Lailatun; Nurwahyuni, Tutuk; Wahyuni, Erna Dwi
JURNAL NERS LENTERA Vol 6, No 1 (2018)
Publisher : JURNAL NERS LENTERA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.619 KB)

Abstract

Introduction: Stroke included into the blood vessel disease. Stroke is the leading cause ofcommunication disorder that aphasia and dysarthria. Speech therapy is absolutely necessary to overcome communication disorders. Family empowerment through health education is very important to optimize speech therapy. This study aimed to determine the influence of health education with booklets on knowledge and attitudes of families of stroke on speech therapy at IRNA Seruni A Hospital Dr. Soetomo Surabaya. Method: The design of this study is pre-experimental with intervention Health education use booklet, design were analyzed by Wilcoxon sign rank test. The population in this study were all cases of stroke. The sampel in this study were the patient?s familiy with aphasia five person and dysartria 11 person who taken by consecutive sampling. Independent variables was health education with booklet media and dependent variable were the knowledge and attitude.Result: The results showed that the health education with booklet media about speech therapyhas significant influence to improve the knowledge (aphasia p = 0,038; dysartria p = 0,003) dan attitude (aphasiap = 0,042; dysartriap = 0,003)..Instrument use questionare. Discussion: It can be concluded that health education with booklet media on speech therapyhas influence in increasing of knowledge and attitudes of families on speech therapy. therefore, for future research needs to do research on the effect of health education with booklet media on behavior / psychomotor family of speech therapy.
PEMBERDAYAAN GURU, STAF DAN ORANG TUA KB TK KHADIJAH DALAM PERTOLONGAN PERTAMA PADA KECELAKAAN DENGAN PELATIHAN BLS DAN AMBULASI Erna Dwi Wahyuni; Ninuk Dian Kurniawati; Nadia Rohmatul Laily; Yulis Setiya Dewi; Arina Qona'ah
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 2 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v2i1.19118

Abstract

AbstrakThe jurisdiction of Polrestabes Surabaya was ranked in the top 3 contributors to the number of traffic accidents of 39 Polres in the East Java Regional Police in 2017. KB Khadijah Kindergarten is in the middle of Surabaya and an area with heavy traffic, so there is a high risk of traffic accidents, but the school has never received material and information about first aid in an accident so that if there is an accident the teacher and staf are not ready and unable to provide help properly. The purpose of this community service is to provide knowledge and abilities to teachers, staff, and parents to be able to do first aid in an accident. The method used in this empowerment is lectures and demonstrations about first aid in accidents which include Basic Life Support (BLS), splinting & Bandaging, and ambulation/transportation and also using leaflet media. As many as 47 people consisting of teachers, staf and parents participated in this activity and also carried out an evaluation of knowledge and self efficacythrough pre-test and post-test. The results achieved through this activity is that there is an increase in knowledge and self-efficacy in conducting first aid in an accident. This is because the lecture, simulation, and also leaflet methods can provide a technically clear description so that participants know and can practice relief assistance in accidents. Subsequent community service activities are expected to achieve wider goals and diverse communities.
Factors Related to the Quality of Nursing Care Documentation Endang Susiana; Erna Dwi Wahyuni; Candra Panji Asmoro
Fundamental and Management Nursing Journal Vol 2, No 1 (2019): Volume 2 Issue 1 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v2i1.12340

Abstract

Introduction: Nursing documentation is a legal aspect that protects nurses in providing nursing services, but incomplete documentation is still found. The purpose of this study was to analyze the relationship between motivation, supervision, and workload with the quality documentation of nursing care in the Medical Inpatient Dr. Soetomo Hospital Surabaya.Method: This study used a descriptive correlation design with a cross-sectional approach. The population was 135 nurses and 100 nurses were obtained by simple random sampling. Independent variables are motivation, supervision, and workload. The dependent variable is the quality documentation of nursing care. Data were obtained by motivation, supervision and observation sheets: TMS (Time Motion Study), SAK (Nursing Standards) and analyzed with Spearman's Rho, Regression Logistic with α=95%.Result: There was a relationship between motivation (p = 0,000; r = 0,363) with the quality of nursing care documentation, there was a relationship between supervision (p = 0,012; r = 0,310) and the quality of nursing care documentation and there was a relationship between workload (p = 0,002; r = 0,299) with the quality of nursing care documentation.Conclusion: There was a relationship between motivation, supervision, and workload with the quality of nursing care documentation. It is known that motivation was the most related factor in the quality of nursing documentation.