Nopi Nur Khasanah
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GAMBARAN TINDAKAN PERAWAT DALAM PEMANTAUAN STATUS: NUTRISI ANAK SAKIT KRITIS Khasanah, Nopi Nur
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2011: PROSEDING SEMINAR NASIONAL KEPERAWATAN PPNI JATENG
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Abstract Latar Belakang Bagi tenaga  kesehatan yang  bekerja di ruang perawatan intensif, sangat penting untuk memenuhi nutrisi pasien, Tanpa masukan nutrisi dari luar tubuh, dalam beberapa waktu kemudian akan terjadi malnutrisi ,protein kalori. Selain menurunkan daya tahan dan mempermudah infeksi, keadaan malnutrisi juga dapat menyebabkan komplikasi lain, seperti luka yang sukar serhbuh, hipoproteinemia, edema anasarka, gangguan motilitas usus, gangguan enzim dan metabolisme, kelemahan otot, dan hal-hal lain yang memperlambat penyembuhan penderita. Malnutrisi sering didapatkan di unit perawatan intensif anak (PICUAIICU) dan, menyebabkan meningkatnya angka morbiditas dan mortalitas. Tunjangan nutrisi yang tepat dan akurat. pada anak sakit kritis dapat menurunkan angka'kematian. Hal ini sesuai dengan tujuan dari tunjangan nutrisi, yaitu mengurangi konsekuensi respon berkepanjangan terhadap jejas, yaitu starvation dan infrastruktur, serta nutrisi sebagai.pengatur respon inflamasi. Penentuan status gizi pada anak sakit kritis hendaknya dilakukan berulang - ulang untuk menentukan kecukupan gizi dan untuk menentukan tunjangan nutrisi selanjutnya . Metode - Penelitian kualitatif dengan metode penelitian observasional deskriptif. Populasinya adalah seluruh perawat di ruang PICUAIICU, Semarang. Pendekatan yang digunakan adalah pendekatan Laporan Diri (self-report research) dengan menggunakan observasi. Sampel diambil dari populasi secara purposive. Teknik pengambilan,data dengan wawancara dan observasi. Hasil - Hasil pengamatan terhadap perawat sudah melakukan pemantauan status nutrisi anak sesuai prosedur yang ada. Beberapa perawat sudah melakukan penilaian status nutrisi secara subjektif dan objektif, sebagian kecil perawat hanya menunjukkan penilaian secara objektif. Dari hasil wawancara dengan beberapa,perawat, sarana seperti penimbangan berat badan dan alat ukur panjang badan telah tersedia, namun beberapa fungsi penimbangan yang ada pada incubator tidak bisa dipakai oleh petugas kesehatan. Sehingga dalam pemantauan nutrisi perawat melihat keadaan fisiologis pada anak. Diskusi - Berdasarkan teori yang didapat oleh peneliti, penilaian antopometri setiap harinya penting untuk dilakukan karena penilaian tersebut menentukan angka kecukupan nutrisi anak setiap harinya untuk mengetahui status gizi anak atau tumbuh kembang anak. Rekomendasi - Hasil penelitian diharapkan dapat menjadi masukan bagi profesi keperawatan khususnya teman sejawat di PICUA. IICU mengenai pentingnya menerapkan pemantauan nutrisi untuk mencegah terjadinya kejadian malnutrisi pada pasien kritis, terutama di ruang perawatan intensif. Kata Kunci - Tindakan Perawat, Pemantauan Status Nutrisi, Anak Sakit Kritis
PENDAMPINGAN IBU HAMIL MELALUI PROGRAM ONE STUDENT ONE CLIENT (OSOC) DI WILAYAH KERJA PUSKESMAS GENUK SEMARANG Wuriningsih, Apriliani Yulianti; Wahyuni, Sri; Rahayu, Tutik; Distinarista, Hernandia; Astuti, Indra Tri; Khasanah, Nopi Nur; Susanto, Herry; Wijayanti, Kurnia; Luthfa, Iskim; Haiya, Nutrisia Nu?im; Puspitasari, Dyah Wiji
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2017: Prosiding Seminar Nasional Publikasi Hasil-Hasil Penelitian dan Pengabdian Masyarakat
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Maternity nursing is part of health services to improve women's health, one of them is high-risk pregnancies. OSOC Program is a program launched by the Central Java Government in an effort to decrease the high Maternal Mortality Rate (MMR) in Central Java based on the continuity of care approach. Direct learning experiences method was used in the community by placing students in each chosen area. Each student will get one client that he / she is managing during the learning experience. All clients in each region has supervisor, thus there was one student one client. There were 40 high risk pregnant women. After accompaniment, there was a significant result. Pregnant women took more than 90% Fe tablets since from the beginning of pregnancy, pregnant women and families prepared with birth planning and prevention of complications program, pregnant women and families who signed the delivery order from 85% up to 100%. Pregnant women who joined the pregnancy class rose from 75% to 100% after being accompanied by students. OSOC program can improve the welfare of mother and fetus. This program can be continued as the continuous basis by enhancing multisectoral further coordination.
EFFECTS OF COLD COMPRESS ON THE HEGUOUS POINT OF MERIDIAN LARGE INTESTINE ON PAIN BEFORE GIVING IMMUNIZATION IN INFANTS Astuti, Indra Tri; Wijayanti, Kurnia; Nuraini, Laila; Khasanah, Nopi Nur; Susanto, Herry
Jurnal Ners Vol 14, No 3(si) (2019): The 10th International Nursing Conference | April 6-7, 2019, Surabaya, Indo
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.636 KB) | DOI: 10.20473/jn.v14i3(si).17184

Abstract

Introduction: In basic immunizations received by infants 90% are given by injection. The immunization given by injection is a source of pain which can cause anxiety and trauma not only in infants but also for their families. Thus, it is necessary to deal with the pain with appropriate management. One non-pharmacological therapy that can be used to reduce pain is by providing cold compresses. The aim of this study was to determine the effects of cold compress on the heguous point of meridian large intestine on pain before giving immunization.Methods: This study used the quasi experimental method of posttest design with control group. This study used the instruments of Face, Legs, Activity, Cry and Consolability (FLACC) Behavioral Pain Assessment Scale to measure the pain. The sample was 42 people taken by consecutive sampling. The research data were analyzed by using the Mann Whitney test. The results obtained a p value equal to 0.023 (<0.05).Results: This indicates that there were significant differences in pain scores between the two groups, meaning that there is a significant effect of giving cold compresses to the pain score before giving immunization.Conclusion: This result explains that cold compresses carried out at the heguous point can be used as an alternative for management for non-pharmacological pain in infants during immunization.
THE USE OF 2% CHLORHEXIDINE GLUCONATE (CHG) AS A DAILY BATHING TO REDUCE BACTEREMIA IN CHILDREN WITH CRITICAL ILLNESS AT PICU/NICU Khasanah, Nopi Nur
Nurscope : Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 2, No 1 (2016): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (612.604 KB) | DOI: 10.30659/nurscope.2.1.1-11

Abstract

Background: Bacteremia frequently occurs because of nosocomial infection that actually could be preventable. In children who are hospitalized ussually have a higher risk to experience it. Especially in children with critical illness at Pediatric Intensive Care Unit (PICU) at which the state of children to get an indication of central venous catheters (CVC). Objective: To analyze the use of 2% Chlorhexidine Gluconate (CHG) as a daily bathing treatment to reduce bacteremia in critically ill children in the PICU/NICU. Discussion: The study of the use 2% CHG as a daily bathing treatment for critically ill patients admitted to the intensive care unit has been carried out. However, only performed in adult patients. Developing research conducted in children, this study recommends the use of 2% CHG as a daily bathing treatment can be used in selected patients in the NICU when there is an effort by other measures, but still failed to reduce the incidence of CLABSI. Conclusions: Implementation of recommendations will involve approval by the appropriate organizational structure in charge of monitoring the evolution of the practice. Need staff whom known the instructions on the use of CHG to develop procedures daily bathing with 2% CHG in intensive care and decrease the incidence of bacteremia,.Keywords: Chlorhexidine Gluconate, Daily Bathing, Bacteremia in children, PICU/NICU.
GAMBARAN KESEHATAN GIGI DAN MULUT SERTA PERILAKU MENGGOSOK GIGI ANAK USIA SEKOLAH Khasanah, Nopi Nur; Susanto, Herry; Rahayu, Weny Feftiana
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 4 (2019): Oktober
Publisher : LPPM STIKES KENDAL

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Abstract

Menjaga kesehatan gigi dan mulut dapat dilakukan dengan cara menggosok gigi yang baik dan benar. Masalah&nbsp; kesehatan gigi dan mulut paling banyak dialami oleh anak usia 6-12 tahun. Penyebab yang sangat mendasar adalah kurangnya kesadaran diri sendiri dan orang tua dalam membiasakan anak menggosok gigi yang baik dan benar serta tepat waktu. Hal ini dapat mempengaruhi kondisi tubuh ketika kondisi gigi dan mulut tidak bersih. Tujuan penelitian ini untuk mengetahui gambaran kesehatan gigi dan mulut serta perilaku menggosok gigi pada anak usia sekolah. Penelitian ini merupakan jenis penelitian kuantitatif dengan desain penelitian deskriptif. Pengumpulan data menggunakan kuesioner dan observasi menggunakan SOP gosok gigi. Jumlah responden sebanyak 119 siswa dengan teknik purposive sampling. Data yang diperoleh kemudian diolah secara statistik. Hasil analisis diperoleh bahwa 119 siswa sebagian besar memiliki karakteristik usia 11 tahun dengan tingkat pendidikan sebagian besar kelas 4. Hasil penelitian diperoleh sebanyak 44,5% memiliki pengetahuan tentang kesehatan gigi dan mulut tinggi dan sebanyak 55,5% memiliki pengetahuan tentang kesehatan gigi dan mulut rendah. Selain itu, sebanyak 26,9% siswa kelas 4, 5 dan 6 SDN Gebangsari 02 Semarang memiliki perilaku sesuai SOP dalam gosok gigi. Namun, 73,1% diketahui memiliki perilaku tidak sesuai SOP dalam gosok gigi. Terdapat 37 responden (31,1%) memiliki pengetahuan kesehatan gigi dan mulut tinggi namun perilaku menggosok gigi tidak sesuai SOP. &nbsp; Kata kunci: kesehatan gigi dan mulut, anak usia sekolah, perilaku menggosok gigi &nbsp; THE DESCRIBE DENTAL AND ORAL HEALTH TOWARD BRUSHING TEETH PRACTICE AMONG SCHOOL AGE CHILDREN &nbsp; ABSTRACT Maintaining healthy teeth and mouth, can be done by brushing teeth properly. The majority dental and oral health problems are experienced by child aged 6-12 years. Those disorders are caused by the lack of self-awareness of the children and their parents in getting children to brush their teeth properly. This can affect the condition of the body when the oral condition is not hygiene. The purpose of this study was to determine the describe dental and oral health toward brushing teeth practice among school age children.This research was quantitative research with a descriptive research design. Data were collected by using questionnaires and observation of&nbsp; brushing teeth practice. The number of respondents were 119 students selected by purposive sampling technique. Furthermore, the data were processed statistically. The results of the analysis showed that of 119 students, mostl of them aged 11 year as many as 44.5% with the level of education of most of them 4th grade accaunted for 34.5%. The results showed that 44.5% (n = 53) had high knowledge about dental and oral health and as many as 55.5% (n = 66) had knowledge of low oral and dental health. In addition, as many as 26.9% (n = 32) 4th, 5th and 6th grade students of Gebangsari 02 Elementary School Semarang had behavior in accordance with the standard practice in brushing their teeth. However, 73.1% (n = 87) were known to have inappropriate standard practice behavior in brushing teeth. There were 37 respondents (31.1%) having high dental and oral health knowledge but brushing behavior was not in accordance with the SOP. &nbsp; Keywords: dental and oral health, school-age children, brushing teeth practice
Menurunkan Skala Nyeri Bayi Prematur melalui Facilitated Tucking disertai ‘Hadir-Berbicara’ sebagai Upaya Penerapan Teori Comfort Kolcaba Khasanah, Nopi Nur; Rustina, Yeni
Jurnal Ners dan Kebidanan Indonesia Vol 5, No 2 (2017): JULI 2017
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.133 KB) | DOI: 10.21927/jnki.2017.5(2).83-90

Abstract

Premature infants had been experience of pain in neonatal ward that occur each day during treatment. Nurse need to do an intervention for reduce the scale of pain on premature infants. Pain management have to do at birth because of the repeated painful procedures in early life can affect the development of central nerve system permanently. The objective of this study was to describe the application of Kolcaba Comfort’s theory through facilitated tucking accompanied with ‘being with-talking to’ techniques in premature’s infant at high risk infant care. The method that used was case study by applying the four contexts of comfort’s experience associated with the three types of comfort based on Kolcaba Comfort’s theory in providing nursing care on five premature infants who have some painful procedures. The nursing intervention through facilitated tucking accompanied by ‘being with-talking to’ based on the principles of Kolcaba Comfort’s theory gave a positive result against premature infants’s comfort level. Four from five premature infants are in the level of transcendence which is a type of supreme comfort after the ease and relief. Kolcaba Comfort’s theory can be applied within the scope of neonatal care due in accordance with the developmental care of the infants and could reduce the scale of pain.
Gambaran Skor Nyeri Anak Saat Pemasangan Infus Dengan Intervensi Guided Imagery dan Ethyl Chloride Khasanah, Nopi Nur; Astuti, Indra Tri
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
Publisher : IJNP (Indonesian Journal of Nursing Practices)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.2172

Abstract

AbstrakPemasangan infus merupakan tindakan invasif awal yang seringkali dilakukan di Instalansi Gawat Darurat (IGD) untuk memenuhi kebutuhan cairan dan elektrolit. Perawat perlu menggunakan metode yang tepat untuk mengurangi nyeri hebat pada anak saat pemasangan infus. Tujuan penelitian ini untuk menganalisis perbedaan skor nyeri anak saat pemasangan infus dengan intervensi guided imagery dan ethyl chloride. Penelitian ini menggunakan rancangan pre-eksperimental post-test design  dengan 30 anak sebagai responden yang diambil melalui consecutive sampling. Data dikumpulkan dengan Wong-Baker face pain rating scale dan dianalisis secara statistik dengan uji post hoc Mann-whitney. Hasil menunjukkan nilai ρ sebesar 0,530 (ρ&gt;0,05) artinya tidak terdapat perbedaan yang bermakna antara kedua intervensi. Guided imagery dapat dijadikan alternatif penatalaksanaan nyeri pada anak saat pemasangan infus di IGD. Kata kunci: Ethyl chloride, Guided imagery, Nyeri pada anak, Pemasangan infus AbstractIntravenous catheter insertion procedure is the first invasive treatment in Emergency Room (ER) to fullfil the need of fluid and electrolyte. Nurses need to used the right method to decrease pain in children underwent IV insertion procedure. The aim of this study was to analyze the differences of children pain score when  they had IV insertion with guided imagery and ethyl chloride intervention. This study used pre-experimental post-test treatment with 30 children as a participant by consecutive sampling technique  The data was collected using Wong-Baker face pain rating scale and analyzed by post hoc Mann-Whitney test. The result showed that ρ value was  0,530 (ρ&gt;0,05), in which can be concluded that there was  no significant differences on two intervention. Guided imagery could be used as an alternative pain management on children when they had IV insertion procedure  at ER. Keywords: ethyl chloride, guided imagery, pain in children, procedure of infusion.
Modified Legos is Effective in Stimulating Development on Pre-School Children Khasanah, Nopi Nur; Mustafidah, Atina; Susanto, Herry
Jurnal Ilmu Keperawatan Anak Vol 1, No 2 (2018): Jurnal Ilmu Keperawatan Anak
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (456.073 KB) | DOI: 10.32584/jika.v1i2.131

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Background: Optimizing pre-school children development can be performed through stimulation with play activities. Interesting games able to motivate children actively to follow the rules of the designed game. Objective: This study aimed to analyze the effect of modified lego games on the development of pre-school children. Method: The research design of this study was Pre experimental One Group Pre-Post Test Design with the number of 17 respondents. Data analysis used  marginal homogeneity test. Results and discussion: The number of children who had 'normal development' category had increased significantly from 52.9% (pre- test) to 76.5% (post-test). Bivariate analysis showed that there was ρ-value of 0.025 (<0.05).  Games need to be modified to make it more attractive to children and hope that able to stimulate all aspects of development. Conclusion: This study shows a significant effect of modified lego games on the development among pre-school children.
Teknik Distraksi Guided Imagery sebagai Alternatif Manajemen Nyeri pada Anak saat Pemasangan Infus Khasanah, Nopi Nur; Astuti, Indra Tri
Jurnal Kesehatan Vol 8, No 3 (2017): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.093 KB) | DOI: 10.26630/jk.v8i3.555

Abstract

The infusion procedure was the first invasive treatment in Emergency Room (ER) to fulfill the need of fluid and electrolyte. Nurses need to used the right method to decrease pain worst in children when having procedure infusion. The aim of this study was to analyze the differences in children pain score when having procedural infusion with guided imagery, ethyl chloride, and deep breathing techniques. This study used quasi-experiment with post-test treatment, 45 children as a participant by consecutive sampling techniques. The data was collected using Wong-Baker face pain rating scale and analyzed by Kruskal-Wallis test. The result showed that ρ value was 0,338 (ρ&gt;0,05), in which can be concluded that there are no significant differences on three intervention. The guided imagery could be used as an alternative pain management on children when having a procedure of infusion at ER.
Metode Storytelling Efektif Sebagai Media Edukasi Untuk Meningkatkan Kepatuhan Gosok Gigi Malam Khasanah, Nopi Nur; Satriyo, Panji
Jurnal Endurance Vol 4, No 2 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (302.272 KB) | DOI: 10.22216/jen.v4i2.4078

Abstract

Dental and oral problems in Indonesia mostly experienced by school age children. One of the most fundamental cause is the lack of parents’ awareness who don’t treat their children to brush their teeth at the right time. Whereas, nnhealthy condition of the dental and oral will result broad impact and affect the condition of the body. Therefore, night toothbrushing is important to prevent the development of bacteria that damage the teeth. The aim of this research was to determine the effectiveness of health education using storytelling method on night toothbrushing in school age children. The methods of this research used pre-experimental quantitative method with one group pretest-posttest design. The data were collected by giving checklist sheet of night toothbrushing habit. The number of sample in this study were 142 respondents selected by stratified sampling and purposive sampling technique. The data was analyzed by Wilcoxon test. The result of data showed that from 142 respondents most characteristic aged 11 years old were 20,4% respondents and the respondents in grade 6 were 22,5% respondents. The study showed that 35,9% respondents didn’t doing night toothbrushing before giving treatment, and 20,4% respondents were did night tootbrushing after intervention. Wilcoxon test showed p-value of  0,000 (p-value &lt;0,05). Researcher conclude that health education with storytelling method was effective to build up the night toothbrushing habit in school age children. Permasalahan gigi dan mulut di Indonesia paling banyak dialami oleh anak usia sekolah. Salah satu penyebab paling mendasar adalah kurangnya kesadaran dari orang tua dalam membiasakan anak untuk menyikat gigi pada waktu yang tepat. Padahal, kondisi gigi dan mulut yang tidak sehat akan berdampak luas dan mempengaruhi kondisi tubuh. Oleh karena itu, gosok gigi malam penting untuk mencegah perkembangan bakteri yang merusak gigi. Tujuan penelitian ini untuk mengetahui efektifitas pendidikan kesehatan dengan metode storytelling terhadap kepatuhan gosok gigi malam pada anak usia sekolah. Metode penelitian ini merupakan jenis penelitian kuantitatif pre eksperimental dengan rancangan one group pretest-posttest design. Pengumpulan data dilakukan menggunakan lembar checklist tindakan gosok gigi malam. Jumlah responden sebanyak 142 siswa yang diambil dengan teknik stratified sampling kemudian dilanjutkan dengan teknik purposive sampling. Data yang diperoleh kemudian diolah secara statistik menggunakan uji  Wilcoxon. Hasil analisa diperoleh bahwa dari 142 siswa sebagian besar memiliki karakteristik usia 11 tahun sebanyak 20,4% dengan tingkat pendidikan sebagian besar kelas 6 yaitu 22.5%. Hasil penelitian menunjukkan 35,9% responden tidak pernah melakukan gosok gigi malam sebelum diberikan pendidikan kesehatan, dan 20,4% responden melakukan gosok gigi malam setelah diberikan pendidikan kesehatan. Hasil Uji Wilcoxon diperoleh nilai p atau p-value 0,000 (p-value &lt;0,05). Peneliti menyimpulkan bahwa edukasi dengan metode storytelling efektif untuk menumbuhkan perilaku gosok gigi malam pada anak.