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Deteksi Dini Ventilator Associated Pneumonia Pada Pasien Terpasang Ventilator di Instalasi Perawatan Intensif RSUD Provinsi NTB Atmaja, Hadi Kusuma; Kisid, Kristiani Murti
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 50, No 3 (2017): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction The use of mechanical ventilator to the patients in intensive care unit (ICU) increases the risk of Ventilator Associated Pneumonia (VAP). The aim of this study was to detect the signs of nosocomial pneumomia by using Clinical Pulmonary Infection Score (CPIS) in the ICU patients with ventilators.Method A retrospective-descriptive study was conducted in Nusa Tenggara Barat Province’s general hospital with 15 patients and the data was analysed by univariate analysis.Hasil The majority of respondents (87 % or 13 patients) with mechanical ventilator were between 18-60 years old, 8 respondents (53%) were male and the indication of intensive care was due to brain injuries (66%). Among all respondents, 14 patients (93,3%) had CPIS value less than 6 (no VAP) and 1 patient (6,6%) had CPIS value above/equal to 6 (with VAP).Conclusion Based on this study, it is recommended to measure CPIS value to predict the risk of VAP.Key words : Mechanical Ventilation,CPIS, VAP
Pengaruh Kompres Jahe Terhadap Nyeri Sendi Pada Lansia Yang Mengalami Osteoarthritis Di BSLU Mandalika NTB Rusmini Rusmini; Mira Utami Ningsih; Desty Emilyani; Masadah Masadah; Hadi Kusuma Atmaja; GA Sri Puja Warnis Wijayanti
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 3, No 2 (2021): OKTOBER
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v3i2.194

Abstract

Nyeri sendi akibat Osteoarthritis pada lansia menyebabkan kerusakan kartilago yang melindungi dan memberi bantalan bagi sendi.Salah satu intervensi non farmakologi yang dapat digunakan untuk mengatasi nyeri sendi akibat Osteoarthritis yaitu Kompres Jahe di BSLU Mandalika NTB. Penelitian ini bertujuan Untuk Menganalisis Pengaruh Kompres Jahe Terhadap Nyeri Sendi Pada Lansia Yang Mengalami Osteoarthritis. Penelitian ini menggunakan desain penelitian pra eksperimental dengan bentuk one group pre-post test design.  Teknik sampel menggunakan total sampling, sampel sebanyak 37 responden. Pengumpulan data dengan kuesioner, durasi kompres jahe 20 menit. Analisis menggunakan UjiPaired Sample T Test(a=0,05). Hasil menunjukkan bahwa nyeri sendi pada lansia yang mengalami Osteoarthritis sebelum diberikan intervensi kompres jahe yaitu terbanyak nyeri berat 25 lansia, nyeri sedang 12 lansia. setelah diberikan intervensi kompres jahe mengalami penurunan menjadi nyeri berat yaitu 3 lansia, nyeri sedang yaitu 27 lansia, nyeri ringan 7 lansia.  Hasil analisis statistik menunjukkan ada pengaruh kompres jahe terhadap nyeri sendi pada lansia yang mengalami Osteoarthritis. (p=0,000). Diharapkan lansia dapat menerapkan kompres jahe untuk mengatasi nyeri sendi akibat Osteoarthritis
Metode Video Edukasi Efektif Meningkatkan Keterampilan Mahasiswa Melakukan Bantuan Hidup Dasar (BHD) Mira Utami Ningsih; Hadi Kusuma Atmaja
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 1, No 1 (2019): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v1i1.17

Abstract

Di Indonesia, diperkirakan sekitar 10 ribu orang pertahun mengalami henti jantung dan prevalensinya cenderung meningkat setiap tahun. Mahasiswa keperawatan perlu memiliki kemampuan melakukan Bantuan Hidup Dasar (BHD) untuk meningkatkan angka survival pasien henti jantung di dalam maupun di luar rumah sakit. Salah satu faktor yang mempengaruhi kualitas keterampilan mahasiswa adalah metode yang digunakan. Metode yang dapat dilakukan untuk meningkatkan keterampilan mahasiswa yaitu metode video edukasi. Penelitian ini bertujuan untuk mengetahui efektifitas video edukasi dalam meningkatkan kualitas keterampilan mahasiswa melakukan BHD. Penelitian ini merupakan penelitian kuantitatif quasi experiment dengan pre-post test design. Melibatkan kelompok responden yang merupakan mahasiswa tingkat IV Prodi DIV Keperawatan Poltekkes Kemenkes Mataram yang telah mendapatkan kuliah kegawatdaruratan pada tahun 2018. Analisa data menggunakan uji statistik non parametric Wilcoxon Signed Rank Test untuk mengetahui perbedaan keterampilan mahasiswa sebelum dan sesudah diberikan video edukasi. Hasil penelitian menunjukkan ada perbedaan nilai rerata keterampilan BHD sebelum dan sesudah dilakukan video edukasi. Uji Wilcoxon Signed Rank Test menunjukkan bahwa pemberian video edukasi berpengaruh terhadap peningkatan keterampilan BHD (p=0.001). Dapat disimpulkan bahwa metode video edukasi dapat meningkatkan keterampilan BHD. Metode tersebut dapat dikombinasikan atau diaplikasikan sebagai metode alternatif dalam proses belajar mengajar mata kuliah kegawatdaruratan khususnya tentang pemberian BHD.
PELAKSANAAN PELATIHAN BHD PADA MASYARAKAT DI DESA KARANG BAYAN KECAMATAN LINGSAR KABUPATEN LOMBOK BARAT Hadi Kusuma Atmaja
Jurnal Pengabdian Masyarakat Sasambo Vol 1, No 1 (2019): November
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.043 KB) | DOI: 10.32807/jpms.v1i1.369

Abstract

Kasus-kasus penyebab terjadinya henti jantung dan henti napas dapat terjadi kapan saja, dimana saja dan padasiapa saja. Setiap orang dapat menjadi penolong pada korban yang tiba-tiba mengalami henti jantung.Penyelamatan ini akan sangat bermanfaat jika dilakukan sesegera mungkin dan sebaik mungkin. Setelahpelaksanaan pengabdian masyarakat ini diharapkan masyarakat mengerti dan mampu melaksanakan caramemberikan Bantuan Hidup Dasar Pada Masyarakat Di Desa Karang Bayan. Metode yang digunakan adalahceramah, diskusi, tanya jawab, dan simulasi cara melakukan Bantuan Hidup Dasar (BHD) dalam upayapeningkatan kemampuan dan keterampilan dalam melakukan Bantuan Hidup Dasar (BHD). Pengabdianmasyarakat ini dihadiri oleh masyarakat sejumlah 20 Orang. Dalam kegiatan ini masyarakat sangat antusias danaktif dalam mengikuti pelatihan. Masyarakat mampu menyebutkan tanda dan gejala seseorang yangmembutuhkan pertolongan Bantuan Hidup Dasar (BHD dan mampu melaksanakan cara pemberian pertolonganBantuan Hidup Dasar (BHD)
ANALISIS FAKTOR – FAKTOR PENYEBAB MASALAH PUTUS OBAT PADA PROGRAM KONTROL TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS GERUNG LOMBOK BARAT Zulkifi Zulkifi; Hadi Kusuma Atmaja; Awan Dramawan
Jurnal Kesehatan Prima Vol 8, No 2 (2014): Jurnal Kesehatan Prima
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.272 KB) | DOI: 10.32807/jkp.v8i2.56

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Abstract: Health development as part of the national development implemented gradually and continuously, and is intended to improve the welfare of the people as a whole. One part of health development is the implementation of infectious disease eradication program. Pulmonary Tuberculosis in the world situation gets worse by the number of cases continues to rise and many are not successfully treated, especially countries that are grouped in 22 countries with Pulmonary Tuberculosis big problem (high-burden countries), so that in 1993 the WHO declared as one of Pulmonary Tuberculosis emergency one of the world (global emergency). The purpose of this study was to determine the factors that cause medication discontinuation problems in tuberculosis control programs. Design used in this study is to approach Retrospective Cross Sectional Study. The population in this study were all patients with TB who enter the working area of  Public Health Center Registration Gerung West Lombok. The research sample consists of 10 respondents. The independent variables are factors that cause the problem of drug withdrawal and the dependent variable is the TB patients who drop out of medicine. Data obtained using quisioner. The results of this study indicate that the psychological burden on the majority of TB patients who drop out of medicine and the treatment of TB patients showed a majority of respondents felt unable to reduce the disease during consumption of drugs, and most respondents felt forced to discontinue treatment because of resistance in drug consumption, but they feel no difficulty in the treatment and feel they have support from family and health workers.  
KOMPARASI PEMBERIAN HEXADOL DAN CHLORHEXIDINE SEBAGAI ORAL HYGIENE TERHADAP PENCEGAHAN VENTILATOR ASSOCIATED PNEUMONIA (VAP) Hadi Kusuma Atmaja
Jurnal Kesehatan Prima Vol 8, No 1 (2014): Jurnal Kesehatan Prima
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.272 KB) | DOI: 10.32807/jkp.v8i1.39

Abstract

Abstract: Patients in critical care unit inserted by ventilators could potentially develop complications as known by Ventilator Associated Pneumonia (VAP). The preventions of VAP include non-pharmacological and pharmacological intervention. Pharmacological prevention of  VAP is the use of antiseptic drug in oral hygiene procedure. Kinds of anticeptic drugs are hexadol (hexetidine) and chlorhexidine. The purpose of this study was to evaluate the effects of oral hygiene with hexadol and chlorhexidine in patients with mechanical ventilator in ICU. The study was a quasi-experiemntal two group design. There were 30 subjects recruited by purposive sampling in the ICU at Pantiwilasa hospitals on street Dr. Cipto and Citarum Semarang. The subjects were divided randomly into 2 groups: 15 subjects given by hexadol 0,1% and 15 subjects given by chlorhexidine 0,2% for twice a day. VAP was assessed by Clinical Pulmonary Infection Score(CPIS).                    The results show that CPIS ≤ 5 was no VAP at 96,67% and ≥ 6 was VAP at 3,33%. There was no significant difference between oral hygiene with hexadol and chlorhexidine (U=78; p<0,14). Oral hygine with hexadol twice a day was as effective as oral hygiene with chlorhexidine to prevent VAP.  
THE EFFECT OF PHSYCO EDUCATION ON POST PARTUM DEPRESSION: LITERATURE REVIEW Erien Luthfia; Hadi Kusuma Atmaja
Jurnal Penelitian Vol 2, No 2 (2020): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v2i2.54

Abstract

Background: The responsibility that is carried out as a mother after giving birth to a baby becomes a conflict within women. Some mothers fail to adapt to these changes and experience psychological problems. The existence of various potential stresses in pregnancy and childbirth may be the cause. This condition is known as postpartum depression. Early detection and good early treatment is needed to prevent more severe depression. This study aims to determine the effect of phsyco on the incidence of post partum depression.Methods: This study used a literature review design by collecting data from a computerized database search study (PubMed, BMC, Cochrain, Google Scholar) in the form of research journals and review articles in the last ten years.Results: Based on the various literature reviews that have been presented, there is an effect that offers Phsyco Education on post partum depression.Conclusions: there is an effect of educational interventions on the incidence of post partum depression. It is hoped that the next researchers will use the basic data of this literature review as a reference frame for further research and provide initial information for the development of similar research.
KARAKTERISTIK IBU BERDASARKAN PENGGUNAAN ALAT PERMAINAN EDUKATIF (APE) UNTUK MENSTIMULASI ANAK PRA SEKOLAH Erien Luthfia; Hadi Kusuma Atmaja
Jurnal Penelitian Vol 2, No 1 (2020): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v2i1.30

Abstract

Pre school period is the beginning of the development of physical abilities, cognitive, language, social emotional, self-concept, discipline, independence, art, morals, and religious values. Therefore, so that the child's growth and development can be optimally needed and stimulation that suits the child's needs, can be done by the mother. A preliminary study conducted in the Sandik, Batu Layar, Lombok Barat, NTB about the use of educational play instruments by interviewing 10 mothers, the results obtained, 7 mothers provided educational play tools for users by using tools and benefits of play tools. APE to stimulate pre school children in 2019.The research design is descriptive method. The population in this study is mothers who have pre-school children. The sampling technique is saturated sampling with a large sample of 45 people. Data collection using questionnaires.The results showed that the most respondents were aged 20-35 years (71.1%), had secondary education (SMP / SMA / equivalent) as much as 64.4%, and as many as 66.7% of respondents were working mothers. Knowledge of respondents in the good category was 64.4%. The conclusion of this study is that the characteristics of respondents who use APE to stimulate pre-school children are aged 20-35 years, have secondary education, work, and have a good level of knowledge. For this reason, mothers should continue to improve their knowledge of educational game tools through the correct sources of information.
PENGARUH HEALTH EDUCATION TERHADAP TINGKAT PENGETAHUN PADA PASIEN HIPERTENSI: Literature Review Hadi Kusuma Atmaja; Erien Luthfia
Jurnal Penelitian Vol 2, No 2 (2020): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v2i2.55

Abstract

Background: Hypertension is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg at two measurements with an interval of five minutes in a fairly healthy or calm condition. This study aims to determine the effect of health education on the level of knowledge in hypertensive patients.Methods: This study used the Literature method with journal search using Google Scholar to determine journals according to the inclusion and exclusion criteria and then reviewed. Based on a review of 5 journals found, the research method was obtained using pre-experimental research with a pretest-posttest one group design, the sampling technique with purposive sampling supported by 30-65 respondents, analyzed by the Wilcoxon test.Results: Based on the 5 journals that were conducted, the literature review concluded that there was an effect of health education on the level of knowledge in hypertensive patients.Conclusions and suggestions: Based on the results of the journal analysis obtained from the research that there is an effect of health education on the knowledge level of hypertensive patients. It is hoped that respondents who can apply the knowledge issued to reduce the suffering of hypertension.
PENGARUH BRAIN GYM (SENAM OTAK) TERHADAP PENINGKATAN KESEIMBANGAN PASIEN STROKE NON HEMORAGIK DI RS KOTA MATARAM Hadi Kusuma Atmaja
Jurnal PRIMA Vol 4, No 2 (2018)
Publisher : STIKES Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47506/jpri.v4i2.111

Abstract

Stroke dianggap sebagai masalah besar yang tengah dihadapi hampir seluruh dunia, sehingga diperlukan gerakan (senam otak) yang menghasilkan stimulus yang dapat meningkatkan kemampuan kognitif. Tujuan Penelitian ini adalah untuk mengetahui pengaruh brain gym (senam otak) terhadap peningkatan keseimbangan pasien stroke non hemoragik Metode : Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain quasy experimental atau eksperimen semu dengan pendekatan crossectional yaitu variabel sebab atau risiko dan akibat atau kasus yang terjadi pada objek penelitian diukur dan dikumpulkan secara simultan. Penelitian ini dilakukan di RS Kota Mataram dengan 30 pasien dan analisis digunakan analisis univariat dan Bivariat analisis uji beda dua mean dengan independent Mann-Whitney test. Dari Hasil uji statistic didapatkan ada perbedaan yang signifikan antara responden diberikan perlakuan senam otak dibandingkan responden rawat jalan (group control) terhadap Berg Balance Scale (fugsi keseimbangan) dengan angka significancy p=0.001 (p < 0,05). Kesimpulan bahwa senam otak (brain gym) lebih efektif dibandingkan dengan rawat jalan terhadap peningkatan fungsi keseimbangan pada pasien stroke non hemoragik di RS Kota Mataram.