Hubungan Mutu Pelayanan Keperawatan dan Perilaku Caring Perawat dengan Kepuasan Pasien Badan Penyelenggara Jaminan Sosial Kesehatan dan Umum di Rawat Inap Kelas III RSUD Sunan Kalijaga Kabupaten Demak

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi Rumah Sakit 2017 ABSTRAK Siwi Bagus Ajiningrat Hubungan Mutu Pelayanan Keperawatan dan Perilaku Caring Perawat dengan Kepuasan Pasien Badan Penyelenggara Jaminan Sosial Kesehatan dan Umum di Rawat Inap Kelas III RSUD Sunan Kalijaga Kabupaten Demak xvi + 128 halaman + 30 tabel + 8 lampiran Banyak faktor yang diduga mempengaruhi perbedaan tingkat kepuasan pasien BPJS dan pasien umum di rawat inap kelas III di RSUD Sunan Kalijaga Kabupaten Demak, diantaranya mutu pelayanan keperawatan dan perilaku caring perawat. Kenyataan bahwa mutu pelayanan keperawatan di rumah sakit seperti itu akibat dari perilaku caring perawat sehingga berdampak kepada ketidakpuasan pasien. Jenis penelitian adalah kuantitatif, pendekatan cross sectional. Responden 120 orang, pasien BPJS kesehatan 100 orang, pasien umum 20 orang. Analisis data dengan analisis independent t test. Hasil penelitian, pasien BPJS kesehatan umur 59-65 tahun 22,0%, perempuan 52,%, pendidikan SMP 38,0%, sebagai petani 34,0%, menikah 80,0%, mutu pelayanan keperawatan kategori cukup 62,0% dan baik 38,0%, perilaku caring perawat kategori cukup 17,0% dan baik 83,0%, kepuasan kategori cukup 11,0% dan baik 89,0% Pasien umum umur 45-51 tahun 45,0%, laki-laki 55,%, pendidikan SMA 60,0%, bekerja swasta 80,0%, menikah 100,0%. mutu pelayanan keperawatan kategori cukup 5,0%, baik 95,0%. perilaku caring perawat umum kategori baik 100,0%, kepuasan kategori baik 100,0%. Tidak ada perbedaan mutu pelayanan keperawatan pada pasien BPJS kesehatan dan umum (α=0,094). Tidak ada perbedaan perilaku caring perawat pada pasien BPJS kesehatan dan umum (α=0,129). Ada perbedaan kepuasan pada pasien BPJS kesehatan dan umum (t hitung =2,635, α=0,012). Tidak ada hubungan mutu pelayanan Keperawatan terhadap kepuasan pada pasien BPJS kesehatan dan umum (α=0,173). Ada hubungan perilaku caring perawat terhadap kepuasan pada pasien BPJS kesehatan dan umum (α = 0,049) Agar RSUD lebih mendorong meningkatkan mutu pelayanan keperawatan dan perilaku caring perawat dengan cara selalu memberikan pembinaan teknis, pendidikan pelatihan dan mengoptimalkan tugas dan peran dalam bidang keperawatan. Kata kunci : Mutu Pelayanan Keperawatan, Perilaku Caring Perawat, Kepuasan Pasien Kepustakaan : 60 (1990-2010)Diponegoro University Faculty of Public Health Master’s Study Program in Public Health Majoring in Hospital Administration 2017 ABSTRACT Siwi Bagus Ajiningrat The Relationship of the Quality of Nursing Service and Nurse’s Caring Behaviours with Patients’ Satisfaction of Health Social Insurance Agency and General at Inpatient Installation of Class III at the Public Hospital of Sunan Kalijaga in Demak Regency xvi + 128 pages + 30 tables + 8 appendices Some factors suspected influencing the differences of patients’ satisfaction levels of Health Social Insurance Agency (HSIA) and General at inpatient installation of Class III at the Sunan Kalijaga Public Hospital in Demak Regency were a quality of nursing services and nurse’s caring behaviours. In fact, low quality of nursing services was due to nurse’s caring behaviours in which it led to patients’ dissatisfaction. This was a quantitative study using cross-sectional approach. Number of respondents were 120 persons which consisted of 100 HSIA patients and 20 general patients. Data were analysed using an Independent t test. The results of this research showed that among HSIA patients, a proportion of age 59-65 years old was 22.0%, a proportion of female was 52.0%, as many as 38.0% graduated from Junior High School, 34.0% of the respondents worked as a farmworker, 80.0% of the participants had got married, as many as 62.0% of the respondents had fairly good quality of nursing services and the rest was good (38.0%), as many as 17.0% of the respondents had fairly good nurse’s caring behaviours and the rest was good 83.0%), and as many as 11.0% were fairly satisfied and the rest was satisfied 89.0%. In contrast, among general patients, a proportion of age 45-51 years old was 45.0%, a proportion of male was 55.0%, as many as 60.0% graduated from Senior High School, 80.0% of the respondents worked as in private sectors, 100.0% of the participants had got married, as many as 5.0% of the respondents had fairly good quality of nursing services and the rest was good (95.0%), all of the respondents (100.0%) had good nurse’s caring behaviours, and all of the respondents (100.0%) were satisfied. There was no difference in the quality of nursing services between HSIA and general patients (p=0.094). There was no difference in the nurse’s caring behaviours between HSIA and general patients (p=0.129). There was any difference in satisfaction between HSIA and general patients (t=2.635; p=0.012). There was no significant relationship between the quality of nursing services and satisfaction of HSIA and general patients (p=0.173). There was no significant relationship between the nurse’s caring behaviours and satisfaction of HSIA and general patients (p=0.049). The public hospital needs to improve the quality of nursing services and the nurse’s caring behaviours by providing a technical guidance, education, training, and optimising tasks and roles in nursing. Keywords : Quality Of Nursing Services, Nurse’s Caring Behaviours, Patients’ Satisfaction Bibliography: 60 (1990-2010

Analisis Evaluasi Program One Student One Client Pendampingan Ibu Hamil oleh Mahasiswa Keperawatan di Kota Semarang Tahun 2016

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi dan Kebijakan Kesehatan 2017 ABSTRAK Mukhamad Musta’in Analisis Evaluasi Program One Student One Client Pendampingan Ibu Hamil oleh Mahasiswa Keperawatan di Kota Semarang Tahun 2016 xvi + 9 halaman + 15 tabel + 3 gambar + 14 lampiran Angka kematian ibu (AKI) di Kota Semarang mengalami kenaikan dari tahun 2013-2015. Salah satu upaya penurunan AKI dengan program OSOC pendampingan ibu hamil. Tetapi dalam pelaksanaannya belum berjalan optimal. Tujuan penelitian untuk menganalisis evaluasi program OSOC dengan pendekatan system meliputi aspek input, proses, output. Jenis penelitian kualitatif yang disajikan secara deskriptif eksploratif melalui wawancara mendalam dan diskusi kelompok terarah terhadap informan utama; Kasie SDM Kesehatan Dinas Kesehatan Provinsi Jawa Tengah, Kasie KIA Dinas Kesehatan Kota Semarang, 2 Kepala Puskesmas dan 2 perawat/ bidan koordinator, 2 Ketua program studi, 2 dosen pembimbing lapangan, dan informan triangulasi 14 mahasiswa S1 keperawatan dan 7 ibu hamil/ nifas. Pengolahan dan analisis data menggunakan metode content analysis. Hasil penelitian pada aspek input: SDM dianggap sudah mencukupi, dana belum mencukupi, sarana prasarana dan metode sesuai, kebijakan program belum bersifat tertulis, belum adanya MoU antara dinas kesehatan dengan institusi pendidikan. Aspek proses meliputi perencanaan bahwa tujuan program menurunkan AKI dan meningkatkan ketrampilan mahasiswa dan sasarannya adalah ibu hamil dengan laporan kegiatan berupa asuhan keperawatan, pengorganisasian bahwa kelompok kerja melibatkan tim perawat/ bidan puskesmas dan pembagian tugas bersifat situasional. Aspek pelaksanaan/ penggerakan bahwa SDM sudah bekerja sesuai tupoksi dan aspek penilaian/ evaluasi didapatkan bahwa pencatatan dan pelaporan belum seragam dan lengkap. Aspek output: pelaksanaan program belum sesuai dengan jadwal, ibu hamil semua terdampingi oleh mahasiswa, ibu hamil rutin melakukan pemeriksaan ANC, ibu hamil belum semua mengikuti kelas prenatal, semua ibu hamil melakukan persalinan di pelayanan kesehatan dan mahasiswa yang terlibat sejumlah 20 mahasiswa tiap institusi dan laporan telah terkumpul. Kesimpulan dana dianggap sesuai, kebijakan belum tertulis, belum ada MoU dinas dengan institusi, dan keikut sertaan ibu hamil dalam kelas prenatal belum sesuai target. Disarankan meningkatkan jumlah anggaran, membuat kebijakan dan MoU secara tertulis dan memaksimalkan kelas prenatal. Kata Kunci : Evaluasi, Sistem Kesehatan, One Student One Client, Program Kepustakaan : 64 (1995-2016)Diponegoro University Faculty of Public Health Master’s Study Program in Public Health Majoring in Administration and Health Policy 2017 ABSTRACT Mukhamad Musta’in Evaluation Analysis of One Student One Client Program of Pregnant Women Accompaniment by Nursing Students in Semarang City in 2016 xvi + 9 pages + 15 tables + 3 figures + 14 appendices Maternal Mortality Rate (MMR) in Semarang City increased during the period of 2013-2015. One of the efforts to decrease MMR was by conducting a program of One Student One Client (OSOC) of pregnant women accompaniment. However, the implementation of the program was not optimal. This study aimed at analysing the program of OSOC by using a system approach consisted of aspects of input, process, and output. This was a qualitative study presented using descriptive and explorative methods. Data were collected by conducting indepth interview and Focus Group Discussion towards main informants namely head of Human Resource Section of Central Java Province Health Office, head of Maternal and Child Health of Semarang City Health Office, two heads of health centres, two nurses/coordinator midwives, two heads of study programs, and two field supervisors. On the other hand, informants for triangulation purpose consisted of 14 students of nursing and seven pregnant women/post natal. Data were analysed using a method of content analysis. The results of this research showed that in terms of the input aspect, human resource was sufficient, budget was insufficient, means and methods were appropriate, a policy of a program was not written, and MoU between health office and educational institutions was not available. The process aspect that encompassed a planning demonstrated that a goal of the program was to decrease MMR and to increase students’ skills whereas pregnant women were as a target group. An activity report comprised nursing care. In terms of organising, a work group involved teams of nurses/midwives of health centres, and sharing jobs were conditional. The implementing/actuating aspects showed that human resource had worked in accordance with a guidance. The assessing/evaluating aspect demonstrated that recording and reporting were not uniform and incomplete. Regarding the output aspect, the implementation of the program had not been in accordance with a schedule, all pregnant women were accompanied by the students, pregnant women routinely did ANC, not all pregnant women attended a prenatal class, all pregnant women visited a health service for the process of their childbirths, as many as 20 students involved in each institution, and a report had been submitted. To sum up, budget was appropriate, a policy was written, MoU between health office and educational institutions was not available, a level of participation of pregnant women in a prenatal and class had not been in accordance with the target. Budget allocation needs to be increased, a policy needs to be made, MoU needs to be arranged, and a prenatal class needs to be maximised. Keywords: Evaluation, Health System, One Student One Client, Program Bibliography: 64 (1995-2016

Analisa Pengaruh Kepuasan Kerja Dosen Tetap Program Studi Kebidanan Semarang Tahun 2005

Background : A changing of Nursing Education Institution into Midwifery Education Institution has made a major impact due to lecturers. Its impact is on both internal and external aspect which caused incomplete learning-teaching process, non maximum attendance of lecturers and decreasing activities of lecturers On the past three years there's been a decreasing number in graduation and interests. The research aims is to identify and analyze factors which influencing the perception of the task satisfaction of lecturers on Midwifery Study Program of Health Politechnic SemarangMethod: The study is an explanatory research with a survey research method using a cross sectional approach. The research samples are all of lecturers in Midwifery Study Program of Health Politechnic Semarang on November 2005 (34 persons). Data were gathered through questioner (quantitative), analyzing in univariate, bivariate and multivariate. A indepth interview (qualitative) were also conducted on 3 responders.Result: The result of the research showing an influence between rank, amount of training followed and the sum of subject taught to a task satisfaction of lecturers stays well on work, head office, colleague, promotion nor compensation. Meanwhile rank and education do notinfluence task satisfaction of lecturers stays well on work, head office colleague, promotion nor compensation. A free” variables that become a predictor of task satisfaction in work are sum of training and subjects taught, a working satisfaction of head office is training, a satisfaction of colleague are sum of training, a satisfaction of promotion is education and a satisfactory of compensation is education. The most significant factors that influence a working satisfactory Is sum of training followed. In general responder satisfaction is lower (71%). A task satisfaction consists of satisfaction due to compensation lower (71%), a satisfaction due to head office lower (67.7%), a satisfaction due to task lower (67.7%), a satisfaction due to colleague lower (61.3%) and satisfactory of promotion higher (54:8%)Keyword: Task satisfaction, Lecturer, Midwifery, Trainin

Analisis Faktor-Faktor Yang Berhubungan Dengan Kualitas Kolaborasi Antara Dokter Dan Perawat Di Rumah Sakit Permata Medika Semarang

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Studi Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi Rumah Sakit 2017 ABSTRAK Irena Intania Analisis Faktor-Faktor Yang Berhubungan Dengan Kualitas Kolaborasi Antara Dokter Dan Perawat Di Rumah Sakit Permata Medika Semarang xviii + 100 halaman + 42 tabel + 2 gambar + 14 lampiran Kolaborasi yang tidak berjalan dengan baik dapat mempangaruhi kualitas pelayanan yang diberikan kepada pasien, sehingga hal tersebut dapat mempengaruhi kesembuhan pasien. Bagi profesi dampak buruknya kolaborasi mempengaruhi hubungan dan kepuasan kerja dokter maupun perawat, sedangkan bagi manajemen pengaruh kolaborasi yang tidak baik adalah turunnya BOR dan meningkatnya lama perawatan karena tidak efektifnya pelayanan kepada pasien hal tersebut dapat berdampak pada kepuasan pasien. Penelitian kuantitatif belah lintang (Cross Sectional) untuk menghitung kuisioner value customer dengan skala Likert dan kualitatif melalui observasi, telaah dokumen kolaborasi antara dokter dan perawat. Wawancara mendalam (in-depth interview) dan wawancara tidak terstruktur dengan informan teripilih dan ditentukan. Sampel dalam penelitian ini 15 dokter umum dan 15 Ners yang bekerja di RS Permata Medika sampai Desember 2016. Responden laki-laki (83,3%), perempuan (16,7%) Umur <25 (20%) umur 25-35 tahun (43,3%), >35 tahun (36,7%). Tingkat pendidikan dokter 50% dan ners 50%. Masa kerja responden 1-2 tahun (83,3%), >2tahun (16,7%) responden. Karakteristik individu berperan signifikan terhadap kolaborasi. Karakteristik individu yang paling berperan terhadap kolaborasi adalah usia. Temuan yang didapatkan peneliti untuk kontrol kekuasaan masih sulit terjadi akibat hubungan yang seimbang antara kedua profesi tersebut dan komunikasi yang terjalin kurang bagus. Tentang lingkup praktek telah terjalin kolaborasi yang baik antara dokter dan perawat. Untuk kepentingan bersama kedua profesi tidak memperhatikan dan melihat prosedur tetap pelayanan dan pada tujuan bersama kolaborasi dokter dan perawat terdapat tumpang tindih tanggungjawab dengan alasan pekerjaan yang terburu-buru tanpa memperhatikan Standar Operating Procedur (SOP) dan job description. Kata kunci : Kolaborasi, Karakteristik Individu, Dokter, dan Perawat Kepustakaan : 35 (1994-2013)Diponegoro University Faculty of Public Health Master’s Study Program in Public Health Majoring in Hospital Administration 2017 ABSTRACT Irena Intania Analysis of Factors relating to Collaboration Quality between Physicians and Nurses at Permata Medika Hospital of Semarang xviii + 100 pages + 42 tables + 2 figures + 14 appendices Not good collaboration influences a quality of provided services to patients by which it can affect their healing processes. Bad collaboration also influences the relationship between a physician and a nurse. For management, this condition can decrease BOR and increase the length of treatment due to ineffectiveness of services to patients that can affect to patients’ satisfaction. This was a cross-sectional study to calculate a questionnaire of customers’ value using Likert scale and using a qualitative method by observing, undertaking a review of collaboration documents between a physician and a nurse. Indepth interview and unstructured interview with selected informants were conducted. Samples of this study consisted of 15 medical doctors and 15 nurses who had been working at Permata Medika Hospital until December 2016. Proportions of the respondents based on sex differences were male (83.3%), female (16.7%). Proportions of the respondents based on their ages were <25 years old (20%), 25-35 years old (43.3%), and >35 years old (36.7%). Proportions of educational levels of a physician and a nurse respectively were 50% and 50%. Proportions of working period were 1-2 years (83.3%) and >2 years (16.7%). Individual characteristics significantly played an important role to collaboration. The most important individual characteristic was age. The findings of this study demonstrated that there was any difficulty in controlling authority because the relationship between these both professions was equal and communication was not good. Regarding a scope of practice, the collaboration between them was good. These both profession did not pay attention to a fixed service procedure. The goals of these both professions were overlap with the reasons that all works needed to be accomplished soon without paying attention to Standard Operating Procedure (SOP) and job descriptions. Keywords : Collaboration, Individual Characteristics, Physician, Nurse Bibliography: 35 (1994-2013

Effects of Therapeutic Touch to Reduce Anxiety As a Complementary Therapy: A Systematic Review

[1] Therapies, C. (2014). Complementary, Alternative, and Traditional Therapies, 34(6), 50–56. [2] Gronowicz,G.,Secor,E.,Flynn,J.,Jellison,E.,&amp;Kuhn,L.(2015).TherapeuticTouchhassignificanteffects onmouseBreastCancermetastasisandImmuneresponsesbutnotprimarytumorsize.Evidence-Based Complementary and Alternative Medicine, 2015, 1–10. https://doi.org/10.1155/2015/926565 [3] Ross, S., &amp; Grande, R. (2017). A Practice-Based Theory of Healing Through Therapeutic Touch, 1–13 [4] Gregory,S.,&amp;Verdouw,J.(2005).Therapeutictouch:Itsapplicationforresidentsinagedcare.Australian Nursing Journal (July 1993), 12(7), 23–25. Retrieved from http://www.healthyoutlook.com.au/images/ 0502_clin_update.pdf [5] JeanSayre-AdamsStephenWright.(2001).TherapeuticTouch(2ndEditio).Livingstone:ElsevierMosby Publications [6] Robinson, J., Fc, B., &amp; Dolk, H. (2009). Therapeutic touch for anxiety disorders (Review), (3). [7] Myers,C.D.,Walton,T.,Bratsman,L.,Wilson,J.,&amp;Small,B.(2008).MassageModalitiesandSymptoms Reported by Cancer Patients: Narrative Review, 6(1), 19–28. https://doi.org/10.2310/7200.2008.0005 [8] Study,A.Q.(2015).EffectsofTherapeuticTouchonAnxiety,VitalAmericanHolisticNursesAssociation Volume30Number 4 Signs,and CardiacDysrhythmiain a Sample ofDecember2012 225-234© The Author(s) 2012 Iranian Women Undergoing Cardiac 10.1177/0898010112453325 http:, 225–234. [9] Jung,M., Jonides,J., Northouse,L., Berman,M. G., Koelling,T.M.,&amp; Pressler,S. J.(2017).Randomized Crossover Study of the Natural Restorative Environment Intervention to Improve Attention and Mood in Heart Failure. Journal of Cardiovascular Nursing, 32(5), 464–479. https://doi.org/10.1097/JCN. 0000000000000368 [10] Taylor,A.F.,Kuo,F.E.,&amp;Sullivan,W.C.(2002).Viewsofnatureandself-discipline:Evidencefrominner city children. Journal of Environmental Psychology, 22(1–2), 49–63. https://doi.org/10.1006/jevp.2001. 0241 [11] Alaaeddine, N., Okais, J., Ballane, L., &amp; Baddoura, R. M. (2012). Use of complementary and alternative therapy among patients with rheumatoid arthritis and osteoarthritis, 1–7. https://doi.org/10.1111/j.13652702.2012.04169.x [12] Unit, D., Diego, S., Awdishu, L., &amp; Diego, S. (2018). Copyright of Nephrology Nursing Journal is the property of American Nephrology Nurses ’ Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder ’ s express written permission. However, users may print, download, or email articles for individual use., 45(2). [13] Aghabati, N., Mohammadi, E., &amp; Esmaiel, Z. P. (2010). The Effect of Therapeutic Touch on Pain and Fatigue of Cancer Patients Undergoing Chemotherapy, 7(February 2008), 375–381. https://doi.org/10. 1093/ecam/nen006. [14] Article, O., Sancar, B., Yalcin, A. S., &amp; Acikgoz, I. (2018). An examination of anxiety levels of nursing students caring for patients in terminal period, 34(1), 94–99. [15] Moeini, M., Zare, Z., Hazrati, M., &amp; Saghaei, M. (2008). Original Article Effect of therapeutic touch on patients’ anxiety before coronary artery bypass graft surgery, 13(2), 47–51. [16] Tabatabaee, A., Tafreshi, M., Rassouli, M., Aledavood, S., Majd, H., &amp; Farahmand, and. (2016a). Effect of Therapeutic Touch in Patients with Cancer: a Literature Review. Medical Archives, 70(2), 142. https: //doi.org/10.5455/medarh.2016.70.142-147 [17] Tabatabaee, A., Tafreshi, M., Rassouli, M., Aledavood, S., Majd, H., &amp; Farahmand, and. (2016b). Effect of Therapeutic Touch in Patients with Cancer: a Literature Review. Medical Archives, 70(2), 142. https: //doi.org/10.5455/medarh.2016.70.142-147 [18] Karagozoglu, S., &amp; Kahve, E. (2013). Effects of back massage on chemotherapy-related fatigue and anxiety: Supportive care and therapeutic touch in cancer nursing. Applied Nursing Research, 26(4), 210–217. https://doi.org/10.1016/j.apnr.2013.07.002 &nbsp

Modified Pro-Self Pain Control to Increase Activity in Patients with Colorectal Cancer

Background: Barriers to performing activities of daily living are common complaints of patients with cancer. One of the factors causing these barriers is pain. A modified pro-self pain control is a method used to enhance the patients' ability to cope with pain to increase their activity.Purpose: This study aimed to evaluate the modified pro-self pain control to increase activity in patients with colorectal cancer undergoing chemotherapy.Methods: The present study employed an experimental design. Patients with colorectal cancer undergoing chemotherapy were randomly assigned to the intervention group (n=24) and the control group (n=24). The patients in the control group were given a standard hospital intervention, while the patients in the intervention group were given the modified pro-self pain control for nine days. The data were collected using the instrument of KATZ index and analyzed using the independent t-test.Results: The result of this study showed that there was a higher increase of activity among the patients in the intervention group than in the control group. Independent t-test showed that there was a significant difference between the intervention group and the control group (p=0.00).Conclusion: The modified pro-self pain control was found more effective to increase the activity in patients with colorectal cancer undergoing chemotherapy than that of the standard hospital intervention

Efektivitas mHealth untuk Meningkatkan Kontrol Glikemik dan Kepatuhan Diabetes Melitus Tipe 2 pada Pasien Dewasa

This study aims to determine the effectiveness of Mobile Health (mHealth) in improving glycemic control and adherence in patients with type 2 diabetes mellitus. The method used is a systematic review. The results of this study are mHealth-based health interventions including blood sugar monitoring services with applications, short messages (SMS), voice calls via cell phones, video conferencing, and central call services conducted by health workers in 2-13 month intervals have benefits in increasing glycemic control and adherence in patients with type 2 diabetes mellitus. Services provided by health workers include health education, self-monitoring of blood sugar, diet counseling, healthy lifestyle tips, exercise, face-to-face counseling with health workers, stress management, and foot care. The conclusion of this study is that the mHealth program is effective in improving glycemic control and adherence in type 2 diabetes mellitus patients in addition to diabetes care in genera

Modifikasi Pro Self Pain Control untuk Menurunkan Nyeri dan Meningkatkan Kemampuan Aktivitas Pada Pasien Kanker Kolorektal yang Menjalani Kemoterapi

Cancer pain is an unpleasant experience as a result of tissue damage due to cancer and side effects of chemotherapy. One of impacts of pain is a disturbance of activity. The obstacles encountered in the implementation of pain management include the lack of knowledge and ability of the patients to cope with pain independently. A modification of pro-self pain control is an alternative method used to improve the ability of patients to cope with pain independently so that their activity can be increased. This study aimed to evaluate the relationship between the pain and activity and prove that the modified pro-self pain control could decrease the pain and increase the activity in patients with colorectal cancer undergoing chemotherapy. The present study employed an experimental design. Patients with colorectal cancer undergoing chemotherapy were randomly assigned to the intervention group (n=24) and the control group (n=24). The patients in the control group were given a standard hospital intervention, while the patients in the intervention group were given the modified pro-self control pain for 9 days. The data were collected by using the instrument of Numeric Rating Scale (NRS) and KATZ index and analyzed by using the Pearson correlation, paired t-test dan independent t-test. The results of correlation test showed the p-value of <0.001 and r= -0.58. The comparisson test show that in the intervention group, the mean of pain decreased from 4.71±1.27 to 1.80±1.12 (p <0.001), whereas in the control group, the pain decreased from 4.33±1.09 to 3.33±1.16 (p <0.001). The activity in the intervention group increased from 4.29±1.30 to 5.17±0.72 (p <0.001), while in the control group, it increased from 4.62±1.06 to 4.92±1.05 (p=0.05). The results of the mean difference between the two groups also found the p-value of <0.001 for the pain, and p of <0.001 for the activity. The study concluded that there was a relationship between the pain and activity. The modified pro-self pain control could decrease the pain and increase the activity in patients with colorectal cancer undergoing chemotherapy. Keywords: pain, activity, modified pro-self pain control, colorectal cance

Level I Progressive Mobilization effected on Improvement Pulmonary Oxygenation Ventilation Function in Non Hemorrhagic Stroke Patients

Immobilization in non-hemorrhagic stroke patients can lower lung expansion due to an accumulation of secretions resulting in impaired oxygenation ventilation function of the lungs, thus facilitating the growth of bacteria that cause pneumonia. Switching the patient's position every 2 hours allows the lung area to re-expand and to increase the transport of oxygen which will improve oxygenation ventilation function of the lungs. Various research results concluded that a measure to prevent changes in the oxygenation ventilation function of the lungs is to maintain the airway effective. This can be done by putting the patient in a sloping or semi-prone position, heightening the head of the bed to a 30- degree angle. Level I progressive mobilization is a preferred intervention that is safe to do to maintain the lung's oxygenation ventilation function. Objective: To evaluate the effect of progressive mobilization of level I on the pulmonary oxygenation ventilation function in non-hemorrhagic stroke patients. Methods: Design of experimental research. Sampling was done using random allocation with the number of samples that were 52 people, using the Wilcoxon and Man Whitney test analysis. The results showed that the measurement of the pulmonary oxygenation ventilation function using the peak flow meter seen in the intervention group had a significant increase in air volume, from before the intervention of 220 ± 78,9 to 263,65 ± 61.6 after 5 days of intervention, with p-value &lt;0.001. While in the control group there was a significant decrease of air volume from 255 ± 58,94 to 225 ± 53,16 with p-value &lt;0.001. The oxygenation ventilation function average increase in the intervention group was 43.65, higher than the increase in the control group, which decreased by -30. The Mann Whitney test result obtained p-value &lt;0.001. In conclusion. there was a significant difference in the pulmonary oxygenation ventilation functions in the intervention and control groups after the level I progressive mobilization in non- hemorrhagic stroke patients at Dr.Adhyatma Semarang Hospital, which means that there was an impact of the level I mobilization on the lung oxygenation ventilation function on non-hemorrhagic stroke patients in Dr. Adhyatma Semarang Hospital. 

Catatan Faktor-faktor yang Mempengaruhi Pelaksanaan Supervisi Klinik oleh Manajer Perawat di Rumah Sakit

This research aims to determine Factors That Influence The Implementation Of Clinical Supervision By Nurse Managers In Hospitals. The method used is a scoping review through a review of relevant articles on topics from Google Scholar, Pubmed, Proquest and Scient Direct with the year of publication 2020 to 2023 with the keywords "Factors", â€determinantâ€, â€influencingâ€, "Supervision clinical" and "nurse managers" =. then analyzed using matrix synthesis. The inclusion criteria in this study were articles in English with a cross-sectional longitudinal study design and self-efficacy as the dependent variable. The results showed that of the 7 articles there were 5 main factors that influenced clinical supervision including supervisors and nurses' perceptions, supervisor levels or positions, supervisor knowledge and skills, workload and staff capacity. The conclusions in this study indicate that many factors can hinder the implementation of clinical supervision, but the presence of these obstacles is a key to be able to make improvements and improvements in the implementation of clinical supervision for nurses. &nbsp; Keywords ; Factors, Implementation, Supervision Of Clini