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HUBUNGAN PENGETAHUAN DAN SIKAP PASIEN DIABETES MELITUS DENGAN KEPATUHAAN DIET DIABETES MELITUS TIPE 2 DI RSUD SUKADANA TAHUN 2012 Isnainy, Usastiawaty Cik Ayu Saadiah; Nugraha, Andri
Holistik Jurnal Kesehatan Vol 12, No 4 (2018)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

REWARD, JOB SATISFACTION, MOTIVATION AND JOB PERFORMANCE AMONG NURSING STAFF Background: Nurse performance is the activity of the nurses in implementing their authority, duties and responsibilities as well as possible. From the results of prasurvey, obtained the result of temporary analysis the low performance of nurses was suspected due to job satisfaction, reward system, motivation of the nurse.Purpose: These study to known the influence of Reward and Job Satisfaction To Motivation and Performance of Nurses at Pertamina Bintang Amin Hospital Bandar Lampung.Methods: This was quantitative study with analytical design and cross sectional approach. This research was conducted since February to March 2018. Data analysis was done trough path analysis (Path Analysis).Results: showed there is significant influence of reward (p-value:0.048), job satisfaction (p-value:0.001) and motivation (p-value:0.000) to nurse performance. Value of coefficient beta reward ( 0.105), nurse satisfaction (0.311) and motivation (0.609) to nurse performance.Conclusion: Hospital institutions need to increase nurses motivation, so nurses always have good performance by providing intensive to nurses who work overtime and have good performance, facilitating the need for nurses to create job satisfaction, as well as providing support to continue education.Pendahuluan: Kinerja perawat adalah aktivitas perawat dalam mengimplementasikan sebaikâ€“baiknya suatu wewenang, tugas dan tanggung jawabnya. Dari hasil prasurvey didapatkan hasilÂ analisis sementara rendahnya kinerja perawat didugaÂ terletak pada kepuasan kerja, sistem penghargaan, motivasi kerja perawat tersebut. Tujuan: Diketahui pengaruh Reward dan Kepuasan Kerja Terhadap Motivasi dan Kinerja Perawat di Rumah Sakit Pertamina BintangÂ Amin Bandar Lampung.Metode: Jenis penelitian ini adalah kuantitatif dengan rancangan analitik pendekatan cross sectional, dan telah dilaksanakan pada bulan Februari sampai Maret 2018. Analisa data menggunakanan alisis jalur (Path Analysis).Hasil: ada pengaruh signifikan antara Reward (p-value:0.048), Kepuasan Kerja (p-value:0.001), dan Motivasi (p-value:0.000) terhadap Kinerja perawat. Diketahui ada pengaruh positif antara Reward (beta:0.105), Kepuasan Kerja (beta:0.311) dan Motivasi (0.609) terhadap Kinerja.Kesimpulan: Institusi pelayanan keperawatan di Rumah Sakit melalui bidang keperawatan bekerjasama dengan pihak manajemen rumah sakit perlu meningkatkan motivasi kepada perawat, agar perawat selalu memiliki kinerja yang baik. Memfasilitasi kebutuhan perawat agar bisa menciptakan kepuasan kerja, serta mendukung perawat pelaksana melanjutkan pendidikan.Â

Kadar Gula Darah Sebelum dan Sesudah Melaksanakan Senam Diabetes pada Pasien Diabetes Melitus Tipe II Nugraha, Andri; Kusnadi, Engkus; Subagja, Sigit
Jurnal Ilmiah Kesehatan (JIK) Vol 9, No 2 (2016): Jurnal Ilmiah Kesehatan
Publisher : Jurnal Ilmiah Kesehatan (JIK)

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Angka Kejadian diabetes mellitus di Indonesia terus meningkat dan merupakan salah satu penyakit yang paling banyak di derita oleh masarakat Indonesia.Penatalaksanaan diabetes mellitus dengan caralima pilar utama, diantaranya senam diabetes. Tujuan umum penelitian ini adalah mengetahui perbedaan kadar gula darah sebelum dan sesudah melaksanakan senam diabetes pada pasien DM Tipe II di Poliklinik penyakit dalam RSUD dr. Slamet Garut. Senam diabetes adalah latihan fisik aerobik bagi penderita diabetes dengan serangkaian gerakan yang dipilih secara sengaja dengan cara mengikuti irama musik yang dipilih sehingga melahirkan ketentuan ritmis, kontinuitas dan durasi tertentu untuk mencapai tujuan tertentu.Desain penelitian quasi eksperimen.. Teknik pengambilan sampel purposive sampling, dengan jumlah sampelberjumlah24 orang. Dalam penelitian ini dilakukan 2 kali pengukuran gula darah yaitu sebelum (data medrec) dan sesudah melaksanakan senam diabetes.Alat yang digunakannyaGluco Meter.Hasil penelitian didapatkan rata-rata kadar gula darah sebelum senam diabetesÂ 164,50mg/dl dan sesudah senam diabetes 145,13Â mg/dl. Hasil uji statistik memperlihatkan bahwa nillai P-value sebesar 0,0005 yang lebih kecil dari nilai Î± (0,05). Hal ini memberi informasi untuk menolak H0, sehingga disimpulkan terdapat perbedaan kadar gula darah sebelum dan sesudah senam diabetes.Penelitian diharapkan menJadi tambahan informasi untuk tetap menjadwalkan senam yang sudah rutin dilaksanakan.

Pengaruh Pemberian Aloe Vera Pada Pasien Luka Bakar Nugraha, Andri
Jurnal Medika Cendikia Vol 2 No 02 (2015): JURNAL MEDIKA CENDIKIA
Publisher : STIKes Karsa Husada Garut

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Burn injury give some effects, there are death, disabilities, loss of confidence and the high cost of healing. Burn injury patient needs treatment conducted directly to return the skin function. Therefore, aloe vera can be used as an inexpensive alternative treatment. Aims of the study: This literature search aimed to analyzethe results ofstudythat focuses oneffects ofthe use ofaloeveraforthe healing of burn injury. Method of the study:This study use literature review method ofnine electronic journal andthe keywords used are aloe vera, burn injury, management burn injury and therapy. Result of study:Aloeverahas a shapesuch asa triangle with tubular yellow flowers, fleshy leaveswithjagged edges, a lot of seeds and has a length of 30-50 cm and width 10 cm. Aloe vera given to treat first and second degree burn injury patients. Burn injuries were treated by aloe vera can heal faster and epithelializationof skin tissue because aloe vera contains antiseptic,anti-inflammatory and increase granulation tissue. Conclusions: aloe verais possible to heal first and second degree of burn injury because aloe vera can improve thegranulationtissue, antisepticandanti-inflammatory.

Kadar Gula Darah Sebelum dan Sesudah Melaksanakan Senam Diabetes pada Pasien Diabetes Melitus Tipe II Nugraha, Andri; Kusnadi, Engkus; Subagja, Sigit
Jurnal Ilmiah Kesehatan (JIK) Vol 9, No 2 (2016): Jurnal Ilmiah Kesehatan
Publisher : Jurnal Ilmiah Kesehatan (JIK)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Angka Kejadian diabetes mellitus di Indonesia terus meningkat dan merupakan salah satu penyakit yang paling banyak di derita oleh masarakat Indonesia.Penatalaksanaan diabetes mellitus dengan caralima pilar utama, diantaranya senam diabetes. Tujuan umum penelitian ini adalah mengetahui perbedaan kadar gula darah sebelum dan sesudah melaksanakan senam diabetes pada pasien DM Tipe II di Poliklinik penyakit dalam RSUD dr. Slamet Garut. Senam diabetes adalah latihan fisik aerobik bagi penderita diabetes dengan serangkaian gerakan yang dipilih secara sengaja dengan cara mengikuti irama musik yang dipilih sehingga melahirkan ketentuan ritmis, kontinuitas dan durasi tertentu untuk mencapai tujuan tertentu.Desain penelitian quasi eksperimen.. Teknik pengambilan sampel purposive sampling, dengan jumlah sampelberjumlah24 orang. Dalam penelitian ini dilakukan 2 kali pengukuran gula darah yaitu sebelum (data medrec) dan sesudah melaksanakan senam diabetes.Alat yang digunakannyaGluco Meter.Hasil penelitian didapatkan rata-rata kadar gula darah sebelum senam diabetesÂ 164,50mg/dl dan sesudah senam diabetes 145,13Â mg/dl. Hasil uji statistik memperlihatkan bahwa nillai P-value sebesar 0,0005 yang lebih kecil dari nilai Î± (0,05). Hal ini memberi informasi untuk menolak H0, sehingga disimpulkan terdapat perbedaan kadar gula darah sebelum dan sesudah senam diabetes.Penelitian diharapkan menJadi tambahan informasi untuk tetap menjadwalkan senam yang sudah rutin dilaksanakan.

Smoking and Comorbidities in Covid-19: A Systematic Review Nugraha, Andri; Ernawati, Ernawati; Utama, Tuti Anggriani; Rinjani, Santi
Unnes Journal of Public Health Vol 9 No 2 (2020): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v9i2.38181

COVID-19 is highly contagious, causing pneumonia, respiratory failure, death, and becoming a pandemic. Patients with severe infections must be treated in the Intensive Care Unit (ICU) with a ventilator. Ventilator facilities in the ICU are limited; it must take precautions by knowing the characteristics of patients at high risk of severe disease in COVID-19, one of which was smoking or comorbidity. The purpose of this study was to assess the risk of comorbidity and smoking in COVID-19. This study used systematic review by searching for articles from the ScienceDirect and Medline databases with journals published on January 1, 2019 - March 31, 2020. The results of the study showed that there were 12 relevant articles full text in English and were analysed. The conclusion was that patients with COVID-19 who were smoking or had comorbidities were more susceptible to COVID-19 infection, more severe illness, and causing death.

Efektivitas Terapi Psikoreligius Terhadap Pasien Dengan Halusinasi Rinjani, Santi; Murandari, Murandari; Nugraha, Andri; Widiyanti, Efri
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.v7i02.147

Abstract Hallucinations can cause behavioral changes such as aggressiveness, suicide, withdrawal from the environment, can harm yourself, others and the environment if you do not get treatment or further treatment. Therefore, psychoreligious therapy is used as an alternative by combining modern mental health approaches and religious or religious aspects that aim to improve coping mechanisms or overcome problems, especially hallucinations. This literature search aims to analyze the results of research that focuses on the effect of psychoreligious therapy on hallucinations. Method This study was carried out by reviewing the literature through electronic media on PubMed and Google Scholar and using the keyword psychoreligious therapy for hallucination, psychoreligious therapy in patients with hallucinations, after the search, there were 5 articles that met the criteria with a maximum publication year of the last 10 years. The results showed that psychoreligious therapy is a form of psychotherapy by combining a modern mental health approach and a religious or religious aspect approach that aims to improve coping mechanisms or solve a problem. During psychoreligious therapy, there was a decrease in the frequency of auditory hallucinations, a decrease in the hallucination score, and an increase in the ability to control hallucinations. There are three types of psychoreligious therapy, namely the dzkir method, reading the al-quran and reading the letter al fatihah. The conclusions in this study indicate that psychoreligious therapy is significantly effective in reducing the frequency of auditory hallucinations, decreasing hallucination scores, and increasing the ability to control hallucinations. Key words: psychoreligious therapy for hallucination, psychoreligious therapy in patients with hallucinations

Effect of Family Support Towards Elderly Hemodialysis Patientsâ€™ Anxiety Lev-el Nugraha, Andri; Rahmah , Ghina Utari; Budhiaji , Purbayanti
Basic and Applied Nursing Research Journal Vol 1 No 1 (2020): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

One of many ways to decrease the morbidity and mortality rates on elderly hemodialysis patients is by decreasing their anxiety level on therapy sessions by family support. This researchâ€™s purpose is to find out the effect of family support on the elderly hemodialysis patientsâ€™ anxiety levels. The participants were 50 elderly hemodialysis patients. This research used a cross-sectional design. The questionnaire was adopted from Houseâ€™s theory, the anxiety level was measured with Self-Rating Anxiety Scale (SAS), and ordinal regression was used for statistical analysis. The results showed that there was a significant correlation between family support and elderly hemodialysis patientsâ€™ anxiety level (P=0.026). The absence of family support affected the anxiety level from mild to moderate range. Patients without family support had 4,4 times higher chance to get mild to moderate anxiety than those with family support. Patients with chronic kidney failure who are under hemodialysis therapy treatment and having family support can increase their quality of life.

Cognitive Behavior Therapy (CBT) Pada Pasien Pasca Stroke dengan Depresi Literatur Review Rinjani, Santi; Suryani, Suryani; Sriati, Aat; Nugraha, Andri
Jurnal Medika Cendikia Vol 8 No 2 (2021): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v8i2.158

Stroke is one of the most serious diseases because of the death and mortality rate. The World Health Organization (WHO) revealed that stroke is the second leading cause of death in the world, killing 6.2 million people. Half of all have problems returning to their pre-stroke state in their daily routine. Especially the psychosocial problems of stroke survivors have a negative impact on their quality of life, causing depression. The level of anxiety and depression can be reduced by means of the patient being given therapy, namely Cognitive Behavior Therapy. This literature search aims to analyze the results of research that focuses on the effect of Cognitive Behavioral Therapy on helplessness, depression in stroke patients. Method This study was conducted by reviewing the literature through electronic media on Sience Direct and Google Scholar and using the keywords "cognitive behavioral therapy in stroke patients and depression", after obtaining 6 articles that met the criteria with a maximum publication year of the last 10 years. The results showed that cognitive behavioral therapy is a type of short-term behavioral treatment that focuses on the patient considering the relationship between beliefs, thoughts, and feelings and following behavioral patterns and behaviors. During cognitive behavioral therapy, depression levels decreased and quality of life improved, psychosocial symptoms decreased, and self-efficacy expectations increased. There are three phases of cognitive behavioral therapy, namely the phase of behavior modification, cognitive restructuring, and reducing adverse effects. The conclusions of this study indicate that Cognitive Behavioral Therapy significantly reduces psychosocial problems, improves patients' quality of life and reduces depression.

The Effect of Disaster Education on The Ability of Adolescents to Recognize COVID-19 Prevention Setiyawan, Setiyawan; Nugraha, Andri
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 7, No 2 (2021): Volume 7, Nomor 2 (2021)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v7i2.35705

AbstractIntroduction: Disaster education to reduce disaster risk in adolescence is essential. An infectious disease that is currently spreading is covid-19. Emerging epidemiological reports of covid-19 in children show that, while they are less likely to become infected and to have the severe disease than adults, children are vulnerable to the coronavirus pandemic. Objectives: This research aimed to find out the effect of disaster education on children's ability to recognize Covid-19 prevention. Methods: This research design is quasi-experimental with a one-group pretest-posttest design approach. Disaster education intervention Covid-19 covers disaster aspects (prevention, detection, and response phases). The research instrument uses a questionnaire on students' ability to recognize covid-19 prevention. Results: Data analysis using the Wilcoxon test showed p-value of 0.000. Discussion. There is an effect of providing disaster education on children's ability to recognize covid-19 prevention. The early introduction of disaster or disease outbreaks and their prevention are the concrete means that need to be given to the younger generation to increase the children's knowledge and shape alertness behavior in dealing with the disaster or disease outbreaks.Â AbstrakPendahuluan: Pendidikan bencana untuk mengurangi risiko bencana di masa anak remaja menjadi sangat penting. Penyakit infeksius yang saat ini sedang berkembang adalah Covid-19. Laporan epidemiologis yang muncul tentang covid-19 pada anak-anak menunjukkan bahwa, sementara mereka lebih kecil kemungkinannya terinfeksi dan memiliki penyakit parah dibandingkan orang dewasa, mereka masih rentan terhadap pandemi corona virus.. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh disaster education: covid-19 terhadap kemampuan anak mengenal pencegahan covid-19. Metode: Rancangan penelitian ini adalah quasy experimental dengan pendekatan one group pretest-posttest design. Intervensi edukasi kebencanaan Covid-19 meliputi aspek kebencanaan (tahap pencegahan, deteksi dan tanggap) diberikan kepada siswa sebanyak 3 kali dengan durasi masing-masing 30 menit secara online. Instrumen penelitian menggunakan kuesioner kemampuan siswa mengenal pencegahan covid-19. Hasil: hasil analisa data dengan uji wilxocon didapatkan p-value 0.000. Diskusi : Terdapat peningkatan kemampuan siswa dalam pencegahan covid-19 setelah pemberian pendidikan bencana. Pengenalan awal bencana/ wabah penyakit dan pencegahannya merupakan media nyata yang perlu diberikan untuk para generasi muda untuk meningkatkan pengetahuan dan membentuk perilaku kesiapsiagaan dalam menghadapi bencana/ wabah

Influence Of Financial Audit Findings, Governments Wealth, Size Of Government And Leverage On The Performance Of Regency/City Governments In Indonesia Nugraha, Andri
International Journal of Applied Finance and Business Studies Vol. 9 No. 2 (2021): September: Applied Finance and Business Studies
Publisher : TRIGIN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/ijafibs.v9i2.13

This study aims to determine the effect of BPK audit findings, government's wealth, size of government as well as leverage on the performance of local government districts / cities in Indonesia. The analytical method used is descriptive analysis, Classical Assumption Test, Multiple Linear Regression Analysis, Testing Hypothesis, and the coefficient of determination. This study examined the relationship between BPK audit findings with the performance of local governments, government's wealth with local government performance, size of government with local government performance, as well as leverage the performance of local governments. The population in this study are all local government districts / cities in Indonesia, the sample in this study were 47 local government districts / cities in Indonesia. The type of data in this research is secondary data. The selection of the sampling method is a purposive sampling method. And data processing using SPSS software. The results contained in this research is the BPK audit findings and leverage partially no significant effect on the performance of the district / city in Indonesia. While the government's negative wealth effect and the size of government has positive influence on the performance of the government. And other results are BPK audit findings, government's wealth, size of government as well as leverage together have a significant influence on the financial performance of the district / city in Indonesia.

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