PENGALAMAN SEKSUAL PASANGAN PENDERITA HIV DALAM MEMPERTAHANKAN STATUS HIV NEGATIF DI RSPI PROF. Dr. SULIANTI SAROSO

 Abstrak HIV/AIDS masih menjadi masalah di Indonesia dengan faktor risiko tertinggi penularan melalui hubungan heteroseksual. Meskipun hubungan  heteroseksual merupakan faktor penyebab utama penularan HIV,  masih ada pasangan ODHA HIV Positif- HIV negatif dapat hidup dengan normal tanpa tertular HIV meski bertahun – tahun tetap melakukan hubungan seksual. Pasangan ini disebut serodiskordan. Studi fenomenologi ini dilakukan untuk mengeksplorasi berbagai pengalaman seksual serodiskordan dalam mempertahankan status HIV negatif di RSPI Prof. Dr. Sulianti Saroso. Sebanyak 6 serodiskordan berpartisipasi dalam studi ini. Data dikumpulkan dengan wawancara mendalam. Empat tema utama teridentifikasi dalam studi ini : (1) Pengetahuan tentang HIV/AIDS, cara penularan dan penyebab suami terinfeksi, (2) Kebutuhan seksual, (3) Pencegahan penularan HIV, (4) Pandangan tentang seksualitas. Pengetahuan yang baik mengenai pencegahan penularan HIV sangat berdampak pada kemampuan serodiskordan dalam mempertahankan status HIV negatifnya selama ini dengan cara penggunaan kontrasepsi dan memberikan dukungan dalam kepatuhan mengkonsumsi ARV. Diperlukan edukasi dan konseling yang berkelanjutan pada serodiskordan dalam meningkatkan pengetahuannya mengenai HIV/AIDS sehingga dapat mengurangi terjadinya kasus baru  HIV. AbstractHIV/AIDS is still a problem in Indonesia with the highest risk factors for transmission through heterosexual relations. Although heterosexual intercourse is the main cause of HIV transmission factors, there are still a couple people living with HIV can live normally without being infected with HIV even though many – year fixed sexual intercourse. The couple called serodiscordant. Phenomenology study was conducted to explore various sexual experience serodiscordant in maintaining negative HIV status at RSPI, Prof. Dr. Sulianti Saroso. As many as 6 serodiscordant participated in this study. Data collected by in-depth interviews. The four main themes identified in this study: (1) knowledge of HIV/AIDS, transmission method and causes the infected husband, (2) sexual Needs, (3) the prevention of HIV transmission, (4) views about sexuality. A good knowledge about the prevention of HIV serodiscordant ability badly in maintaining its negative HIV status during this time by means of the use of contraceptives and provide support in compliance to consume ARVS. Required education and ongoing counseling on improving his knowledge in serodiscordant about HIV/AIDS so as to reduce the occurrence of new cases of HIV

Pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah bagi penyandang diabetes melitus

Effectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes mellitusBackground: Buerger Allen Exercise is a specific exercise intended to improve circulation to the feet and leg using gravitational changes to influence the distribution of body fluids to alternately help emptying and fulfilling the blood columns, and by using muscle contraction through active movement of the ankle to improve circulation of peripheral blood vessel by driving blood and blood vessel. Ankle Brachial Index (ABI) is one of the indicators to assess changes in peripheral vascularization.Purpose: To know the effectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes mellitusMethod: A quasi-experimental by pre- and post-test with controlled group, involving 28 participants  divided by two group; interventional group and controlled group. The sampling technique is a non-probability sampling.Results: Shows by  t-test and GLM-RM  finds out that there are significant differences in the improvements of ABI average scores between interventional and controlled groups after Buerger Allen Exercise is conducted to the right leg with (p-value= 0.001; α = 0.05 ) and to the left leg with (p-value= 0.002; α = 0.05). While, GLM-RM in the research is still not able to determine the optimal point of time in practicing Buerger Allen Exercise.Conclusion: The effectiveness of Buerger Allen Exercise on lower limb circulation and suggestion that Buerger Allen Exercise can be applied as one of the nurse self-intervention to improve peripheral vascularization to patients with diabetes mellitusKeywords : Buerger Allen Exercise; Lower limb circulation; patients; diabetes mellitusPendahuluan: Buerger Allen Exercise adalah latihan khusus yang ditujukan untuk meningkatkan sirkulasi ke kaki dengan menggunakan perubahan gravitasi mempengaruhi distribusi cairan dalam tubuh dengan membantu secara bergantian untuk mengosongkan dan mengisi kolom darah, dan menggunakan kontraksi otot melalui gerakan aktif dari pergelangan kaki untuk meningkatkan sirkulasi pembuluh darah perifer dengan menggerakan darah dan pembuluh darah. Ankle Brachial Index (ABI) merupakan salah satu indikator untuk menilai perubahan vaskularisasi perifer.Tujuan: Untuk mengetahui pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah  bagi penyandang diabetes melitusMetode : Menggunakan desain kuasi eksperimen pre post tes dengan kelompok kontrol, melibatkan 28 partisipan yang dibagi dalam dua kelompok; kelompok intervensi dan kelompok kontrol. Tehnik pengambilan sampel dengan non probability sampling. Penelitian ini menggunakan t-tes dan GLM-RM.Hasil : Uji t-tes didapatkan perbedaan yang signifikan rata-rata skor peningkatan ABI antara kelompok intervensi dan kontrol setelah dilakukan Buerger Allen Exercise pada kaki kanan dengan (p-value= 0,001; α = 0,05 ) dan pada kaki kiri dengan (p-value= 0,002; α = 0,05 ). Sedangkan dengan GLM-RM pada penelitian ini belum dapat menentukan titik optimum waktu pelaksanaan Buerger Allen Exercise.Simpulan: Adanya pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah  dan disarankan agar Buerger Allen Exercise dapat diterapkan sebagai salah satu intervensi mandiri perawat dalam meningkatkan vaskularisasi perifer bagi penyandang diabetes melitu

Analisa Faktor Waktu Pulih Sadar Pasien Post Laparatomi Anestesi Umum

This study aims to analyze the dominant factors associated with the time to recover consciousness of patients with laparotomy, general anesthesia in the Recovery Room of Bhayangkara Hospital Tk I Jakarta. The research method used is analytical research with a cross-sectional approach. The results showed a relationship between age and recovery time after general anesthesia post-laparotomy (p = 0.028). There was a difference between the sexes and the time to recover consciousness of the laparotomy patients with general anesthesia (p = 0.04). There was a difference between ASA and recovery time of conscious laparotomy patients with general anesthesia (p = 0.01). There was a correlation between BMI and awake in patients with available anesthesia laparotomy (p = 0.0005). There was no relationship between body temperature, fasting time, and duration of operation with p values (0.59, 0.6, and 0.94), respectively. In conclusion, the dominant factor that affects the recovery time of consciousness in post-laparotomy general anesthesia patients is body temperature, namely hypothermia.   Keywords: Anesthesia, Laparotomy, Conscious Recovery, Thermoregulatio

Efektivitas Exercise Intradialisis Menggunakan Barbell dan Range of Motion (ROM) terhadap Adekuasi Hemodialisa pada Pasien Penyakit Ginjal Kronik

The purpose of this study is to know the effectiveness of intradialysis exercise using barbells and Range of Motion (ROM) on the adequacy of hemodialysis in patients with chronic kidney disease in the hemodialysis room of RSIJ Sukapura in 2018. The design of this study uses a design with non-probability pre and post test two groups without control design . The result of the difference in the effectiveness of the adequacy values between the two intervention groups after the intervention was given was the barbell intervention obtained 1,33 with a standard deviation of 0.485, an error standard of 0.114. Whereas in the ROM intervention group 1.67 the standard deviation was 0.485, the standard error was 0.114 and the p-value was 0.047 (> 0.05). Conclusion, there was no significant difference in the value of hemodialysis adequacy between the barbellROM intervention groups after the intervention.   Keywords: Hemodialysis Adequacy, Barbell, Exercise Effectiveness, Intradialysis, Range Of Motion (ROM

Peningkatan Kemampuan Perawat dalam Interpretasi EKG Normal dan Aritmia dengan Metode Angka “3”

This study aims to determine the effect of the number 3 method on nurses' ability to interpret normal ECG and arrhythmias. The research method used a quasi-experimental design with one group pre-test and a post-test with a control group. The results showed that there was a significant difference in the mean score of nurses in the interpretation of normal ECG and arrhythmias in both the intervention and control groups (p-value 0.007 and 0.002). The multiple linear regression test showed that the treatment variable contributed to the nurse's ability to interpret normal ECG and arrhythmias with a p-value of 0.002 with a negative linear pattern (Nurses' ability = 66.099 - 9.156 (treatment). In conclusion, there is a significant difference in the average score of nurses in interpretation. Normal ECG and arrhythmia in both the intervention and control groups. However, the intervention group with the number 3 method had a greater difference in mean values ​​than the control group. Statistically, the more research treatments, the nurses' ability to interpret normal ECG and arrhythmias would decrease.   Keywords: Arrhythmia, Normal EKG, Interpretation of ECG, Number Method

Penerapan Intervensi Pursed-Lips Breathing Meningkatkan Arus Puncak Ekspirasi pada Pasien Penyakit Paru Obstruksi Kronik

This study aims to determine the magnitude of the effect of pursed-lip breathing (PLB) exercises on increasing the highest flow achieved by maximal expiration peak expiratory flow (APE) in COPD patients at Jakarta Islamic Hospital Cempaka Putih based on the latest research results (evidence-based Nursing Practice). This study uses a quantitative method with a type of quantitative experimental research with a quasi-experimental approach. The results showed that the results of APE measurements before and after PLB breathing exercises to male COPD sufferers at the Jakarta Islamic Hospital showed that, in general, the effects of APE before and after PLB breathing exercises on Day-1 were 278.3 liters or minutes and general after PLB Day-1 breathing exercise was 290.0 greater. From the results of the T-Test experiment, it can be interpreted that there is a significant comparison between APE before and after PLB with the number P = 0.000 or statistically in general APE before and after PLB is smaller than in general in male respondents by (290.0– 278.3 =11.7). In conclusion, age is related to the increased value of pulmonary ventilation function in COPD patients. Age may explain the increased peak expiratory pulmonary flow in COPD patients. Thus there is a significant relationship between age and an increase in the height expiratory flow (APE) value of COPD patients after receiving pursed-lips breathing intervention.   Keywords: Peak Expiratory Flow, Chronic Obstructive Pulmonary Disease, Pursed-Lip Breathing &nbsp

Penurunan Fatigue pada Pasien Kanker Paru dengan Progresive Muscle Relaxation

This study aims to determine the effect of progressive muscle relaxation on fatigue scores in lung cancer undergoing chemotherapy. This research method is quasi-experimental in the form of a Pre-Test and Post-Test with Control Group Design. The research showed an effect of progressive muscle relaxation on the fatigue score, p-value 0.000 < α 0.005. The dominant factor in fatigue is the frequency of chemotherapy. In conclusion, there is an influence of progressive muscle relaxation on fatigue scores.   Keywords: Fatigue, Lung Cancer, Progressive Muscle Relaxatio

Penurunan Fatigue pada Pasien HIV/AIDS dengan Progressive Muscle Relaxation

This study aims to identify the effect of Progressive Muscle Relaxation (PMR) therapy on reducing fatigue scores in HIV/AIDS patients. The research method uses a pre-post quasi-experimental design with a control group design. The study results showed that giving progressive muscle relaxation therapy to the intervention group decreased fatigue by 8.763 points, with a p-value of 0.000. In conclusion, advanced muscle relaxation therapy can be used as an intervention of choice to reduce fatigue conditions in HIV/AIDS patients for seven days, at least once a day, in the afternoon for 10-20 minutes per exercise, taking into account the factors of Hb levels, duration of ARV use, and psychological factors. Keywords: Fatigue, HIV/AIDS, Progressive Muscle Relaxatio

Larutan Cholerhexidine Lebih Efektif sebagai Oral Hygiene dalam Mencegah Halitosis pada Klien Penurunan Kesadaran

This study aims to determine the effectiveness of chlorhexidine solution on oral hygiene in preventing halitosis in clients with decreased consciousness in the ICU at PMI Hospital, Bogor. This type of research was a quiz-experimental with a research design before and after the intervention of giving chlorhexidine solution. The population and sample were 52 patients with decreased consciousness treated in the PMI Bogor Hospital ICU. Data collection techniques use observation sheets administratively. The data obtained will be analyzed univariately and bivariate with the T-test. The statistical test results showed a significant (significant) difference between the average halitosis score in the listening group and the chlorhexidine gluconate group. In conclusion, 0.12% chlorhexidine gluconate solution is more effective than a listening solution and better at preventing halitosis in patients with impaired consciousness in the ICU at PMI Hospital Bogor. Keywords: Halistosis, Chlorhexidine Solution, Oral Hygien

Pengaruh Swiss Ball Exercise Terhadap Tingkat Nyeri Pada Pasien Low Back Pain

Low Back Pain (LBP) merupakan rasa nyeri yang di rasakan pada daerah punggung bagian bawah yang di sebabkan oleh berbagai penyakit serta aktifitas tubuh yang kurang baik. Swiss Ball Exercise adalah latihan  dengan menggunakan media berupa bola swiss yang ditujukan untuk mengurangi nyeri bagian punggung belakang, dengan meningkatkan kekuatan otot-otot abdomen, otot glutea, dan otot ekstensor punggung.  Tujuan penelitian ini adalah untuk mengetahui adanya pengaruh swiss ball exercise terhadap tingkat nyeri di Puskesmas Pamengkang Cirebon. Desain Penelitian quasi eksperimen pre and  post test with control group, dengan menguunakan tehnik simple random sampling,  total sampel 38 pasien yang terdiri dari 19 responden kelompok intervensi dan 19 responden kelompok kontrol yang menderita low back pain. Hasil uji GLM-MR adanya penurunan tingkat nyeri setelah dilakukan  swiss ball exercise sebanyak 3 kali dalam satu  minggu selama satu bulan dengan tren penurunan nyeri terjadi pada minggu ke 3 (P=value 0,000, α=0,05).  Rata-rata  penurunan tingkat nyeri kelompok intervensi sebesar 4,474 lebih kecil dibanding kelompok kontrol sebesar 5,053. Peneliti memberikan saran agar swiss ball exercise dapat diterapkan sebagai salah satu intervensi mandiri perawat dalam meningkatkan sistem peredaran darah, memperkuat otot-otot lumbosacral dan otot-otot punggung. Penelitian lebih lanjut perlu menambahkan waktu penelitian menjadi dua bulan, untuk dapat menilai titik optimum waktu pelaksanaan swiss ball exercise sebagai intervensi keperawatan. Kata kunci: Swiss ball exercise; tingkat nyer