Asuhan Keperawatan Kritikal Pasien Dengan Trauma Cerebral

Perawat yang bekerja di ruang rawat klien kritikal mempunyai peran yang penting dalam menurunkan angka kesakitan dan kematian klien dengan trauma kepala melalui pengkajian dan intervensi dini. Menit-menit pertama merupakan waktu kritikal yang sangat menentukan apakah klien akan mengalami penurunan fungsi otak yang progresif atau terjadi perbaikan. Oleh karenanya, deteksi dini dan intervensi yang tepat merupakan kunci keberhasilan. Untuk mendapatkan hasil yang optimal, perawat yang bekerja di ruang rawat kritikal harus meningkatkan cara berfikir kritis dan keterampilannya secara teratur. Koordinasi kerja dengan tenaga kesehatan lain juga penting dalam menentukan keberhasilan pelayanan. Nurse has an important role in reducing morbidity and mortality of patients with head injuries through meticulous assessment. First minutes after cerebral trauma are a critical time that determine – patient experience severe deteriorated cerebral function or experience improvement of cerebral function. Therefore, early detection and accurate nursing intervention will be the critical activities in a achieving successful results. To get a goo result, critical care nurse need to improve their critical thinking and skills continuously. Good coordination among health care team may help the best possible outcome in managing patients with severe head injuries

Pengalaman Klien Diabetes Melitus Tipe 2 Pasca Amputasi Mayor Ekstremitas Bawah

Diabetes Melitus Tipe 2 (DM Tipe 2) adalah kelainan metabolik yang ditandai dengan hiperglikemia yang diakibatkan kurangnya sekresi insulin, resistensi insulin, atau keduanya. Kondisi hiperglikemia kronis dapat menyebabkan berbagai komplikasi yang salah satunya adalah kaki diabetik yang menjadi penyebab utama dilakukannya amputasi pada klien DM tipe 2. Penelitian ini bertujuan untuk mengetahui pengalaman klien DM tipe 2 pasca amputasi mayor ekstremitas bawah. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Hasil analisis data menghasilkan enam tema, yaitu: Perubahan dalam kehidupan setelah amputasi, respon atau perasaan terkait amputasi, mekanisme koping, dukungan sosial yang diterima, makna hidup, dan pelayanan kesehatan yang diterima. Hasil penelitian ini diharapkan dapat menjadi masukan dalam meningkatkan kualitas asuhan keperawatan melalui peningkatan dukungan rehabilitasi secara fisik, psikososial, dan spiritual pada klien DM tipe 2 pasca amputasi mayor ekstremitas bawah

Water Consumption on the Morning to Constipation of Patient with Immobilization

Introduction: Patient with musculoskeletal disorder has been moving limitation and caused decreasing of gut peristaltic. The aimed of this study to find out the influence of drinking plain water 500 ml on the morning to constipation Incident of Immobilize Patient with musculoskeletal system disorder. Methods: The methode of this study were quasi-eksperiment with post test only non equivalent control group design. The number of sample was 24 respondents as intervention group, and 24 respondent as control group. The instrument that be used were Bowel Score that have been observed everyday for three days. Result: The result shows significant influences of drinking plain water on the morning to constipation incident of immobilize patient musculoskeletal system dysorder (p value=0.002; α=0.05. Discussion: consuming water can avoid constipation on immobilize patient with musculoskeletal disorder. For the next research hopefully measures and analize psychosocial faktor of the patient defecation such as comfortable and privacy

Pengaruh Penerapan Model Pembelajaran Kuantum Dengan Sintaks Tandur Terhadap Hasil Belajar Pkn Ditinjau Dari Motivasi Berprestasi Siswa Kelas XII Di Smk Negeri 1 Abang-karangasem

Penelitian ini bertujuan untuk mengetahui (1) perbedaan hasil belajar PKn antara siswa yang mengikuti pembelajaran menggunakan model pembelajaran Kuantum dengan sintaks TANDUR dengan siswa yang mengikuti pembelajaran menggunakan model pembelajaran konvensional, (2) pengaruh interaksi antara model pembelajaran dengan motivasi berprestasi siswa terhadap hasil belajar PKn, (3) perbedaan hasil belajar PKn antara siswa yang mengikuti pembelajaran menggunakan model pembelajaran Kuantum dengan sintaks TANDUR dengan siswa yang mengikuti pembelajaran menggunakan model pembelajaran konvensional pada siswa yang mempunyai motivasi berprestasi tinggi, dan (4) perbedaan hasil belajar PKn antara siswa yang mengikuti pembelajaran menggunakan model pembelajaran Kuantum dengan sintaks TANDUR dengan siswa yang mengikuti pembelajaran menggunakan model pembelajaran konvensional pada siswa yang mempunyai motivasi berprestasi rendah. Penelitian ini menggunakan rancangan penelitian quasi eksperimen dengan memperhitungkan skor post test. Populasi penelitian ini adalah siswa kelas XII di SMK Negeri 1 Abang tahun pelajaran 2013/2014. Pengambilan sampel dilakukan dengan teknik random sampling. Pengumpulan data dilakukan dengan menggunakan kuesioner motivasi berprestasi dan tes hasil belajar PKn. Data yang diperoleh dianalisis dengan analisis varians dua jalur dengan uji-F, dilanjutkan dengan uji Tukey untuk menentukan kelompok mana yang lebih unggul.Kata Kunci : Model Pembelajaran Kuantum Dengan Sintaks TANDUR, Model Pembelajaran Konvensional, Motivasi Berprestasi, Hasil Belajar PKn This observation intended to know (1) The differences of the students' Civics learning outcome between the students who learnt through TANDUR to the students who learnt through conventional learning model, (2) The effects of interaction between learning models with achievement motivation towards the students' Civics learning outcome. (3). The differences of Civics learning outcome between between the students who learnt through TANDUR to the students who learnt through conventional learning model on the students who had high achievement motivation, and (4) The differences of Civics learning outcome between the students who learnt through TANDUR to the students who learnt through conventional learning model on the students who had low achievement motivation. This study was a quasi-experimental research by taking into account the post test score. The population was all students grade XII in SMK Negeri 1 Abang academic year 2013/2014. The sample was chosen through random sampling techniques. The data were collected by the use of achievement motivation questionnaire and Civics learning outcome test. The data was analyzed by Statistical Two-Way Anava and Tukey Test

Pengalaman Orang dengan HIV AIDS Pengguna Napza Suntik Selama Menjalani Terapi Antiretroviral dan Metadon

The aim of this research is to study the experience of People With HIV AIDS (PLWHA) Injection Drugs Users (IDUs) while undergoing anti-retroviral (ARV) and Methadone therapy. This qualitative research method uses a phenomenological approach. The interview transcript was analyzed by the Colaizi analysis stage. The analysis showed that ODHA of IDU felt physically normal and had a positive psychosocial life. Participants experience feelings of saturation with routine and obligation and are often seized with feelings of fear. PLWHA IDUs also experience side effects of concomitant ARV and Methadone therapy. Conclusion, Although PLWHA IDUs felt the benefits of therapy, they still experience various physical and psychosocial problems due to treatment procedures and ARV and Methadone treatment response.   Keywords: Antiretroviral, HIV / AIDS, IDUs, Methadone, ODH

Factors Affecting the Quality of Life of Epilepsy Patients

People with epilepsy can lead a normal life, but there are many factors that can affect their quality of life. People with epilepsy may feel anxiety and even depression about their life, which can have an impact on productivity. This study aimed to identify factors affecting the quality of life of epilepsy patients. This study used a cross-sectional design with consecutive sampling and 100 respondents. The analysis used the Chisquare test and logistic regression. The results indicated that the majority of people with epilepsy in the study had a low quality of life (62 people, 62%) and the most influential factor affecting the quality of life was seizure type (odds ratio = 9.716, p = 0.001). Based on the findings, it can be concluded that education level, seizure frequency, type of seizure, stigma and medication adherence are factors that can affect the quality of life in epilepsy patients. Nurses can provide education on the management of seizures to epilepsy patients and their families, to improve the quality of life of people with epilepsy. Keywords: determinant factors, quality of life, epileps

Quality of Life of Primary Brain Tumor Patients Before and 3 Months After Discharge from a Hospital in Bandung, Indonesia

Background: The quality of life of patients with primary brain tumor in Indonesia is poorly understood. Therefore, this study aimed to investigate the health‐related quality of life of patients admitted to the Neurosurgery Department of Dr. Hasan Sadikin Hospital, Bandung, Indonesia, up to 3 months after discharge. Methods: Baseline data were collected from patients aged ≥18 years who were admitted to the hospital between October 9, 2015, and February 17, 2016. In‐person interviews were then conducted 1-2 days pre‐discharge (n = 65) and follow-up telephone interviews were made 1, 2, and 3 months post-discharge (n = 58, 55, and 54, respectively) to collect socio-demographic data, clinical characteristics, and EQ‐5D‐5L data. Results: Prior to discharge, one‐third or less of the 65 patients interviewed reported "no problems" with mobility (32%), self‐care (32%), usual activities (18%), and pain/discomfort (43%), whereas 74% reported "no problems" with anxiety/depression. By contrast, at 3 months post-discharge, an increased proportion of patients reported "no problems" with mobility (61%), self‐care (67%), usual activities (56%), and pain/discomfort (76%), with little change in anxiety/depression ("no problems" 70%). Conclusions: While there was improvement, many patients were still reporting problems at 3 months post-discharge, highlighting the need for ongoing support and care to ensure the best possible outcomes