Jurnal Perawat Indonesia

PENGARUH POSISI DUDUK TERHADAP PERTUKARAN GAS DAN MEKANIKA PERNAPASAN PADA PASIEN ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) YANG TERPASANG VENTILASI MEKANIS

Susilo Hartono, Tri Nur Hidayati, Agus Herianto — Thu, 05 Sep 2024 00:00:00 +0000

Abstrak
ARDS adalah kondisi yang mengancam jiwa yang ditandai dengan buruknya oksigenasi dan
kekakuan di paru-paru. Tujuan dari penelitian ini adalah untuk menilai pengaruh posisi
duduk terhadap pertukaran gas dan mekanisme pernapasan setelah perubahan dari posisi
terlentang ke posisi duduk pada pasien ARDS yang diberi ventilasi mekanis. Penelitian ini
merupakan penelitian pre-eksperimen dengan desain pre and post test tanpa kontrol. Dua
belas subjek penelitian direkrut. Pengaruh posisi duduk dianalisis dengan
membandingkan pertukaran gas dan mekanisme pernafasan antara posisi duduk
terlentang dan 70Âº. Uji Paired t-test digunakan untuk menganalisis perubahan nilai
pertukaran gas [PaO2, PaCO2, PaO2/FiO2 (PF rasio), dan AaDO2] dan uji Repeated
Measures Anova digunakan untuk menganalisis perubahan mekanika pernafasan (static
lungcompliance/Cstat). dan resistensi saluran napas/ Ri). Hasil penelitian menunjukkan
nilai rasio PF pada posisi terlentang rata-rata sebesar 196.99 (SD=105.44) dan posisi
duduk sebesar 258.09 (SD=137.92) dengan nilai p sebesar 0.038; nilai rata-rata AaDO2
pada posisi terlentang sebesar 266.85 (SD=159.90) dan pada posisi duduk 189.41
(SD=113.63) dengan nilai p sebesar 0.047; perubahan nilai komplians statik paru (Cstat)
dari posisi terlentang ke posisi duduk pada menit ke 30, 45 dan 60 diperoleh nilai p sebesar
1,000; Perubahan nilai resistensi saluran nafas (Ri) dari posisi terlentang ke posisi duduk
pada menit ke 30, 45 dan 60 diperoleh nilai p sebesar 0,012; 0,008; dan 0,010. Posisi duduk
70Â° adalah teknik sederhana dan dapat ditoleransi dengan baik yang meningkatkan fungsi
pertukaran gas dan mekanisme pernapasan pada pasien ARDS. Efek menguntungkan ini
mungkin disebabkan oleh mekanisme fisiologis yang kompleks dimana perekrutan
alveolar tampaknya menjadi komponen penting. Investigasi lebih lanjut diperlukan untuk
mengkonfirmasi temuan ini.
Kata Kunci: Sindrom gangguan pernafasan akut, ventilasi mekanis, posisi duduk,
pertukaran gas, mekanik pernafasan
Abstract
ARDS is a life-threatening condition characterized by poor oxygenation and stiffness in the
lungs. The aim of this study was to assess the effect of the sitting position on gas exchange and
respiratory mechanics after changing from the supine position to the sitting position in ARDS
patients who were mechanically ventilated. This research is a pre-experiment research with
a pre and post test design without control. Twelve research subjects were recruited. The effect
of sitting position was analyzed by comparing gas exchange and respiratory mechanics
between supine and 70Âº sitting positions. The Paired t-test was used to analyze changes in
gas exchange values [PaO2, PaCO2, PaO2/FiO2 (PF ratio), and AaDO2] and the Repeated
Jurnal Perawat Indonesia, Volume 8 No 1, Hal 1604-1617, Mei 2024
e-ISSN2 548-7051
Persatuan Perawat Nasional Indonesia Jawa Tengah p-ISSN 2714-6502
1605
Measures Anova test was used to analyze changes in respiratory mechanics (static lung
compliance/Cstat and airway resistance/ Ri). The results show that the PF ratio value in the
supine position is an average of 196.99 (SD=105.44) and the sitting position is 258.09
(SD=137.92) with a p value of 0.038; the average AaDO2 value in the supine position was
266.85 (SD=159.90) and in the sitting position 189.41 (SD=113.63) with a p value of 0.047;
changes in lung static compliance (Cstat) values from the supine position to the sitting
position at 30, 45 and 60 minutes obtained a p value of 1.000; The change in airway resistance
(Ri) value from the supine position to the sitting position at 30, 45 and 60 minutes obtained
a p value of 0.012; 0.008; and 0.010. The 70Â° sitting position is a simple and well-tolerated
technique that improves gas exchange function and respiratory mechanics in ARDS patients.
These beneficial effects may be due to complex physiological mechanisms of which alveolar
recruitment appears to be an important component. Further investigation is needed to
confirm these findings.
Keywords: Acute respiratory distress syndrome, mechanical ventilation, sitting position, gas
exchange, respiratory mechanics

MORTALITY RISK IN INFARCTION STROKE PATIENTS BASED ON INFARCTION LOCATION, BLOOD PROFILE AND HISTORY OF HEART DISEASE: COMPARATIVE STUDY IN REGIONAL HOSPITALS IN CENTRAL JAVA AND THE SPECIAL REGION OF YOGYAKARTA

Eko Winarto, Siti Farida Setyaningrum, Nazwan Hassa, Imron Rosyadi — Thu, 05 Sep 2024 00:00:00 +0000

Abstract
Background: Stroke case identification was developed to recognize the signs of stroke
and recognize the risk of mortality in infarction stroke patients. Biomarker examination
is directed at looking for markers of brain tissue damage, markers of vascular endothelial
inflammation and coagulation or thrombosis factors. Objective: To determine differences
in the risk of infarction stroke mortality. Research methodology: Mixed method
explanation sequential method design. Research at one regional hospital in Central Java
and one regional hospital in the Special Region of Yogyakarta. The sample size was 120
respondents divided into case and control groups. The results showed that the
characteristics of respondents in both RSUDs were the same (> 60 years, male, history of
cardiovascular disease, history of recurrent stroke, most locations in the parietal area).
Routine blood profile (hemoglobin, leukocyte count, platelet count) showed no difference.
Inflammatory markers seen as neutrophil lymphocyte ratio (NLR) were not different.
Analysis of factors triggering mortality in the two hospitals from leukocyte counts (p
value 0.02 and 0.035 with OR 1.818 and 2). The risk of mortality in Central Java Regional
Hospital was from NLR (p value 0.033 with OR 1.316) and in DIY Regional Hospital from
cardiovascular history (p value 0.00 with OR 15). Conclusion: The characteristics of
stroke infarction patients in the two hospitals are not different. Leukocyte count is the
same risk factor for mortality in both hospitals and cardiovascular history and NLR count
are different risk factors for mortality.
Keywords: Blood profile, Heart disease, Infarction stroke, Infarction Location, Mortality,

THE DIFFERENCES IN PHYSICAL, PSYCHOLOGICAL AND SOCIOECONOMIC CONDITIONS IN MDR-TB AND NON-MDR-TB PATIENTS IN THE AREA OF PUSKESMAS SUMBANG I-II AND BATURRADEN I-II

Nur Aeni, Yektiningtyastuti, Ragil Setiyabudi — Thu, 05 Sep 2024 00:00:00 +0000

Abstract

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. TB patients are required to take Anti-Tuberculosis Drugs (ATD) regularly. Inadequate treatment can lead to drug resistance, specifically to first-line drugs Rifampicin and Isoniazid, known as Multi-Drug Resistant Tuberculosis (MDR-TB). TB disease and its treatment can lead to various disruptions in the patient's physical, psychological, and socioeconomic conditions. The study aimed to determine the differences in physical, psychological, and socioeconomic conditions between MDR-TB and Non-MDR-TB patients in the areas of Puskesmas (Primary Health Centers) Sumbang I-II and Baturraden I-II. This research employed a comparative quantitative design. The sample consisted of TB patients undergoing treatment in the Sumbang and Baturraden areas in 2023, totalling 68 respondents using the total sampling method. The study was conducted in May-June using the DASS-42 questionnaire, family income questionnaire, and height and weight measurements. The research results were analyzed using the Mann-Whitney U test. The majority of respondents, both MDR and Non-MDR, were aged 26-45, male, employed as farmers, and completed middle school education. The analysis yielded a p-value of 0.026 for physical condition and 0.040 for psychological condition, indicating differences between MDR-TB and Non-MDR-TB groups. However, the p-value for the socioeconomic condition was 0.153, indicating no difference between the MDR-TB and Non-MDR-TB groups. MDR-TB and Non-MDR-TB patients have differences in physical and psychological conditions. There is no difference in socioeconomic conditions between MDR-TB and Non-MDR-TB patients.

Â Keywords: TB, TB MDR, Physical, Psychological, Socioeconomic

FAKTOR-FAKTOR YANG MEMPENGARUHI KOMPLIKASI KEHAMILAN DIUSIA MUDA

Karimah, Rizki Purwitaningtyas, Firdawsyi Nuzula — Thu, 05 Sep 2024 00:00:00 +0000

Pregnancy is the intrauterine fetus's growth and development from conception until the onset of labor. Pregnancy at the age of teenagers is very risky for complications compared to pregnancy at the age of 20 years and over. The purpose of this study was to determine the factors that influence pregnancy complications at a young age in the working area of â€‹â€‹the Jember Mumbulsari Public Health Center. This study uses a quantitative method with a cross-sectional approach. The sample in this study used a total sampling of 40 samples with the instrument used is a questionnaire. The independent variables in this study include gravida factors, history of Antenatal Care (ANC), and nutrition, while the dependent variable is pregnancy complications at a young age. This research was conducted in June 2022 in the working area of â€‹â€‹the Jember Mumbulsari Public Health Center. The analytical test used was the Chi-Square test. The results of the Chi-Square test on gravida show a p-value of 0.013, which means p<0.05, so it can be concluded that Ha is accepted and H0 is rejected. So, there is a relationship between gravida and pregnancy complications at a young age. A relationship between gravida and pregnancy complications at a young age can be caused by the formation of blocking antibodies against placental antigens that have not been perfect. Hence, the possibility of complications is very high. Health knowledge about complications of pregnancy at a young age and the dangers of getting pregnant at a young age must be known after marriage, especially for women under 20 years.

KOMBINASI SENAM HIPERTENSI DAN TERAPI MUSIK SUARA ALAM MAMPU MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI

Diah Nur Kafitri, Virgianti Nur Faridah, Rizky Asta Pramestirini — Thu, 05 Sep 2024 00:00:00 +0000

Hypertension is a health problem that is quite dangerous in the world, because it is a major risk factor for cardiovascular disease. Hypertension can be treated with nonpharmacological therapies, such as hypertension exercise and natural music therapy. The purpose of this study was to determine the effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure in hypertension sufferers in the working area of â€‹â€‹the Modo Health Center. The research design used a pre-experimental one group pre-post test design on 52 hypertensive patients who were selected using a consecutive sampling technique from a total population of 109. The intervention was in the form of giving a combination of hypertension exercise and natural sound music for 10-15 minutes according to the SOP for hypertension exercise and natural sound music. After that, it was analyzed using paired t-test. The results showed that the average blood pressure before treatment was 168.77/95.12 mmHg. After being given treatment the average blood pressure was 156.69/85.88 mmHg. The results of the pre-post systolic and pre-diastolic statistical tests obtained a significance value of p=0.000 (p<0.005), which means that there is an effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure. The mechanism for reducing blood pressure after exercise is because exercise can relax blood vessels, so that by dilating blood vessels blood pressure will decrease. Providing natural sound music therapy can cause relaxation of arteriolar smooth muscles which play an important role in maintaining blood pressure. It is hoped that the combination of hypertension exercise and natural sound music therapy can be applied as an intervention at the Prolanis Health Center in Modo.

Keywords: hypertension, gymnastics, music therapy.

THE EFFECT OF EUCALYPTUS PATCH ON AIRWAY CLEARANCE OF ACCUTE RESPIRATORY INFECTION IN GARMENT EMPLOYEES

M. Mustain, Maksum Maksum, wulansari wulansari — Thu, 05 Sep 2024 00:00:00 +0000

Acute respiratory infection (ARI) is a disease of the upper or lower respiratory tract with common symptoms, namely coughing, feeling uncomfortable in the nasal passages, mild fever, excess mucus, nasal congestion, runny nose, sneezing and causing problems with ineffective airway clearance. Giving eucalyptus oil in the form of a eucalyptus patch is a practical new breakthrough and is expected to be able to overcome the problem of airway clearance. This study aims to determine the effect of the eucalyptus patch on the airway clearance of ARI sufferers. This type of experimental research uses a one group pretest posttest design approach. The population was employees of PT Morich who were diagnosed with ISPA with a total sample of 15 people selected by consecutive sampling. The results of the study obtained a sig (2-tailed) value with a result of 0.001 which means the eucalyptus patch has an effect on airway clearance in patients with ISPA.

PENINGKATAN KUALITAS TIDUR PADA PASIEN CONGESTIVE HEART FAILURE (CHF) DENGAN TERAPI HEAD UP SLEEP SEMI FOWLER 45

Irma Nur Amalia, Canti Rismawati, Dicky Firmana — Thu, 05 Sep 2024 00:00:00 +0000

Abstrak
Heart Failure merupakan kondisi dimana jantung tidak mampu untuk memompa darah
dalam jumlah yang cukup untuk memenuhi kebutuhan jaringan terhadap nutrien dan
oksigen. Pasien Heart Failure sering terbangun pada malam hari karena sesak napas yang
menyebabkan kualitas tidur menurun. Posisi tidur semi fowler 45Â° merupakan tindakan
yang dipercaya dapat menekan sesak napas, sehingga pasien dapat tidur lebih nyaman
dan tidak terbangun pada malam hari. Penelitian ini bertujuan untuk mengetahui
Pengaruh Posisi Tidur Semi Fowler 45Â° Terhadap Kualitas Tidur Pada Pasien Congestive
Heart Failure (CHF) di Rumah Sakit TK.II Dustira Kota Cimahi. Desain penelitian yang
digunakan, yaitu Quasy experimental dengan sampel sebanyak 30 pasien yang diambil
dengan teknik Purposive Sampling dan dibagi menjadi kelompok perlakuan dan kontrol.
Pasien kelompok perlakuan diberikan posisi tidur semi fowler 45Â° yang diamati dalam 3
hari sedangkan kelompok kontrol tidak diberikan posisi tidur semi fowler 45Â° dan hanya
posisi miring kanan diawal saja. Instrument yang digunakan adalah kuesioner Pitsburgh
Sleep Quality Index (PSQI). Hasil analisa univariat didapatkan sebelum intervensi semua
pasien CHF sebanyak 15 orang (100%) mengalami kualitas tidur buruk dengan skor â‰¥5
per setiap kelompoknya. Setelah diberikan intervensi yang mengalami kualitas tidur
buruk pada kelompok perlakuan adalah 6 orang (40%) dan kontrol adalah 11 orang
(73.3%). Hasil Analisa Bivariat menggunakan Uji Pair T-Test menunjukan nilai
significance 0.001 artinya adanya pengaruh posisi tidur semi fowler 45Â° terhadap kualitas
tidur pada pasien CHF di Rumah Sakit TK.II Dustira Kota Cimahi. Juga hasil Uji
Independent T-Test menunjukan nilai significance yaitu 0.012 artinya terdapat perbedaan
antara nilai kualitas tidur kelompok kontrol dan perlakuan. Disarankan agar posisi semi
fowler 45Â° dapat dipertimbangkan menjadi intervensi mandiri untuk perawat dalam
menangani masalah tidur pada pasien CHF.
Kata Kunci: Heart Failure , Posisi Tidur Semi Fowler 45Â°, Kualitas Tidur

HUBUNGAN ACADEMIC BURNOUT DENGAN ACADEMIC PROCRASTINATION PADA MAHASISWA

Thu, 05 Sep 2024 00:00:00 +0000

Abstrak
Tingginya beban mahasiswa selama perkuliahan biasanya akan diikuti dengan rasa jenuh dan kurangnya antusiasme dalam belajar ataupun dalam menyelesaikan tugas. Rasa jenuh yang dirasakan oleh mahasiswa ini disebut academic burnout. Academic burnout yang dirasakan oleh mahasiswa ini akhirnya dapat menyebabkan terjadinya penundaan dalam menyelesaikan tugas dalam perkuliahan yang disebut dengan academic procrastination. Tujuan penelitian ini adalah untuk menghubungi hubungan academic burnout dengan academic procrastination pada mahasiswa. Penelitian ini adalah penelitian analitik korelasional dengan pendekatan cross sectional. Jumlah sampel dalam penelitian ini adalah sebanyak 139 responden yang dipilih menggunakan teknik total sampling. Hasil penelitian menunjukkan hamper setengah responden dengan tingkat academic burnout sedang memiliki academic procrastination sedang yaitu sebanyak 52 responden (37,4%). Berdasarkan hasil uji
statistika didapatkan bahwa nilai p diperoleh 0,012 dengan kesimpulan terdapat hubungan academic burnout dengan academic procrastination pada mahasiswa. Kekuatan hubungan yang academic burnout dengan academic procrastination pada mahasiswa bersifat sangat lemah, dibuktikan dengan nilai koefisien korelasi 0,212. Bagi mahasiswa, manajemen waktu dalam menyelesaikan tugas perkuliahan sangat diperlukan untuk mencegah terjadinya academic burnout dan academic procrastination.

Kata kunci : Academic burnout, academic procrastination, mahasiswa

Abstract
The high burden of students during lectures will usually be followed by a feeling of boredom and a lack of enthusiasm in learning or in completing assignments. This feeling felt by students is called academic burnout. Academic burnout that is felt by students can eventually lead to delays in completing assignments in lectures which is called academic procrastination. The purpose of this study is to examine the correlation between academic burnout and academic procrastination in college students. This research is a correlational analytic study with a cross sectional approach. The sample consisted of 139 respondents who were selected using the total sampling technique. The results showed that almost half of the respondents with moderate academic burnout level had moderate academic procrastination, namely as many as 52 respondents (37.4%). Based on the statistical test results, it was found that the p value was 0.012
with the conclusion that there is a relationship between academic burnout and academic procrastination in students. The strength of the relationship between academic burnout and academic procrastination in students is very weak, as evidenced by the correlation coefficient of 0.212. For students, time management in completing lecture assignments is very necessary to prevent academic burnout and academicprocrastination.

Keywords: Academic burnout, academic procrastination, student

EVIDENCE-BASED NURSING ON MOBILE HEVIDENCE BASE NURSING PENGGUNAAN MOBILE HEALTH DIALYSIS UNTUK EVALUASI MANDIRI ADEKUASI HEMODIALISIS PADA PASIEN GAGAL GINJAL KRONIK

Erna Kusumaningrum, Saryono — Thu, 05 Sep 2024 00:00:00 +0000

(Evidence Base Nursing Use Of Mobile Health Dialysis For Independent Evaluation of Hemodialysis Adequation
In Patiens With Chronic Renal Failure) Introduction : Adequacy of hemodialysis is the fulfillment of hemodialysis
doses according to the needs of the patient which is characterized by the patient feeling better, comfortable and the
patient's life span is getting longer. If the dose of hemodialysis is insufficient, the patient will experience various
disorders such as shortness of breath, headaches, leg cramps, nausea and vomiting, hypotension and pruritis. There
is a strong relationship between adequate hemodialysis and morbidity and mortality in patients with chronic kidney
failure. Objective: To determine the effectiveness of using mobile health dialysis for independent evaluation of
hemodialysis adequacy in patients with chronic kidney failure Methods: This literature study uses the PRISMA
approach. PICO is used to make systematic payments. The database searches used included Google Scholar, Science
Direct, Cochrane, Pubmed and Wiley Online Library with the selected keywords. Results: several reviewed articles
show that eHealth interventions can improve the management of sodium intake, food and fluid management. In
addition, the mHealth intervention showed neutral to positive results in the management of chronic dialysis patients,
and reported no significant increase in dialysis specific measures and some components of quality of life assessment.
Another study shows that dietary interventions delivered via telehealth can improve the clinical and nutritional
parameters of hemodialysis patients. Conclusion: The use of mobile health dialysis is effective for independent
evaluation of hemodialysis adequacy in patients with chronic kidney failure.
Keywords: Adequacy of hemodialysis, hemodialysis, mobile health
Abstrak
Pendahuluan: Adekuasi hemodialisis adalah terpenuhinya dosis hemodialisis sesuai dengan kebutuhan pasien
dimana ditandai dengan pasien merasa lebih baik, dan nyaman serta semakin panjang usia hidup pasien. Jika dosis
hemodialisa tidak mencukupi maka pasien akan mengalami berbagai gangguan seperti sesak napas, sakit kepala,
kaki kram, mual dan muntah, hipotensi dan pruritis. Ada hubungan yang kuat antara adekuasi hemodialisa dengan
morbiditas dan mortalitas pada pasien gagal ginjal kronik. Tujuan: Mengetahui efektifitas penggunaan mobile health
dialysis untuk evaluasi mandiri adekuasi hemodialisis pada pasien gagal ginjal kronik Metode: Studi pustaka ini
menggunakan pendekatan PRISMA. PICO digunakan untuk melakukan tinjauan sistematis. Database pencarian yang
digunakan antara lain Google Scholar, Science Direct, Cochrane, Pubmed dan Wiley Online Library dengan kata
kunci yang dipilih. Hasil: beberapa artikel yang direview menunjukkan bahwa intervensi eHealth dapat meningkatkan
pengelolaan asupan natrium, makanan dan pengelolaan cairan. Selain itu intervensi mHealth menunjukkan hasil netral
hingga positif dalam manajemen pasien dialysis kronis, serta melaporkan tidak ada peningkatan yang signifikan dari
pengukuran spesifik dialysis dan beberapa komponen penilaian kualitas hidup. Studi lain menunjukkan bahwa
intervensi diet yang disampaikan melalui telehealth dapat meningkatkan parameter klinis dan gizi pasien hemodialisis.
Kesimpulan: Penggunaan mobile health dialysis efektif untuk evaluasi mandiri adekuasi hemodialisis pada pasien
gagal ginjal kronik.
Kata Kunci: Adekuasi hemodialisis, hemodialisis, mobile health

EFETIVITAS MEDIA AUDIO-VISUAL TERHADAP PENINGKATAN PENGETAHUAN DAN MOTIVASI IBU HAMIL UNTUK MENYUSUI

Aida Fitri, Mira Rizkia, Syifa Azzahra, Syahral Helfiva — Thu, 05 Sep 2024 00:00:00 +0000

Abstrak
ASI eksklusif merupakan makanan yang ideal untuk bayi usia 0-6 bulan. Namun saat ini pemberian ASI eksklusif
secara global masih rendah. Hal ini disebabkan antara lain karena kurangnya pengetahuan dan motivasi ibu dalam
meyusui ASI eksklusif
Tujuan: untuk mengetahui efektivitas media audio visual ASI Eksklusif terhadap pengetahuan dan motivasi ibu
hamil dalam menyusui di Puskesmas Banda Raya.
Metode: Jenis penelitian ini adalah penelitian pra eksperimen dengan one group pretest posttest terhadap 60
responden dipilih dengan menggunakan total sampling. Data dikumpulkan dengan menggunakan kuesioner dan
dianalisis dengan menggunakan uji tanda Wilcoxon.
Hasil: Hasil penelitian menunjukkan bahwa pemberian media audio visual ASI eksklusif berpengaruh terhadap
pengetahuan (p=0,000) dan motivasi (p=0,000) pada responden.
Kesimpulan: Diharapkan kepada petugas kesehatan agar lebih banyak mengadakan penyuluhan terkait menyusui
ASI eksklusif kepada ibu hamil dengan menggunakan media audio visual agar ibu hamil lebih memiliki
kesadaran, pengetahuan, dan motivasi terkait menyusui.
Kata kunci:
ASI Eksklusif, Media Audio Visual, Pengetahuan Motivasi, Menyusui
Abstract

Exclusive breastfeeding is the ideal food for babies aged 0-6 months. But currently, globally exclusive
breastfeeding is still low. This is due, among other things, to the lack of knowledge and motivation of mothers in
giving exclusive breastfeeding
Objective: to find out the effectiveness of exclusive breastfeeding audio-visual media toward the knowledge and
motivation of pregnant women in breastfeeding in Banda Raya Community Health Center.
Methods: The type of this research was pre-experimental study with one group pretest posttest to the 60
respondents were chosen by using total sampling. The data were collected by using questionnaires and analyzed
by using Wilcoxon sign test
Results: The result of the research showed that the exclusive breastfeeding audio-visual media towards to
knowledge (p=0,000) and motivation (p=0,000) on the respondents.
Conclusion: It was expected to the healthcare workers to hold more counselling related to exclusive breastfeeding
to the the pregnant women by using audio-visual media in order to make them have more awareness, knowledge,
and motivation related to breastfeeding.
Exclusive Breastfeeding, Audio-Visual Media, Motivation Knowledge, Breastfeeding

PENGALAMAN PERAWAT INSTALASI GAWAT DARURAT DALAM TATALAKSANA COVID-19

Ilfa Khairina, Nelwati Nelwati, Esthika Ariany Maisa, Dally Rahman — Thu, 05 Sep 2024 00:00:00 +0000

ABSTRAK
Instalasi Gawat Darurat (IGD) merupakan salah satu akses pertama yang dijangkau oleh masyarakat yang
terkena Covid-19 ataupun dicurigai terkena Covid-19. Perubahan pelayanan kesehatan di IGD saat
Pandemi Covid-19, dan adanya adaptasi new normal membuat pelayanan kesehatan IGD dan adanya
penyesuaian oleh perawat. Instalaasi Gawat Darurat merupakan salah satu area yang berpotensi memiliki
resiko tinggi untuk penularan Covid-19. Tujuan dari penelitian ini untuk mengetahui pengalaman perawat
IGD dalam menghadapi Pandemi Covid-19 di salah satu rumah sakit pemerintah di Kota Padang.
Penelitian ini adalah penelitian kualitatif dengan wawancara semi terstruktur yang dilakukan kepada
perawat yang berdinas Instalasi Gawat Darurat, yang dipilih berdasarkan kriteria inklusi yaitu perawat
yang pernah berdinas di IGD selama Pandemi Covid-19, minimal selama 6 bulan. Hasil wawancara
diolah dengan teknik Collaizi. Partisipan dalam penelitian ini berjumlah 5 orang perawat IGD. Hasil
penelitian didapatkan 3 tema yaitu takut untuk tertular, beban kerja berlebih, peran perawat manajer
dalam tatalaksana Covid-19. Oleh karena itu dibutuhkan rasa peduli dan perhatian dari manajer perawat
untuk menyiapkan sumberdaya manusia dan fasilitas yang sesuai dengan kondisi pandemi, agar
kemampuan respon perawat dalam menghdapi Pandemi Covid-19 menjadi optimal.
Keyword: Covid-19, Instalasi Gawat Darurat, Perawat, Pengalaman Kerja
ABSTRACT
The Emergency Room (ER) is one of the first accesses reached by people who have been affected by
Covid-19 or suspected of having Covid-19. Changes in health services in the ER during the Covid-19
Pandemic, and the adaptation of the new normal made ER adjustments by nurses. ER is one area that has
the potential to have a high risk of transmitting Covid-19. The purpose of this study was to determine the
work experience of nurses in dealing with the Covid-19 pandemic at a government hospital in Padang
City. This study is a qualitative study with semi-structured interviews conducted with nurses who serve in
the Emergency Department, who were selected based on inclusion criteria, nurses who had served in the
ER during the Covid-19 pandemic, for a minimum of 6 months. The results of the interviews were
processed using the Collaizi technique. The participants in this study were 5 emergency room nurses. The
results of the study found 3 themes, namely fear of being infected, excessive workload, the roles of nurse
managers in Covid-19 Management. Therefore, it takes care and attention from the leadership of nurses
and hospital management to prepare human resources and facilities in following with non-natural
disaster conditions, so that the nurse's response-ability in dealing with the Covid-19 pandemic is
responsive.
Keyword: Covid-19, Emergency Room, Nurses, Work Experience

HUBUNGAN PERUNDUNGAN SIBER DENGAN KESEJAHTERAAN PSIKOLOGIS PADA DEWASA AWAL DI KABUPATEN TANGERANG

Thu, 05 Sep 2024 00:00:00 +0000

Abstract
Background: Cyberbullying is bullying conducted through social media. Itâ€™s usually
experienced by early adults (18-25 years old) who are active in using the internet.
Cyberbullying can change their well-being, specially psychological well-being. The aims of
study is to identify relationship between cyberbullying and psychological well-being in early
adults in Tangerang Regency. Methodology: This quantitative study used cross-sectional
approach. The sample was calculated using Slovin formula and obtained 217 respondents
which use convenience sampling technique. This study used two instruments which is
Cyberbullying and Online Aggression Survey Instrument and Psychological Well-being Scale
questionnaires. The instruments in the study used valid and reliable Cyberbullying and Online
Aggression Survey Instrument and Psychological Well-being Scale questionnaires. Data
collection was carried out from February 2023 to April 2023 using an online questionnaire.
The data obtained were analyzed using univariate analysis and bivariate analysis with the
Gamma correlation statistical test. The results showed that the level of cyber bullying in early
adults in Tangerang Regency was in the low category 64.5%, medium 29.5% and high 6%,
then the level of psychological well-being was in the low category 28.6%, medium 22.1% and
high 49.3%. There is a significant relationship (p<0.001) between cyberbullying and
psychological well-being in early adulthood in Tangerang Regency. Suggestion: Collaboration
between nurse educators and community nurses utilizing technological advances and social
media is needed to increase socialization about cyberbullying prevention and management
for victims that are easily accessible to the community. Support from the government is
needed so that this health promotion innovation can reach all regions in Indonesia.
Keywords: Cyberbullying, psychological well-being, early adulthood.