Tintin Sukartini, Tintin
Fakultas Keperawatan, Universitas Airlangga

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Adherence in Pulmonary Tuberculosis Patients Based on King’s Interacting Systems Theory Sukartini, Tintin; Sitorus, Ratna; Waluyo, Agung; Darmawan, Ede Surya
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.898 KB) | DOI: 10.20473/%oj.Ners102%y289-295

Abstract

Introduction: Indonesia is one of largest contributor countries to pulmonary TB cases in the world. One of the factors that cause it is no adherence in the treatment. It is necessary to develop a model in order to improving compliance in patient. For an initial step, it is necessary to explore patient’s adherence that based on King’s interacting systems theory. The objective of this study was to explore the patients experience that cause them obedient the treatment based on King’s interacting systems theory. Method: This research was a qualitative research with descriptive explorative approach. The samples were selected through purposive sampling method. Participants in this study were 8 patients who met the inclusion criteria. In this study, participants were pulmonary TB patients who have undergone treatment for 5-6 months. Results: There were 12 themes in patients compliance based on King’s interacting systems theory; (1) true perception of pulmonary tuberculosis, (2) self-awareness, (3) optimal growth and development, (4) positive self-image, (5) a healthy environment, (6) discipline to take medication, (7) effective coping, (8) open communication with the patients health workers and family, (9) to perform its role optimally, (10) balancing stress during illness, (11) knowing the health care bureaucracy and (12) able to take decisions. Discussion: The 12 themes describe that adherent patients have interaction systems that were personal systems, interpersonal systems and social systems. Keywords: Compliance, pulmonary tuberculosis, King’s interacting systems theory.
The Effects of Combination of Range Motion and Deep Breathing Exercise on Pain in Post-Orthopedic Surgery Patients Sasongko, Hery; Sukartini, Tintin; 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
PENINGKATAN EFIKASI DIRI MASYARAKAT DALAM PENCEGAHAN TUBERKULOSIS BERBASIS BUDAYA Sulistyono, R Endro; Sukartini, Tintin; Makhfudli, Makhfudli; Nursalam, Nursalam; Rr Soenarnatalina M, Rr Soenarnatalina M; Hidayati, Laily
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 10 No 2 (2017): AUGUST
Publisher : Unusa Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v10i2.130

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Numbers of TB in Indonesia are increasing by years. One of the causes of TB control challenges is the lack of community awareness of TB disease. The Madurese are very culturally and very obedient to the kiai (religious leaders) as well as the level of TB disease in areas where they are still high. This study aimed to explore the community's self-efficacy towards TB prevention through a cultural approach. Method: This study is a quasi experimental study with two control and treatment groups (pre-post design). The sample of this study were 100 respondents (50 controls groups and 50 treatment groups) which selected by simple random sampling based on the inclusion criteria. Data then analyzed by using paired t test dan independent t test. Result: there was significant effect of P value = 0.000 in treatment group, there was self efficacy improvement after the delivery of intervention with culture approach. Discussion: Interventions for TB prevention require innovation with cultural approaches adopted by the community (such as working with kiai, people who are considered to have charisma for certain community groups) to make it easier to implement TB prevention. Keywords : Tuberculosis, culture, efficacy
PENGALAMAN SEKSUALITAS PEREMPUAN PASCA TAH BSO (TOTAL ABDOMINAL HYSTERECTOMYBILATERAL SALPINGO OOPHORECTOMY) Akbar Tukan, Ramdya; Sukartini, Tintin; Yunitasari, Esti
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 10 No 2 (2017): AUGUST
Publisher : Unusa Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v10i2.135

Abstract

Total Abdominal Bilateral Hysterectomy Salpingo Oophorectomy (TAH BSO) is one of the operations of gynecology which aims to remove the uterus, cervix and both tube and ovarian tubes. This study aims to explore the experience of female sexuality after the operation of TAH BSO at Haji Surabaya Hospital. Methods: This study used in-depth interview method to 7 participants who have conducted TAH BSO at Haji Surabaya Hospital. Result and analysis: This study result 2 findings: (1) Sexual activity after TAH BSO, Most patients experience a decrease in sexual desire, lubrication and lack of intensity sexual intercourse, but there are patients who can feel orgasm during sexual intercourse, (2) The response to the problem faced is husband's positive support and reduce the frequency of intercourse. Discuss and Conclution: This study yielded 2 conclusions: (1) Patients after TAH BSO experience decreased sexual activity such as decreased sexual desire, lubrication, decreased quality of sexual relations, but there are patients who do not feel any lubrication and still can be feel the orgasm, It is caused by a good psychological condition,(3) Patients need the attention of husband and family. Suggestions for further research need to make more in-depth observations of the husband and the patient's family 
A review on reducing the incidence of postoperative ileus by chewing gum, consuming coffee or warm water post abdominal surgery Firmanti, Tria Anisa; Sukartini, Tintin; Krisnana, Ilya
MEDISAINS Vol 18, No 1 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i1.6901

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Background: Postoperative ileus is the main complication post abdominal surgery; it signs two or more periods of vomiting and nausea, intolerance of diet more than 24 hours, inability to pass flatus more than 24 hours, and abdomen distension. Several studies are stating that interventions chewing gum, consuming coffee, and drinking warm water can reduce the incidence of postoperative ileus.Objective: Collects the evidence for effect chewing gum, consuming coffee, and warm water to reduce postoperative ileus.Method: This systematic review is arranged based on literature studies from five databases last five years, such as Scopus, Sciencedirect, Proquest, and Oxford, with the comprehensive survey, which conducted according to the guidelines in the PRISMA. We searched for studies with the keyword "chewing gum" OR "coffee" OR "warm water" AND "postoperative."Result: We selected 215 articles from an electronic database, and 17 articles with Randomized Control Trials (RCTs) method included. The sampling of selected items in this systematic review carried for five months to 1 year, from January to December 2010 - 2017, obtained 20 to 975 samples. There was a significant effect of chewing gum, consuming coffee, and warm water reduced postoperative ileus incidence without side effects.Conclusion: Chewing gum, consuming coffee, and warm water, are effective, safe, and not expensive to reduce the incidence of postoperative ileus and improve recovery post abdominal surgery.
Hubungan Pengetahuan dan Perilaku Pengawas Minum Obat Terhadap Kepatuhan Minum Obat Pada Pasien TB Paru Di Puskesmas Tobadak Kabupaten Mamuju Tengah Swarjana, I Kadek Dwi; Sukartini, Tintin; Makhfudli, Makhfudli
Jurnal Keperawatan Muhammadiyah Vol 6, No 1 (2021): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v6i1.2796

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Objective: Indonesia is a country with the third highest TB burden in the world, after India and China. Tuberculosis is a global health problem that mostly occurs in developing countries. The cause of failure to treat pulmonary TB patients is inadequate knowledge that is caused due to low knowledge and lack of supervision carried out by the PMO. This study aims to get an overview of the relationship between the level of knowledge and behavior of supervisors taking medication to medication adherence in patients with pulmonary TB. Methods: This study used a descriptive analytic design with a cross-sectional approach. Data collection techniques are carried out by survey and observation. Sampling by purposive sampling. Results: The results of the study revealed that the statistical test using the SPSS version 16.0 program with the help of the Chi-Square test found that there was a relationship between knowledge and adherence to medication with a value of p = 0.001 with a significance level of α = 0.05 and PMO behavior with compliance with p values = 0.017 with a significance level of α = 0.05. Conclusion: The results of the study show that there is a relationship between knowledge and behavior towards medication adherence for patients with pulmonary TB
Respon Pasien Terkonfirmasi Covid-19 setelah Menjalani Perawatan di Ruang Isolasi Singgih, Singgih; Sukartini, Tintin; Afiyah, Raden Khairiyatul
Jurnal Keperawatan Vol 13 No 3 (2021): Supp September 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v13i3.1686

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Salah satu cara dalam menangani penyebaran Covid – 19 adalah ddengtancara menerapkan isolasi, pada penderitanya sesuai dengan gejala yang muncul. Isolasi yang dilakukan di rumah sakit dapat membawa dampak fisik maupun psikologius terhadap penderitanya. Mengeksplorasi secara mendalam respon pasien terkonfirmasi Covid – 19 setelah menjalani perawatan Isolasi di RS Bhayangkara H.S Samsoeri Mertojoso Surabaya. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomologi, 10 pasien yang pernah menjalani perawatan isolasi di ruang isolasi covid RS Bhayangkara Surabaya. Pengumpulan data dengan wawancara melalui telephon untuk mengurangi kontak. Kemudian data ditulis Kembali dan data dianalisis menggunakan metode Colaizzi. Respon pasien terkonfirmasi covid – 19 setelah menjalani perawatan isolasi di reduksi menjadi 3 tema yaitu Penolakan, Stress dan Penerimaan. Virus covid – 19 membawa pengaruh besar dalam kehidupan penderitanya. Tidak hanya fisik yang mengalami perubahan, tetapi juga mengganggu psikologis dari penderitanya. Hal ini diakibatkan dari proses penularan yang begitu cepat sehingga pembatasan kontak perlu dilakukan dan penyakit yang terhitung baru dengan angka kematian yang tinggi mengakibatkan kecemasan dan ketakutan penderitanya.
Seft Kombinasi Zikir Berpengaruh terhadap Depresi dan Kualitas Hidup Pada Pasien Kanker Kolon yang Menjalani Kemoterapi Majid, Dul; Sukartini, Tintin
Jurnal Keperawatan Vol 13 No 3 (2021): Supp September 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v13i3.1693

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Kanker kolon menimbulkan permasalahan serius pada aspek fisik, psikologis, sosial, dan lingkungan. Karena pertimbangan berfokus pada pencegahan dan pengobatan, sedangkan efek kualitas hidup dan depresi jarang menjadi pertimbangan. Intervensi yang dapat meningkatkan kualitas hidup pasien tersebut adalah terapi non farmakologis, yaitu Seft kombinasi zikir. Penelitian ini bertujuan untuk mengetahui pengaruh Seft kombinasi zikir terhadap Depresi dan Kualitas Hidup pada Pasien Kanker kolon yang menjalani kemoterapi di RSPAL Dr. Ramelan Surabaya. Jenis penelitian menggunakan mixed methods exploratory. Tahap I penelitian kualitatif deskriptif dan tahap II menggunakan desain penelitian Quasy-Experimental dengan pendekatan pre posttest control group design. Sampel diambil dengan metode probability sampling jenis random sampling pada tahap II berjumlah 36 responden terdiri dari 18 kelompok intervensi dan 18 kelompok kontrol. Variabel independen Seft kombinasi zikir. Variabel dependent depresi dan kualitas hidup. Instrumen menggunakan lembar observasi dan kuisioner BDI uji reliabilitas dengan menggunakan rumus alpa, didapatkan nilai r hitung di atas nilai r table (> 0,632) dengan signifikansi 0.05 dan Cronbach's Alpha = 0.937, kuisioner WHOQOL uji reliabilitas dengan menggunakan rumus alpa, didapatkan nilai r hitung di atas nilai r table (> 0,632) dengan signifikansi 0.05 dan Cronbach's Alpha = 0.981. Analisis menggunakan uji paired t test dan uji manova. Ada pengaruh Seft kombinasi zikir terhadap depresi dan kualitas hidup pada pasien kanker kolon yang menjalani kemoterapi dengan p valus < 0,05 yaitu depresi p value=0.000. Seft kombinasi zikir berpengaruh terhadap penurunan tingkat depresi dan peningkatan kualitas hidup pasien. Intervensi Seft kombinasi zikir dapat membantu menurunkan depresi dan meningkatkan kualitas hidup pada pasien kanker kolon yang menjalani kemoterapi.