PERBEDAAN TINGKAT NYERI TENGGOROKAN PASKA PEMASANGAN ETT DAN LMA DI RUANG PERAWATAN BEDAH RSUD CILACAP

Pasca operasi ditemukan komplikasi nyeri tenggorokan yang disebabkan tekanan cuff endotrakeal ataupun pemasangan LMA. Dilaporkan angka kejadian nyeri tenggorokan setelah operasi mencapai lebih dari 90%. Insiden nyeri tenggorokan karena penggunaan ETT pada jam ke-1 setelah ekstubasi pada kelompok deksamethason IV adalah 21 orang (72,4%) dari 29 sampel. Penelitian ini bertujuan untuk mengetahui perbedaan nyeri tenggorokan paska pemasangan ETT dan LMA di ruang perawatan bedah RSUD Cilacap. Desain penelitian ini adalah observasional analitik. Rancangan penelitian menggunakan cross sectional. Populasi dalam penelitian adalah semua pasien yang dilakukan operasi dengan general anestesi dengan teknik intubasi ETT dan LMA di RSUD Cilacap berjumlah 176 orang. Teknik pengambilan sampel menggunakan teknik accidental sampling. Sampel berjumlah 64 orang. Analisa data menggunakan uji Chi Square. Angka kejadian nyeri tenggorokan pada kelompok dengan ETT dan LMA sebagian besar termasuk ringan. Hasil uji chi square didapatkan nilai X2 8,893 dengan signifikansi (p) 0,012. Ada perbedaan nyeri tenggorokan paska pemasangan ETT dan LMA di ruang perawatan bedah RSUD Cilacap Kata kunci : ETT, General Anestesi, LMA, nyeri tenggoroka

Pengaruh Pemberian Terapi Musik Terhadap Kecemasan Pasien Pre General Anestesi di RS PKU Muhammadiyah Yogyakarta

Kecemasan pre operatif terjadi pada pasien yang akan menjalani prosedur pembiusan dan pembedahan elektif. Terapi musik salah satu teknik distraksi, karena dapat menurunkan nyeri fisiologis, stres, dan kecemasan. Terapi musik menekan sistem saraf simpatik yang terlibat dengan penurunan respon stres tubuh. Musik memicu otak melepaskan endorfin, meningkatkan kadar dopamin, dan membantu meningkatkan rasa kesejahteraan. Tujuan penelitian ini diketahuinya pengaruh pemberian terapi musik pada pasien pre general anestesi di Rumah Sakit PKU Muhammadiyah Yogyakarta. Penelitian ini menggunakan quasi eksperimental yang bertujuan untuk mengetahui perbedaan tingkat kecemasan pasien pre general anestesi sebelum dan sesudah pemberian terapi musik pada kelompok intervensi dan kelompok kontrol. Penelitian ini menggunakan Desain Quasi eksperimental pada penelitian ini mengambil jenis group pre test and post test with control. Pasien diberikan pretest dan posttest menggunakan skala ukur APAIS, pada kelompok perlakuan dilakukan treatment. Sampel pada penelitian ini berjumlah 20 responden kelompok intervensi dan 20 responden kelompok kontrol. Pengumpulan data pada bulan Mei sampai bulan Juni 2017. Hasil pengumpulan data diolah menggunakan uji Wilcoxon dengan signifikan α = 0,05. ada perbedaan kecemasan sebelum dan sesudah pada kelompok intervensi yaitu dengan terapi musik. Hasil uji Wilcoxon didapatkan Sig. 0,000 (< 0,05) sehingga H1 diterima atau H0 ditolak. Kesimpulannya, ada pengaruh pemberian terapi musik terhadap kecemasan pada pasien pre general anestesi di RS PKU Muhammadiyah Yogyakarta. Kata kunci : Kecemasan, , pre general anestesi dan terapi musik

FAKTOR-FAKTOR YANG MEMPENGARUHI TINGKAT KECEMASAN MAHASISWA MENGHADAPI UJIAN PRA KLINIK DI JURUSAN KEPERAWATAN

Background: The experience of teaching in the Department of Nursing Poltekkes Yogyakarta in academic year 2004/2005 as much as 25.43%, academic year of 2005/2006 as much as 11.53% of the students did not pass the pre-clinical test on each of the competencies tested, so some students must test up to three times before it passed to one of competence. To be able to pass the pre-clinical test, students must master the standard operating precedure (SOP) of all the competencies tested, with no one. This raises its own concerns for the students as expressed by 5 students when interviewed, they felt shaking, cold sweat, stomach ache when pre-clinical examinations. Objective: Knowledgeable percentage level of anxiety among college students in the face of polytechnic Programs Nursing practice exam Knowledgeable factors that most influence anxiety in Yogyakarta Programs Nursing Polytechnic student in the face of the bar exam. Method: This study is a descriptive analyitic cross Sectional. 3.) experiment was conducted in October and November 2007 in Yogyakarta Health Laboratory Polytechnic Nursing Programs. Population is a student semester V Programs Nursing Health Polytechnic Yogyakarta academic year 2007/2008. The sample in this study the total sample of all V semester students of the academic year 2007/2008 a number of 80 students. The data was collected using quetionnaire given before the student undergoing the test on the day I. Result: Most students do not master the controls and cases did not experience anxiety. From the p-value 0.720, indicating that mastery of the case has no effect on anxiety in college students. In pre-clinical test, the case given is a case that can be understood by reasoning and previous students already have experience, so this does not affect anxiety. After performed multivariate analysis with logistic regression then there are four factors together – the same that affect student anxiety when pre-clinical test to study the optimal SOP, training in the laboratory, not afraid of the examiner and are not afraid of achievement will go down at the same time reduce the level of anxiety among college students during pre-clinical examinations. Of the four factors, the SOP is to study the most influential factor to the decrease in student anxiety during pre-clinical examination. Conclusion: From data analysis it can be concluded as follows: The level of student anxiety Polytechnic Yogyakarta Health Nursing Department at the face pre-clinical test are not worried about 46.26%, 53,73% experienced anxiety which consisted of anxiety were 71.16% and 28 severe anxiety, 84% ., factors-factors that influence anxiety in students at the Polytechnic of Health Department of Nursing students during exam face pre-clinical study did not include SOPs, lack of exercise in the laboratory, fear of testing, fear of performance down, factors that most influence on students’ anxiety Health Programs in Nursing student at Polytechnic face pre-clinical test are not learning the SOP. Keywords: Depresi, diabetes mellitus, dukungan sosia

PENERAPAN BRAIN GYM PADA ASUHAN KEPERAWATAN LANSIA DEMENSIA DI PSTW BUDI LUHUR KASONGAN BANTUL YOGYAKARTA

Populasi lansia di Indonesia yang terus meningkat dapat menjadi aset bangsa apabila sehat dan produktif. Agar hidup produktif kesehatan lansia perlu diprogramkan yaitu dengan kegiatan stimulasi otak untuk meminimalisir penurunan fungsi kognitif yang menyebabkan demensia. Stimulasi otak salah satu kegiatannya adalah brain gym. Menurut penelitian sebelumnya ada pengaruh penurunan tingkat demensia pada lansia brain gym yang dilakukan selama 10-15 menit setiap pagi sebanyak 5x/minggu selama 4 minggu. Peneliti akan menerapkan brain gym pada asuhan keperawatan lansia demesia di PSTW Budi Luhur. Tujuan studi kasus ini menerapkan brain gym pada asuhan keperawatan lansia demensia, mengetahui tingkat demensia sebelum dan setelah dilakukan brain gym. Metode dalam studi kasus ini yaitu observasi, wawancara, dan studi dokumentasi pada dua lansia yang hasilnya dianalisis dan dibandingkan perbedaan responnya. Lokasi studi kasus ini di PSTW Budi Luhur Kasongan Bantul Yogyakarta. Subyek studi kasus ini adalah dua orang lansia sesuai kriteria yang telah ditetukan. Hasil studi kasus ini kedua subyek dapat melakukan semua gerakan brain gym. Penilaian menggunakan MMSE klien I pre test 17 dan post test 19 poin. Untuk klien II pre test 20 poin dan post test 23 poin. Kesimpulan studi kasus ini penerapan terapi brain gym pada asuhan keperawatan lansia demensia dapat dilakukan pada kedua klien. Hasil penilaian MMSE pada kedua klien ada kenaikan. Kata Kunci : tingkat demensia, brain gym, penilaian MMS

LATIHAN INTRADIALITIK MEMPERTAHANKAN TANDA-TANDA VITAL DAN MENINGKATKAN KUALITAS HIDUP PASIEN HEMODIALISIS

Hemodialisis merupakan tindakan yang secara fisik sangat menyetreskan, yang mengakibtakan kebanyakan pasien akan mengalami kelelahan selain itu pasien juga mengalami gangguan kesehatan terkait kualitas hidup pada aktivitas sehari-hari termasuk fisik, seksual, kehidupan sosial, dan masalah mental seperti depresi, kecemasan, nyeri, dan gangguan tidur. Diharapkan latihan intradialitik dapat menurunkan / menjaga tanda-tanda vital (tekanan darah, nadi, respirasi) dan meningkatkan kualitas hidup pasien yang menjalani hemodialisis. Tujuan penelitian adalah untuk mengetahui pengaruh Latihan intradialitik terhadap tekanan darah, nadi, respirasi dan meningkatkan kualitas hidup pasien hemodialisis. Jenis penelitian ini adalah Quasi Experimental dengan desain ”Prettest and Posttest design with control group”. Tehnik pengumpulan data yang dilakukan adalah melalui pengukuran tekanan darah, nadi, respirasi dan menggunakan kuesioner instrumen Kidney Disease Quality of Life–Short Form (KDQoL-SF 1.3). Analisis data yang digunakan bivariat dan univariat dengan uji t. Populasi adalah pasien yang menjalani hemodialisis di Ruang Hemodialisis RSUD Panembahan Senopati Bantul. Teknik sampling random sampling untuk menentukan kelompok perlakuan dan kelompok kontrol. Sampel berjumlah 60 yang terdiri dari 30 sampel kelompok perlakuan, dan 30 sampel kelompok kontrol. Hasil berdasarkan analisis uji beda pada kelompok pasien yang diberikan latihan intradialitik didapatkan secara signifikan adanya perbedaan rerata penurunan tekanan darah, nadi, respirasi dan rerata peningkatan skor kualitas hidup pasien hemodialisis yang diberikan latihan intradialitik dengan p value = 0,000 (p < 0,005). Kesimpulan bahwa Latihan intradialitik dapat menurunkan tekanan darah, nadi, respirasi dan meningkatkan kualitas hidup pasien yang menjalani hemodialisis. Kata Kunci: Latihan Intradialitik, tanda-tanda vital, hemodialisi

Relationship Between Body Image and Eating Pattern in Woman Adolescents

Adolescence there is concern for body weight and body shape. This encourages teenagers to go on a diet. A good eat pattern needs to be established in an effort to meet nutritional needs. Body image in adolescents will greatly affect their diet including the selection of food ingredients and the frequency of eating. Objective : Knowing the relationship between body image and eating patterns in woman adolescents in Yogyakarta 5 High School. Method : This type of research is non-experimental with a design of correlational descriptions. Popolation of female students in Yogyakarta 5 Public High School. The sampling technique in this study used probality sampling with a stratified random sampling technique. The research instrument used a body image questionnaire and eating patterns. The eating patterns questionnaire has been tested for validity with r values in invalid statements between 0.080-0.313 with r table = 0.361, and reliability test results of cronbach’s alpha value> 0.70. Data analysis techniques use Chi square. Result : Body image in the positive category (85.5%), and negative (14.5%). The eating patterns is in the good category (77.1%), and the eating patterns is bad (22.9%). The Chi square correlation results obtained a correlation value of 0.454 with the result of the sig value of 0,000. This shows that p <0.05 there is a positive and significant relationship between body image eating patterns in Yogyakarta 5 High School. Conclusion : Body image is not the only factor that can affect a person’s diet. However, body shape in adolescents will cause anxiety, which in turn will make teenagers control or even change their diet

Posyandu PTM-DM terhadap Terkendalinya DM pada Penyandang DM Tipe II di Wilayah Puskesmas Gamping II, Sleman

Diabetus mellitus (DM) is a group of metabolic diseases characterized by increased blood sugar levels. This disease as a result of an unhealthy lifestyle such as overeating, eating fatty foods, lack of activity, stress and heredity. WHO estimates that global prevalence of type II diabetes will increase from 171 million in 2000 to 366 million in 2030, and Indonesia ranked fourth. The Objective of the study is knowing the in?uence of PTM - DM Posyandu toward controlled diabetes in people with type II diabetes in Puskesmas Gamping II. This study is a Quasi type experiment with pre-test and post-test design with control group. At this design the experimental group made a preliminary selection in the form of pre-test that checks blood sugar levels during the (observation 1) prior to the intervention of the ministry in Posyandu PTM - DM (X) is then carried out post - test were similar (observation 2). The results of the sample 32 in the intervention group gained an increase in the category of being 16% to 22%, while the control group category was decreased from 13% to 6%. In the category of bad in the intervention group from 62% to 59%, while the control group category of bad 59% to 69%. Using the Mann Whitney test in the intervention group showed p = 0.031, meaning there in?uence posyandu PTM-DM controlled with DM. There is in?uence between Posyandu PTM-DM against controlled diabetes in people with Type II diabetes mellitus

PENGARUH PEMBERIAN TERAPI MUSIK TERHADAP KECEMASAN PASIEN PRE GENERAL ANESTESI DI RS PKU MUHAMMADIYAH YOGYAKARTA

Pre operative anxiety occur in patients that undergoing anesthesia procedure and elective surgery. Music therapy is one of distraction technique , because music can reduce physiological pain, stress, and anxiety. Music therapy pushed down sympathy nerve system that reduce body stress respons. Music cause the brain release endorphine, increase dopamine level, and help rise up safety feeling. Find out the effect of music therapy to anxiety in pre general anesthesia patients in PKU Muhammadiyah Yogyakarta Hospital. This study uses a quasy experimental which aims to see the difference in pre anesthesia anxiety before and after given music therapy in intervention and control group. This study uses quasy experimental design here takes group pre test and post test with control sort design. Patients is given pre test and post test with APAIS scale, in intervention group with treatment. Samples in this study amounted to 20 respondents of control group and 20 respondents of intervension group. Data collection is done on May to June 2017. The result of collected data were processed using Wilcoxon test with significant ? = 0,05. There is a difference of anxiety before and after in the intervention group using music therapy. Wilcoxon test results obtained Sig. 0,000 (&lt;0.05) so that H1 is accepted or rejected H0. There is a significant effect of music therapy to anxiety on pre general anesthesia patients in PKU Muhammadiyah Yogyakarta Hospital

HUBUNGAN TINGKAT KECEMASAN DENGAN KADAR GULA DARAH PADA PASIEN PRE GENERAL ANESTESI DI RSUD KOTA YOGYAKARTA

The general anesthesia is one of the causes of anxiety. Anxiety is the body's psychological response as a reaction to threats. Anxiety can increase levels of cortisol and catecholamines so that increase of gluconeogenesis which causes hyperglycemic. Hyperglycemic cause delayed in surgery or retard of recovery time. The purpose of this research is to know corelation of anxiety rate with blood glucose level in pre general anesthesia patients at RSUD Kota Yogyakarta. This research is a quantitative research with cross sectional research design. The sample of this study amounted to 53 respondents pre general anesthesia. Sampling technique used consecutive sampling, the test used Kendall Tau test. The most common pre anesthesia respondents were moderate anxiety with 37 (69.8%) and normal blood glucose level with 51 (96.2%). Result of statistical test by Kendall Tau get significant corelation with p-value equal to 0,010 (&lt;0,05) with low closeness relation that is 0,343. There is a corelation between anxiety rate with blood glucose level in pre general anesthesia patients at RSUD Kota Yogyakarta