Hubungan Circadian Rhytme Sleep Disorders Dengan Motivasi Kerja Perawat Di Rumah Sakit Moewardi Surakarta

ABSTRACT By: Rieh Firdausi* dan Arief Wahyudi Jadmiko** Nurse job description in shares of emergency installation was patient handling of emergency requiring high intensity and concentration with the situation that uncertain. Trouble of appearance, sleep / Circadian Rhythm Sleep Disorders (CRSD) at nurse affecting at nurse performance specially nurse work motivation. This research was purposed to analyse the correlation of Circadian Rhythm Sleep Disorders (CRSD) with nurse work motivation in Emergency Department RSUD DR. Moewardi Surakarta. This research was a correlation descriptive with the cross sectional approach. The research population was the nurse in the Emergency Department room in of RSUD Dr. Moewardi Surakarta and have a sample account 27 nurses with purposive sampling. The data collecting was using questioner and analyzed was using correlation test. Research result in the form of Rank Spearman correlation of the correlation Circadian Ryhtme Sleep Disorders (CRSD) with nurse work motivation obtained Rs value equal to -0,414 (p-value = 0,032) so H0 refused. Research conclusion the descriptive of Circadian Rhythm Sleep Disorders (CRSD) at nurse in Emergency Department of RSUD Dr. Moewardi Surakarta mostly do not experience of Circadian Rhythm Sleep Disorders (CRSD) (56%), the descriptive of work motivation nurse in Emergency Department of RSUD Dr. Moewardi Surakarta mostly lower equal to 14 respondents (52%), and there were correlation of Circadian Rhythm Sleep Disorders (CRSD) with nurse work motivation in Emergency Department RSUD DR. Moewardi Surakarta. Keywords: Emergency Department, Circadian Rhythm Sleep Disorders, motivation,nurse

Upaya Peningkatan Mobilitas Fisik Pada Pasien Stroke Hemoragik

Result of WHO in 2016 with patients of stroke, reaching 15 million people worldwide every year her (3.5 million women and 3.1 million men). Stroke is a disorder of the central nervous system function that occurs suddenly can be a brain blood vessel blockage or rupture of blood vessels of the brain and is usually caused by impaired blood vessel in the brain. One of the problems of nursing that requires further treatment, namely physical mobility barriers, for stroke patients will feel the loss of power on one of the limbs. The author can provide an overview of nursing care to patients in Improving Stroke Physical Mobility with Haemorrhagic Stroke. The method used in the writing of scientific papers that dekskriptif with case study approach in stroke patients on 6 February 2017 to 8 February 2017. After the act of nursing for 3x24 hours in stroke patients with some monitoring vital signs, review the patient's ability to mobilize, teach families and patients about exercise range of motion (ROM), assist and help when the patient mobilization, teach patients how to change the position and provide assistance if needed, help the patient provide health education to patients' families about the importance of range of motion (ROM). Diagnosis physical mobility constraints are resolved in part, continued intervention such as ROM exercises, often change the position of patients. Conclusion: physical mobility constraints nursing problems resolved partially, thus requiring further treatment so that outcomes can be achieve

Gambaran Diet Pada Penderita Gagal Jantung Di Poli Jantung Rsup Dr. Soeradji Tirtonegoro Klaten

DESCRIPTION OF DIET ON HEART FAILURE PATIENTS IN HEART POLY HOSPITAL DR. SOERADJI TIRTONEGORO KLATEN ABSTRACT A common cause of congestive heart failure is the damage or the reduced mass of the heart muscle due to acute or chronic ischaemia, increased vascular resistance due to hypertension, or because of tachyarrhythmias. Basically all of the conditions that cause changes in the structure or function of the left ventricle is a predisposition to congestive heart failure. Risk factors that triggered the high number of cardiovascular patients is an unhealthy diet, inactivity, smoking, and drinking alcoholic beverages for long periods of time. This study aims to overview of diet or daily diet include the type of food, size of household and weight (grams) in patients with heart failure. This study was a descriptive study. The study population was all patients with heart failure in poly RS. Soeradji Tirtonegoro Klaten in January to May 2016, amounting to 238 patients. Sample study of 110 patients obtained by purposive sampling. Collecting data using a 24-hour food recall form, while data analysis using test descriptive. Conclusion of the study is a diet or a diet daily in patients with congestive heart failure Poly Heart Hospital. Soeradji Tirtonegoro Klaten is largely non-compliant with a variety of staple food is rice, mostly eat fruit, mostly eating vegetables, and most of the tea drinking water. Keywords: diet, patients with heart failur

Perbedaan Kadar Gula Darah Setelah Terapi Bekam Basah Dan Pijat Refleksi Pada Penderita Diabetes Mellitus Di Karangmalang Sragen

Diabetes mellitus is one of the non-communicable diseases that occur on a person because an increase blood glucose levels as a result of progressive insulin secretion because decreased insulin resistance. Many non-pharmacological therapy have been found to help reduce and control blood glucose levels, such as wet cupping therapy and reflexology. Wet cupping therapy can increase blood circulation in the pancreas and in the muscles so that increased insulin receptor sensitivity and glucose levels is decreased, whereas reflexology is able to provide stimulus that is capable to make blood circulate smoothly through the body. This research aimed to determin of the differences in blood glucose after wet cupping therapy and reflexology. This research method used pre-experimental design with two group pre-post design. Total sample in this study was 60 respondents, divided into 2 groups with 30 persons for wet cupping therapy and 30 persons for reflexology. The sampling method used accidental sampling. Data analysis techniques using paired sample t-test to find out blood sugar before and after theraphy in both groups, whereas difference test between wet cupping therapy and reflexology use independent sample t-test. From the result of test paired sample t-test showed that p-value 0.001 in both groups H0 was rejected, there are differences in blood glucose levels before and after wet cupping therapy and reflexology. From the result of independent sample t-test showed that p-value 0,046 and mean difference in both groups were -21.457, so H0 was rejected, there are differences in blood sugar levels after wet cupping therapy and after reflexology, and wet cupping therapy more effective than reflexology in reducing blood sugar levels

Upaya Penanganan Pola Nafas Tidak Efektif Pada Sirosis Hepatitis Di Rsud Dr. Soehadi Prijonegoro Sragen

Background: According to the WHO in 2008, couse of the death in the world, one of them is cirrhosis hepatis diseases. The diaseases ranks 18th in the world. Cirrhosis hepatis coused by hepatitis virus. The complication that can couse hematemesis and melena, besides that also can couse of increasing pressure of part and from bleeding can reduce the level of hemoglobin in the blood, so that the ogxygen supply to the brain is inadequate, that can couse breating ineffective. Objective: Providing nursing care in patients with a diagnosis of cirrhosis hepatis in space Melati VI B Prijonegoro Soehadi hospital located in Sragen District. Methods: Using data collection methods attractions in Soehadi Prijonegoro hospitals starting from 28 March 2016 until 31 March 2016 in Jasmine Room VI B, purpose so that data can be collected well and directed, should be done categorization or classification of data based on the identity of the client, a major complaint, medical history, physical, psychological, social, spiritual, intelligence, results of check up, and other special condition, assessment methods using either diagnose allo and auto anamnesis. Results: After nursing actions during 3x24 hours to patients with liver cirrhosis pattern Ineffective breathing connected with hyperventilation problems. Management that made to over come ineffective breathing is by the way of teaching a deep breath and focus on semi fowler, beside that can over come by preventing bleeding that repeatedly to the patient with cirrhosis hepatis. Conclusion: Problem of nursing breathing innefective connected with hyperventilation is not resolved families still need to exercise care in the home to prevent bleeding was repeated and in order to increase hemoglobin (Hb) by providing foods that contain iron such as green leafy vegetables, liver, egg yolk. The cooperation between the family and the medical team is able to prevent or reduce the risk of recurrent bleeding

Hubungan Tingkat Pengetahuan Dan Sikap Dengan Perilaku Pencegahan Terjadinya Luka Kaki Diabetik Pada Penderita Diabetes Melitus Tipe II

Background: Diabetes Mellitus is a metabolic disease caused by an inadequate role of insulin. A frequent complication is the occurrence of leg injuries that often get worse into diabetic foot ulcers and the worst possibility of not doing good wound care is amputation. Therefore the patient is very necessary to have preventive behavior for diabetic foot ulcers do not occur. Preventive behavior will be done well if preceded by the level of knowledge and good attitude of people with Diabetes Mellitus itself. Objective: knowing the relationship between the level of knowledge and attitudes with the prevention behavior of diabetic foot ulcer in human with diabetes mellitus type II . Methods: This research is quantitative, the research design used the descriptive correlative with cross sectional approach.Collecting data using questionnaires and validity test before use.The sample used as many as 83 people with sampling techniquePurposive Sampling .The study was conducted for 2 weeks from 20 stNovember to 1st December 2017 at Purwosari Community Health Center.Data analysis using Spearmant Rank test to know the relationship of knowledge level with behavior, while Chi-Square analysis test to know the relationship of Attitudes with Behavior. Results: The majority of respondents have a good level of knowledge and good in preventive behavior for diabetic foot ulcers there are 25 people (30.12%) with p-value 0,000 (<0.05) which means there is a relationship between level of knowledge with preventive behavior for diabetic foot ulcers. While there are 30 people (36,14%) which stated positive but the behavior is less with p-value 0,000 (<0,05) which means there is relationship between attitude with preventive behavior for diabetic foot ulcers. Keywords: Diabetes Mellitus type II, Diabetic foot ulcers, Level of Knowledge, Attitude, Behavior, Preventionof Diabetic foot ulce