PENGARUH PEMBERIAN AROMATERAPI TERHADAP TINGKAT KECEMASAN PASIEN SEBELUM OPERASI DENGAN ANESTESI SPINAL DI RS TUGU SEMARANG

Terkait adanya stressor pada saat dilakukan pembedahan dengan anestesi spinal sangat penting untuk membuat tubuh selalu dalam keadaan rileks dengan memberikan stimulus emosi positif ke otak.Salah satu tindakan keperawatan yang dapat dilakukan oleh perawat adalah melalui teknik relaksasi.Teknik relaksasi dapat dilakukan dengan metode meditasi, yoga, maupun aromaterapi. Aromaterapi merupakan terapi komplementer yang layak untuk dicoba karena cara tersebut diketahui dapat memberi stimulus positif ke otak. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian aromaterapi terhadap tingkat kecemasan pasien sebelum operasi dengan anestesi spinal di RS Tugu Semarang. Jenis penelitian quasy-experiement dengan rancangan one group without control group design dilakukan pada 40 responden yang akan dilakukan operasi dengan spinal anestesi menggunakan Hamilton Rating Scale (HRS-A) untuk menggali kecemasan. Data penelitian dianalisis dengan uji statistic Wilcoxon dengan tingkat kemaknaan 0.05.Hasil penelitian menunjukkan bahwa terbanyak responden sebelum pemberian aromaterapi lavender mengalami cemas berat (40.0%), dan setelah pemberian aromaterapi terbanyak mengalami cemas sedang (42.5%). Hasil uji statistic dengan Wilcoxon diperoleh nilai p sebesar 0.00 (<0.05).Disimpulkan terdapat pengaruh pemberian aromaterapi terhadap tingkat kecemasan pasien sebelum operasi dengan anestesi spinal di RS Tugu Semarang. Disarankan agar pemberian aromaterapi dapat dijadikan sebagai alternative menurunkan tingkat kecemasan pada pasien sebelum dilakukan operasi (preoperative anxiety disorder)

PENGARUH PEMBERIAN AROMATERAPI TERHADAP TINGKAT KECEMASAN PASIEN SEBELUM OPERASI DENGAN ANESTESI SPINAL DI RS TUGU SEMARANG

Terkait adanya stressor pada saat dilakukan pembedahan dengan anestesi spinal sangat penting untuk membuat tubuh selalu dalam keadaan rileks dengan memberikan stimulus emosi positif ke otak. Salah satu tindakan keperawatan yang dapat dilakukan oleh perawat adalah melalui teknik relaksasi. Teknik relaksasi dapat dilakukan dengan metode meditasi, yoga, maupun aromaterapi. Aromaterapi merupakan terapi komplementer yang layak untuk dicoba karena cara tersebut diketahui dapat memberi stimulus positif ke otak. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian aromaterapi terhadap tingkat kecemasan pasien sebelum operasi dengan anestesi spinal di RS Tugu Semarang. Jenis penelitian quasy-experiement denganrancangan one group without control group design dilakukan pada 40 responden yang akan dilakukan operasi dengan spinal anestesi menggunakan Hamilton Rating Scale (HRS-A) untuk menggali kecemasan. Data penelitian dianalisis dengan uji statistic Wilcoxon dengan tingkat kemaknaan 0.05. Hasil penelitian menunjukkan bahwa terbanyak responden sebelum pemberian aromaterapi lavender mengalami cemas berat (40.0%), dan setelah pemberian aromaterapi terbanyak mengalami cemas sedang (42.5%). Hasil uji statisticdengan Wilcoxon diperoleh nilai p sebesar 0.00 (<0.05). Disimpulkan terdapat pengaruh pemberian aromaterapi terhadap tingkat kecemasan pasien sebelum operasi dengan anestesi spinal di RS Tugu Semarang. Disarankan agar pemberian aromaterapi dapat dijadikan sebagai alternative menurunkan tingkat kecemasan pada pasien sebelum dilakukan operasi (preoperative anxiety disorder).Kata Kunci: Aromaterapi, lavender, preoperasi, spinal anestesi

Aromatherapy Ginger Use in Patients with Nausea & Vomiting on Post Cervical Cancer Chemotherapy

Chemotherapy is an effective treatment for cancer. However, it causes some side effects which include nausea and vomiting. More than 70% of patients experience nausea and vomiting after chemotherapy. The purpose of this study was to determine the effect of ginger aromatherapy in nausea, and vomiting patients on post cervical cancer chemotherapy. We used a pretest-posttest control group design, using purposive sampling of 60 respondents. We used anti-emetics measurement tool according to Multinational Association of Supportive Care in Cancer (MASCC) to assessed patient's complaints. The result showed significant difference in nausea and vomiting group before and after given aromatherapy (p = 0.000); nausea score (p = 0.005) and vomiting score (p= 0.013) from intervention and control group. No significant difference was observed in nausea (p = 0.279), and vomiting (p = 0.276) on control group. Ginger aromatherapy can be used as alternative medication to reduce post-chemotherapy nausea and vomiting

Pengalaman Ibu yang Terdeteksi HIV Tentang Dukungan Keluarga Selama Persalinan

Jumlah kasus ibu hamil dan melahirkan dengan HIV dari tahun ke tahun semakin meningkat baik di dunia maupun di Indonesia. Permasalahan penelitian adalah bagaimana pengalaman ibu yang terdeteksi HIV tentang dukungan keluarga selama persalinan dengan pendekatan kualitatif fenomenologi. Tujuan penelitian untuk menggali pengalaman ibu yang terdeteksi HIV tentang dukungan keluarga selama persalinan dengan pendekatan kualitatif fenomenologi. Metode penelitian survei, dengan delapan partisipan dipilih berdasarkan purposive sampling. Pengumpulan data menggunakan wawancara mendalam dan analisis data menggunakan analisis tematik. Hasil penelitian menunjukkan sebagian besar partisipan mendapatkan dukungan keluarga berupa dukungan emosional, spiritual, financial, dan informasi, sedangkan sisanya tidak mendapatkan dukungan. Dukungan yang didapatkan ibu menimbulkan perasaan bahagia dan tenang. Beberapa partisipan mendapatkan perlakuan negatif akibat stigma dari keluarga dan pemberi pelayanan kesehatan. Simpulan penelitian adalah perawat maternitas berperan menerapkan asuhan keperawatan melibatkan keluarga yang memperhatikan psikologi, sosial dan spiritual ibu selama persalinan. The number of cases of maternal HIV increased every year in the world or in Indonesia. The research problem was how mothers experience with HIV detectable on family support during delivery their baby with phenomenological qualitative approach. The purpose of the study to explore the experiences of mothers who detected HIV on family supports during delivery their baby with phenomenological qualitative approach. Survey research methods, with eight participants were selected based on purposive sampling. Collecting data using in-depth interviews and data analyzed by thematic analysis. The results showed most participants get family support for emotional, spiritual, financial, and information support, while the rest do not get support. Mothers which get support were feelings happy and calm. Some participants got negative treatment because of the stigma from family and health care providers. Research conclusion, maternity nurses can apply nursing care involves families with psychological, social, and spiritual attention for mother during delivery their baby

Oksitocyn Massage and Decreasing Height of Uterin Fundus in Multiparous Women

Uncontrolled hemorrhage that contributes for approximately 20 % -25 % of maternal death makes it the most serious risk. The efforts to prevent hemorrhage postpartum can be done since the third and fourth stage of delivery by giving oxytocin through oral, intra - nasal , intra - muscular , or with a massage that stimulates the release of oxytocin hormone, which cause the involution process. This study aims to determine the effect of oxytocin massage on uterine involution to woman with multiparous postpartum. Research design was an experimental Quasy Case control with 36 respondents. The results shows that the treatment mean from the measurement of the reduction of TFU in the 7th (seven) days was 8.56, the mean of group control was 6.33, p value was 0.0001, t value was 4.919. In conclusion, the oxytocin massage significantly decrease of the Height Uterin Fundus in multiparous postpartum women. While on the remeasurement on the 14th day the treatment mean was 10.00, mean value of control was 9.50, p value was 0.038, t value was 2.513 means that oxytocin massage is no longer significantly decrease the Hight Uterin Fundus for women with multiparous postpartum

EVALUATION OF PRECEPTORSHIP AND MENTORSHIP CLINICAL LEARNING METHOD ON NURSING STUDENTS' CRITICAL THINKING IN PROVIDING NURSING CARE IN A TEACHING HOSPITAL

The demand for high-quality health services is increasing. It motivates nurses to utilize the best evidence in making decisions. Professional nurses were born from an excellent education. Preceptorship and mentorship clinical learning methods are expected to be able to answer these demands. This study aims to identify the effect of preceptorship and mentorship methods on students' critical thinking skills. The study design applies a quasi-experimental type pretest and post-test with a control group. Twenty-six students were examined as respondents for each intervention and control group, using a purposive sampling technique. The survey took place at a teaching hospital in Semarang, using a student-evidence-based practice questionnaire (validity 0.584-0.904; reliability 0.821) developed by Upton et al.in 2014.  The intervention during three weeks with the training stages of clinical advisors, clinical guidance, internalization, and evaluation. Univariate data analysis is described by frequency and percentage (categorical) and mean and SD (numerical). Bivariate data analysis using a paired t-test and independent t-test. There was a significant effect of the preceptorship and mentorship methods on students' thinking abilities (p-value = 0.006). Integrated academic and clinical learning could form critical thinking skills among students. Educational institutions play a role in providing training for clinical instructors oriented to improving the ability of students to provide scientific evidence-based nursing care. The clinical instructors are responsible for improving students' critical thinking skills through preceptorship and mentorship learning methods

MANFAAT PIJAT OKSITOSIN UNTUK PENCEGAHAN PERDARAHAN IBU PASCA MELAHIRKAN

This is a Efforts to prevent postpartum hemorrhage can be done since the third stage of labor day up to ten with a massage that stimulates the release of oxytocin, causing the process of involution. Information about oxytocin massage is very important to convey to the general public in order to increase knowledge so as to reduce the incidence of bleeding. Methods in community service activities consists of input, process and output. Input in this activity is the mother - PKK cadres, pregnant women in Sub Meteseh. The process is in the form of health education with lectures and demonstrations while the output is the measure of understanding about the prevention of maternal postpartum hemorrhage with pre and post questionnaires given during the event. Perceived outcome of this activity is that participants understand the massage action of oxytocin to prevent postpartum hemorrhage resulting in a change of behavior to take steps to prevent postpartum hemorrhage in the mother. It can be seen from the results of the posttest as much as 40% of participants had a value of 80-60, 60% obtain grades 50-20 while in the posttest as much as 80% of the participants has a value of 90-80, 20% scored 70-60