Jurnal Keperawatan Klinis dan Komunitas最新文献

{"title":"Gambaran Kualitas Tidur Korban Bencana Tanah Longsor di Kabupaten Purworejo","authors":"Ria Puspitasari, Sri Mulyani, Sri Warsini","doi":"10.22146/jkkk.44272","DOIUrl":"https://doi.org/10.22146/jkkk.44272","url":null,"abstract":"Background: Disaster is a life threatening event and may have an impact to the psychological state of the victims. The occurrence of psychological trauma can affect the sleep quality of victims in the aftermath of a disaster.Objective: This research aimed to find out the sleep quality among the victims of landslide disaster in Donorati Village, Purworejo Regency.Methods: This was a descriptive research with cross-sectional design. Instrument used was Pittsburgh Sleep Quality Index (PSQI) which had been tested for its validity using Pearson Product Moment Test and also had been tested for its reliability using Alpha Cronbach with alpha value= 0,734. Respondents in this research are 100 landslide disaster victims which were determined using cluster sampling technique. The data analysis used Chi-Square Test and Fisher Test.Results: The victims of landslide disaster in Donorati Village, mainly had good sleep quality (total score PSQI <5). However, there were 40% of respondents who had poor sleep quality (total score PSQI ≥5). There were significant differences in sleep quality seen from home address or the disaster’s severity (p=0,002) and coffee consumption habit (p=0,029).Conclusion: The majority of disaster victims in this research had good sleep quality. Severity area of disaster and drinking coffee habits may affect the victims’ sleep quality. ABSTRAKLatar Belakang: Bencana merupakan serangkaian peristiwa yang dapat mengancam kehidupan masyarakat dan berdampak pada kondisi psikologis korban. Kejadian trauma psikologis dapat memengaruhi kualitas tidur korban pascabencana.Tujuan: Untuk mengetahui gambaran kualitas tidur pascabencana tanah longsor pada masyarakat Desa Donorati Kabupaten Purworejo.Metode: Penelitian ini merupakan penelitian deskriptif kuantitatif dengan rancangan cross-sectional. Instrumen yang digunakan adalah Pittsburgh Sleep Quality Index (PSQI). Instrumen ini telah diuji validitasnya menggunakan uji Pearson Product Moment serta telah melalui uji reliabilitas menggunakan Alpha Cronbach dengan nilai alpha= 0,734. Responden dalam penelitian ini berjumlah 100 orang korban tanah longsor, dengan teknik cluster sampling. Analisis data menggunakan uji Chi-Square dan uji Fisher.Hasil: Mayoritas responden mempunyai kualitas tidur yang baik (total skor PSQI <5). Namun, sebanyak 40% responden mempunyai kualitas tidur buruk (total skor PSQI ≥5). Terdapat perbedaan kualitas tidur yang signifikan dilihat dari alamat tinggal atau tingkat keparahan bencana dengan nilai p=0,002, dan kebiasaan minum kopi dengan nilai p=0,029.Kesimpulan: Sebagian besar korban bencana pada penelitian ini memiliki kualitas tidur yang baik. Tingkat keparahan bencana dan kebiasaan minum kopi dapat berdampak pada kualitas tidur responden.","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117040275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh Pendidikan Kesehatan Audiovisual terhadap Konsumsi Energi Populasi Risiko Sindrom Metabolik di Wilayah Kerja Puskesmas Turi","authors":"D. Setiyarini, Sri Mulyani, M. Perdana","doi":"10.22146/jkkk.44317","DOIUrl":"https://doi.org/10.22146/jkkk.44317","url":null,"abstract":"Background: Metabolic syndrome is a risk factor for cardiovascular disease, diabetes type 2, and other complications. Metabolic syndrome prevalence is high in Indonesia. Energy intake is one factor affecting metabolic syndrome which resulting in many life-threatening complications. Health education is needed to prevent it by using audiovisual as the media.Objective: This study aimed to determine the effect of audiovisual health education on energy, protein, carbohydrate, fat, cholesterol, fiber, and sodium intake in population with metabolic syndrome risk in Turi Community Health Center in Yogyakarta.Methods: This research was a quasi-experimental with a non-equivalent pre-test and post-test design. Respondents for this research were 38 in intervention group (audiovisual) and 42 in the control group (booklet). Data collected through questionnaire on food recall 3x24 hour. Data were analyzed using paired t-test and Wilcoxon test to compare pre-test and post-test in one group and then, independent t-test and Mann Whitney to compare intervention and control group.Results: The median score of energy intake before audiovisual health education was given, reached 808 and 851,5 (p>0,5) respectively. While in the control group the median values were 820,2 and 812,5 after the activity (p>0,05). There was no significant difference from the post-test scores of the intervention and control groups (p> 0,05) in terms of energy, protein, carbohydrate, fat, cholesterol, fiber, and sodium.Conclusion: There is no significant effect of audiovisual health education on the intake of energy, protein, carbohydrate, fat, cholesterol, fiber, and sodium in population with risk for metabolic syndrome in Turi Community Health Center in Yogyakarta. ABSTRAKLatar Belakang: Sindrom metabolik merupakan sekumpulan gejala yang dapat menyebabkan terjadinya penyakit kardiovaskular, diabetes melitus tipe 2 dan komplikasi lainnya. Prevalensi sindrom metabolik di Indonesia cukup tinggi. Salah satu faktor yang berpengaruh terhadap sindrom metabolik adalah konsumsi energi. Pendidikan kesehatan diperlukan untuk mencegah sindrom metabolik yang semakin tinggi dan media audiovisual adalah media yang dinilai efektif untuk mengubah konsumsi energi.Tujuan penelitian: Untuk mengetahui pengaruh pendidikan kesehatan audiovisual terhadap konsumsi energi, protein, karbohidrat, lemak, kolesterol, serat dan sodium pada populasi dengan risiko sindrom metabolik di wilayah kerja Puskesmas Turi.Metode: Penelitian ini merupakan penelitian kuantitatif berjenis kuasi eksperimental dengan rancangan non-equivalent pre-test dan post-test. Responden berjumlah 38 pada kelompok perlakuan (audiovisual) dan 42 pada kelompok kontrol (booklet). Pengambilan data dilakukan dengan kuesioner Food Recall 3x24 jam. Analisis bivariat menggunakan uji komparatif paired t-test dan Wilcoxon test untuk membandingkan hasil pre-test dan post-test dalam satu grup dan independent t-test dan Mann Whitney untuk membandingkan kelompok pe","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114387860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gambaran Tingkat Pengetahuan dan Praktik Siswi Boarding School Mengenai Higiene Menstruasi Area Urban di Yogyakarta","authors":"Dewi Fatma Mutiawati, Widyawati Widyawati, Wenny Artanty Nisman","doi":"10.22146/jkkk.56590","DOIUrl":"https://doi.org/10.22146/jkkk.56590","url":null,"abstract":"Background: The density of students’ activities in boarding school needs to get care, especially in the practice of personal hygiene during menstruation. Menstruation process can lead to germs infection on the genital area which may cause diseases to the reproductive tract. To prevent this problem, it is important to do proper menstrual hygiene.Objectives: To identify the account of a boarding school student girls’ level of knowledge and practice of Menstrual Hygiene in an urban area of Yogyakarta.Method: This study was a quantitative descriptive using cross-sectional approach. The research was conducted in February 2017. The population of the research was female students’ boarding school in an urban area of Yogyakarta; where 124 female students were recruited for samples. Questionnaire was used as the data collection technique. Statistic descriptive technique was used for data analysis.Results: In general, respondents’ knowledge and practice of menstrual hygiene were good. Almost all respondents (98%) answered correctly on menstruation statements as normal and statements with many incorrect answers were menstruation as a sign of puberty. The practice of menstrual hygiene is most often done by respondents bathing more than once a day during menstruation (99,2%). As for the practice of menstrual hygiene which is still not quite right, namely the direction of cleaning the pubic area (45,2%).Conclusion: Respondents have accurate knowledge about menstrual hygiene. School manager (counseling and knowledge department) can increase the inappropriate menstrual knowledge and hygiene practice regarding to: hormones that affect menstruation, menstrual period, the frequency of replacement of the pads, the selection of material for disposing the pads and choosing right places to dry the underwear. ABSTAKLatar belakang: Padatnya aktivitas siswi di boarding school perlu mendapat  perhatian terutama dalam penerapan kebersihan diri saat menstruasi. Proses menstruasi dapat mengakibatkan area genetalia rentan terinfeksi  kuman  sehingga  menimbulkan  penyakit  saluran  reproduksi. Untuk  mencegah  terjadinya permasalahan pada organ reproduksi maka perlu memperhatikan higiene menstruasi.Tujuan: Mengetahui  gambaran  tingkat  pengetahuan  dan  praktik  pada  siswi boarding  schoolmengenai higiene menstruasi area urban di Yogyakarta.Metode: Jenis  penelitian  ini  adalah  kuantitatif  deskriptif  dengan  pendekatan cross  sectional.  Penelitian dilaksanakan pada Februari 2017. Populasi penelitian adalah siswi di boarding schoolarea urban di Kota Yogyakartadengan besar sampel 124 siswi. Pengambilan data menggunakan kuesioner praktik higiene menstruasi. Data dianalisis dengan teknik statistik deskriptif.Hasil: Secara umumpengetahuan dan praktik higiene menstruasi responden sudah baik. Hampir semua responden (98%) menjawab tepat pada pernyataanmenstruasi sebagai hal yang normal dan pernyataan dengan banyak jawaban yang salah adalah menstruasi sebagai tanda masuknya masa ","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129532507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Nyeri Menstruasi dengan Konsentrasi Belajar pada Siswi SMA Negeri di Wilayah Cangkringan","authors":"Rina Anggraeni, Wiwin Lismidiati, T. Harjanto","doi":"10.22146/jkkk.56586","DOIUrl":"https://doi.org/10.22146/jkkk.56586","url":null,"abstract":"Background: Menstruation marks an important process in the life of adolescent girl because it shows that the adolescent is mature sexually. One of the occurring menstrual disorders is menstrual pain. Menstrual pain might hinder learning activities such as decreasing learning concentration, reducing sports activities, and skipping class, school, or social activities.Objective: To determine the relationship between menstrual pain and students’ learning concentration in a public high school in Cangkringan District.Method: This research used analytic survey with cross sectional research design. The sample was 37 female students at class X (Tenth) in a public high school in Cangkringan District. The data were obtained using two instruments, i.e. Visual Analog Scale (VAS) to measure the level of menstrual pain and Wechsler Adult Intelligance Scale (WAIS) to measure the respondents’ learning concentration. Data were analysed using Pearson Correlation Test.Result: The data analysis showed that most of the respondents had mild menstrual pain, 28 (75,7%) in their first cycle and 22 (59,5%) in second cycle. During luteal period (the last 14 days of menstrual cycle), most of the respondents (68% in first cycle and 78% in second cycle) had good learning concentration. On the other hand, during menstruation period, most of them (76% in the first cycle and 78% respondents in the second cycle) had less learning concentration. The result of Pearson Correlation Test showed significant relationship (p≤0,05) between menstrual pain and students learning concentration (p=0,000*, r = -0,663).Conclusion: There was a significant relationship between menstrual pain and students learning concentration in a public high school in Cangkringan District. ABSTRAKLatar belakang: Menstruasi menandai proses penting dalam kehidupan remaja putri karena menunjukkan kematangan seseorang secara seksual. Salah satu gangguan menstruasi yang dapat terjadi adalah nyeri menstruasi. Dampak nyeri menstruasi antara lain siswa dapat mengalami penurunan konsentrasi belajar, kurangnya aktivitas olahraga dan aktivitas sosial, serta absen pada saat jam pelajaran.Tujuan: Mengetahui  hubungan  nyeri  menstruasi  dengan  konsentrasi  belajar  siswi  di  salah  satu  SMA Negeri di Kecamatan Cangkringan.Metode: Penelitian ini merupakan penelitian survei analitik dengan rancangan penelitian cross sectional. Sampel penelitian yang digunakan adalah siswi kelas X di sebuah SMA Negeri di Kecamatan Cangkringan sebanyak  37  responden.  Data  diperoleh  dengan  2  instrumen  yakni  Skala  Analog  Visual  (SAV)  untuk mengukur  tingkat  nyeri  menstruasi  dan Wechsler  Adult  Intelegence  Scale (WAIS)  untuk  mengukur konsentrasi belajar responden. Analisis penelitian menggunakan uji korelasi Pearson.Hasil: Sebagian  besar  responden  mengalami  nyeri  menstruasi  ringan (75,7%  pada  siklus  pertama dan pada 59,5%siklus kedua). Pada masa luteal (14 hari terakhir masa menstruasi) sebagian besar responden memilik","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"175 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132200118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gambaran Dukungan Suami Terhadap Istri yang Menjalani Persalinan di Usia Remaja","authors":"Nika Susanti, Wiwin Lismidiati","doi":"10.22146/jkkk.56594","DOIUrl":"https://doi.org/10.22146/jkkk.56594","url":null,"abstract":"Background: Adolescent pregnancy is a pregnancy that occurs at age under 20 years old. Adolescent pregnancy can cause both physical and psychological complications, especially during labor because adolescent doesn’t have mature reproductive organs. Adolescent facing labor will also experience fear and anxiety. It is necessary to know the role of the husband towards his wife having labor in adolescence age.Objective: This study was aimed to describe the husband support toward wife laboring at the stage of adolescence.Methods: This research was a quantitative descriptive cross-sectional design. As many as 46 husbands were recruited for samples using total sampling method. The instruments used in this study was a questionnaire of husband support in labor modified by the researcher based on literature study results. The data analysis used univariate using descriptive analysis and bivariate analysis using chi-square.Results: In general, the husband’s support given to his wife during labor in adolescence was in the high support category (60,9%). More than 50% of respondents gave emotional, informational, and instrumental support in the high category. Value support has the highest category (73,9%). External factors affecting the husband support were education (p-value = 0,004) and salary (p-value = 0,029).Conclusion: Support given by the husbands is high toward wife laboring at the stage of adolescence is in the high category. ABSTRAK Latar  belakang: Kehamilan  remaja  adalah  kehamilan  yang  terjadi  pada  usia  di  bawah  20  tahun. Kehamilan remaja dapat menimbulkan komplikasi baik fisik maupun psikologis terutama saat persalinan. Remaja  yang  menghadapi  persalinan  juga  akan  mengalami  ketakutan  dan  kecemasan. Untuk  itu  perlu diketahui peran suami pada istri yang menjalani persalinan di usia remaja.Tujuan: penelitian ini bertujuan untuk mengetahui gambaran dukungan suami terhadap istri yang menjalani persalinan diusia remaja.Metode: Penelitian ini merupakan penelitian jenis deskriptif kuantitatif dengan rancangan cross sectional. Sampel dalam penelitian ini sebanyak46 orang suami dengan menggunakan tekniktotal sampling. Alat ukur menggunakan kuesioner dukungan suami dalam persalinan yang telah dimodifikasi peneliti dari hasil studi pustaka. Analisa univariat menggunakan analisis deskriptif, analisis bivariate menggunakan chi-square.Hasil: Dukungan suami secara umum yang diberikan kepada istri saat menjalani persalinan di usia remaja termasuk kategori dukungan tinggi (60,9%). Dukungan penilaian mendapat kategori tinggi terbanyak yaitu sebesar 73,9%, sementara jenis dukungan instrumental paling sedikit (58,71%). Faktor yangberhubungan dengandukungan suami adalah pendidikan (p-value= 0,004) dan penghasilan (p-value = 0,029).Kesimpulan: Dukungan persalinan yang diberikan oleh suami terhadap istri usia remaja termasuk dalam kategori tinggi.","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133885631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gambaran Tingkat Risiko Jatuh dan Penanganannya pada Pasien Jiwa di Rumah Sakit","authors":"Tiara Sas Dhewanti, Intan Nurjannah","doi":"10.22146/jkkk.56589","DOIUrl":"https://doi.org/10.22146/jkkk.56589","url":null,"abstract":"Background: One of the concerns associated with patient safety is prevention of falls. Patients with mental disorders have a higher risk of falling compared to other patient age, diagnosis of depression, use of antipsychotics medication, and medical therapy management of Electro Convulsive Therapy.Objective: This study was aimed to explore the description of risk for fall levels in the category of psychiatric patients and to identify risk for falls management of mental health patients based on Client Categorization System.Method: A descriptive quantitative research with case study design was performed on 20 psychiatric patients and 4 nurses. The instruments used were Edmonson Fall Risk Assessment Tool (EFRAT) to identify the risk for falls on patients, and Client Categorization System (CCS) to categorize the psychiatric patients. The univariate analysis was used to accomplish the aim of the study.Result: As much as 37,5% patients have risk for falls. The risk of falling level of psychiatric patients occurred mostly on respondents with crisis category (66,7%). No patients with health promotion category have risk for falls. The most activity done with the Nursing Intervention Classification (NIC) (environment modification is using safety equipment. Meanwhile, the most activities done on NIC fall prevention are preparing an appropriate lighting and collaborate with other medical team. Moreover collaboration with other medical team is also needed.Conclusions: Risk for falls on patients with mental health disorders can be found on patients with these category: crisis, acute, and maintenance. Management of patients with mental disorders based in NIC are Fall Prevention and Environmental Modification. ABSTRAKLatar belakang: Pencegahan jatuh merupakan bagian dari keselamatan pasien. Pasien dengan gangguan jiwa mempunyai risiko jatuh lebih tinggi karena usia, diagnosis depresi, penggunaan obat anti psikotik, dan penatalaksanaan terapi medis electro convulsive therapy.Tujuan: Mengetahui gambaran tingkat risiko jatuh dan manajemen penanganannya pada pasien gangguan jiwa beradasarkan Client Categorization System(CCS).Metode: Penelitian ini adalah penelitian deskriptif kuantitatif dengan rancangan case study. Responden terdiri dari 20 pasien gangguan jiwa dan 4 perawat. Instrumen yang digunakan adalah Edmonson Fall Risk Assessment Tool (EFRAT) untuk mengkaji risiko jatuh pada pasien. Sementara, pengkategorian pasien jiwa  dilakukan  menggunakan  instrumen Client  Categorization  System (CCS).  Data  hasil  penelitian dianalisis menggunakan analisis univariat.Hasil: Hasil penelitian didapatkan sebanyak 37,5% pasien memiliki risiko jatuh. Risiko jatuh pada pasien gangguan  jiwa  paling  banyak  terjadi  pada  responden  dengan  kategori  krisis  (66,67%). Pasien  dengan kategori health  promotion tidak  ada  yang  memiliki  risiko  jatuh.  Aktivitas  paling  banyak  dilakukan  pada Nursing   Intervention   Classification (NIC):   Modifikasi lingkungan   adalah ","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116200822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan antara Pengobatan Komplementer dengan Kualitas Hidup pada Pasien Diabetes Mellitus","authors":"Nur Yusrin Husnati, Anita Kustanti, Heny Suseani Pangastuti","doi":"10.22146/jkkk.56593","DOIUrl":"https://doi.org/10.22146/jkkk.56593","url":null,"abstract":"Background: Diabetes mellitus is a chronic disease that can affect physical, psychological, social and spiritual functional activity that requires special approach and treatment to improve patient's quality of life. One of treatments to improve quality of life is therapy management with alternative and complementary medicine.Objective: To determine the correlation between the use of complementary medicine with the quality of life among diabetes mellitus patients.Methods: This study used an analytic survey with cross-sectional design. Respondents involved in this study were 120 respondent diabetes mellitus patients in Yogyakarta city from August to September 2017 with purposive sampling technique. This study used Diabetes Quality of Life Clinical Trial Questionnaire-Revised Parameter (DQLCTQ-R) questionnaire to measure quality of life among diabetes mellitus patients. Researchers also included questions about the use of complementary therapies to measure the use of complementary therapies. Contingency coefficient correlation test was used to analyze the data statistically.Results: Most patients did not use complementary medicine (53,3%). Most users of complementary and non-complementary medicine had the same high quality of life (60,71% and 56,25%). The correlation test values between complementary medicine and quality of life in patients with diabetes mellitus showed p value = 0,621 (p> 0,05) and r = 0,045.Conclusion: There was no significant correlation between the uses of complementary medicine with quality of life among diabetes mellitus patients.ABSTRAKLatar  belakang: Diabetes mellitus  merupakan  penyakit  kronis  yang  dapat  mempengaruhi  aktivitas fungsional  fisik,  psikologis,  sosial  dan  spiritual  yang  memerlukan  pendekatan  dan  pengobatan  khusus untuk  meningkatkan  kualitas  hidup  pasien.  Salah  satu  perawatan  untuk  meningkatkan  kualitas  hidup adalah manajemen terapi dengan pengobatan komplementer.Tujuan: Mengetahui hubungan antarapengobatan komplementer dengan kualitas hidup pasien diabetes mellitus.Metode:  Penelitian  ini  menggunakan  survei  analitik  dengan  desain cross-sectional.  Responden  yang dilibatkan dalam penelitian ini 120 pasien diabetes mellitus di Kota Yogyakarta dari bulan Agustus sampai September 2017 yang diambil dengan teknik purposive sampling. Penelitian ini menggunakan kuesioner Diabetes  Quality  of  Life  Clinical  Trial  Questionnare-Revised  Parameter (DQLCTQ-R) untuk  megukur kualitas  hidup  pasien  diabetes  mellitus. Peneliti  juga  mencantumkan  pertanyaan  tentang  penggunaan terapi komplementeruntuk mengukur penggunaan terapi komplementer. Uji korelasi koefisien kontingensi digunakan untuk menganalisis secara statistik.Hasil:  Mayoritas  pasien  tidak menggunakan  pengobatan  komplementer  (53,3%).  Mayoritas  pengguna pengobatan komplementer dan bukan pengguna pengobatan komplementer sama-sama memiliki kualitas hidup yang tinggi (60,71% dan 56,25%). Nilai uji korelasi antara pengo","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121687358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faktor-Faktor Yang Beresiko Terjadinya Pasien Stagnan Di Instalasi Gawat Darurat Rumah Sakit","authors":"Puti Damayanti, S. Sutono","doi":"10.22146/jkkk.44257","DOIUrl":"https://doi.org/10.22146/jkkk.44257","url":null,"abstract":"Background: Fast response is needed in the Emergency Room (ER). However, the high number of patient visit leads stagnant patient in ER. The impact of patient stagnant  can affect other patient safety and quality of services in the hospital.Objective: Identify factors related to the presence of stagnant patients in the ER of  Dr. Sardjito General Hospital.Methods: This study used a retrospective case control method. The total samples in this study is 87 samples and divided into two groups, 29 samples for non-stagnant group and 58 samples for stagnant group. Data collection used non-probability sample with purposive sampling method for the sample selection. Sampling was carried out at 16 to 28 January 2015 in ER of Dr. Sardjito General Hospital. This research uses Chi Square and logistic regression to data analyze.Results: Risk factors to stagnant patients are the availability of beds (p: <0.001), corresponding ward grouping disease patients (p: 0.021), fogging (p: 0.008), age of the patient (p: <0.001), patients came hours ( p: 0.019) and the number of actions in Emergency Room (p: 0.002). From the results of logistic regression the most influential factor for the patients is the availability of beds (15 times more risky).Conclusions: Factors related to patients are the availability of a stagnant, according grouping wards patient's disease, fogging, patient age, patient coming hours and the number of actions.ABSTRAKLatar belakang: Pelayanan yang cepat sangat dibutuhkan di IGD. Akan tetapi kondisi kunjungan pasien di IGD yang cukup banyak dapat menimbulkan pasien stagnan di IGD . Dampak pasien yang stagnan mempengaruhi keselamatan pasien yang lain dan mutu pelayanan rumah sakit tersebut.Tujuan: Mengetahui faktor-faktor yang berisiko terjadinya pasien yang stagnan di Instalasi Gawat Darurat Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta.Metode: penelitian ini menggunakan metode case control retrospektif dengan jumlah sampel masing-masing 29 sampel untuk kelompok non-stagnan dan 58 sampel untuk kelompok stagnan. Pengambilan data dilakukan dengan cara non-probability sample dengan metode purposive sampling. Pengambilan sampel dilakukan pada 16-28 Januari 2015 di IGD RSUP Dr. Sardjito Yogyakarta. Analisa yang digunakan di dalam penelitian ini antara lain Chi Square dan regresi logistik.Hasil:  Faktor-faktor yang berisiko pasien stagnan antara lain ketersediaan tempat (p:<0,001), bangsal sesuai pengelompokkan penyakit pasien (p:0,021), fogging(p:0,008), usia pasien(p:<0,001), jam datang pasien(p:0,019) dan jumlah tindakan(p:0,002). Dari hasil regresi logistik faktor yang paling berisiko dengan terjadinya pasien stagnan adalah ketersediaan tempat (15 kali lebih berisiko)Kesimpulan : Faktor-faktor yang berhubungan dengan pasien stagnan antara lain ketersediaan tempat, bangsal sesuai pengelompokkan penyakit pasien, fogging, usia pasien, jam datang pasien dan jumlah tindakan.","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129658205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faktor Yang Berhubungan dengan Pasien Hipertensi Tidak Terkontrol Di Puskesmas","authors":"Miftafu Darussalam, Agus Warseno","doi":"10.22146/jkkk.49111","DOIUrl":"https://doi.org/10.22146/jkkk.49111","url":null,"abstract":"Background: Hypertension is one of the major cardiovascular risk factors. Uncontrolled hypertension is defined as the state of systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg based on an average of three times the measurement in hypertensive patients and with or without antihypertensive treatment. Factors that can cause uncontrolled hypertension include age, education, smoking, exercise habits, medication adherence, and recent blood pressure control habits.Objective: To identify factors related to uncontrolled hypertension patients at Puskesmas Gamping 1 Sleman Yogyakarta.Methods: The research was analytical descriptive with cross sectional design. The sampling technique of this study was consecutive sampling. There was 191 respondents in this study. The data analysis used was multiple logistic regression test.Results: The hypertension disease in Puskesmas Gamping 1 Sleman is mostly uncontrolled hypertension amounted to 143 (75%) respondents. Factors associated with uncontrolled hypertension were age (p=0,008) and blood pressure control habits (p=0,000). The multivariate analysis shows that there is only one independent variable associated with uncontrolled hypertension patient that is blood pressure control habits (aOR=5,339; 95% CI; (2,452-11,624)). Respondents who do not have regular blood pressure control habits have 5,339 times higher than other risk factors of hypertension.Conclusions: The most dominant factor associated with uncontrolled hypertension is the habit of checking blood pressure. ABSTRAKLatar Belakang: Hipertensi merupakan salah satu faktor risiko utama kardiovaskular. Seseorang dikatakan hipertensi bila memiliki tekanan darah sistolik ≥140 mmHg dan atau tekanan darah diastolik ≥90 mmHg, pada pemeriksaan yang berulang. Hipertensi tidak terkontrol didefinisikan sebagai keadaan ukuran tekanan darah sistolik ≥140 mmHg dan tekanan darah diastolik ≥90 mmHg berdasarkan rata-rata tiga kali pengukuran pada penderita hipertensi dan dengan atau tanpa pengobatan antihipertensi. Faktor-faktor yang dapat menyebabkan hipertensi tidak terkontrol antara lain umur, pendidikan, merokok, kebiasaan olah raga, kepatuhan minum obat, dan kebiasaan kontrol tekanan darah terakhir.Tujuan: Mengidentifikasi factor-faktor yang berhubungan dengan pasien hipertensi tidak terkontrol di Puskesmas Gamping 1 Sleman Yogyakarta.Metode: Desain penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Teknik sampling penelitian ini adalah consecutive sampling, dengan jumlah sampel 191 responden. Untuk analisis menggunakan uji regresi logistik ganda.Hasil: Status hipertensi di Puskesmas Gamping 1 Sleman sebagian besar hipertensi tidak terkontrol berjumlah 143 responden (75%). Faktor yang berhubungan dengan hipertensi tidak terkontrol adalah umur (p=0,008) dan kebiasaan kontrol tekanan darah (p=0,000). Hasil akhir analisis multivariate didapatkan data bahwa hanya ada satu variabel independent yang berhubungan dengan","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114756308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interrater Reliability Checklist Osce Kateterisasi Urin Di Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Gadjah Mada","authors":"Hershinta Retno, Intan Nurjannah","doi":"10.22146/jkkk.44278","DOIUrl":"https://doi.org/10.22146/jkkk.44278","url":null,"abstract":"Background: Objective Structured Clinical Examination (OSCE) is one of summative test method for performance-based assessment. One of component that make up an OSCE is assessment instrumen. Whereas checklist is one of OSCE’s component that affect OSCE’s reliability. As long as this checklist was implemented in Nursing Science Program, Faculty of Medicine, UGM, the reliability of urinary catheterization checklist hasn’t been testedObjective: This study aims to assess interrater reliability of OSCE checklist instruments for urinary catheterization in Nursing Science Program, Faculty of Medicine, Universitas Gadjah Mada.Methods: This study is a psychometric testing study. Two rater consisted of a fourth-year student and a lecturer who performed measurement on 93 second-year students who was taking the OSCE examination. The measurement result were analyzed using kappa test and percent agreement (PA). Whereas the item’s reliability were analyzed using weighted kappa dan some items which is paradox can be count with Prevalence and Bias Adjusted Kappa-Ordinal Scale (PABAK-OS) to separate the bias and prevalence effect.Results: The results of measurement of the reliability was 0,57, which indicated that the checklist was in the moderate category, and the PA was 78,49%. According to Osborne (2008) and Stemler and Tsai (2008), this checklist reliability considered as acceptable. Meanwhile, the result of measurement of each item indicated various reliabilities. Reliability value on this checklist’s item was around 0,24-0,96. Meanwhile, some factors that affect OSCE’s rating categorized as item and rater.Conclusion: The checklist of urinary catheterization has moderate reliability value and can be used as an instrument for the OSCE assessment. However, there were 9 items that weren’t reliable and must be improved. ABSTRAKLatar belakang: Objective Structured Clinical Examination (OSCE) merupakan salah satu metode penilaian sumatif dalam penilaian berbasis performa. Salah satu komponen yang menyusun OSCE adalah instrumen penilaian. Instrumen checklist merupakan komponen OSCE yang mempengaruhi reliabilitas penilaian tersebut. Selama diterapkan di PSIK FK UGM, reliabilitas checklist kateterisasi urin belum pernah diuji.Tujuan: Penelitian ini bertujuan untuk mengetahui interrater reliability checklist OSCE kateterisasi urin di Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Gadjah Mada.Metode: Penelitian ini merupakan penelitian psikometri. Dua rater yang terdiri dari mahasiswa tingkat  4 dan seorang dosen menilai performa 93 mahasiswa tahun kedua dalam stase kateterisasi urin saat OSCE. Hasil pengukuran akan dihitung dan diuji menggunakan uji kappa dan Percent Agreement (PA). Sedangkan reliabilitas tiap item kateterisasi urin akan dihitung dengan menggunakan weighted kappa, dan beberapa item yang mengalami paradoks akan dihitung menggunakan Prevalence And Bias Adjusted Kappa-Ordinal Scale (PABAK-OS) untuk menghilangkan efek bias dan prevalensi.Has","PeriodicalId":287362,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126439443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}