Pengaruh Program Edukasi Perawatan Kaki Berbasis Keluarga Terhadap Perilaku Perawatan Kaki Pada Pasien Diabetes Melitus Tipe 2

Perilaku perawatan kaki merupakan komponen yang penting dalam pencegahan kaki diabetik. Namun, banyakpasien Diabetes Melitus (DM) yang tidak menjalankannya akibat rendahnya pengetahuan dan self-efficacy pasienmaupun keluarga. Di sisi lain, dukungan dan keterlibatan keluarga merupakan aspek penting dalam terlaksananyaperilaku perawatan kaki pasien DM. Pengembangan program peningkatan perawatan kaki DM berbasis keluargapenting dilakukan guna mengatasi kelemahan program sejenis yang berbasis individu. Tujuan penelitian iniadalah untuk mengidentifikasi pengaruh program edukasi perawatan kaki berbasis keluarga terhadap perilakuperawatan kaki pasien DM. Penelitian quasi experiment dengan pre-test and post-test with control group designini melibatkan 72 responden DM Tipe 2 dan keluarganya yang diseleksi secara purposive dari populasi respondenDiabetes Melitus di wilayah kerja Puskesmas Pasirkaliki Kota Bandung. Sampel dibagi menjadi kelompokintervensi dan kontrol dengan masing-masing 36 responden. Responden pada kelompok intervensi mendapatkanprogram edukasi perawatan kaki berbasis keluarga, konseling serta tindak lanjut 1 kali melalui telepon dan tigakali melalui kunjungan langsung ke rumah. Perilaku perawatan kaki dikumpulkan menggunakan kuesioner.Data dianalisis menggunakan paired dan independent t-test. Hasil penelitian menunjukkan tidak ada perbedaankarakteristik antar kelompok. Perilaku perawatan kaki post test (M=84.69, SD=4.49) pada kelompok intervensiberbeda secara bermakna (p = 0.000) lebih tinggi dibanding pre test (M=49.50, SD=9.40), sedangkan padakelompok kontrol ada penurunan skor setelah pengukuran (sebelum M=51,33, SD=8,58; sesudah M=49,50,SD=9,40; p=0,219). Program edukasi perawatan kaki berbasis keluarga efektif meningkatkan perilaku perawatankaki pasien DM. Dengan demikian, perawat dapat mengintegrasikan program edukasi perawatan kaki berbasiskeluarga ke program perkesmas sebagai upaya pencegahan kaki diabetik pada pasien Diabetes Melitus

Pengaruh Acupressure terhadap Nilai Gcs pada Pasien Cedera Kepala Sedang di Rsup Dr Hasan Sadikin Bandung

Iwan Purnawan*Hartiah Haroen**Cecep Eli Kosasih** ABSTRAKPenurunan kesadaran pada cedera kepala yang di ukur secara objektif oleh Glasgow Comma Scale (GCS) merupakan salah satu penentu prognosis dan indikator kegawatan. Beberapa penelitian menunjukan bahwa stimulasi acupressure mampu memberikan efek neuroprotektif yang mencegah kerusakan sel-sel otak dari iskemik yang ditimbulkan cedera kepala. Penelitian ini bertujuan untuk mengidentifikasi pengaruh acupressure terhadap nilai GCS pada pasien cedera kepala sedang di RSUP dr Hasan Sadikin Bandung.Jenis penelitian ini adalah Quasy Experimental dengan menggunakan teknik Control Group pre-test and post-test design. Pengambilan sampel dilakukan secara random. Jumlah sampel dalam penelitian ini adalah 37 responden yang terbagi dalam dua kelompok, yaitu kelompok kontrol (16 responden) dan perlakuan (21 responden). Kelompok perlakuan, selain mendapatkan terapi standar, ia juga mendapatkan acupressure selama 5 menit dalam 3 hari. Perbedaan nilai GCS pada kelompok kontrol dan perlakuan dianalisis dengan uji Wilcoxon. Sedangkan perbedaan peningkatan nilai rata-rata GCS pada kelompok kontrol dengan kelompok perlakuan dianalisis menggunakan uji Mann Whitney. Hasil uji statistik menunjukkan adanya perbedaan bermakna rata-rata nilai GCS antara sebelum dan sesudah perlakuan baik pada kelompok kontrol (p=0,07) maupun perlakuan (p=0,01). Namun demikian, peningkatan rata-rata nilai GCS pada kelompok perlakuan lebih tinggi dari kelompok kontral. Hal ini ditunjukan dengan nilai p pada uji Mann Whitney sebesar 0,037 (p<0,05). Implikasi dari penelitian ini adalah acupressur sebagai terapi non-farmakologi bisa dipertimbangkan menjadi terapi komplementer bagi terapi farmakologi dalam penanganan pasien cedera kepala sedang. Kata Kunci : Acupressure, Cedera kepala sedang, Penurunan kesadaran ABSTRACTImpairment of consciousness in head injury that is measured objectively by Glasgow Comma Scale is one of prognosis determinants and severity indicators. Several studies have shown that stimulation of acupressure can provide neuroprotective effect that prevents damage to brain cells from ischemic injury. This study aims to identify the effect of acupressure on the value of GCS in patients with head injuries in the Hospital of dr. Hasan Sadikin Bandung. The type of this study was quasy experimental that used pre test and post test control group design. Sampling was done randomly. The number of samples in this study was 37 respondents who were divided into two groups, namely the control group (16 respondents) and intervention group (21 respondents). Besides having standard therapy, the intervention group also got therapy of acupressure for 5 minutes in 3 days. The differences of GCS score in the control group and the intervention group were analyzed with the Wilcoxon test. The differences of the increase of the GCS average of the control group and intervention group were analyzed by using Mann Whitney test. The results of statistical tests showed significant difference of the average value of GCS both before and after treatment in those two groups, namely: in the control group (p=0.07) and the intervention (p = 0.01). However, the increase of the GCS average value of the intervention group was higher than the control group. This was evidenced by the p-value on Mann Whitney test of 0.037 (p <0.05). The implication of this study is that acupressure as a non-pharmacological therapy can be considered as a complementary therapy to pharmacological therapy in the treatment of patients with moderate head injury

Manajemen Mutu Layanan Ta’lim Quran lil Aulad (TQA) di Yayasan Team Tadarus “AMM” Yogyakarta

Qualitative research on the quality of Quran education services has a specificity according to the character of the material that prioritizes recitation and reading recitation, especially for TQA education organized by the Tadarus Team Foundation for the Young Generation Mosque and Musholla (YTT "AMM") Kotagede Yogyakarta. It takes the form of further education after the children study at TPA or TPQ. This requires a specific quality of service in learning for child santri compared to those who are beginners. Academic services are no longer limited to mastering the Iqro book as an important reference for learners at the beginner level at TPA "AMM". However, the learning services cannot be compared to those of advanced Quran learners for more independent adults. The data were analyzed descriptively after being collected through observation, documentation, in-depth interviews with informants who were equipped with triangulation. The quality assurance of Quran learning services at TQA has been carried out consistently in improving the quality of teachers. in services The closeness of ustaz/ah with TQA education students is an advantage that must be cultivated and developed

Penanaman Nilai-Nilai Kemasyarakatan Di Pesantren Modern

The modern Pabelan Islamic boarding school has received awards in relation to community welfare development including the international Aga Khan Award and the Kalpataru Environment national award. The noble values ​​in the pesantren culture that are to be implanted in the Pabelan modern Islamic boarding school require further exploration so that the strengthening of character education (PPK) based on the culture of the pesantren has various alternatives according to the specifics of each, especially those related to the process of cultivating social values ​​in extra-curricular activities. The case study research in a qualitative approach concludes that the internalization of social values ​​in Panca Jiwa, the motto of the boarding school and its educational orientation has been evident in the culture of Pesantren in extracurricular activities of trilingual speech and scouting with active participation of all parties in the pesantren and clear rules and regulations. hence strengthening the interaction between the community and the pesantren is needed by actively involving the community in extracurricular activities as a whole. Collective and individual initial guidance for new santri on societal values ​​also has a positive impact on the internalization of the pesantren culture for each Pabelan Pesantren student on an ongoing basis

Ensiklopedi Hukum islam

344 hlm. 28 c

Ensiklopedi Hukum islam

344 hlm. 28 c

Uncovering the Benefits of Povidone Iodine Compared to Other Therapeutic Agents in Wound Infection Prevention and Healing Outcomes: A Scoping Review

Hasniatisari Harun,1 Hartiah Haroen,2 Ristina Mirwanti,3 Nuni Apriani,4 Cynthia Pomaa Akuoko5 1Department of Medical-Surgical Nursing, Faculty of Nursing, Sumedang, Universitas Padjadjaran, Sumedang, Indonesia; 2Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 3Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 4Faculty of Health Science, Universitas ‘aisyiyah Bandung, Bandung, Indonesia; 5Department of Nursing and Midwifery, Faculty of Health and Applied Sciences Christian Service University, Kumasi, GhanaCorrespondence: Hasniatisari Harun, Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Jl. Ir Soekarno KM 21, Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +6282130348224, Email [email protected]: The selection of an appropriate chemical solution in wound care reduces the severity of wounds and accelerates the healing process. Povidone-iodine (PV-I), a chemical solution popularly known as an antiseptic, is frequently used in studies of wound care to prevent wound infection and accelerate woud the process of wound healing.Objective: To identify the latest evidence on the benefits of PV-I in wound infection prevention and healing in all areas.Methods: This review is a scoping review by Arskey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) is used for reporting. The literature search used databases including PubMed, CINAHL, and search engines such as Scopus. This study was conducted using thematic analysis.Results: This review yielded 19 out of 2109 studies that were identified in the initial search. Four outcomes comprised 20 sub-outcomes have been identified. Although strong evidence is lacking, PV-I in the form of foam is effective in improving wound healing, shortening healing time, and producing fewer adverse events than hydrocelluers. Moreover, saline and PV-I are effective as skin disinfectants when compared to saline alone in reducing surgical site infection (SSI), and they are also more effective than hypochlorous acid in improving wound healing. Nevertheless, there was no difference between PV-I and hypochlorous acid in the prevention of SSI and bacterial growth. In terms of healing time, silver foam and hyaluronic acid were more favorable than PV-I. Moreover, the use of chlorhexidine to improve SSI and silver dressing to improve hospital stay is more favorable than that of PV-I.Conclusion: There is limited evidence regarding the effectiveness of wound care outcomes, and the efficacy of PV-I as a surface disinfectant for wound infection prevention remains controversial. Consequently, PV-I is not highly recommended for wound care, and further investigation into the effectiveness of PV-I as a surface disinfectant is required for various types of surgeries.Keywords: disinfectant, povidone-iodine, surgical site infection, wound healin

A Qualitative Study of Perception and Experience Toward End-of-Life Care Among Nursing Students Who Witnessed Dying People in Their Family

Hartiah Haroen,1 Ristina Mirwanti,2 Hana Rizmadewi Agustina,3 Tuti Pahria,4 Hasniatisari Harun,4 Cynthia Pomaa Akuoko,5 Nadirawati Nadirawati6 1Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 2Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 3Department of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 4Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia; 5Department of Nursing and Midwifery, Faculty of Health and Applied Science, Christian Service University College, Kumasi, Ghana; 6Nursing Sciences Program, Faculty of Health Science and Technology, Universitas Jenderal Ahmad Yani, Cimahi, IndonesiaCorrespondence: Hartiah Haroen, Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Ir Soekarno KM 21 street, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +62 812-9454-3843, Email [email protected]: This study aims to explore nursing students’ perception and experience of end-of-life care (EoLC) in Indonesia, particularly in the family environment.Methods: This study used a qualitative research design to explore the experiences and perceptions of nursing students who have witnessed the dying of their family members. The study recruited 15 nursing students using a purposive sampling method, who were then invited to reflect and write their experiences in witnessing death of their families, and perceptions towards EoLC. The written reflections were analyzed using thematic analysis.Results: Thematic analysis showed that the experience of witnessing dying of a family member shaped nursing students’ perceptions and attitudes towards EoLC. Some themes that emerged in this study included the importance of effective communication with patients and their families, symptom management, spiritual, emotional, and social support, as well as the need to improve nursing education and training.Conclusion: This present study shows that the experience of witnessing the death of a family member shapes nursing students’ perceptions of EoLC in Indonesia. This present study provides recommendations that the students must be prepared emotionally and psychologically in caring EoL or dying patients. How attitude and readiness to care EoL patients are shaped by the experience in witnessing the dying family or loved one. As such, palliative and EoL curriculum should be included methods that allow desensitization and naturalization of dying for the students in order to make them ready to provide better EoLC for patients and their families. The results of this study can contribute to improving the quality of EoLC in Indonesia.Keywords: end-of-life care, death, family, nursing student, spiritual car

Health Educational Methods for Improving Self-Efficacy Among Patients with Coronary Heart Disease: A Scoping Review

Firman Sugiharto,1,&ast; Hartiah Haroen,2,&ast; Fania Putri Alya,1,&ast; Ruth Jamlaay,1,&ast; Freda Mai,1,&ast; Hadi Abdillah,1,&ast; Irma Yusanti,1,&ast; Birry Assidiqy,1,&ast; Aan Nuraeni3,&ast; 1Master Study Program, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Department of Community Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 3Department of Emergency and Critical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia&ast;These authors contributed equally to this workCorrespondence: Firman Sugiharto, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21, Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +6282218235600, Fax +6202287793411, Email [email protected]: Coronary heart disease (CHD) is the leading cause of death and disability worldwide, with higher prevalence in low and middle-income countries. Self-efficacy (SE) is an essential element that affects a patients ability to manage their care, and low SE levels in patients with CHD can lead to poor health outcomes and quality of life. Planning suitable methods to improve SE in CHD patients is essential.Purpose: This review explores health education methods to improve SE in patients with CHD.Methods: Scoping review is reported based on the PRISMA Extension for Scoping Reviews (PRISMA-ScR). A literature search was conducted using relevant keywords from six primary databases, such as CINAHL Plus with Full Text and Academic Search Complete, PubMed, ScienceDirect, Scopus, Taylor and Francis, and one search engine, Google Scholar. The inclusion criteria were full-text articles in English that were accessible, research articles with experimental designs. The quality of evidence was assessed using the Joanna Briggs Institute critical appraisal checklist, and data synthesis was used thematically with an explorative, descriptive approach.Results: Fifteen articles were found and included in the review. There are two types of interventions such as traditional and digital-based health education. The media used in traditional health education are booklets, pamphlets, posters, and workbooks. In addition, digital-based health education generally uses websites, social platforms, mobile applications, video players and sound clips.Conclusion: This review found that traditional health education and digital-based interventions improve SE, knowledge, self-esteem and health literacy levels, in CHD patients. Health professionals, including nurses, may used both methods in improving self efficacy in CHD patients.Keywords: coronary heart disease, digital intervention, health education, self-efficac