THE EFFECT OF DZIKIR CONCERNING TO PAIN LEVEL AFTER SURGICAL OPERATION REDUCTION INTERNAL FIXATION (ORIF)

ABSTRACT Background: Surgical operation of ORIF affect painful which disturb the patient’s comfortable. Dzikir have psychological benefit psichologis which affect comfortable and spiritual feelings focused to Allah, so could give a relaxation effect to percepts pain. Objective: The objectives of this thesis is to find out the effect of dzikir concerning to pain level felt after surgical operation of ORIF in RS Ortopedi Prof. Dr. R. Soeharso Surakarta. Methods: This thesis was done by true eksperimen by applying randomized control group pre-test post-test design method. The number of sample was 44 respondents were obtained by consecutive sampling based on inclusion and exclusion criteria and classified using a simple random sampling to 22 experimental group and 22 control group. Results: The average pain level of the respondents on experimental group after surgical operation of ORIF before gave dzikir was 5.18 and the pain level after dzikir was 4.05. The average pain level pretest of the respondents on control group was 4,82 and pain level of posttest was 4,77. The result of pain level before and after gave dzikir to the experiment groups shows that the significance points 0.001 and 0.317 in the control group. Conclusion: The decrease of pain level in the experimental group were given analgesic therapy and dhikr greater than the control group who were given analgesic therapy. This thesis could be used as reference and consideration for nurse to apply dzikir as a complementary therapy to diminish the pain level to the post-surgical operation patient’s of ORIF. Keyword: Dzikr, Pain, Pasca ORI

ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN SELF EFFICACY DALAM ACTIVITY DAILY LIVING (ADL) PASCA OPEN REDUCTION INTERNAL FIXATION (ORIF) EKSTREMITAS BAWAH DI KOTA SEMARANG

Latar Belakang. Tujuan utama pasien yang menjalani prosedur paska bedah ortopedi adalah memfasilitasi untuk kembali berfungsi secara mandiri yang merupakan fokus sentral program rehabilitasi ortopedi. Kemampuan melakukan Activity Daily Living (ADL) secara mandiri merupakan suatu perilaku untuk meningkatkan status fungsional. Self efficacy merupakan aspek yang berperan terhadap perubahan perilaku. Self efficacy merupakan keyakinan diri pada seseorang yang mampu membantu menginisiasi determinasi perilaku. Tujuan. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang berhubungan dengan self efficacy pasien pasca ORIF ekstremitas bawah. Metoda. Desain penelitian adalah cross-sectional dengan 35 responden dan pengumpulan data menggunakan kuesioner. Variabel independen adalah usia, lama hari pasca ORIF, jenis fraktur, nyeri, kelelahan, pengetahuan, motivasi, dan persepsi; sementara variabel dependen adalah self efficacy. Uji ANOVA digunakan untuk data kategorik serta korelasi pearson dan spearman rho untuk data numerik. Hasil. Hasil penelitian menunjukan bahwa motivasi (r = 0,515 dan nilai p=0,002) dan usia (-0,464 dan nilai p=0,005) merupakan faktor yang berhubungan. Model multivariat memiliki nilai p=0,001 dan persepsi, kelelahan, dan motivasi mampu menjelaskan 49,4 % self efficacy dengan nyeri sebagai faktor yang paling besar untuk memprediksi self efficacy setelah dikontrol usia, pengetahuan, dan persepsi. Kesimpulan. Penelitian ini merekomendasikan melakukan manajemen nyeri non farmakologis untuk meningkatkan self efficacy terintegrasi dengan peningkatan pengetahuan dan memperhatikan aspek psikologis. Kata kunci: Self efficacy, pasca ORIF, dan activity daily living

PENGARUH KOMPRES HANGAT TERHADAP NYERI SENDI PADA LANSIA (60-74 TAHUN)

Nyeri sendi menduduki peringkat pertama penyakit degeneratif yang diderita lansia.Nyeri sendi akan mengakibatkan ketidaknyamanan bahkan kecacatan yang menjadi penyebab utama menurunnya kualitas hidup lansia. Upaya yang dilakukan untuk mengurangi nyeri sendi dilakukan dengan intervensi farmakologis dan non-farmakologis. Terapi non-farmakologis untuk mengurangi nyeri sendi, yaitu dengan aplikasi panas pada persendian yang sakit berupa kompres hangat. Penelitian ini bertujaun mengetahui pengaruh kompres hangat terhadap nyeri sendi pada lansia usia 60-74 tahun. Rancangan penelitian adalah true eksperiment, dengan desain penelitian randomized control group pre test post-test design. Tehnik pengambilan sampling berupa systematic random sampling dengan jumlah responden pada penelitian adalah 15 responden kelompok kontrol dan 15 responden kelompok intervensi dengan kriteria inklusi dan eksklusi yang telah ditentukan. Rata-rata tingkat nyeri pada kelompok kontrol saat pre-test sebesar 2,13 dan 1,67 saat post-test dengan nilai p=0,004. Rata-rata tingkat nyeri pada kelompok intervensi sebesar 2,93 saat pre-test dan 0,73 saat post-test dengan nilai p=0,001. Kompres hangat dapat digunakan sebagai alternatif mengurangi nyeri sandi pada lansia untuk meminimalkan penggunaan pengobatan farmakologis yang dapat meningkatkan resiko efek samping medikasi. Perawat dapat diajarkan untuk melakukan kompres hangat dan sebagai prosedur tetap mengurangi nyeri sendi pada lansia sebagai upaya peningkatan pelayanan kesehatan. Kata kunci : nyeri sendi, kompres hangat, lansi

Pengaruh Cold Compression Therapy terhadap Proses Penyembuhan Pasien Pasca Open Reduction Internal Fixation (ORIF) Ekstremitas

Permasalahan pasca pembedahan ortopedi berkaitan dengan nyeri, perfusi jaringan, promosi kesehatan, mobilitas fisik, dan konsep diri. Perawatan fase pasca operasi ortopedi merupakan upaya untuk menanggulangi efek operasi dan meningkatkan penyembuhan. Manajemen trauma jaringan lunak meliputi proteksi, istirahat, dingin, kompresi, dan elevasi. Hasil analisa penerapan EBN menunjukan bahwa nyeri menurun dari rata-rata 6,6 menjadi 3,2; edema menurun dari rata-rata 49,3 cm menjadi 48 cm; dan rentang gerak sendi lutut dari rata-rata 250 meningkat menjadi 440. Cold compression therapy merupakan terapi modalitas yang digunakan pada berbagai manajemen operasi dengan berbagai variasi prosedur ortopedi dengan kerusakan jaringan berperan dapat meningkatkan proses penyembuhan dengan indikator penurunan nyeri dan edema, serta peningkatan rentang gerak sendi. Cold compression therapy dapat digunakan sebagai standar operasional prosedur untuk memberikan asuhan keperawatan saat 24 – 48 jam pasca ORIF. Kata kunci : cold compression therapy, proses penyembuhan, pasca ORI

Hubungan antara Efikasi Diri dengan Mobilisasi Dini pada Pasien Paska Bedah Mayor

Introduction: Self-efficacy affects the ability to perform early mobilization in patients after digestive surgery. The characteristics of pain are different in digestive and major surgical pain. Pain can effect self-efficacy and early mobilization.  The purpose of this study is to analyze the relationship between self-efficacy and early mobilization of major post-surgical patients.Methods: The study used a correlation descriptive design with a cross sectional approach with a total sample of 62 post operation patients aged 21-65 years who were compos mentis. The research instrument for self-efficacy used The General Self-Efficacy Scale (GSE), while early mobilization used Cumulated Ambulation Afternoon (CAS). Data were analyzed used Spearman rho.Results: The results showed that the mean self-efficacy score was 36,56 and the average value of early mobilization was 2.02. The results of correlation test obtained p value=0.172 with r=0.181.Conclusion: The conclusion of this study is that there was no significant relationship between self-efficacy with early mobilization. The suggestion in the study is to examine other factors that can affect early postoperative mosbilization. Keywords: Early Mobilization, Major Post-Surgical, Self-Efficacy

STUDI FENOMENOLOGI : PEMENUHAN KEBUTUHAN PSIKOSOSIAL PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI DI RSUD TUGUREJO SEMARANG

Master Program in Nursing Adult Nursing Concentration Department of Nursing Faculty of Medicine Diponegoro University August 2017 ABSTRACT Gandes Ambarwati A Phenomenological Study: Fulfillment of Psychosocial Needs of Patients with Breast Cancer Undergoing Chemotherapy in Tugurejo Regional Public Hospital in Semarang xx + 107 pages + 10 tables + 2 figures + 12 appendixes Biopsychosocial changes which occur in patients with breast cancer affect the fulfillment of their psychosocial needs. Various efforts have been made to meet the needs of patients to maintain the integrity and achieve a balance. The purpose of this study was to explore the fulfillment of psychosocial needs in patients with breast cancer undergoing chemotherapy. This study used a qualitative method with a descriptive phenomenological approach. The participants were eight breast cancer patients who underwent mastectomy and chemotherapy. The data were collected through in-depth interviews and analyzed using the analysis of Colaizzi. The results identified five themes, namely: 1) patients’ feeling after diagnosed with the disease affects their feeling in undergoing the treatment, 2) physical symptoms affect the patients’ self-concept, social aspect and spiritual aspect, 3) self-acceptance to cancer condition determines the coping strategies performed by the patients, 4) the needs of breast cancer patients included physical, psychological, social and spiritual needs, and 5) fulfillment of the needs of breast cancer patients was performed physically, psychologically, socially and spiritually. Based on the results of this study, it could be concluded that from the five main themes, the physical symptoms of breast cancer patients affect the needs and fulfillment of the physical, psychological, social and spiritual aspects. This study recommends an urgent need for a particular form of nursing assessment especially for psychosocial needs and the way they are fulfilled. Keywords: Breast cancer, chemotherapy, fulfillment of psychosocial needs References: 105 (1984-2017

GAMBARAN KUALITAS HIDUP PADA PASIEN PASCA OPEN REDUCTION INTERNAL FIXATION (ORIF) EKSTREMITAS BAWAH DI POLI ORTOPEDI RS ORTOPEDI PROF. DR. R. SOEHARSO SURAKARTA

The individuals who underwent ORIF often have problems either at physical, psychological, social relationship and their relationship with environment. These problems can affect their quality of life. Low quality of life can cause high social isolation level and emotional distress, which is also associated with low physical function and their physical inability. This study aimed to describe the quality of life of patients after ORIF lower extremities in Orthopaedic Polyclinic of Orthopaedic Hospital Prof Dr R Soeharso Surakarta. The design of this research was a descriptive survey and used quality of life questionnaire. The sampling technique that used is consecutive sampling and the number of respondents was 40 respondents. The data was analyzed by univariate analysis. The results showed that the quality of life of patients with post ORIF lower extremities that in good categories is 52.5%.The quality of life of patients based on the dimensions is in good categories. they are 52.5% in physical dimensions, 65% in the psychological dimension, 75% in social dimensions and 52.5% on the environmental dimension. Based on these results it can be concluded that most of the quality of life of patients with post ORIF be in good category. This study is expected to be a consideration for the nursing profession to pay more attention to the quality of life of patients after ORIF particularly in some aspects of the physical dimensions to support for better nursing process

HUBUNGAN KELELAHAN DENGAN KUALITAS HIDUP PENDERITA DIABETES MELITUS TIPE 2 DI PERSADIA SALATIGA

School of Nursing Faculty of Medicine Diponegoro University Agust, 2016 Atik Dina Nasekhah ABSTRACT Relation between Fatigue and Quality of Life in Patient of Diabetes Mellitus Type 2 in Persadia Salatiga xvii + 87 Pages + 10 Tables + 2 Pictures + 17 Attachments Fatigue is experienced by the chronic patient and happen continuously. This condition becomes one of the complaints perceived by DM patients when doing their activities and enjoying their life. The individual satisfaction about their life can be seen from the quality status of life of the patients. The aim of this study is to know the relation between fatigue and quality of life in patient of diabetes mellitus type 2. This studied was a quantitative research with correlational descriptive design and used instruments in collect the data. The sampling used total sampling method with 40 samples of diabetes type 2 mellitus patients. About 62.5% of respondents showed high fatigue level and 55% of respondents showed worse quality of life. The result analysis used chi square test shows the p= 0,014 so there is a relation between fatigue and quality of life which is negative, this means respondents with higher level of fatigue would had more worse quality of life. Patients with diabetes mellitus are expected to conduct disease management to control blood sugar stable, and limit strenuous activities and contact health professionals if fatigue is felt increasingly intrusive in order to avoid high levels of fatigue in order to achieve optimal quality of life. Keywords: fatigue, quality of life, diabetes mellitus Bibliography: 12

HUBUNGAN ANTARA NYERI DAN MOBILISASI DINI PADA PASIEN PASCA BEDAH MAYOR DI RSUD K.R.M.T WONGSONEGORO SEMARANG

Mobilisasi dini adalah tahap kegiatan yang dilakukan segera pada pasien pasca operasi untuk mencegah dan bahkan mengurangi timbulnya komplikasi sehingga dapat menjaga independensi pasien. Nyeri adalah salah satu faktor yang mempengaruhi pasien pasca operasi untuk melakukan mobilisasi dini.Tujuan dari penelitian ini adalah untuk menganalisis hubungan antara nyeri dan mobilisasi dini pada pasien pasca bedah mayor. Jenis penelitian ini adalah penelitian kuantitatif non-eksperimental dengan desain korelasi deskriptif. Penelitian ini menggunakan pendekatan cross sectional. Sampel dalam penelitian ini adalah pasien dengan operasi bedah mayor di RSUD KRMT Wongsonegoro Semarang total 54 sampel diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan kuesioner penelitian Numerik Rating Scale (NRS) dan Cumulated Ambulation Score (CAS).Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan (p = 0,001) antara nyeri dan mobilisasi dini pada pasien pasca operasi mayor di RSUD KRMT Wongsonegoro Semarang. Saran dalam penelitian ini yaitu perawat dapat memberikan penyuluhan kepada pasien untuk melakukan mobilisasi dini sebelum maupun setelah operasi. Kata Kunci:nyeri, mobilisasi dini, pasca bedah mayor