Jurnal Cakrawala Keperawatan

HUBUNGAN KOMORBIDITAS HIPERTENSI DENGAN KEMATIAN PASIEN COVID-19 DI RUMAH SAKIT MUHAMMADIYAH SELOGIRI

2024-05-02T02:14:04+00:00

Background: The high mortality rate in Corona Virus Disease (Covid-19) patients is associated with comorbid conditions. Hypertension is a major comorbidity in hospitalized patients with COVID infection. Therefore, it is important to identify the association between hypertension and the risk of death among people with Covid-9. Objective: To analyze the relationship of comorbid hypertension with the death of Covid-19 patients at Selogiri Muhammadiyah Hospital. Methods: This study is an analytic observational study with a single-center retrospective design. The data collection technique used purposive sampling on secondary data from patient medical records that met the inclusion and exclusion criteria. Respondents of Covid-19 patients were divided into two groups according to comorbid hypertension (n=30) and groups without comorbidities (n=30). Data extraction was carried out to obtain demographic data and clinical data on hospital mortality. The two groups were compared according to demographic features. The association test and the risk of death of Covid-19 patients with comorbid hypertension were tested by Chi Square analysis. Results: The largest age group of the study population was >60 (38.3%) and 33 (55%) patients were male. The mortality rate in the comorbid hypertension group was 14 (46.7%) while in the non-hypertensive comorbid group it was 4 (13.3%). Hypertension comorbidity was significantly associated with the death of Covid-19 patients (p=0.005). Patients with comorbid hypertension had a relative risk of death that was 3.5 (95% CI: 1.3-9.4) greater than those without comorbidities. Conclusion: Hypertension in Covid-19 patients is a variable to predict hospital mortality. Comorbid hypertension is associated with an increased risk of death in Covid-19 patients.

EFEKTIVITAS PEMBERIAN TEKNIK VALSAVA MANUVER TERHADAP INTENSITAS NYERI PENUSUKAN ARTERIOVENOUS FISTULA PADA PASIEN HEMODIALISA

2024-05-02T02:15:36+00:00

Latar Belakang : Nyeri insersi arteriovenouse fistula adalah masalah nyata bagi pasien hemodialisa. Salah satu intervensi yang dapat dilakukan oleh perawat untuk mengurangi nyeri yaitu dengan teknik valsava manuver. Valsava manuver adalah teknik non-farmakologi yang mudah dilakukan dan tidak menimbulkan efek samping.

Tujuan : Mengetahui Efektivitas Pemberian Teknik Valsava Manuver Terhadap Intensitas Nyeri Penusukan Arteriovenouse Fistula Pada Pasien Hemodialisa Di RSUI Banyu Bening.

Metode : Rancangan penelitian pre experiment design dengan jumlah sempel 30 responden diambil dengan metode purposive sampling. Intrumen penelitian ini menggunakan kuisioner NPRS (Numerical Pain Rating Scale). Analisis data mengunaan uji bivariat dengan shapiro-wilk dan independent sempel t-test.

Hasil Penelitian : Hasil uji normalitas Shapiro-Wilk pada kelompok perlakuan p=0,153 dan kelompok kontrol p=0,155. Angka p-value Shapiro-Wilk tersebut lebih besar dibandingkan dengan taraf signifikansi 5% (0,05) yang artinya kedua kelompok data berdistribusi normal. Berdasarkan hasil uji independen sempel t-test diperoleh nilai p=0,000<0,05 dan nilai t hitung -4.668 > t tabel 1.701 yang artinya H0 titolak dan Ha diterima.

Simpulan : Secara signifikan ada efektifivas pemberian teknik valsava manuver terhadap intensitas nyeri penusukan arteriovenouse fistula pada pasien hemodialisa di Rumah Sakit Umum Islam Banyu Bening.

PERBANDINGAN PENGARUH PROBLEM-BASED LEARNING DAN SIMULATION-BASED EDUCATION TERHADAP KEMAMPUAN PSIKOMOTOR BASIC LIFE SUPPORT MAHASISWA KEPERAWATAN

2024-05-02T02:15:24+00:00

Background: Initial treatment efforts in patients with cardiac arrest are Basic Life Support (BLS). PBL is a method used to cultivate clinical reasoning in nurse education programs. Problem Based Learning (PBL) is able to improve the skills and learning outcomes of students compared to conventional methods. SBE is the environment that suitable to practice student skills, Simulation Based Education (SBE) also used to improve students' critical thinking, problem solving and teach psychomotor skills. Comparative evaluation of the useof Problem Based Learning (PBL) and Simulation Based Education (SBE) on psychomotor abilities is a consideration for the use of both methods to improve psychomotor abilities.

Purpose: This study aims to compare the effect of PBL and SBE on the psychomotor abilities of BLS nursing students.

Methods: This research is an experimental study with a design quasi experiment with comparison group. The total respondents were selected with each respondent in each group using the technique simple random sampling.

Psychomotor ability data was measured by the BLS psychomotor ability observation sheet which was adopted from guideline AHA. Descriptive statistics, test wilxocon and testman whitney used as analysis.

Results: The median value before being given PBL was 4 and the psychomotor ability after giving PBL was 11. The median value before being given SBE was 3 and psychomotor ability after giving SBE was 14. There was an effect of giving PBL (p= 0.001) and SBE (p= 0.001) on the psychomotor ability of BLS. There is a significant difference between PBL and SBE on the psychomotor abilities of BLS with the PBL and SBE methods with a score of (p=0.018).

Conclusion: PBL and SBE are able to improve the psychomotor abilities of BLS. Although both learning methods can improve BLS psychomotor abilities, the SBE learning method shows better performance than the PBL method.

HUBUNGAN DUKUNGAN KELUARGA DENGAN MOTIVASI PASIEN HIPERTENSI DALAM MELAKUKAN KUNJUNGAN ULANG DI POLIKLINIK PENYAKIT DALAM RSU ASTRINI WONOGIRI

2024-05-02T02:15:13+00:00

Background : In patients with hypertension, family support plays a very important role in maintaining and controlling so that blood pressure does not increase and is expected to return to normal. In addition, blood pressure measurements can also be carried out by families who have learned from health workers. Hypertensive patients who do not receive family support can make it difficult for patients to always maintain good hypertension care.

Objective : To find out the relationship of family support to the motivation of hypertensive patients to make repeat visits at the Internal Medicine Polyclinic, Astrini Hospital, Wonogiri.

Methods : This research uses quantitative research with the research design used in this research is correlation analytic research.

Results : The majority family support was sufficient, with a score range of 50 -75 as many as 26 people or 57%, the motivation of control patients to the majority hospital was sufficient, namely 59%, and the relationship significance value (p-value) was 0.042 at the alpha error level ( n)=5%.

Conclusion : There is a relationship between family support and patient motivation to revisit the hospital.

HUBUNGAN POLA TIDUR DENGAN TEKANAN DARAH PADA SISWA SMA N 2 BOYOLALI

2024-05-02T02:14:49+00:00

Background: The sleeping habit is a human physiological system to rest the body for a current time to find and improve body systems. Blood pressure is the pressure that comes from the flow of blood in the blood vessels that occurs when blood pressure is throughout the body. Adolescence is a period of transition from childhood to adulthood. Adolescents with poor sleep patterns can have abnormal sleep patterns, the heart muscle will be tired then there may be thickening of the heart muscle.

Objective: This study was conducted to determine the relationship between sleep patterns and blood pressure in students of SMA N 2 Boyolali.

Methods: This study uses a quantitative type design with a correlation analytic method with a Cross-Sectional design. The sampling technique used is probability sampling with a stratified random sampling technique, namely random samples with 75 respondents, the data collection by questionnaire, and blood pressure measurement. The analysis used the chi-square test.

Result: Based on the chi-square test, the p-value 0,000 < ? 0,05 means that H0 is rejected and Ha is accepted. That is, there is a relationship between sleep patterns and blood pressure in SMA N 2 Boyolali students.

Conclusion: There is a relationship between sleep patterns and blood pressure in SMA N 2 Boyolali student.

EFEKTIVITAS VIDEO EDUKASI TERHADAP PENCEGAHAN SECONDHAND SMOKE PADA KELUARGA

2024-05-02T02:14:35+00:00

Background: Secondhand smoke or passive smokers are people who inhale cigarette smoke from active smokers and consciously inhale cigarette smoke. The danger of inhaling cigarette smoke can increase the risk of various diseases such as heart disease, blood vessel disorders, and others. The provision of health education with videos is more interesting than conventional health education methods.

Objectives: This study aims to determine the effect of health education with a video on the prevention of secondhand smoke in families.

Method: This research uses quantitative research with pre experiment design, one group pre test and post test. This study used a sample of 48 respondents—bivariate analysis using Paired T-Test.

Result: The results of bivariate analysis using the Paired T-Test obtained the value of Sig. (2-tailed) of 0.000 so that the p-value <0.05 it can be concluded that h0 is rejected and ha is accepted so that there is a significant difference before and after being given health education with video.

Conclusion: These results indicate a significant influence on the provision of health education with video on the prevention of secondhand smoke in families in.

HUBUNGAN TINGKAT PENGETAHUAN TENTANG BPJS DENGAN KEIKUTSERTAAN MASYARAKAT MENJADI ANGGOTA BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) DI DESA SUKOREJO

2024-05-21T01:46:42+00:00

Background: The achievement of membership registered in BPJS services until the end of December 2020 reached 81.4% of the total population in Boyolali Regency. The lack of general knowledge about BPJS still confuses many people even they don't know about BPJS, because there are still many Indonesian people who support or do not support BPJS which is required by law. This makes the demand for the community to know about BPJS knowledge. This knowledge is expected to have a relationship with participation as a BPJS member.Objectives: to find out the relationship between the level of knowledge about BPJS and community participation in becoming members of the Social Security Administration Agency (BPJS) in Sukorejo village.Method: This study uses a non-experimental method with a cross-sectional research approach. This study used a purposive sampling technique with a total sample of 76 people. Data were processed using the SPSS program to analyze univariate and bivariate with the Kendall’s tau test.Result: The results of the bivariate analysis show that there is a significant relationship between the quality of health services and patient satisfaction ?<0.05 (?=0.011), which indicates that "There is a relationship between the level of knowledge about BPJS and community participation as members of the Social Security Administration Agency (BPJS)".Conclusion: There is a relationship between the level of knowledge about BPJS and community participation as members of the Social Security Administration Agency (BPJS). It is hoped that the public will increase their general knowledge of BPJS.

HUBUNGAN MUTU PELAYANAN KESEHATAN DENGAN TINGKAT KEPUASAN PASIEN PESERTA BPJS DI UNIT RAWAT JALAN PENGOBATAN UMUM PUSKESMAS BANYUDONO II

2024-06-28T01:34:22+00:00

Background: Puskesmas is the spearhead of health services and development that needs attention in improving the quality of health services. Therefore, puskesmas are required to always provide professional and plenary services supported by increased knowledge, level of expertise and health facilities/facilities to provide satisfaction to the community.

Objectives: to determine the relationship between the quality of puskesmas services and the level of satisfaction of BPJS participant patients in the Banyudono II Health Center Outpatient Unit, Boyolali Regency, in 2022.

Method: Type of quantitative research with a cross sectional approach. The population in this study were all BPJS participant patients at the Banyudono II Health Center in the second week of October 2022, with the number of patients for 5 days an average visit (each week) of 97 patients. Sampling using the Slovin formula obtained a sample of 50 samples.

Result: The results of statistical tests with the Spearman Rank Correlation test were obtained Sig. (2-tailed) p value 0.036 (p <? 0.05) the correlation coefficient value of the two variables is 0.298.

Conclusion: From these results it can be concluded that Ha is accepted and Ho is rejected, meaning that there is a relationship between the quality of health services and the level of satisfaction of BPJS participant patients in the General Medicine Outpatient Unit at the Banyudono II Health Center. The level of relationship between the two variables is weak and unidirectional, which means that the better the quality of health services, the better the level of satisfaction.

EFEKTIFITAS SENAM YOGA DAN SENAM LANSIA TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI POSYANDU LANSIA KELURAHAN WIRONANGGAN

2024-06-28T01:33:02+00:00

Background : Hypertension is the most common disease experienced by the elderly in Indonesia. Hypertension in the Wironanggan village area is the highest cause of death in the elderly. In Wironanggan village there are 1.531 elderly and 293 elderly who have hypertension. Yoga and exercise for the elderly is an alternative non-pharmacological treatment of hypertension. Yoga exercise can stimulate the release of endorphine hormones. Endorphins are neuropeptides that the body produces when relaxed or calm. Elderly exercise can be used as an alternative to non-pharmacological hypertension treatment because elderly exercise can relax blood vessels.

Objective : the purpose of this study was to determine the effectiveness of yoga and exercise for the elderly on reducing blood pressure in the elderly with hypertension at the posyandu for the elderly Wironanggan village

Methods : quasy experimental research design pre test - post test design with a sample of 30 respondents taken by accidental random sampling method. Tre research instrument used a checklist and obsevation sheet. Data analysis using a non-parametric test, namely the wilcoxon test

Research Results : wilcoxon test result pre and post giving yoga and gymnastics for the elderly for systolic blood pressure obtained a p value of 0,000 and the result of the wilcoxon test pre and post giving yogs and exercise for the elderly diastolic blood presure obtained a p value of 0,000. bith test result showing p <0,05 means that there is a significant or significant difference in giving yoga and elderly exercise to lowering blood pressure. From these data, it can be concluded that there is an effect of yoga and elderly exercise in the elderly with hypertension

Conclusion : there is a effectiveness of yoga and ecercise for the elderly to reduce high blood pressure in the elderly with hypertension at the posyandu for the elderly Wironanggan Village

PENGARUH PENDIDIKAN KESEHATAN TERHADAP TINGKAT PENGETAHUAN WARGA DESA METUK TENTANG PERILAKU HIDUP BERSIH DAN SEHAT (PHBS)

2024-05-02T02:14:21+00:00

Background: Health education is an activity or effort to convey health messages to individuals, groups and communities that aim to maintain and improve conducive health. With health education, individuals, groups and communities can gain knowledge about better health. This knowledge is ultimately expected to influence_behavior.

Objectives: To determine the effect of health education on the level of community knowledge about PHBS in Metuk village. Describe the PHBS knowledge before being given health education. Describe the PHBS knowledge after being given health education. Analyzing the effect of health education on public knowledge about_PHBS.

Method: This study used the Quasy Experiment method (One Group Pretest-Posttest). The design in this study did not use a control group, to test the changes that occurred before and after the intervention, the researcher conducted pre-test and post-test observations with the intervention of giving health education videos. This study used a sample of 40 respondents with a purposive sampling technique. The data were processed using SPSS 16 for Windows to analyze univariate and bivariate with the Paired T Test.

Result: Based on the results of the Paired T Test, the level of knowledge of the respondents in the pretest-posttest, the Sig. (2-Tailed) value was obtained with a p value of 0.000 < 0.05, meaning that there was an effect of providing health education on the level of knowledge of residents in Karangandong hamlet, Metuk village, Mojosongo district, Boyolali district..

Conclusion: Based on the results of the Paired T Test, the level of knowledge of the respondents in the pretest-posttest, the Sig. (2-Tailed) value was obtained with a p value of 0.000 < 0.05, meaning that there was an effect of providing health education on the level of knowledge of residents in Karangandong hamlet, Metuk village, Mojosongo district, Boyolali district.