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FAKTOR-FAKTOR YANG MEMPENGARUHI LAMANYA WAKTU TANGGAP DALAM PELAYANAN GAWAT DARURAT DI INSTALASI GAWAT DARURAT RSUD Dr SOEDIRMAN KEBUMEN Mahrur, Arif; Yuniar, Isma; -, Sarwono
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 1 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (43.124 KB) | DOI: 10.26753/jikk.v12i1.138

Abstract

Instalasi Gawat Darurat sebagai gerbang utama penanganan kasus gawat darirat di rumah sakit memegang peranan penting dalam upaya penyelamatan hidup pasien. Wide (2009) telah membuktikan secara jelas tentang pentingnya waktu tanggap (respon time). Waktu tanggap tergantung kepada kecepatan yang tersedia serta kualitas pemberian pertolongan untuk menyelamatkan nyawa atau mencegah cacat. Pelayanan pasien gawat darurat memegang peranan yang sangat penting berdasarkan kaidah time saving is live saving. Mekanisme waktu tanggap disamping menentukan keluasan rusaknya suatu organ juga dapat mengurangi beban pembiayaan Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi lamanya waktu tanggap dalam pelayanan gawat darurat di Instalasi Gawat Darurat RSUD Dr Soedirman Kebumen Metode penelitian ini menggunakan pendekatan cross sectional, dengan teknik pengambilan sampling total sampling, sejumlah 24 responden. Teknik analisis data menggunakan uji chi square. Sebagian perawat memiliki waktu tanggap tepat sebanyak 18 (75%). Uji statistik menunjukkan tidak ada hubungan antara waktu tanggap dengan tingkat kegawatan (triase) dibuktikan dengan p=00801. Terdapat hubungan antara waktu tanggap dengan keterampilan perawat (p=0,007), dan terdapat hubungan antara waktu tangga dengan beban kerja (p=0,003) Waktu tanggap perawat dalam pelayanan gawat darurat di Instalasi Gawat Darurat di RSUD Dr Soedirman Kebumen rata-rata tepat. Tidak terdapat hubungan antara waktu tanggap dengan tingkat kegawatan dan terdapat hubungan antara waktu tanggap dengan keterampilan dan beban kerja perawatan Kata Kunci: waktu tanggap(respon time), tingkat kegawatan, keterampilan, beban kerja gawat darurat
FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS TIDUR PASIEN POST OPERASI LAPARATOMI DI RUANG RAWAT INAP RUMAH SAKIT PKU MUHAMMADIYAH GOMBONG nurlela, siti; -, saryono; yuniar, isma
Jurnal Ilmiah Kesehatan Keperawatan Vol 5, No 1 (2009): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

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Abstract

Laparatomy is one of the operation procedure that perform in the abdominal  area. That procedure sometimes will cause increasing patients anxiety and disturbance of patient’s sleep quality. The researched purpose is to know the dominance factor that influence sleep quality of patient post laparatomy at PKU Muhammadiyah Gombong Hospital. This research was a survey with cross sectional approach. The sampling method used was accidental sampling and was got 25 patents. Analysed use d was univariat, bivariat and multivariate with logistic regression. Chi Square statistic test of physiologic factor at X²=4,001 and p=0,045 (<0,05) so there is a correlation between physiologic factor and sleep quality of patient with post laparatomy at PKU Muhammadiyah Gombong Hospital. Odd Ratio value has 0,983 or 98,3%. Chi Square statistic test of psychology factor has X²=14,005 and p=0,000 (<0,05) so there is a correlation between psychology factor and sleep quality of patient with post laparatomy in PKU Muhammadiyah Gombong Hospital. Odd Ratio value at 0,717 or 71,7%. Chi Square statistic test of environmental factor has X²=6,177 and p=0,013 (<0,05) so there is a correlation between environmental factor and sleep quality of patient with post laparatomy in PKU Muhammadiyah Gombong Hospital. Odd Ratio value at 0,089 or 8,9%. The Biggest Odd Ratio is physiologic factor  with value at 0,983 or 98,3% it mean that physiologic factor has influenced sleep quality of patient with post lapratomy in PKU Muhammadiyah Gombong Hospital. There is a correlation between physiology, psychology and environment factors with sleep quality of patient post laparatomy in PKU Muhammdiyah Gombong Hospital and dominance factor to influence sleep quality of patient post laparatromy in PKU Muhammadiyah Gombong Hospital is physiology   Keywords: Sleep quality, post laparatomy.
EVALUASI PROSES PREOPERASI PADA PASIEN SECTIO CAESARIA (SC) DI RS PKU MUHAMMADIYAH GOMBONG handayani, wiarti; ummah, Basirun al; yuniar, isma
Jurnal Ilmiah Kesehatan Keperawatan Vol 6, No 2 (2010): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LP3M STIKES MUHAMMADIYAH GOMBONG

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Abstract

The several is natural procces that will be experience by pregnant mothers and normal condition to reveral natural way. This is choice one of the best but if there is medicindication although nonmedicthat have revelaled cause caesar operation pass away.The objective of  research as to fine out  how preoperation section caesaria (sc) patient procces for perficly and quality patient expectialy. The desaign use in the research observation descriptive with desain cross sectional. The sample was taken by using purposive sampling, to 32 respondent/patient. The data were analasy by using univarian description to final. The reseach was comparated date 21 Mei 2009 until 21 Juni 2009 at PKU Muhammadiyah Gombong Hospital. The research finding showed that get date in perficly preoperation section caesaria (sc) procces 53% is the best and 47% is the sufficient and quality preoperation  sc 57% is the best and 43% is sufficient. It could be concluded is evaluation preoperation  section caesaria patient procces at PKU Muhammadiyah Gombong Hospital was got perfectly and quality preoperation is the best.   Key words: sectio caesaria patient, preoperation, quality, and perficly
ANALISA SITUASI TUBERKULOSIS (TB) DI KABUPATEN KEBUMEN Yuniar, Isma; Sari, Kanthi Pamungkas; Yudha, Hendry Tamara
Jurnal Ilmiah Kesehatan Keperawatan Vol 13, No 1 (2017): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v13i1.191

Abstract

Tuberkulosis (TB) merupakan penyebab kematian utama di banyak negara-negara berkembang. Diperkirakan sekitar 2,7 juta jiwa meninggal karena TB setiap tahunnya di seluruh dunia. Salah satu isu strategis yang dihadapi oleh Dinas Kesehatan maupun masyarakat Kabupaten Kebumen adalah angka kesakitan dan kematian penyakit menular dan tidak menular masih tinggi. Penyakit-penyakit menular/infeksi sampai saat ini belum semua dapat diatasi, disisi lain angka kesakitan dan kematian beberapa penyakit tidak menular dan degeratif cenderung meningkat. Hal tersebut juga diperparah dengan kondisi rendahnya kualitas dan cakupan kesehatan lingkungan masyarakat. Cakupan sanitasi dasar seperti cakupan jamban keluarga, cakupan sarana pembuangan air limbah rendah, serta proporsi rumah sehat masih rendah.Analisa Situasi TB di Kabupaten Kebumen bertujuan untuk melakukan kajian terhadap kondisi penanggulangan penyakit TB secara komprehensif dengan menghubungkan berbagai aspek yang terkait lainnya. Berdasarkan hasil analisa situasi tersebut dapat dijadikan rekomendasi agar upaya mengatasi permasalahan TB secara optimal. Jumlah kasus dan angka penemuan kasus  TB  Paru BTA + masih di bawah standar. Penyebab langsungnya: sumber daya tenaga kesehatan yang terbatas dan kesadaran pasien untuk periksa rendah. Succes rate masih di bawah standar  Penyebab langsungnya: terlambat mengambil keputusan untuk berobat dan terlambat mendapatkan pelayanan kesehatan. Angka kematian akibat TB menunjukan tren meningkat Penyebab langsungnya: kekebalan tubuh menurun dan pengobatanya terhenti.Rekomendasi terdiri dari tiga hal yaitu Penanggulangan TB di daerah merupakan tanggungjawab bersaama, mengembangkan jaringan kemitraan berdasarkan skema prioritas.Program disusun secara implementatif dan realistis dilakukan secara berencana, terus menerus dan berkesinambungan
HUBUNGAN TINGKAT PENGETAHUAN TENTANG DISMENORE DENGAN SIKAP PENANGANAN DISMENORE PADA REMAJA PUTRI KELAS X DI SMAN 1 PETANAHAN purwani, siti; -, herniyatun; yuniar, isma
Jurnal Ilmiah Kesehatan Keperawatan Vol 6, No 1 (2010): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

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Abstract

Dysmenorrhoea is the pain that occurs before and during 1-3 first day of menstruation period. The aim of this study is to find out the correlation between dysmenorrhoea knowledge level with dysmenorrhoea handling attitude of class x female students in Petanahan senior high school. The method from the research was non experimental design with cross-sectional approach. The number of Respondents were 67 class X senior high school female teenagers Data were analyzed by Kendal tau correlation test. Result of this study shows that there was 55 82.08% had less knowledge about  dysmenorrhoea and  handling attitude. Kendal tau correlation test showed  significant value 0,021 with P < 0.05. It means that there was correlation between dysmenorrhoea knowledge level with dysmenorrhoea handling attitude. They need guide and looking for information about dysmenorrhoea by media electronic so their knowledge will be increase.   Key words: Dysmenorrhoea, Knowledge, Attitude, Female students
HUBUNGAN STATUS GIZI DAN PENDAPATAN TERHADAP KEJADIAN TUBERKULOSIS PARU Yuniar, Isma; Lestari, Susi Dwi
Jurnal Perawat Indonesia Vol 1, No 1 (2017): Mei 2017, JURNAL PERAWAT INDONESIA
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (50.488 KB) | DOI: 10.32584/jpi.v1i1.5

Abstract

AbstractDiperkirakan sekitar 2,7 juta jiwa meninggal karena tuberkolusis paru setiap tahunnya di seluruh dunia. adalah masalah kesehatan dimana Indonesia cukup memberikan kontribusi ke tingkat dunia. Dibuktikan dengan saat ini berada pada peringkat empat dengan beban tuberkolusis tertinggi dunia, yaitu setelah China, India, dan Afrika Selatan. Status gizi adalah salah satu faktor terpenting dalam pertahanan tubuh terhadap infeksi tuberkolusis. Pada keadaan gizi yang buruk, maka reaksi kekebalan tubuh akan melemah sehingga kemampuan dalam mempertahankan diri terhadap infeksi menjadi menurun. faktor lain yang mempengaruhi status gizi seseorang adalah status sosial ekonomi. Pendapatan per kapita pasien Tuberkulosis Paru menjadi salah satu faktor yang berhubungan dengan status gizi pada pasien Tuberkulosis Paru. Tujuan penelitian adalah untuk mengetahui hubungan antara pendapatan, status nutrisi terhadap kejadian tuberkolusis paru. Penelitian ini merupakan penelitian kuantitatif yang menggunakan metode survei analitik dengan pendekatan case control. Hasil penelitian menunjukkan hubungan yang bermakna antara status gizi dengan kejadian Tuberkulosis paru dengan nilai OR= 3,484 (CI= 1,246 – 9, 747) yang berarti status gizi kurang beresiko menderita Tuberkulosis paru sebesar 3,4 kali dibandingkan dengan status gizi cukup. Terdapat hubungan yang bermakna antara pendapatan dengan kejadian Tuberkulosis paru dengan nilai OR= 4,421 (CI= 1,638 – 11, 930) yang berarti responden dengan pendapatan rendah beresiko menderita Tuberkulosis paru sebesar 4,4 kali dibandingkan dengan responden yang pendapatannya tinggi. Kata kunci: Status gizi, pendapatan, kejadian TB AbstractThe relationship between income, nutritional status on the incidence of pulmonary tuberculosis. It is estimated that around 2.7 million people die from pulmonary tuberculosis every year throughout the world. is a health problem where Indonesia contributes enough to the world level. It is proven that currently it is ranked fourth with the world's highest tuberculosis burden, namely after China, India and South Africa. Nutritional status is one of the most important factors in the body's defense against tuberculus infections. In poor nutrition, the immune reaction will weaken so that the ability to defend against infection decreases. Other factors that affect a person's nutritional status are socioeconomic status. Per capita income of patients with pulmonary tuberculosis is one of the factors related to nutritional status in patients with pulmonary tuberculosis. The purpose of the study was to determine the relationship between income, nutritional status on the incidence of pulmonary tuberculosis. This research is a quantitative study that uses analytical survey methods with a case control approach. The results showed a significant relationship between nutritional status with the incidence of pulmonary tuberculosis with an OR = 3.484 (CI = 1.246-9,747) which means less nutritional status at risk of suffering from pulmonary tuberculosis by 3.4 times compared to adequate nutritional status. There is a significant relationship between income with the incidence of pulmonary tuberculosis with OR = 4.421 (CI = 1.638 - 11,930) which means that respondents with low income are at risk of suffering from pulmonary tuberculosis by 4.4 times compared to respondents with high income. Keywords: Nutritional status, income, incidence of TB
GAMBARAN MOTIVASI DAN TINDAKAN KEPERAWATAN DALAM PEMENUHAN KEBUTUHAN SPIRITUAL PASIEN DI RUANG ICU PKU MUHAMMADIYAH GOMBONG Ristianingsih, Dwi; Septiwi, Cahyu; Yuniar, Isma
Jurnal Ilmiah Kesehatan Keperawatan Vol 10, No 2 (2014): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

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Abstract

Nursing holistic includes biology, psychology, sociology and spiritual. The role of the nurse in meeting the spiritual needs of patients is a part of the role and function of nurses in the nursing care. Motivation of nurses is the main key of nursing care success. This study aims to prove the description motivation and nursing actions in spiritual care in the Intensive Care Unit PKU Muhammadiyah Gombong Hospital. This is a non-experimental descriptive study using cross sectional approach. The populations are 13 respondents. The samples are 12 respondents taken by total sampling. The result shows that 58.3% respondents have mediocre category of motivation. 58.3% respondents have mediocre categories in the spiritual nursing actions.   Keywords: motivation of nurses, nursing actions, spiritual
ENFLUENCE OF WORKPLACE CONFLICTS, ROLE OVERLOAD TO PHYSICAL DECLINE, PSYCHOLOGICAL AND NURSE PERFORMANCE IN MUHAMMADIYAH HOSPITALS AT KEBUMEN DISTRICT CENTRAL JAVA Basirun, B; Yuniar, Isma; Agustin, Ike Mardiati
Jurnal Ilmiah Kesehatan Keperawatan Vol 14, No 1 (2018): Jurnal Ilmiah Kesehatan Keperawatan
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v14i1.267

Abstract

Work conflict can lead to physical and psychological decline of employees. The demands of these various roles produce tension that is overload. role overload has a negative effect on performance. On the other hand work conflict does not affect performance. This becomes interesting whether work conflict, overload and decreased physical and psychological affect performance. The purpose of this study was to determine the effect of work conflict on the decreasing physical and psychological abilities of nurses, the influence of the excess role of nurses in decreasing the physical and psychological impairment of nurses, the effect of decreasing nurses' physical and psychological abilities on performance, the influence of nurse-work family conflict on performance, and the influence of the excess role of nurses on performance.The method in this study is a survey by distributing questionnaires to nurses in the inpatient room in 4 Muhammadiyah hospitals in Kebumen Regency, out of 350 respondents only 216 questionnaires were collected. Analysis of the data used is using SEM Amos 22.00. The results showed that there was an influence of overload variable on performance while work conflict did not affect performance. Variables of physical and psychological impairment abilities do not affect performance and do not mediate overload variables or work conflict variables.
FAKTOR – FAKTOR YANG MEMPENGARUHI KEJADIAN KANKER SERVIKS DI PUSKESMAS KARANGANYAR Yuniar, Isma; -, saryono; Rohyani, Fitri
Jurnal Ilmiah Kesehatan Keperawatan Vol 5, No 2 (2009): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

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Abstract

Cervix cancer is a cancer that is located in the uterus neck and the second most killer cancer after breast cancer that occurs in women around the world. Major risk factor for this cancer is infection by Human Papilloma Virus (HPV) to cervix that is transmitted sexually. The objective of the research was to find out the dominant factors that influence cervix cancer occurrence in Karanganyar Community Health Center. The method used in the research was analytical method with cross sectional approach. The samples were taken by using the purposive sampling. There were 70 respondents taken as the research samples. The analysis used chi square and logistic regression tests. Chi square test results showed that X2 factor of age at first time did sex = 11.667 (p = 0.001); X2 factor of the often of changing sex partners = 0.159 (p = 0.690); X2 factor of sexually transmitted disease history = - ; X2 of contraception factor = 6,357 (p = 0.012); X2 of parity factor = 0.915 (p = 0.317); X2 = smoking factors -. The results of research found that the factors that influenced the incidence of cancer were age at first time did sex and contraception factors. It can be concluded that there were correlation between age at first time did sex, and contraception factors with the occurrence of cervix cancer in Karanganyar Community Health Center. The most dominant factor that influences the occurrence of cervix cancer in Karanganyar Community Health Center is age at first tie did sex. Keywords: dominant factor, cancer cervix