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All Journal Jurnal Keperawatan JURNAL ILMIAH KESEHATAN KEPERAWATAN MEDISAINS MNJ (Malang Neurology Journal) Majalah Kesehatan FKUB Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Tony Suharsono, Tony
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Hubungan Tingkat Pengetahuan Tentang Program Terapi Metadon dengan Tingkat Motivasi Mengikuti Program Terapi Rumatan Metadon pada Pengguna Narkoba Suntik di Puskesmas Kecamatan Grogol Petamburan Jakarta Barat Anwar, Syaiful; Wihastuti, Titin Andri; Suharsono, Tony
Majalah Kesehatan FKUB Vol 1, No 1 (2014)
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.804 KB)

Abstract

Program terapi metadon adalah program penanggulangan dampak buruk bagi pengguna napza suntik (Penasun). Program ini dilaksanakan dengan memberikan zat opioid sintetik yang memilki efek sama seperti heroin dengan cara di minum. Motivasi diperlukan untuk mendukung program terapi agar kontinyu dan tidak terjadi pemakaian narkoba berulang. Penelitian ini bertujuan untuk mengetahui adanya hubungan koefisien korelasi tingkat pengetahuan dengan tingkat motivasi penasun terhadap program terapi metadon. Rancangan penelitian menggunakan deskriptif analitik dengan pendekatan cross sectional di Puskesmas Kecamatan Grogol Petamburan Jakarta Barat. Jumlah sampel 61 orang diambil dengan purposive random sampling. Pengumpulan data menggunakan kuisioner. Hasil penelitian menunjukkan karakteristik responden mayoritas laki-laki (93,4 %), umur rata-rata > 30 tahun (60,7 %), berpendidikan tinggi (72,1 %), bekerja informal (42,6 %), berpenghasilan rendah (54,6 %), tidak menggunakan narkoba kembali (86,9 %), tingkat pengetahuannya baik (67,2 %) dan tingkat motivasinya tinggi (60,7 %). Analisa hasil penelitian dengan uji Spearman’s rank menunjukkan ada hubungan korelasi tingkat pengetahuan dengan tingkat motivasi (p = 0,000 dan r = 0,586**), ada hubungan korelasi karakteristik tingkat pendidikan dengan tingkat pengetahuan (p = 0,021 dan r = 0,295*), dan ada hubungan korelasi karakteristik tingkat pendidikan dengan tingkat motivasi (p = 0,000 dan  r = 0,459**). Adanya tingkat pengetahuan yang baik tentang program terapi metadon dapat mendorong atau meningkatkan motivasi pengguna narkoba suntik untuk selalu datang dan mengikuti kegiatan layanan program terapi metadon. Kata kunci: Pengguna narkoba suntik, Program terapi  metadon, Tingkat pengetahuan, Tingkat motivasi.
Faktor-Faktor yang Berpengaruh terhadap Kejadian Gagal Jantung pada Pasien Infark Miokard Akut di Rumah Sakit dr. Saiful Anwar Malang Baransyah, Livia; Rohman, M. Saifur; Suharsono, Tony
Majalah Kesehatan FKUB Vol 1, No 4 (2014)
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.834 KB)

Abstract

Gagal jantung adalah komplikasi yang umumnya terjadi pada pasien infark miokard akut, dengan insidensinya diperkirakan mencapai 10-40 %. Berbagai faktor berpengaruh terhadap kejadian gagal jantung pada pasien infark miokard akut. Tujuan dari penelitian ini adalah untuk menentukan faktor-faktor yang berpengaruh terhadap kejadian gagal jantung pada pasien infark miokard akut. Sampel dalam penelitian ini berjumlah 65 orang, yang diambil secara consecutive selama 2 bulan di ruang intermediate ward rumah sakit dr. Saiful Anwar Malang. Gagal jantung diklasifikasikan menggunakan kriteria Killip (kelas 1-4). Pasien kriteria ekslusi adalah pasien dengan riwayat gagal jantung. Dalam peneliian ini terdapat 19 orang (29,23 %) dengan gagal jantung (Killip > 1). Berdasarkan hasil uji Chi square dengan tingkat kepercayaan 95 %, didapatkan dislipidemia berpengaruh secara signifikan terhadap kejadian gagal jantung pada pasien infark miokard akut dengan (p = 0,026). Dari 65 orang pasien IMA, kejadian gagal jantung (Killip > 1) terjadi pada 19 orang (29,23 %). Penelitian ini menyimpulkan bahwa faktor yang terbukti berpengaruh terhadap kejadian gagal jantung pada pasien infark miokard akut adalah dislipidemia. Kata kunci: Dislipidemia, Gagal jantung, Infark miokard akut.
The Correlation of Speed Factors Door To Electrocardiography (ECG) with Delay Times Fibrinolitic Therapy ST-Elevation Myocardiac Infarct (STEMI) Patient in Prof Dr. R.D. Kandao Manado General Hospital Kerangan, Johanis; Indra, M. Rasjad; Suharsono, Tony
Journal of Ners and Midwifery Vol 2, No 3 (2015): Journal of Ners and Midwifery
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.138 KB) | DOI: 10.26699/jnk.v2i3.ART.p212-215

Abstract

Reperfusion therapy is the main strategy in the treatment of patients with STEMI and when thereperfusion time faster, closely linked to the decrease rate of mortality. One of the deciding factors inintrahospital care system is the the speed of door-to-ECG are measured when the patient arrives at theemergency unit until being recorded ECG examination and the results can be interpreted by healthpersonnel. This study aimed to analyze the correlation between the speed of door-to-ECG with the delaytime of fibrinolytic therapy at the Emergency Department of Prof. R.D. Kandou general hospital inManado.The method of this study was Prospective Cohort with analytic observational design. Samplingtechnique was consecutive sampling with 22 participant on June-July 2015 on emergency departmentof Prof. R.D. Kandou general hospital in Manado. Observation sheet was used as instrument.Bivariate analysis showed that there was a significant correlation between the speed of door-to-ECGwith fibrinolitic therapy delay ( p value = 0.028) With rate of speed door-to-ECG is 28,59 minutes. Thelonger time door-to-ECG cause the longer fibrinolytic therapy that cause increasing mortality rate ofSTEMI patient.
HUBUNGAN TINGKAT PENGETAHUAN TENTANG KUSTA DENGAN KEPATUHAN MINUM MDT (MULTIDRUG THERAPY) PADA PASIEN KUSTA DI PUSKESMAS KEJAYAN DAN PUSKESMAS POHJENTREK KABUPATEN PASURUAN Meru, Sutik; Winarsih, Sri; Suharsono, Tony
Majalah Kesehatan FKUB Vol 4, No 1 (2017): MAJALAH KESEHATAN FAKULTAS KEDOKTERAN
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.866 KB) | DOI: 10.21776/ub.majalahkesehatan.2017.004.01.3

Abstract

 Kusta merupakan penyakit kronis yang disebabkan Mycobacterium leprae yang menyerang kulit dan saraf tepi. Untuk menunjang keberhasilan program terapi kusta, pemerintah menggunakan rekomendasi WHO yaitu program MDT (Multidrug Therapy)  selama 12 bulan. Penelitian ini berjenis deskriptif analitik observasional dengan desain croos sectional. Tujuan penelitian ini untuk mengetahui hubungan antara tingkat pengetahuan pasien kusta dengan kepatuhan minum MDT. Populasi yang digunakan adalah penderita kusta di wilayah kerja Puskesmas Kejayan dan Puskesmas Pohjentrek Kabupaten Pasuruan. Sampel diambil secara purposive sampling, yaitu  penderita kusta yang masih aktif mengikuti program MDT dan penderita masa pengamatan yang memenuhi kriteria inklusi, berjumlah 41 orang. Data tingkat pengetahuan diperoleh melalui kuesioner, data kepatuhan diperoleh melalui lembar observasi yang dibantu petugas kusta. Hasil yang diperoleh dari tingkat pengetahuan pasien kusta dalam katagori tinggi (70,7%), dengan kepatuhan dalam katagori patuh (56,1%). Analisis bivariat dengan menggunakan chi square didapatkan koefisien kontigensi sebesar 6,667 dengan signifikansi p value sebesar 0,025** (p < 0,05).  Dapat disimpulkan ada hubungan bermakna antara tingkat pengetahuan pasien kusta dengan kepatuhan minum MDT dengan hubungan keeratan rendah. Kepatuhan didukung oleh tingkat pengetahuan yang tinggi, petugas kesehatan yang profesional dan dukungan keluarga melalui peran serta masyarakat. Ketidakpatuhan lebih banyak terdapat pada aspek pengobatan. Kata Kunci: kepatuhan, kusta, multidrug therapy, tingkat pengetahuan.
The Correlation of Speed Factors Door To Electrocardiography (ECG) with Delay Times Fibrinolitic Therapy ST-Elevation Myocardiac Infarct (STEMI) Patient in Prof Dr. R.D. Kandao Manado General Hospital Kerangan, Johanis; Indra, M. Rasjad; Suharsono, Tony
Journal of Ners and Midwifery Vol 2, No 3 (2015)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.138 KB) | DOI: 10.26699/jnk.v2i3.ART.p212-215

Abstract

Reperfusion therapy is the main strategy in the treatment of patients with STEMI and when thereperfusion time faster, closely linked to the decrease rate of mortality. One of the deciding factors inintrahospital care system is the the speed of door-to-ECG are measured when the patient arrives at theemergency unit until being recorded ECG examination and the results can be interpreted by healthpersonnel. This study aimed to analyze the correlation between the speed of door-to-ECG with the delaytime of fibrinolytic therapy at the Emergency Department of Prof. R.D. Kandou general hospital inManado.The method of this study was Prospective Cohort with analytic observational design. Samplingtechnique was consecutive sampling with 22 participant on June-July 2015 on emergency departmentof Prof. R.D. Kandou general hospital in Manado. Observation sheet was used as instrument.Bivariate analysis showed that there was a significant correlation between the speed of door-to-ECGwith fibrinolitic therapy delay ( p value = 0.028) With rate of speed door-to-ECG is 28,59 minutes. Thelonger time door-to-ECG cause the longer fibrinolytic therapy that cause increasing mortality rate ofSTEMI patient.
HUBUNGAN TIM DINAMIS DENGAN KEMAMPUAN PERAWAT IGD MELAKUKAN CPR DI RUMAH SAKIT RUJUKAN PERTAMA NUSA TENGGARA BARAT Suharsono, Tony; Aries Fahrozi, Lalu; Sargowo, Djanggan
Jurnal Keperawatan Vol 6, No 2 (2015): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.065 KB) | DOI: 10.22219/jk.v6i2.2870

Abstract

Latar Belakang Peran penting perawat dalam penanganan cardiac arrest dan kemampuan kemampuan melakukan high quality CPR adalah kemampuan yang wajib dimiliki oleh perawat.Tujuan penelitian ini adalah untuk mengetahui hubungan antara tim dinamis dengan kemampuan perawat IGD dalam melakukan CPR. Metode observasional analitik dengan pendekatan cross sectional menggunakan purposive sampling. Jumlah sampel 52 perawat IGD dari tiga rumah sakit rujukan pertama di NTB. Alat ukur lembar observasi dan manequin GD/CPR180S, untuk mengetahui kemampuan CPR dan parameter tim dinamis. Hasil penelitian menunjukkan bahwa rata-rata responden hanya melakukan 4 hal dari indikator CPR yang berkualitas dan 5 dari 6 indikator tim dinamis dalam proses CPR. Hasil analisa bivariat dengan menggunakan korelasi pearson menunjukkan Pv 0,000 dan r 0,637. Tim dinamis mempunyai hubungan yang erat dengan kemampuan perawat melakukan CPR. Berdasar dari penelitian ini, sebaiknya pelatihan CPR dilakukan dengan pendekatan tim.
EFFECT OF TUTORIAL TEACHING METHOD FOR KNOWLEDGE AND SKILL OF CPR Suharsono, Tony
Jurnal Keperawatan Vol 7, No 2 (2016): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1543.018 KB) | DOI: 10.22219/jk.v7i2.3945

Abstract

It is necessary nowadays to increase the importance and the skill of CPR in general public. One way is to introduce CPR training using traditional teaching method, tutorial. The aim of this experiment was to identify the increased knowledge and skill of CPR using 3 hours tutorial teacing method. This experiment was a quasy-experimental with pretest-posttest without control group design using 48 high school students as the samples, which were obtained using purposive sampling technique. Data from a pretest and a posttest were collected to measure the difference in knowledge and skill before and after the training. Results showed that the mean of knowledge was 6.94 (1.8) before training and 9.13 (1.2) after training, with p value 0.001. The respondents could not perform the complete procedure of the CPR. After training, the respondents showed the average results of 35.7 mm chest compression depth, 117.6 chest compression speed, 0.3 times ventilation, and 142.8 second of 5 CPR cycles duration. The respondents were unable to perform chest compression adequately for both depth and ventilation to the victim of cardiac arrest. It is suggested that CPR training is necessary for general public and that is should focus more on chest.
DAMPAK HOME BASED EXERCISE TRAINING TERHADAP KAPASITAS FUNGSIONAL PASIEN GAGAL JANTUNG Suharsono, Tony
Jurnal Keperawatan Vol 4, No 1 (2013): Januari
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (61.534 KB) | DOI: 10.22219/jk.v4i1.2382

Abstract

DAMPAK HOME BASED EXERCISE TRAINING TERHADAP KAPASITAS FUNGSIONAL PASIEN GAGAL JANTUNG The Impact Of The Home Based Exercise Training To Functional Capacity Of Heart Failure PatientTony SuharsonoPSIK-FK Universitas Brawijaya MalangJl. Veteran, Malang 65145E-mail : suharsono_t@yahoo.comABSTRAKKanker serviks adalah kanker yang menyerang uterus yaitu bagian serviks uterus atau leher rahim, merupakan Penurunan toleransi latihan dan sesak nafas merupakan manifestasi klinis utama gagal jantung. Kondisi ini menyebabkan pasien tidak dapat melakukan aktivitas sehari-hari yang berakibat pada penurunan kapasitas fungsional. Tujuan dari penelitian ini adalah mengidentifikasi dampak HBET terhadap kapasitas fungsional pasien gagal jantung. Desain penelitian ini adalah quasi experiment, pre-post with control group. Teknik sampling yang digunakan purposive sampling, didapatkan 23 responden yang terbagi menjadi 11 responden kelompok kontrol dan 12 responden kelompok intervensi. Pengumpulan data kapasitas fungsional dilakukan dengan 6MWT.  Hasil pengukuran didapatkan perbedaan yang signifikan kapasitas fungsional sebelum dan setelah perlakuan pada kedua kelompok. Hasil analisis kapasitas fungsional setelah perlakuan antara kelompok kontrol dan intervensi tidak didapatkan perbedaan yang signifikan, walaupun kelompok intervensi mempunyai mean kapasitas fungsional. Berdasarkan hasil penelitian tersebut, HBET dapat digunakan sebagai modalitas keperawatan bagi pasien gagal jantung. HBET hendaknya dijadikan bagian integral dari management gagal jantung setelah keluar dari rumah sakit. Kata Kunci : Home based exercise training, kapasitas fungsional, dan gagal jantungABSTRACTA reduced exercise tolerance and shortness of breathing are the main clinical manifestations in patient with heart failure. These conditions cause patient?s inability to do their daily activities and lead to reduce functional capacity. The aim of this study was to identify the impact of the home based exercise training to functional capacity of heart failure patient. It used quasy experimental study design pre-post with control group, recruited 23 respondents with purposive sampling technique. They were divided into two groups, 11 respondents as control group and 12 respondents as experimental group. Functional capacity was obtain through observation of six minute walk test. The result showed that there was a significant difference of functional capacity before and after intervention in both groups. Statistically, the result of functional capacity data analysis after intervention showed that there wasn?t significant difference in both groups, although the experimental group has a higher mean data of functional capacity. Based on this study, HBET could be used as nursing modality for patient with heart failure. HBET should be integrated with heart failure management after discharging from hospital. Keyword : Home based exercise training, functional capacity, and heart failure
PERCEPTION OF SEVERITY LEVEL AND DECISION MAKING OF FAMILY CORRELATION TOWARD DEPARTING INTERVAL OF ISCHEMIC STROKE PATIENT Rahmawan, Fajri Andi; Yueniwati, Yuyun; Suharsono, Tony
Malang Neurology Journal Vol 6, No 2 (2020): July
Publisher : Malang Neurology Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2020.006.02.3

Abstract

Background: Ischemic stroke is an emergency state condition of brain which needs immediate rescue so the sufferer will not get any injury or risk of death. Interval of departing period still becomes problem. Level of severity perception and process of decision making of family are factors correlated to interval of departing time of the patient to Emergency Department.Objective: The purpose of this research is to find out correlation of severity level perception and process of decision making of family to interval of departing time of patient suffering stroke to Emergency Department of Public Regional Hospital Blambangan Banyuwangi.Methods: The method of this research is quantitative with cross sectional approach by involving 113 respondents. The technique of sampling is purposive sampling. The instruments are interview and observation sheet. The data analysis is done by spearman test to find out the correlation between variables namely level of severity and process of decision making of family’s patient to interval of departing time.Results: Findings show that p value between perceptions of severity level to the interval is 0.000 and process of decision making of the family to the interval with p value = 0.000 < α 0.05 meaning that variable of severity level and process of decision making are correlated to interval of departing time.Conclusion: Nurses need to improve standard of stroke severity by determining half-body weakening symptom into severity of ischemic stroke then it is socialized to society and to let them know the importance of immediate transport to emergency department when ischemic stroke symptom is found
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN TRIAGE PERAWAT PELAKSANADI RUANG IGD RUMAH SAKIT TIPE C MALANG Evie, Sova; Wihastuti, Titin Andri; Suharsono, Tony
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 3 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v12i3.163

Abstract

Triage was important to allow quick and precise identification with every patient arriving at the emergency room, in order to avoid exacerbating the patient's condition on emergency care. So that patients with critical conditions will be given priority compared to patients with stable condition. Triage nurse is the first to receive patients in the emergency room, this interaction affects all patients in the ER and be very important on the condition number of patient visits that much. The purpose of this research is to analyze the factors associated with the implementation of triage by nurses in ER Hospital Type C Malang.This study uses comparative analytic design with cross sectional approach. Using total sampling against the 35 sample period  May 2, 2016 -  May 26, 2016. The results of the bivariate analysis of unknown factors related to the implementation of the triage nurse is the factor of emergency training (p value = 0.021). Improve skills of emergency nurses  through education and training and training in emergency triage standardized. Keywords: Training, implementation triage
Co-Authors A.A. Ketut Agung Cahyawan W Djanggan Sargowo Evie, Sova Johanis Kerangan, Johanis Karyono Mintaroem Lalu Aries Fahrozi, Lalu Livia Baransyah, Livia M. Rasjad Indra M. Saifur Rohman, M. Saifur Rahmawan, Fajri Andi Sutik Meru, Sutik Titin Andri Wihastuti Wulandari, Angernani Trias Yuyun Yueniwati