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Correlation Of Self Efficacy With Stress Adaptation On Chronic Kidney Failure Patients Hemodialysis In Waled General HospitalCirebon District 华城总医院慢性肾衰竭血液透析患者自我效能感与应激适应的关系
Pub Date : 2019-09-01 DOI: 10.54867/jkm.v6i2.41
Ica Wahyuni, Nonok Karlina, Citra Setyo Dwi Andhini
Patients with chronic kidney failure each year experience an increase of 3.8 percent. To overcome kidney failure, hemodialysis therapy is needed. But patients undergoing hemodialysis will experience problems such as discomfort, increase stress and affect quality of life. To reduce these problems, intervention is needed to give self efficacy to patients, based on this it will also affect the stress adaptation of patients undergoing hemodialysis.Purpose of this research was to knew correlation of self efficacy with stress adaptation on chronic kidney failure patients that have hemodialysis in the Waled Hospital of Cirebon.Design of this research was descriptived correlating with cross sectional approach. Sample of this research using purvosive sampling amounted 99 respondens. Instruments used in the form of questionnaire. Data analysis using Spearman- rank test. The place of research at waled hospital in the Cirebon.The results showed that the majority of self-efficacy carried out in the hemodialysis room of Waled Hospital in Cirebon District was mostly in the low category of 90 (90.9%) and stress adaptation was mostly in the very severe category 54 (54.5%). The results of the Spearman rank test 0.000 ( P Value = 0.000 ; α.= 0.05 ; r = 0.546 ).show that H0 is rejected. Conclusion of this research there was a correlation of self efficacy with stress adaptation on chronic kidney failure patients that have hemodialysis in the waled hospital of Cirebon.
慢性肾衰竭患者每年增加3.8%。为了克服肾衰竭,需要血液透析治疗。但接受血液透析的患者会遇到不适、压力增加和影响生活质量等问题。为了减少这些问题,需要干预,给予患者自我效能感,在此基础上也会影响血液透析患者的应激适应。本研究的目的是了解慢性肾衰竭患者自我效能感与压力适应的相关性。本研究的设计与横断面方法相关。本研究采用深度抽样的方法抽样99人。使用的工具以问卷的形式。数据分析采用Spearman- rank检验。研究地点在Cirebon的waled医院。结果表明:西雷邦区Waled医院血透室患者自我效能感大多在低类别90分(90.9%),压力适应多在极严重类别54分(54.5%)。Spearman秩检验结果0.000 (P值= 0.000;α。= 0.05;R = 0.546)。表示H0被拒绝。本研究结论:慢性肾衰竭患者血液透析患者自我效能感与应激适应存在相关性。
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引用次数: 0
The Correlation Of Therapy Hemodialysis With Compliance Activity Daily Living In Waled General Hospital Cirebon District 华德区总医院血液透析治疗与日常生活依从性活动的相关性分析
Pub Date : 2019-09-01 DOI: 10.54867/jkm.v6i2.40
Amaliyah, Nonok Karlina, Citra Setyo Dwi Andhini
Patients with chronic kidney failure globally more than 500 million people. Every year it has increased. To overcome this kidney failure hemodialysis therapy is needed. However, patients undergoing hemodialysis will experience patient lifestyle problems, such as disruption of daily activities due to unstable body conditions and having to undergo routine processes. The purpose of this study was to identify the relationship of hemodialysis therapy with the fulfillment of Activity Daily Living (ADL) in Waled District Hospital Cirebon. This type of research is descriptive correlational with a retrospective approach. Sampling using a purposive sampling technique totaling 99 respondents. The instrument used was a questionnaire. Data analysis using the Spearman rank test. The research site was in the Waled District Hospital in Cirebon Regency during June 2019. The results showed that the duration of hemodialysis therapy carried out in the hemodialysis room at the Waled District Hospital in Cirebon District was in the chronic category of 71 respondents (71.7%) and the fulfillment of Activity Daily Living (ADL) in the category of severe functional impairment was 68 respondents (68.7%). Spearman rank test results (Pvalue ꞊ 0.027; {≤ 0.05; r꞊ 0.222). The direction of the correlation is positive, the longer the hemodialysis therapy is done, the severe functional disorder occurs. Nurses are expected to provide counseling to patients and families in identifying the ability of patients and families to meet the daily living activity (ADL).
全球慢性肾衰竭患者超过5亿人。每年都在增加。为了克服这种肾衰竭,需要血液透析治疗。然而,接受血液透析的患者将经历患者生活方式问题,例如由于身体状况不稳定而导致日常活动中断,并且必须进行常规过程。本研究旨在探讨华德区医院血液透析治疗与日常生活活动(ADL)的关系。这种类型的研究是描述性的,与回顾性方法相关。抽样采用有目的抽样技术,共99名受访者。使用的工具是问卷调查。数据分析采用Spearman秩检验。研究地点于2019年6月在希雷本县的瓦利德地区医院。结果显示,在希雷邦区Waled区医院血透室进行血液透析治疗的时间为慢性类71人(71.7%),重度功能障碍类68人(68.7%)完成了日常活动生活(ADL)。Spearman秩次检验结果(p值꞊0.027;{≤0.05;r꞊0.222)。相关性方向为正,血液透析治疗时间越长,发生严重的功能障碍。护士应该为患者和家属提供咨询,以确定患者和家属满足日常生活活动(ADL)的能力。
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引用次数: 0
Analysis Of Indicators Gross Death Rate And Net Death Rate In Waled General Hospital Cirebon District 华德区总医院总死亡率、净死亡率指标分析
Pub Date : 2019-09-01 DOI: 10.54867/jkm.v6i2.46
Reza Noviar, Jaenudin, Loura Weryco Latupeirissa
Based on preliminary studies conducted at Waled General Hospital the value of GDR and NDR has increased beyond the ideal standard set by the Ministry of Health, namely for GDR = ≤ 45 ‰ and for NDR = ≤ 25 ‰. The GDR in 2013 was 49.95 ‰, and in 2014 it was 61.10 ‰, while the NDR in 2013 was 19.71 ‰, and in 2014 it was 24.30 ‰. The results of the 2013 and 2014 calculations show the value of the GDR and NDR indicator numbers getting higher year after year. This type of research is a descriptive study. The method used is the observation method. The purpose of this study is to analyze the results of GDR and NDR calculations. Data collection procedures in this study by recording the results of monthly recapitulation of inpatient visits about GDR and NDR in 2013-2017. The population and sample in this study were GDR and NDR records from 2013 to 2017. The time of the study was conducted on 28 July 2018 in Waled County General Hospital. From the observations obtained the value of GDR and NDR in 2013-2017 tends to increase and decrease beyond the ideal limit that has been set. The lowest NDR was in 2013 with a value of 19.71 ‰, and the highest in 2015 with a value of 27.60 ‰. The lowest GDR was in 2013 with a value of 49.95 ‰, while the highest GDR was in 2016 with a value of 64.43 ‰. From the results of the study it is suggested that it is necessary to carry out medical audits and in-depth interventions regarding the improvement of GDR and NDR indicators and graph the GDR and NDR, so that they can always monitor the rise or fall of these indicator numbers, and for planning efforts to improve the quality of health services.
根据在Waled总医院进行的初步研究,GDR和NDR的值已经超出了卫生部规定的理想标准,即GDR =≤45‰,NDR =≤25‰。2013年GDR为49.95‰,2014年为61.10‰;2013年NDR为19.71‰,2014年为24.30‰。2013年和2014年的计算结果显示,gdp和NDR指标数值逐年上升。这种类型的研究是描述性研究。所采用的方法是观察法。本研究的目的是分析GDR和NDR的计算结果。本研究的数据收集程序是通过记录2013-2017年GDR和NDR住院就诊的月度重述结果。本研究的人口和样本为2013年至2017年德意志民主共和国和德意志民主共和国的记录。研究时间于2018年7月28日在Waled县总医院进行。从观测结果来看,2013-2017年的GDR和NDR值在设定的理想极限值之外有增减的趋势。NDR最低的年份是2013年,为19.71‰;最高的年份是2015年,为27.60‰。GDR最低的年份是2013年,为49.95‰,最高的年份是2016年,为64.43‰。根据研究结果,建议有必要对改进民主民主共和国和民主民主共和国指标进行医疗审计和深入干预,并绘制民主民主共和国和民主民主共和国的图表,以便始终监测这些指标数字的上升或下降,并规划改善卫生服务质量的努力。
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引用次数: 0
The Relationship of Long Time Hemodialysis Therapy With Mentrual Change Among Chronic Kidney Failed Patient Who Have Hemodialysis In Waled General Hospital Cirebon District 长年累月血液透析治疗对慢性肾衰竭患者心理变化的影响
Pub Date : 2019-09-01 DOI: 10.54867/jkm.v6i2.44
Noni Ardiyani, Endah Sari Purbaningsih, Ika Nurfajriani
The number of patiens undergoing hemodialysis therapy at Waled General Hospital Cirebon in 2018 amounted to 77 patients. Patients with cronic kidney disease who underwent hemodialysis at Waled General Hospital Cirebon experience Menstrual Changes. The purpose of this study was to determine Relationship Long Time Of Hemodialyisis Therapy With Menstrual Changes Of Cronic Kidney Disease Patient who Undergoing Hemodialysis at Waled General Hospital Cirebon. This research used descriptive correlational with cross sectional approach. The population of the study was55 female patients undergoing hemodialysis therapy from December 2019 to February 2019. A total of 48 respondens participated as the sample by using Purposive Sampling tecniques. The documentation sheet and questionnaires were attempted as the instrument of study and data were analyzed by using chi square (x2).The study was held in RSUD Waled Hospital Cirebon. On 2nd – 6th July, 2019. The results of the study obtained r value of 0.707 and< α H0 rejected. It showed there was an relationship long time of hemodialyisis therapy with menstrual changes of cronic kidney disease patient who undergoing hemodialysis at Waled General Hospital Cirebon ( p value = 0.027, α = 0.05 r = 0,707). The long time of hemodialysis therapy affects the menstrual cycle changes can occur due to the presence of hyperprolactinemia so that the changes that occur can be secondary amenorrhea.
2018年Waled General Hospital Cirebon接受血液透析治疗的患者达77人。慢性肾脏疾病患者接受血液透析在Waled总医院Cirebon经验月经变化。本研究旨在探讨慢性肾病患者血液透析治疗时间长短与月经变化的关系。本研究采用描述性相关和横断面分析方法。该研究的人群是2019年12月至2019年2月接受血液透析治疗的55名女性患者。采用目的性抽样技术,共48名被调查者作为样本参与调查。采用文献表和问卷作为研究工具,数据采用卡方(x2)分析。这项研究是在RSUD Waled医院进行的。2019年7月2日至6日。研究结果得到r值为0.707,< α H0被拒绝。结果表明,慢性肾病患者血液透析治疗时间长短与月经变化之间存在相关性(p值= 0.027,α = 0.05 r = 0,707)。长时间的血液透析治疗影响月经周期,可因高泌乳素血症的存在而发生改变,使所发生的改变可为继发性闭经。
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引用次数: 0
The Duration Of Second Period Is Based On The Parity Of The Maternity InThe Working Area Of Cangkol Public Health CenterCirebon City 2018 第二期持续时间以2018年昌湖公共卫生中心工作区域产妇胎次为准
Pub Date : 2019-09-01 DOI: 10.54867/jkm.v6i2.39
Ainusyarifah, Ani Nurhaeni, Sumarni
Maternity mothers who have difficulty adapting to labor pain can cause uncoordinated uterine contractions which result in a disruption in labor and impaired fetal well-being. The purpose of this study was to determine the duration of second stage in primipara, multipara, and grande. The support of the family or the people. Closest to the mother can help ther process oflabor so that it can provide psychological calmness by knowing that someone is accompanying the mother during ther second time to perevent the accurrnce of second time. This reseach uses descriptive type. This study was conducted in the cangkol in 2019. Community Health Center in the City date 01-07 July 2019, The populasion used in this study was 89 respondents, with a sample of 89 respindents . The sampling total sampling, the instrument used is a check sheet. The results of the study showed the duration of the second period based on maternal parity in the primiparous category as 28 respondest (31,46%), the multipara category 43 respondents (46,31%), and the multipara grande category 18 respondents (20,23%). Advice is expected for health workers to increase maternal care during labor in order to prevent the duration of second period.
难以适应分娩疼痛的产妇可引起不协调的子宫收缩,从而导致分娩中断和胎儿健康受损。本研究的目的是确定初产、多产和大产的第二阶段持续时间。支持:家庭或人民的支持离母亲最近可以帮助她完成分娩过程,这样就可以提供心理上的平静,因为知道有人陪着母亲第二次分娩,以防止第二次分娩的发生。本研究采用描述性研究。这项研究是在2019年进行的。本研究使用的人群为89名受访者,样本为89名受访者。抽样总抽样,所用的仪器是一张检查表。研究结果显示,以产妇产次为基础的第二期持续时间,初产类为28人(31.46%),多产类为43人(46.31%),多产大产类为18人(20.23%)。预计将向卫生工作者提供建议,加强产妇在分娩期间的护理,以防止第二期的持续时间。
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引用次数: 0
THE INFLUENCE OF BENSO’S RELAXATION TECHNIQUE IN DECREASING THE BLOOD PRESSURE OF HYPERTENSION PATIENTS AT INTEGRATED COACHING POST FOR NON-COMMUNICABLE DISEASES IN LINGGAJATI VILLAGE, KUNINGAN DISTRICK 库宁安区灵嘎加提村非传染性疾病综合教练站高血压患者采用本索放松法降低血压的效果
Pub Date : 2019-02-01 DOI: 10.54867/jkm.v6i1.35
Ating Sutanti, Jaenudin, H.Sodikin
In Kuningan District hypertension patients in puskesmas entered diurutan to 5 patterns of disease all age groups (Profile Kab.Kuningan 2016) .The purpose in this research is to identify the influence of Benson’s Relaxation technique in decreasing the blood pressure of hypertension patiens. This research uses quasi experimental design with one group pretest-posttest design model. The sample technique in this study used total sampling which amounted to 32 respondents, research instrument using aneroid spyghmomanometer and stethoscope, data collection using observation. Data analysis using Normality test and paired sample t test. Research location at at integrated coaching post for non-communicable diseases in Linggajati Village, Kuningan District  in June-July 2018. The results showed that the mean systolic blood pressure before and after the Benson relaxation technique was 163,12mmHgbecome 150,47 mmHg, mean diastolic blood pressure before and after relaxation technique Benson was93,28 mmHgbecome 87.19mmHg. The mean systolic blood pressure fell 12.66 mmHg and the diastolic blood pressure was 6.09 mmHg. Value p value 0,000. The conclusion of this research isthe influence of Benson’s Relaxation technique in decreasing the blood pressure of hypertension patiens at integrated coaching post for non-communicable diseases in Linggajati Village, Kuningan District with significance p value 0,000 (<0,005). For people with hypertension is expected to use Benson relaxation techniques to maintain blood pressure stability so as to reduce the use of pharmacological therapy.
库宁安区各年龄组高血压患者均出现5种不同类型的疾病(资料Kab)。Kuningan 2016) .本研究的目的是确定Benson放松技术在降低高血压患者血压方面的影响。本研究采用准实验设计,采用一组前测后测设计模型。本研究采用抽样技术,共抽样32人,研究仪器采用无流测速仪和听诊器,数据采集采用观察法。数据分析采用正态性检验和配对样本t检验。2018年6月至7月在古宁安区凌加加提村非传染性疾病综合教练站进行研究。结果显示:本森舒张术前后的平均收缩压为163、12mmHg变为150、47 mmHg,本森舒张术前后的平均舒张压为93、28 mmHg变为87.19mmHg。平均收缩压下降12.66 mmHg,舒张压下降6.09 mmHg。值p值0000。本研究结论为:本森放松法对古宁安区凌加加提村非传染性疾病综合教练站高血压患者血压降低的影响,p值为0000(< 005)。对于高血压患者,期望采用本森放松技术来维持血压稳定,从而减少药物治疗的使用。
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引用次数: 0
ANALISIS SISTEM PENDAFTARAN RAWAT JALAN DI PUSKESMAS SIDAMULYA KABUPATEN CIREBON
Pub Date : 2019-02-01 DOI: 10.54867/jkm.v6i1.1
Dini Sekarlati, Sri Nurcahyati, Hendri Rosmawan
Health information system is part of national health system consisted by data, human and process and combination of hardware, software, information and technology. Health information systems supported individual and community services such as administrative services with the registration process on health services. The existing registration system still experienced by some obstacles such as systems that have not been integrated and overlapping in data collection. The purpose of this study is to analyze the enrollment registration system in Sidamulya Public Health Center ranging from input, process to output. The design of this research used a qualitative type with study case approach. The sample in this research is 3 registration officer. Technique of taking data used interviews and observation. Registration system currently used the manual and electronic systems. Manual registration used register book while the electronic registration system has been supported SIKDA Generic 1.4 and P-care applications. Data obtained from registration will be captured and processed using Ms. Excel. From these treatments resulted reports on outpatient visits reported. To improved service better by made SIKDA Generik 1.4 evaluation and registration officer training.
卫生信息系统是由数据、人力和流程构成的,是硬件、软件、信息和技术相结合的国家卫生系统的组成部分。卫生信息系统支持个人和社区服务,例如卫生服务登记过程中的行政服务。现有的登记制度还存在一些障碍,如系统未整合、数据收集重叠等。本研究的目的是分析西达木亚公共卫生中心的注册登记系统从输入、过程到输出。本研究的设计采用个案研究的定性方法。本研究的样本为3名注册管理人员。采用访谈和观察的方法获取数据。注册系统目前采用手工和电子两种系统。手动注册使用登记簿,而电子注册系统已支持SIKDA通用1.4和P-care应用程序。从注册中获得的数据将使用Ms. Excel进行捕获和处理。从这些治疗结果报告门诊就诊报告。通过对SIKDA Generik 1.4进行评估和注册官培训,更好地提高服务质量。
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引用次数: 0
EFFECTS OF MUROTTAL AL-QURAN AUDIO THERAPY IN STRESS OF HYPERTENSION PATIENTS IN WALED GENERAL HOSPITAL 《古兰经》音频疗法对围墙综合医院高血压患者应激的影响
Pub Date : 2019-02-01 DOI: 10.54867/jkm.v6i1.32
Sri Susilawat1i, Sri Nurcahyati, Ahmad Syaripudin
Hypertension or high blood is where the occurrence of disorders of the blood vessels that cause oxygen supply in the blood to be slow down to the body tissues that need. Symptoms of increased blood pressure are characterized by dizziness, neck muscle aches and breathing difficulties (Mansjoer, 2010). Symptoms of such hypertension cause discomfort and insecurity that responded to the individual as a threat, causing stress and become the trigger of the occurrence of essential hypertension. One effective distraction technique used to treat stress in patients is to use murottal Koranic therapy, because murottal therapy of the Qur'an is an act of distraction. This research is a kind of quantitative research with quassy experiment research design. The research design used is Pretest-Posttest, Non-Equivalent Control Group Design. Sample selection using Quota sampling method. There are 2 groups: the intervention group and the control group. The sample size is 44 respondents. The result of the research with independent t test statistic test showed that there was a significant difference of the average stress level of hypertensive patient in the intervention group and the control group.
高血压或高血脂是指血管出现紊乱,导致血液中的氧气供应减慢到身体需要的组织。血压升高的症状以头晕、颈部肌肉疼痛和呼吸困难为特征(Mansjoer, 2010)。这种高血压的症状会引起不适和不安全感,这些不适和不安全感对个体来说是一种威胁,导致压力,并成为原发性高血压发生的触发因素。一种用来治疗病人压力的有效的分散注意力的技术是使用《古兰经》的交替疗法,因为《古兰经》的交替疗法是一种分散注意力的行为。本研究是一种采用准实验研究设计的定量研究。本研究采用前测后测、非等效对照组设计。采用配额抽样法进行样本选择。分为两组:干预组和对照组。样本量为44名受访者。经独立t检验统计检验的研究结果显示,干预组高血压患者的平均应激水平与对照组有显著差异。
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引用次数: 0
THE EFFECT OF AROMATHERAPY ROSE TOWARD DECREASE OF ANXIETY IN PATIENTS PRE-OPERATIVE MAJOR SURGERY IN WALED PUBLIC HOSPITAL CIREBON 芳香疗法对公立医院大手术患者术前焦虑程度的影响呈上升趋势
Pub Date : 2019-02-01 DOI: 10.54867/jkm.v6i1.30
Nur Kholifah, Dewi Erna Marisa, Sumarni
Major surgical operations each year increase. The design used was quasy experiment with pre-post control group design approach. With incidental sampling technique. The number of samples of 30 respondents. The convenience instrument used is an observation sheet that refers to the APAIS questionnaire and analyzed by Paired t-test. This research carried out in the anggrek ward, bougenvill male and female of Waled Public Hospital Cirebon in June-July 2018.Result of univariate analysis, anxiety in patients pre-operative mayor suergery after intervention was (12,000) with standard deviation 4,32600 and lowest comfort was 6,00 and highest comfort was 20,00. Bivariate analysis with paired t-test showed that there was influence of aromatherapy rose toward decrease of anxiety in patiens pre-operative major surgery (p-value = 0,000 α = 0,05).
重大外科手术每年都在增加。本研究采用前-后对照组设计方法。附带抽样技术。样本数量为30人。使用的便利工具是参考APAIS问卷的观察表,采用配对t检验进行分析。本研究于2018年6月至7月在Waled公立医院Cirebon的布根维尔(bougenville)男女anggrek病房进行。单因素分析结果显示,干预后患者术前焦虑为(12,000),标准差为4,32600,最低舒适度为6,00,最高舒适度为20,000。双因素分析与配对t检验显示,芳香疗法对大手术前患者焦虑程度的降低有显著影响(p值= 0000 α = 0.05)。
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引用次数: 0
PENGARUH PEMBERIAN AROMATERAPI MAWAR TERHADAP PENURUNAN KECEMASAN PADA PASIEN PRE OPERASI BEDAH MAYOR DI RSUD WALED KABUPATEN CIREBON
Pub Date : 2019-02-01 DOI: 10.54867/jkm.v6i1.27
Nur Kholifah, Dewi Erna Marisa, Sumarni
Major surgical operations each year increase. The design used was quasy experiment with pre-post control group design approach. With incidental sampling technique. The number of samples of 30 respondents. The convenience instrument used is an observation sheet that refers to the APAIS questionnaire and analyzed by Paired t-test. This research carried out in the anggrek ward, bougenvill male and female of Waled Public Hospital Cirebon in June-July 2018.Result of univariate analysis, anxiety in patients pre-operative mayor suergery after intervention was (12,000) with standard deviation 4,32600 and lowest comfort was 6,00 and highest comfort was 20,00. Bivariate analysis with paired t-test showed that there was influence of aromatherapy rose toward decrease of anxiety in patiens pre-operative major surgery (p-value = 0,000 α = 0,05).
重大外科手术每年都在增加。本研究采用前-后对照组设计方法。附带抽样技术。样本数量为30人。使用的便利工具是参考APAIS问卷的观察表,采用配对t检验进行分析。本研究于2018年6月至7月在Waled公立医院Cirebon的布根维尔(bougenville)男女anggrek病房进行。单因素分析结果显示,干预后患者术前焦虑为(12,000),标准差为4,32600,最低舒适度为6,00,最高舒适度为20,000。双因素分析与配对t检验显示,芳香疗法对大手术前患者焦虑程度的降低有显著影响(p值= 0000 α = 0.05)。
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引用次数: 1
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Jurnal Kesehatan Mahardika
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