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DUKUNGAN SOSIAL MENINGKATKAN “SELFCARE BEHAVIOR” ANAK -, Indanah; Yetti, Krisna; Sabri, Luknis
Jurnal Keperawatan Anak Vol 1, No 2 (2013): JURNAL KEPERAWATAN ANAK
Publisher : Jurnal Keperawatan Anak

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Abstract

Tujuan dari peneitian adalah mengetahui hubungan antara dukungan sosial  dengan Selfcare Behavior anak usia sekolah dengan talasemia mayor”. Penelitian  merupakan penelitian cross sectional. Hipotesayang dibuktikan adalah “Adanya hubungan antara dukungan sosial  dengan Selfcare behavior pada Anak Usia Sekolah dengan Talasemia Mayor”. Sampel dalam penelitian ini   adalah pasien usia sekolah dengantalasemia mayor di RSUPN. Dr. Cipto Mangunkusumo Jakarta, sejumlah 131 pasien. Penelitian menggunakan   instrument tentang dukungan sosial dan “selfcare behavior”. Hasil menunjukkan ada hubungan antara dukungan sosial dengan selfcare behavior dengan p = 0,0000 (α = 0,05).   Penelitian ini merekomendasikan untuk meningkatkan dukungan sosial dari keluarga dan teman untuk meningkatkan kemmapuan selfcare behavior pada anak usia sekolah khusunya anak dengan talasemia.
SUPERVISI KEPALA RUANGAN BERDASARKAN KELENGKAPAN PENDOKUMENTASIAN ASUHAN KEPERAWATAN Dewi, Rostiani; Yetti, Krisna; Ayubi, Dian
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.316 KB) | DOI: 10.7454/jki.v12i3.220

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AbstrakDokumentasi asuhan keperawatan merupakan hal penting karena pendekatan proses keperawatan menjadi kerangka akuntabilitas perawat profesional. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan cross sectional bertujuan untuk mengetahui hubungan komunikasi dan supervisi kepala ruangan dengan kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana di ruang rawat inap RS X Cianjur. Populasi dari penelitian ini adalah seluruh perawat yang bekerja di 11 ruang rawat inap. Sampel 106 perawat pelaksana yang merupakan total populasi. Pengumpulan data menggunakan kuesioner dan daftar tilik. Analisis statistik yang digunakan adalah regresi logistik model faktor risiko. Hasil analisis univariat menunjukkan bahwa perawat pelaksana rata-rata mempunyai persepsi kurang baik terhadap pelaksanaan komunikasi dan supervisi kepala ruangan dan didapatkan juga kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana belum baik dengan cut of point 80%. Analisis bivariat menunjukkan bahwa variabel komunikasi dan supervisi kepala ruangan berhubungan dengan kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana (p< 0,05). Hasil analisis multivariat menunjukkan bahwa variabel yang paling berpengaruh terhadap kelengkapan pendokumentasian asuhan keperawatan adalah supervisi. Penelitian ini kiranya dapat dimanfaatkan oleh pimpinan dan bidang keperawatan RS X Cianjur untuk dapat meningkatkan kinerja kepala ruangan maupun perawat pelaksana dengan pengoptimalan kegiatan supervisi keperawatan di ruangan melalui upaya pendidikan dan pelatihan baik secara formal maupun non formal. AbstractNursing care documentation holds the accountability aspect of professional nursing practice. This quantitative-descriptive research attempted to recognize the relationship between head of nurse?s communication and supervision with the completeness of nursing care documentation by staff nurse at Hospital X, Cianjur. The data was collected by using questionnaire and visitation list from 106 staff nurse that represented total population. The data was analyzed with the logistic regression of risk factor model. Univariate analysis result showed that staff nurse averagely had less positive perception toward the head of nurse?s communication and supervision. It was also revealed the nursing care documentation which was lack of comprehensiveness with cut of point 80%. The result of bivariate analysis indicated the significance correlation of head of nurse?s communication and supervision with the completion of nursing care documentation by staff nurse (p< 0,05). It was ultimately found that the completeness of nursing care documentation was mostly influenced by the head of nurse?s supervision. Thus, it is recommended to strengthen the supervision process and ability of the head of nurse to enhance the nursing care documentation quality by both formal and non-formal continuing education.
PEMBERIAN ASI EFEKTIF MEMPERSINGKAT DURASI PEMBERIAN FOTOTERAPI Rahmah, Rahmah; Yetti, Krisna; Besral, Besral
Jurnal Keperawatan Indonesia Vol 15, No 1 (2012): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.863 KB) | DOI: 10.7454/jki.v15i1.45

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Penelitian ini bertujuan untuk mengetahui perbedaan status hidrasi, perubahan nilai total serum bilirubin, dan perbedaan durasifototerapi bayi yang mendapat fototerapi dengan diberi ASI dan susu formula Desain penelitian yang digunakan adalah deskriptif,observasional, dan prospektif terhadap 34 bayi cukup bulan yang sehat di sebuah rumah sakit di Jakarta. Responden dibagi kedalam tiga kelompok, yaitu; kelompok bayi yang hanya diberi susu formula, kelompok bayi yang hanya diberi ASI, dan kelompokbayi yang diberi ASI dan susu formula. Hasil penelitian, menggunakan analisa data univariat dan bivariat dengan tes statistikChi-square, ANOVA dan Mann-Whitney, menunjukkan bahwa tidak ada perbedaan status hidrasi dan perbedaan perubahannilai total serum bilirubin (p= 0,76; ?= 0,05), tetapi ada perbedaan durasi fototerapi antara ke tiga kelompok (p= 0,001; ?=0,05). Kelompok yang diberi ASI mempunyai durasi fototerapi tersingkat. Penelitian ini merekomendasikan agar perawatmemastikan keefektifan breastfeeding selama fototerapi.
EVALUATION OF NURSING CARE BEHAVIOR CULTURE PROGRAM’S IMPLEMENTATION AT DHARMAIS CANCER HOSPITAL Nuraini, Tuti; Novieastari, Enie; Yetti, Krisna
ASEAN Journal of Community Engagement Vol. 3 No. 1 (2019)
Publisher : UI Scholars Hub

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The concept of caring is used by nurses in providing nursing care. However, there are factors that influence nurses’ caring attitudes, such as job stress and dehumanization, which make nurse caring behavior decrease. Our program offers a solution to build a caring culture for cancer nurses. The activities carried out were the socialization of the caring culture to nurses, training for the head nurse as a change agent who guided nurses, assignment from the head of the hospital to the head nurse, and a guidance program for the head nurse as a champion to nurses. After the activity was finished, we evaluated the implementation of caring culture by focus group discussion for the head nurse. As a result, eight themes were obtained: observation guidance about caring behavior to help champions monitor and increase the nurses’ caring attitudes, training about caring to help nurses change their caring attitude, excessive workload makes nurses display less-caring behavior, Whatsapp application helps socialize caring culture, spiritual power from the inside fosters caring behavior, support from hospital leaders for caring behavior, needs for caring behavior training and therapeutic communication for all health care providers and administrative staff, needs for caring behavior standard operating procedures (SOP) and guidance from senior nurses. The number of nurses who behave caring well also increase by 38% after intervention (p = 0.021). The result of FGD can be suggestions for the hospital of ways to improve the caring culture.
HUBUNGAN SELF-CARE DENGAN KUALITAS HIDUP PASIEN DIABETES MELLITUS (DM) DI PERSATUAN DIABETES INDONESIA (PERSADIA) CABANG CIMAHI Rantung, Jeanny; Yetti, Krisna; Herawati, Tuti
Jurnal Skolastik Keperawatan Vol 1, No 01 (2015): Januari-Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Advent Indonesia

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Abstract

ABSTRAK Pendahuluan: Kemampuan self-care merupakan hal penting dalam meningkatkan kualitas hidup pasien DM. Penelitian bertujuan mengidentifikasi hubungan self-care dengan kualitas hidup pasien DM. Metode: Rancangan penelitian cross sectional, melibatkan 125 anggota PERSADIA cabang Cimahi. Alat ukur self-care adalah Summary of Diabetes  Self-Care Activities (SDSCA), Diabetes Quality Of Life (DQOL) dan Beck Depression Inventory II. Hasil: Hasil penelitian menunjukkan hubungan self-care dengan kualitas hidup menjadi tidak bermakna (p value 0.164) setelah dipengaruhi oleh jenis kelamin (p value 0.006) dan  depresi (p value 0.001). Diskusi: Peningkatan satu satuan self-care, akan meningkatkan kualitas hidup sebesar 6.1% setelah dikontrol oleh jenis kelamin dan depresi. Peningkatan self-care dapat dilakukan melalui pengembangan program edukasi yang terstruktur, meningkatkan kompetensi perawat dalam memberikan asuhan keperawatan pada pasien DM terkait aktivitas self-care, dan melakukan screening depresi terhadap pasien DM. Kata kunci: Self-care, kualitas hidup, DM   ABSTRACT Introduction: The relation between self care and patient’s diabetes mellitus quality of life in Persatuan Diabetes Indonesia    (PERSADIA) in Cimahi. Self care ability is important in improving patient’s quality of life (QOL). Method: Using cross sectional method, this research is designed to identify the relationship between self care and patient’s QOL in PERSADIA Cimahi, West Java. A hundred twenty five PERSADIA members were recruited and examined using Summary of Diabetes  Self-Care Activities (SDSCA),Diabetes Quality Of Life (DQOL) and Beck Depression Inventory II. Result: The results showed no significant correlation between self care activity and QOL (p=0,164) as influenced by gender (p=0,006), depression (p=0,001). Discussion: Increase of one unit self-care was likely to increase 6,1% QOL after controlled by gender and depression. Self care improvement can be performed through developing structured education, improving nurse’s competency in diabetes care and conducting diabetes screening program for DM patients. Key words: Self-care, Quality of Life, Diabetes Mellitus (DM) Full printable version: PDF
PERAN PERAWAT DALAM MENINGKATKAN KUALITAS PASIEN PERITONIAL DIALISIS Yetti, Krisna
Jurnal Keperawatan Indonesia Vol 11, No 1 (2007): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4322.511 KB) | DOI: 10.7454/jki.v11i1.182

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AbstrakContinuous Ambulatory Peritoneal Dialysis (CAPD) merupakan salah satu terapi pengganti pada Penyakit Ginjal Tahap Akhir (PGTA). Empat area yang menjadi tanggung jawab perawat CAPD adalah predialisis, rawat inap, sebelum dan selama pelatihan CAPD, serta pada saat pasien di rumah. Merujuk pada empat peran perawat, yaitu sebagai praktisi, pengelola, peneliti, dan pendidik, maka peran perawat CAPD mempunya peran dan fungsi yang berbeda pula pada masing-masing area ini. Tujuan utama peran dan fungsi perawat di setiap area ini adalah agar layanan keperawatan yang diterima oleh pasien menjadi prima. Pada artikel ini dibahas peran perawat sebagai praktisi dan pengelola pelayanan keperawatan. Sedangkan dua peran lagi yaitu pendidik dan peneliti tidak dibahas. AbstractContinuous Ambulatory Peritoneal Dialysis (CAPD) is one of replacement therapy of End Stage Renal Disease (ESRD). CAPD nurse takes the responsibility in four areas. Those are pre-dialysis stage, during hospitalization, before and during peritoneal dialysis training, and patient at home. Refer to the roles of the nurses, as a care provider, manager, educator and researcher, CAPD nurse has a comprehensible role and function. This comprehensible role and function is also applied in this each area in order to get the better quality of life of the CAPD patients. In this article the role of care provider and manager are discussed. However, the other two, educator and researcher roles are not discussed.
BLADDER TRAINING MODIFIKASI CARA KOZIER PADA PASIEN PASCA BEDAH ORTOPEDI YANG TERPASANG KATETER URIN Bayhakki, Bayhakki; Yetti, Krisna; Mustikasari, Mustikasari
Jurnal Keperawatan Indonesia Vol 12, No 1 (2008): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.446 KB) | DOI: 10.7454/jki.v12i1.193

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AbstrakPenelitian kuasi-eksperimen dengan post-test only with control group ini bertujuan mengetahui dampak bladder training menggunakan metode konvensional dan menggunakan modifikasi cara Kozier, dilihat dari pola, keluhan, dan lama waktu berkemih kembali seperti sebelum operasi ortopedi. Pengambilan sampel pada penelitian ini menggunakan metode probability sampling dengan cara simple random sampling pasien pascabedah ortopedi yang terpasang kateter urin di sebuah rumah sakit di Jakarta. Uji chi square digunakan untuk mengetahui perbedaan pola berkemih dan keluhan berkemih antara kelompok intervensi dan kelompok kontrol. Independent t test untuk mengetahui perbedaan lama waktu pada kelompok intervensi dan kontrol. Hasil penelitian menunjukkan tidak ada perbedaan pola berkemih (p = 1,00) dan keluhan berkemih (p =1,00) antara kelompok intervensi dan kelompok kontrol. Namun, ada perbedaan signifikan antara lama waktu untuk berkemih kembali normal pada kelompok intervensi dan kelompok kontrol (p = 0,05) dengan ? = 0,05. Institusi pelayanan perlu membuat prosedur tetap untuk tindakan bladder training dan perawat perlu melakukan bladder training dengan modifikasi cara Kozier sebelum kateter urin pasien dilepaskan. AbstractThis quasy-experimental post-test only with control group study was aimed to examine the effect of bladder training using conventional method and modification of Kozier?s method which was viewed from pattern of voiding, complaint of voiding and the time needed to make voiding back to normal. The participants were taken randomly from the patients with urinary catheter that hospitalized in orthopaedic surgery ward in a hospital in Jakarta. Probability sampling with simple random sampling was used in this study. Chi-square test was employed to examine the different between pattern of voiding and complaint of voiding of treatment group and control group. Independent t test was used to examine the different of time needed in order to void back normally between treatment and control group. With alpha 0,01 for pattern of voiding and 1,00 for complaint of voiding, the result showed that there was no difference of voiding pattern and complaint between treatment and control group. However, there was a significant difference of time needed in order to void back normally between treatment group and control group, with ? = 0,05. Therefore, health care institution should have a standard procedure of bladder training and nurses should conduct Kozier modified bladder training method before removing the urinary catheter.
PENINGKATAN KEPUASAN KERJA PERAWAT MELALUI KEBIJAKAN DAN MOTIVASI Purwaningsih, Endang; Yetti, Krisna; Ayubi, Dian
Jurnal Keperawatan Indonesia Vol 12, No 3 (2008): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.661 KB) | DOI: 10.7454/jki.v12i3.215

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AbstrakKebijakan, supervisi dan motivasi adalah sebagian dari faktor yang mempengaruhi kepuasan kerja perawat. Penelitian ini menggunakan desain cross sectional untuk mengetahui hubungan kebijakan, supervisi, dan motivasi dengan kepuasan kerja perawat pelaksana di salah satu rumah sakit di Jawa Timur. Penentuan sampel yaitu total populasi sejumlah 146 perawat. Berdasarkan hasil uji univariat didapatkan sebagian besar perawat mempunyai persepsi tidak baik tentang kebijakan, supervisi, dan mempunyai persepsi baik tentang motivasi, dan puas dalam pekerjaannya. Hasil regresi logistik didapatkan motivasi merupakan variabel yang paling berhubungan dengan kepuasan kerja perawat (OR 11,688; p= 0,000). Hal ini menunjukkan bahwa perawat yang mendapat motivasi akan puas 12 kali dibandingkan perawat yang tidak mendapatkan motivasi oleh manajer keperawatan, sedangkan kebijakan merupakan variabel kedua yang berhungan dengan kepuasan kerja (OR 2,436;p=0,017). Peneliti menyimpulkan bahwa motivasi dan kebijakan merupakan variabel yang dapat menjelaskan kepuasan kerja. Berdasarkan hasil penelitian disarankan untuk melakukan evaluasi terhadap kebijakan yang telah ditetapkan secara periodik dan ada sosialisasi apabila ada kebijakan baru. AbstractRegulation, supervision system, and motivation are several factors which affected nurse?s satisfaction. This study used cross sectional design to identify the relationship between regulation, supervision system, and motivation with the work satisfaction of the associate nurse at one of the hospitals in East Java. The sample taken was the total population of was 146 nurses. Based on univariate analysis, it was known that most of the nurses had positive perception toward the regulation, supervision system, and motivation; more over they were also satisfied with their work. The regression logistic result showed that motivation was the most related variable with the work satisfaction of the nurses (OR 11.688; p= 0.000). This condition showed that the nurse who got motivation to work would gain 12 times of satisfaction level compared with the nurse who was not motivated by the nurse manager. Meanwhile, regulation was the second highlyrelated variable with the work satisfaction (OR 2.436; p= 0.017). The researcher concluded that motivation and regulation were the variables which could explain the work satisfaction. Based on this research, it was recommended to conduct the evaluation toward the current regulation periodically and socialize for the new regulation.
GRANT OF SUCROSE AND NON-NUTRITIVE SUCKING TO PAIN RESPONSE AND THE LONG CRIES OF NEONATES TO INVASIVE PROCEDURES Kristiawati, Kristiawati; Yetti, Krisna; Pujasari, Hening
Jurnal Ners Vol 5, No 2 (2010): Oktober 2010
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.899 KB) | DOI: 10.20473/jn.v5i2.3934

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Intoduction: Hospitalized neonates may experience pain caused by invasive procedures. Sucrose and non-nutritive sucking are non-pharmacological analgesics. The aimed of this study was to examine the effectiveness of sucrose and non-nutritive sucking administration on pain and crying duration of neonates during invasive procedures.Method: The study used quasi-experimental design with post-test only control group design approach. This study used nonprobability sampling technic with consecutive sampling. The sample consisted of 45 neonates, divided into three groups, each group of 15 neonates.Result: The results showed that the pain response and the crying duration were insignificantly different between the sucrose group and the NNS, respectively p = 0.635 and p = 0.848.Discussion: Age was identified as a confounding variable that effected pain responses. Provision of sucrose and NNS proven to reduce pain as non-pharmacological pain management for neonates during invasive procedures.
THE DIFFERENCE BETWEEN BACTERIAL GROWTH IN HUMIDIFIER AND NON HUMIDIFIER AT THE PATIENT WHO GOT OXYGEN THERAPY Bakar, Abu; Yetti, Krisna; Handiyani, Hanny
Jurnal Ners Vol 3, No 2 (2008): Vol. 3 No. 2 Oktober 2008
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.818 KB) | DOI: 10.20473/jn.v3i2.4988

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Introduction: Humidifier is a device for delivering oxygen to the patients. Before using it, the humidifier tube should fill with sterile water. There was a recent study that administering oxygen less than five liter per minutes, the tube was not load with the sterile water. This research aim was to describe the difference between bacterial growth in the humidifier and non humidifier at the patient who got oxygen therapy. Method: The design was the analytic survey with purposive sampling method. The samples were 24 patients. They were divided into two groups. Group one, consisted of 12 patients with humidifier and the others with non humidifier. The instrument was culture equipments diagnostic test and observation guidance. The hypothesis was there was no difference bacterial growth existence in humidifier and non humidifier at the patient who got oxygen therapy. Result: The results showed that there was no significance difference of bacterial growth at time of zero hour (p=0.131). Meanwhile, there was significance different of bacterial growth at time of 12 hour (p=0.046), and time of 24 hour (p=0.046). There was also significance different between bacterial growth in humidifier and non humidifier at the patient who got oxygen therapy (p=0.010). Discussion : The conclusion is a non humidifier device could prevent bacterial and reduce nosocomial infection. It was recommended that hospital should use non humidifier and the humidifier had to disinfect and change the water every 12 hours.