HUBUNGAN PENDIDIKAN DAN MOTIVASI PERAWAT DALAM PENERAPAN PATIENT SAFETY DI RUANG KAMAR OPERASI RSUD SIMEULUE

Keselamatan pasien menjadi salah satu isu utama dalam pemberian pelayanan kesehatan di rumah sakit. Isu ini berkembang karena masih banyaknya kejadian tidak diharapkan dan kejadian nyaris cedera yang sering terjadi dalam pelayanan kesehatan di Rumah sakit. Motivasi berpengaruh terhadap dorongan individu untuk menerapkan patient safety yang baik. Penelitian ini bertujuan untuk mengetahui hubungan pendidikan dan motivasi perawat dalam penerapan patient safety di Ruang Kamar Operasi Rumah Sakit Umum Daerah Simeulue. Sampel dalam penelitian adalah perawat kamar operasi sebanyak 31 orang, dengan tehnik pengambilan sampel Total Sampling. Hasil penelitian didapatkan mayoritas responden berpendidikan  S1 sebanyak 13 orang (41,9%), dan mayoritas memiliki motivasi tinggi sebanyak 25 orang (80,6%). Hubungan pendidikan dengan penerapan patient safety berdasarkan hasil uji statistik Chi Square didapatkan pvalue = 0,001 bahwa ada hubungan yang bermakna antara pendidikan dengan penerapan patient safety di ruang kamar operasi RSUD Simeulue. Hubungan motivasi dengan penerapan patient safety hasil uji statistik Chi Square didapatkan pvalue = 0,000 bahwa ada hubungan yang bermakna antara motivasi dengan penerapan patient safety di ruang kamar operasi. Diharapkan Patient safety harus lebih di perkenalkan lagi kepada seluruh pihak yang berada atau bekerja di rumah sakit kepada staf atau perawat baru juga harus diperkenalkan kepada dokter dan perawat yang magang baik di ruang kamar operasi maupun di ruangan lain

PENYULUHAN PERAWAT PALIATIF TENTANG PENGERTIAN DAN DAMPAK DEMENSIA ALZHEIMER DI DESA PALUH SIBAJI

Alzheimer's is a disease of the brain that causes a person's condition to experience a decrease in memory function, way of thinking, way of socializing, way of communicating, thus affecting the way sufferers of this disease live their daily lives. Neurologist at Borromeus Hospital, Yustiani Dikot, said dementia is a collection of symptoms that cause cognitive impairment, namely memory, attention, memory, language/communication to behavior or personality. This happens due to hypertension or stroke. Other dementia occurs due to parkinsen and others. Data from the Ministry of Health stated that Alzheimer's disease mostly affects elderly people aged 65 years and over. The method used in activities through stages includes counseling/education, training, and mentoring. The community was formed through several activities, namely: coordinating with RT administrators, hamlets, and community leaders providing health services regarding hospitalization, Knowledge counseling services about the impact of Alzheimer's sufferers, Education on the impact of Alzheimer's disease on the community, Health education on nutrition and personal hygiene, Giving gifts to the Community, Door prizes after the counseling activities, Giving gifts to cadres. The results achieved after participating in the counseling and discussion of the people of Paluh Sibaji Village know about Alzheimer's dementia and the impact of Alzheimer's dementi

PEMBERDAYAAN PERAWATAN PALIATIF PARA KADER TENTANG DAMPAK DEMENSIA ALZHEIMER DI DESA PALUH SIBAJI

Dementia is a symptom of brain damage affecting a person's ability to think, remember, judge, speak, change moods, and communicate. This disorder makes it difficult for people with Alzheimer's disease to carry out their daily activities. In severe disease conditions, sufferers will always need the presence of other people and are never able to be independent (Kusuma, 2013). The decline in cognitive function that occurs does not take place immediately, but gradually. The first function that experiences a decrease in attention is often identified from the condition of someone who is traveling alone, for whatever reason he gets lost. Personality changes also occur as a result of decreased memory and attention which is marked by apathy, withdrawal, not being able to speak properly and fluently (Kusuma, 2013). The methods used in activities include carrying out empowerment. The community was formed through several activities, namely: coordinating with RT administrators, hamlets, and community leaders providing empowerment services for the impact of Alzheimer's dementia, carrying out planting. The results achieved after participating in this activity, the people of Paluh Sibaji Village know the impact of Alzheimer's dementia

Relationship between Compliance in Implementing Patient Admission SOPs and Nurse Performance in Inpatient Rooms

Implementing nursing care SOP in the inpatient room is essential in achieving a superior and quality hospital. The service's success can be the basis for developing a health strategy depending on the participation of nurses to increase compliance because, until now, nursing care has been provided in the presence of nurses, especially in patient management (patient admission SOP). This study aimed to determine the relationship between nurse compliance in implementing patient admission SOPs and nurse performance in the inpatient room of RSU DR. GL Tanjung Morawa Medan. This research method uses descriptive correlation and a cross-sectional design—data collection through questionnaires. The population is 30 people. The sampling technique is Total Sampling. The data analysis used is Univariate and Bivariate, obtained in the frequency distribution table, and Bivariate analysis using the Chi-Square test. The results showed that most nurses complied with implementing SOPs as much as 66.7%, and the majority of nurse performance was classified as 50%. The chi-square test results showed a p-value of 0.02; there was a significant relationship between nurse compliance in implementing patient admission SOPs and nurse performance in the inpatient room of DR. GL Tobing Tanjung Morawa Hospital

PELATIHAN PERAWATAN PALIATIF TENTANG PERAWATAN PASIEN DEMENSIA ALZHEIMER DI DESA PALUH SIBAJI

Education for Alzheimer's patients and their families or caregivers to make lifestyle modifications through regular physical activity, reducing alcohol consumption, cognitive stimulation, maintaining good nutrition, and reminding them of the importance of socializing. Families or caregivers must also be involved in therapy and need to be given support because one day the Alzheimer's patient will fully depend on them. Family education to help patients schedule routine activities and encourage patients to follow the schedule that has been made. Alzheimer's patients can discuss with their families about their wishes and limits if they later reach a condition where they are unable to make their own decisions. The method used in activities goes through a series of stages, including training and mentoring. The community was formed through a number of activities, namely: coordinating with RT administrators, hamlets, and community leaders providing training services on Alzheimer's dementia patients, giving rewards to the community, giving door prizes after training activities, giving rewards to cadres. Results achieved after participating in training by the community in Paluh Sibaji Village &nbsp

PELATIHAN PENCEGAHAN DAN PENGENDALIAN INFEKSI DASAR DI RSUD KOTA MEDAN

Healthcare Associated Infections (HAIs) are infections that occur in healthcare settings. HAIs or infections occur between 48 hours to 72 hours after hospital admission or after hospital discharge within 30 days. The incidence of infections continues to increase between 4.8%-21%. The increasing incidence of infection indicates a decrease in the quality of hospital services. The chain of infection transmission can occur through infectious agents, reservoirs, ports of exit, transmission, ports of entry, and the host. The purpose of training is to increase the knowledge of healthcare workers, develop skills, and attitudes so that work can be completed properly, quickly, accurately, and rationally, create a willingness to cooperate with other employees and leaders. The targets of basic infection prevention and control training activities in hospitals are environmental health workers, nurses, pharmacists, analysts, radiologists, and funeral directors. The total participants were 55 people, the activity was held November 25-26, 2022, in meeting room two. The results of the pretest and posttest were the lowest score for the pretest 40 and the highest score of of 95, with an average score of 68. The results of the posttest were the lowest score 60 and the highest score 100 with an average score of 91. The results of the activity show that the participants' understanding has increased where the results of the pretest and posttest have increased, so that through training participants can do their job well and can work together with IPCN and leaders

PENGARUH SENAM KAKI TERHADAP SENSITIVITAS KAKI PADA PENDERITA DIABETES MELLITUS TIPE II

Diabetes Melitus merupakan penyakit kronis dengan hyperglikemia dan intoleransi glukosa yang  terjadi karena kelenjar pancreas  yang tidak memproduksi insulin secara adekwat yang diakibatkan tubuh tidak dapat  menggunakan insulin yang diproduksi secara efektif. Penelitian ini menggunakan desain quasi experimental dengan dibagi dua kelompok yaitu kelompok control dan kelompok perlakuan, Metode Uji statistic dengan uji Wilcoxon Rank Test. Latihan senam kaki dengan pasien Diabetes Melitus terdapat perubahan  sensitivitas yang  significan. Nilai sensitivitas kaki sebelum dilakukan terapi senam kaki diabetik dalam kategori sensitivitas kaki sedang yaitu sebanyak 7 responden (38,8%) dan setelah senam kaki didapatkan paling banyak dalam kategori sensitivitas kaki baik yaitu sebanyak 12 responden (66,7 %). Latar belakang: Penyakit Diabetes Melitus merupakan penyakit kronis yang dapat mengakibatkan komplikasi seperti Neuropati DM yang berefek kepada kerusakan sel saraf sensorik dan terganggaunya sensitivitas pada kaki. Tujuan: untuk mengetahui pengaruh senam kaki terhadap sensitivitas kaki pada penderita diabetes mellitus tipe 2. Metode: Quasy experimental dengan dua kelompok kontrol dan perlakuan, dengan uji statistikWilcoxon Rank Test. Hasil: terdapat pengaruh senam kaki terhadap sensitivitas kaki sebesar 66,7%. Kesimpulan: Penelitian ini dapat dikembangkan dan dilakukan edukasi serta praktik senam kaki kepada penderita diabetes mellitus tipe 2 untuk meningkatkan sensitivitas kaki penderita

Hubungan pemberian discharge planning dengan psikososial pada pasien diabetes melitus

Diabetes melitus merupakan sekelompok gangguan metabolisme yang ditandai dengan peningkatan kadar glukosa darah (hiperglikemia) akibat peradangan pada reseptor insulin, atau keduanya. Gangguan piskososial dapat diakibatkan oleh diabetes melitus, dan piskososial dapat menyebabkan berbagai penyakit kronis yang memerlukan intervensi dalam penanganan masalah kesehatan jiwa. Tujuan penelitian untuk mengetahui hubungan antara discharge planning dengan psikososial pada pasien diabetes melitus. Metode penelitian ini menggunakan kuantitatif dengan desain cross sectional. Populasi yang digunakan pada penelitian ini adalah penderita diabetes melitus terhadap discharge planning sebanyak 42 orang. Teknik pengambilan sampel dengan cara sampling jenuh, maka jumlah sampel sebanyak 42 orang. Analisa data univariat menganalisis data demografi dalam bentuk tabel distribusi frekuensi. Analisa brivariat dilakukan dengan uji Spearman’s rho. Instrumen untuk penilaian pelaksanaan psikososial pada pasien diabetes melitus ini menggunakan metode Diabetes Distress Scale-17 (DDS-17). Hasil penelitian ini mendapatkan mayoritas responden dalam penelitian ini berusia 51-65 tahun, berkerja sebagai wiraswasta, dan pendidikan SMA. Berdasarkan hasil analisa data diperoleh p-value 0,077. Hal ini menunjukkan adanya hubungan antara discharge planning dengan psikososial bagi penderita diabetes melitus

EFEKTIFITAS PEMBERIAN TERAPI MUSIK INSTRUMENT TERHADAP KUALITAS TIDUR PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA

ABSTRAKPenyakit gagal ginjal kronik merupakan masalah kesehatan yang berkembang pesat. Pasien dengan hemodialisis memiliki masalah gangguan tidur yang berefek terhadap kualitas hidup pasien hemodialisis. Gangguan tidur memiliki dampak negatif pada respon imun dan dapat menyebabkan perkembangan kardiovaskuler yang merupakan penyebab kematian pada pasien gagal ginjal. Tujuan penelitian ini adalah untuk mengidentifikasi efektifitas pemberian terapi musik instrument terhadap kualitas tidur pasien gagal ginjal kronik yang menjalani hemodialisa. Penelitian ini menggunakan desain quasi-eksperimen dengan pre and post test with control dengan sampel 73 orang dengan menggunakan tabel power analysis 38 responden. Hasil penelitian menunjukkan adanya efek pemberian terapi musik instrument terhadap kualitas tidur pasien gagal ginjal kronik yang menjalani hemodialisa dengan hasil uji independent t test yaitu p=0,001 (p0,005). Perbandingan kualitas tidur sebelum dan sesudah pemberian terapi musik instrument menggunakan analisa data paired t-test dengan p=0,000. Kualitas tidur responden setelah dilakukan pemberian terapi musik instrument menunjukkan peningkatan.Kata Kunci: terapi musik, kualitas tidur, hemodialisaABSTRACTBreast cancer is the most common cancer suffered by women. Phenomenon in getting from patients treated with breast cancer who received chemotherapy in Haji Adam Malik Hospital, there is an increasing number of breast cancer throughout the year 2014 there were 9189 people. Patients with breast cancer is highest in North Sumatra Batak tribe women as much as 215 people (68.9%). The objective of this research was to explore the experience of Bataknese breast cancer patients who were under chemotherapy treatment. The research used phenomenology descriptive method. The data were gathered by conducting in-depth interviews. The sample were 15 Bataknese breast cancer patients who had fulfilled the criteria, taken by using purposive sampling technique. The Results of recorded interviews was analyzed by using content analysis. The result of the research showed that there were five themes which reflected the phenomena. They were experienced the emotional instability of breast cancer patients as a response to chemotherapy, adaptation to reduce the physical changes after chemotherapy, seeked the healing and recovery by breast cancer patients who were under chemotherapy treatment, reduced the emotional instability by breast cancer patienst who were under chemotherapy treatment, obstacles which is experienced by the breast cancer patients under chemotherapy treatment. It is recommended that health care provider, especially nurse, provide holistic service based on cultural for breast cancer patients who were treated with chemotherapy and give information to educational that the importance of cultural to give the nursing services.Keywords: Musical Therapy, Sleep Quality, Hemodialysi

PELATIHAN PENCEGAHAN DAN PENGENDALIAN INFEKSI DASAR DI RSUD KOTA MEDAN

Healthcare Associated Infections (HAIs) are infections that occur in healthcare settings. HAIs or infections occur between 48 hours to 72 hours after hospital admission or after hospital discharge within 30 days. The incidence of infections continues to increase between 4.8%-21%. The increasing incidence of infection indicates a decrease in the quality of hospital services. The chain of infection transmission can occur through infectious agents, reservoirs, ports of exit, transmission, ports of entry, and the host. The purpose of training is to increase the knowledge of healthcare workers, develop skills, and attitudes so that work can be completed properly, quickly, accurately, and rationally, create a willingness to cooperate with other employees and leaders. The targets of basic infection prevention and control training activities in hospitals are environmental health workers, nurses, pharmacists, analysts, radiologists, and funeral directors. The total participants were 55 people, the activity was held November 25-26, 2022, in meeting room two. The results of the pretest and posttest were the lowest score for the pretest 40 and the highest score of of 95, with an average score of 68. The results of the posttest were the lowest score 60 and the highest score 100 with an average score of 91. The results of the activity show that the participants' understanding has increased where the results of the pretest and posttest have increased, so that through training participants can do their job well and can work together with IPCN and leaders