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The Relationship of A Mother's Perception of The Severity With The Treatment of Diarrhea And Ari At Home Eko Kapti, Rinik; Putri N. C, Awalyn; Trisnaningtyas, Wenny
Jurnal Keperawatan Vol 8, No 1 (2017): Januari
Publisher : University of Muhammadiyah Malang

HUBUNGAN PERSEPSI KEGAWATAN DAN TATALAKSANA DIAREDAN ISPA DI RUMAH PADA BALITAThe Relationship of A Mother's Perception of The Severity With The Treatmentof Diarrhea And Ari At HomeRinik Eko Kapti1, Awalyn Putri N. C2, Wenny Trisnaningtyas3123 Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Universitas BrawijayaJalan Veteran, Ketawanggede, Kec. Lowokwaru, Kota Malang, Jawa Timur 651451e-mail: rinik.kapti@gmail.comABSTRAKDiare dan Infeksi Saluran Pernafasan Akut (ISPA) merupakan salah satu penyumbang terbanyakpada kasus kematian dan kesakitan anak balita di dunia. Hal ini berkaitan dengan adanyapengaruh dari penilaian seorang ibu untuk memberikan penanganan awal di rumah yang tepat padaanaknya. Penelitian ini bertujuan menganalisa hubungan persepsi ibu terhadap kegawatan diaredan ISPA dengan tatalaksana diare dan ISPA yang dilakukan ibu di rumah. Desain penelitian inimenggunakan deskripsi korelasi dengan pendekatan cross sectional. Sampel yang diambilsebanyak 84 ibu dengan menggunkaan kuesioner tertutup. Pengambilan sampel dilakukan melaluipurposive sampling. Analisa data menggunakan uji Spearman Rank Correlation untuk diare danuji Pearson Correlation untuk ISPA. Hasil adanya hubungan bermakna antara persepsi ibuterhadap kegawatan diare dan ISPA dengan tatalaksana diare dan ISPA yang dilakukan ibu dirumah pada anak balita dengan nilai p = 0,000 < 0,05. Penelitian ini dapat menyimpulkan bahwaterdapat hubungan antara persepsi kegawatan diare dan ISPA dengan tatalaksana diare dan ISPAdi rumah. Berdasar hasil penelitian diharapkan tenaga kesehatan mampu meningkatkat persepsiyang tepat dari ibu sehingga mampu untuk meningkatkan tatalaksana dirumah.Kata kunci: Persepsi Ibu terhadap Kegawatan, Tatalaksana Awal, Diare, ISPA, BalitaABSTRACTDiarrhea and acute respiratory infection (ARI) is one of largest contributor mortality andmorbidity of children under aged five in the world. This relates to the influence of a mother'sassessment to provide a good initial treatment in home. This study aimed to analyze therelationship of a mother's perception of the severity of diarrhea and ARI with the treatment ofdiarrhea and ARI that conducted by mother at home. Design of this research using descriptivecorrelation with cross sectional approach. Sampling was done by purposive sampling. Samplestaken were 84 mothers. Data were analyzed using Spearman Rank Correlation test for diarrheaand Pearson Correlation test for ISPA. The result of the existence of a significant relationshipbetween a mother's perception of the severity of diarrhea and ARI with the treatment of diarrheaand ARI with p = 0.000 < 0.05. This research concluded that there is a relationship between amother's perception of the severity of diarrhea and ARI with the treatment of diarrhea and ARI athome. Based on the results, the study expected health workers to increase motherâ€™s perceptioncorrectly in order to increase the treatment of diarrhea and ARI at homeKeywords: Motherâ€™s Perception of Severity, Treatment of Early, Diarrhea, ARI, Toddler

Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically Ill Patients: A Systematic Review Trisnaningtyas, Wenny; Retnaningsih, Retnaningsih; Rochana, Nana
Nurse Media Journal of Nursing Vol 11, No 2 (2021): (August 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i2.28881

Background: Many studies on pressure injury prevention bundles have been conducted outside the Intensive Care Unit (ICU). The bundles, which include multi interventions, have proven effective in reducing pressure ulcer incidents compared to a single intervention. However, the existing review studies on pressure injury prevention in ICUs still only investigate a single intervention rather than multi interventions. Only few reviews, to our knowledge, involves prevention bundle strategies in the ICU.Purpose: This study aims to review the effects of the pressure injury prevention bundles of care on the incidents of pressure injury in critically ill patients and the intervention measures of the care bundles.Methods: This review searched published articles from several databases, namely EBSCO, ScienceDirect, PubMed, ProQuest, Google Scholar, and Scopus from 2009 up to 2020. PRISMA flowchart was used to select relevant articles using several inclusion and exclusion criteria, resulting in 17 article from 50 eligible full-text articles for assessment. The included studies were assessed for their quality using Joanna Briggs Institute (JBI) critical appraisal tools. The synthesis was then conducted narratively.Results: As many as 17 studies, which mostly had good quality yet evidence level of II, were included in the analysis. The findings showed that the pressure injury prevention bundles of care decreased pressure injury incidents as many as 4.3%-36.2% in developed countries and 4.16%-21% in developing countries. Moreover, the bundles of care which significantly reduced the incidents of pressure injury consisted of 7 intervention measures, which were pressure injury risk assessment using Cubbin Jackson scale, skin assessment and care, repositioning, nutrition, education, support surface, and medical device care.Conclusion:The review concluded that the pressure injury prevention bundles of care in critically ill patients significantly reduced the incidents of pressure injury. The study recommends more studies with stronger evidence levels to carry out and utilize 7 intervention measures as a preventive standard of care in critically ill patients.Â

GAMBARAN RESIKO LUKA TEKAN (PRESSURE INJURY) PADA PASIEN KRITIS Wenny Trisnaningtyas; Retnaningsih Retnaningsih; Nana Rochana
The Shine Cahaya Dunia Ners Vol 6, No 1 (2021): The Shine Cahaya Dunia Ners
Publisher : LPPM An Nuur Purwodadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v6i1.268

Latar belakang; Prevalensi kejadian luka tekan di ICU negara berkembang sekitar 8.3%-43.4% sedangkan di negeri maju sekitar 7.8%-58%. Kejadian ini seharusnya dapat dicegah dengan langkah awal menggunakan pengkajian resiko luka tekan dengan instrument yang terstandar. Indikator pengkajian resiko luka Item umumnya terdiri dari usia, indek masa tubuh, mobilitas, status nutrisi, jenis kelamin. Beberapa instrumen pengkajian resiko luka tekan telah diterapkan dirumah sakit akan tetapi instrument yang spesifik pada pasien kritis masih terbatas. Instrument cubin jackson adalah pengkajian resiko luka tekan dengan indicator yang spesifik pada pasien kritis. Tujuan penelitian ini untuk mengetahui gambaran resiko luka tekan (pressure injury) menggunakan skala cubbin jackson pada pasien kritis Metode; Penelitian ini menggunakan desain penelitian kuantitatif menggunakan pendekatan cross sectional dengan teknik purposive sampling. Analisa data distribusi frekuensi digunakan untuk menganalisa karakteristik responden dan skor resiko luka tekan. Chi Square digunakan melihat hubungan antara karateristik responden dengan luka tekan Sampel penelitian ini berjumlah 114 respoden di 2 ICU Kota Semarang sesuai dengan kriteria inklusi dan eksklusi. Instrumen dalam penelitian ini menggunakan Cubbin Jackson. Karakteristik responden dicatat sebagai data tambahan dalam penelitian ini. Hasil; Hasil penelitian menunjukkan bahwa mayoritas responden 100 (87.8%) mempunyai resiko tinggi mengalami luka tekan.Sebagian besar respondne berjenis kelamin laki-laki, berusia < 55 tahun 60 (52.6%). Responden tidak memiliki riwayat merokok 62 (54.4). Responden dalam kondisi tidak sadar 62 (54.4%). Komorbid responden yang masuk di ICU dengan kondisi medical 91 (79.8%). Kadar hemoglobin dalam rentang normal 63 (55.3%). Kadar hematocrit dalam rentang tidak normal 59(51.8%). Ada pengaruh antara karakteristik responden yang diteliti dengan resiko luka tekan ditunjukkan hasil perhitungan yang diperoleh nilai p value < 0.05 Kesimpulan; Mayoritas pasien kritis mempunyai resiko tinggi mengalami luka tekan. Maka diperlukan intervensi pencegahan salah satunya menggunakan bundel pencegahan luka tekan. Keyword luka tekan, cubbin jackson, pasien kritis

The Relationship of A Mother's Perception of The Severity With The Treatment of Diarrhea And Ari At Home Rinik Eko Kapti; Awalyn Putri N. C; Wenny Trisnaningtyas
Jurnal Keperawatan Vol. 8 No. 1 (2017): Januari
Publisher : University of Muhammadiyah Malang

HUBUNGAN PERSEPSI KEGAWATAN DAN TATALAKSANA DIAREDAN ISPA DI RUMAH PADA BALITAThe Relationship of A Mother's Perception of The Severity With The Treatmentof Diarrhea And Ari At HomeRinik Eko Kapti1, Awalyn Putri N. C2, Wenny Trisnaningtyas3123 Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Universitas BrawijayaJalan Veteran, Ketawanggede, Kec. Lowokwaru, Kota Malang, Jawa Timur 651451e-mail: rinik.kapti@gmail.comABSTRAKDiare dan Infeksi Saluran Pernafasan Akut (ISPA) merupakan salah satu penyumbang terbanyakpada kasus kematian dan kesakitan anak balita di dunia. Hal ini berkaitan dengan adanyapengaruh dari penilaian seorang ibu untuk memberikan penanganan awal di rumah yang tepat padaanaknya. Penelitian ini bertujuan menganalisa hubungan persepsi ibu terhadap kegawatan diaredan ISPA dengan tatalaksana diare dan ISPA yang dilakukan ibu di rumah. Desain penelitian inimenggunakan deskripsi korelasi dengan pendekatan cross sectional. Sampel yang diambilsebanyak 84 ibu dengan menggunkaan kuesioner tertutup. Pengambilan sampel dilakukan melaluipurposive sampling. Analisa data menggunakan uji Spearman Rank Correlation untuk diare danuji Pearson Correlation untuk ISPA. Hasil adanya hubungan bermakna antara persepsi ibuterhadap kegawatan diare dan ISPA dengan tatalaksana diare dan ISPA yang dilakukan ibu dirumah pada anak balita dengan nilai p = 0,000 < 0,05. Penelitian ini dapat menyimpulkan bahwaterdapat hubungan antara persepsi kegawatan diare dan ISPA dengan tatalaksana diare dan ISPAdi rumah. Berdasar hasil penelitian diharapkan tenaga kesehatan mampu meningkatkat persepsiyang tepat dari ibu sehingga mampu untuk meningkatkan tatalaksana dirumah.Kata kunci: Persepsi Ibu terhadap Kegawatan, Tatalaksana Awal, Diare, ISPA, BalitaABSTRACTDiarrhea and acute respiratory infection (ARI) is one of largest contributor mortality andmorbidity of children under aged five in the world. This relates to the influence of a mother'sassessment to provide a good initial treatment in home. This study aimed to analyze therelationship of a mother's perception of the severity of diarrhea and ARI with the treatment ofdiarrhea and ARI that conducted by mother at home. Design of this research using descriptivecorrelation with cross sectional approach. Sampling was done by purposive sampling. Samplestaken were 84 mothers. Data were analyzed using Spearman Rank Correlation test for diarrheaand Pearson Correlation test for ISPA. The result of the existence of a significant relationshipbetween a mother's perception of the severity of diarrhea and ARI with the treatment of diarrheaand ARI with p = 0.000 < 0.05. This research concluded that there is a relationship between amother's perception of the severity of diarrhea and ARI with the treatment of diarrhea and ARI athome. Based on the results, the study expected health workers to increase mother’s perceptioncorrectly in order to increase the treatment of diarrhea and ARI at homeKeywords: Mother’s Perception of Severity, Treatment of Early, Diarrhea, ARI, Toddler

Factors Affecting Interdialytic Weight Gain (IDWG) in Kidney Failure Lia Murdaningsih; Wenny Trisnaningtyas; Nina Indriyawati
JENDELA NURSING JOURNAL Vol 7, No 1 (2023): JUNE 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v7i1.9393

Background: interdialytic Weight Gain (IDWG) is a parameter easily measured routinely at the beginning of a dialysis session and an essential indicator to recommend fluid intake for patients with kidney failure. Increased IDWG is associated with various complications in patients undergoing hemodialysis.Purpose: to analyze the factors that influence IDGW in hemodialysis patients.Methods: a cross-sectional design was used in this study. Data were collected during January-March 2022. Data collected included: demographic variable (gender, age, level of education, fluid intake, thirst, and stress)/ Data were analyzed with descriptive correlation statistic, Simple regression analysis ANOVA.Results: the total number of participants recruited was 65 participants who undergoing hemodialysis 1 month at a private hospital in Semarang, there were 27 participants (41.5%) in the moderate IDGW category, and 20 participants (30.8%) experienced severe stress, while fluid intake had an influence on IDGW (r=0.493, p=0.000), thirst (r=0.394, p=0.001) and stress (r=0.562, p=0.000).Conclusion: in this study, the factors associated with IDWG were fluid intake, thirst and stress. The previous 3 factors significantly increased IDWG due to decreased renal function, but increased fluid intake interfered with patient compliance, including fluid management and hemodialysis. Factors not included in IDWG include age, gender and education.

Analysis of the application of buteyko breathing exercise to improvement of respiratory rate (RR) and oxygen saturation (SpO2) in asthma patients in the emergency room RSUP Dr. Kariadi Saadillah Mursjid Djiwandono; Wenny Trisnaningtyas; Sri Utami Dwiningsih; Eka Dafid Zakaria; Rif’atun Nisa
Jurnal Keperawatan Vol. 14 No. 02 (2023): July
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v14i02.27251

Introduction: Asthma is a chronic inflammatory disease of the respiratory tract characterized by coughing, shortness of breath, wheezing and a feeling of heaviness in the chest which is generally reversible both with and without treatment. Giving buteyko breathing exercise action is more effective than before being given the action. Objectives: To analyze the application of buteyko breathing exercise to the improvement of respiratory rate (RR) and oxygen saturation (SpO2). Methods: Descriptive analysis in the form of case studies with total sampling based on inclusion and exclusion criteria of 3 patients under management. The application of buteyko breathing exercise was carried out, observing vital signs before and after buteyko breathing exercise. Results: Nursing problems are ineffective breathing patterns with Respiratory Rate (RR) > 26 x/minute and 2 patients were found to have mild hypoxia with SpO2 <95%. After the application of buteyko breathing exercise, the three patients experienced an improvement in their condition with RR 18-20 x/minute and SpO2 > 98%. The author gives the application of buteyko breathing exercise to asthma patients with an improvement in the condition of RR and SpO2. Supported by Lisavina's research (2019) with the difference between controlling asthma before and after implementing Buteyko breathing. Conclusions: The application of buteyko breathing exercise in assessing improvement in respiratory rate (RR) and oxygen saturation (SpO2) did not have a negative impact on patient conditions, hospital costs, time and effort, or infrastructure.

GAMBARAN RESIKO LUKA TEKAN (PRESSURE INJURY) PADA PASIEN KRITIS Wenny Trisnaningtyas; Retnaningsih Retnaningsih; Nana Rochana
The Shine Cahaya Dunia Ners Vol 6, No 1 (2021): The Shine Cahaya Dunia Ners
Publisher : Universitas An Nuur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v6i1.268

Latar belakang; Prevalensi kejadian luka tekan di ICU negara berkembang sekitar 8.3%-43.4% sedangkan di negeri maju sekitar 7.8%-58%. Kejadian ini seharusnya dapat dicegah dengan langkah awal menggunakan pengkajian resiko luka tekan dengan instrument yang terstandar. Indikator pengkajian resiko luka Item umumnya terdiri dari usia, indek masa tubuh, mobilitas, status nutrisi, jenis kelamin. Beberapa instrumen pengkajian resiko luka tekan telah diterapkan dirumah sakit akan tetapi instrument yang spesifik pada pasien kritis masih terbatas. Instrument cubin jackson adalah pengkajian resiko luka tekan dengan indicator yang spesifik pada pasien kritis. Tujuan penelitian ini untuk mengetahui gambaran resiko luka tekan (pressure injury) menggunakan skala cubbin jackson pada pasien kritis Metode; Penelitian ini menggunakan desain penelitian kuantitatif menggunakan pendekatan cross sectional dengan teknik purposive sampling. Analisa data distribusi frekuensi digunakan untuk menganalisa karakteristik responden dan skor resiko luka tekan. Chi Square digunakan melihat hubungan antara karateristik responden dengan luka tekan Sampel penelitian ini berjumlah 114 respoden di 2 ICU Kota Semarang sesuai dengan kriteria inklusi dan eksklusi. Instrumen dalam penelitian ini menggunakan Cubbin Jackson. Karakteristik responden dicatat sebagai data tambahan dalam penelitian ini. Hasil; Hasil penelitian menunjukkan bahwa mayoritas responden 100 (87.8%) mempunyai resiko tinggi mengalami luka tekan.Sebagian besar respondne berjenis kelamin laki-laki, berusia < 55 tahun 60 (52.6%). Responden tidak memiliki riwayat merokok 62 (54.4). Responden dalam kondisi tidak sadar 62 (54.4%). Komorbid responden yang masuk di ICU dengan kondisi medical 91 (79.8%). Kadar hemoglobin dalam rentang normal 63 (55.3%). Kadar hematocrit dalam rentang tidak normal 59(51.8%). Ada pengaruh antara karakteristik responden yang diteliti dengan resiko luka tekan ditunjukkan hasil perhitungan yang diperoleh nilai p value < 0.05 Kesimpulan; Mayoritas pasien kritis mempunyai resiko tinggi mengalami luka tekan. Maka diperlukan intervensi pencegahan salah satunya menggunakan bundel pencegahan luka tekan. Keyword luka tekan, cubbin jackson, pasien kritis

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