Payung Kertas Village located at Pandanwangi Village, on the bank of the Bango river. The preliminary research showed that the environmental care behavior of residents of the riverbank area is to be low considering. Many residents choose to throw garbage directly in the river, construction residential houses in the Kali Sari watershed, and several indicator of the lack of environmental awareness of watershed residents. Awareness-raising will be easier to do when activities are started, designed, and carried out by communities with social problems. The aims of this community service is to empower communities to solve social problems. The formation of environmentally conscious communities is carried out through a tiered process by encouraging active citizen involvement. The method used in the fomation rof environmental care communities is carried out with a social intervention approach that utilizes action research. Social change is carried out by emphasizing three stages namely the planning, implementation, and evaluation stages. As a result of this community service, a community caring for the environment was formed with the first movement in the form of sorting waste from inside the house, synergizing with waste transport officers, and periodically monitoring and evaluating the implementation of the environmental care movement.
Background: The number of people with heart failure significantly increases every year. One of the problems associated with the increase in the number of rehospitalization patients is the inadequate knowledge of self-care. Therefore, this study aims to determine the nurse-patient interaction capable of providing adequate care to post-treated heart failure patients in intensive care rooms.Design and Methods: This is a cross-sectional study with the consecutive sampling method used to obtain data from 100 post-treatment heart failure patients in intensive care rooms. PPIQ (Patient Professional Interaction Questionnaire) was used to measure nurse-patient interactions, while Self-care readiness was determined using the SCHFI (Self-Care Heart Failure Instrument).Result: The result showed that there is a significant correlation between nurse-patient interactions and their readiness to care for post-treatedeart failure patients in intensive care . Furthermore, both variables have a moderate and positive correlation strength and with a correlation coefficient value of 0.557.Conclusions: The yearly increase in the number of re-hospitalized patients in hospitals can be reduced with an increase in nurse-patient interaction. This enables patients to have the ability to take proper care of themselves after leaving the hospital.
Manajemen nyeri yang optimal merupakan salah satu upaya penting dalam lingkup layanan Rumah Sakit. Nyeri yang tidak tertangani dengan baik dapat menyebabkan masalah tambahan bahkan memperlambat perbaikan kondisi pasien. Perawat merupakan petugas kesehatan yang harus mampu dalam mendukung upaya tersebut. Pengkajian nyeri yang tepat akan menjadi dasar manajemen nyeri yang optimal pada pasien.Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kemampuan perawat dalam melakukan pengkajian nyeri pada pasien komunikatif maupun dengan gangguan komunikasi, sehingga sehingga perawat dapat melakukan pengkajian nyeri secara tepat, rutin, dan terstruktur. Hal ini diwujudkan dengan melatih perawat dengan berbagai teori tentang pengkajian nyeri, terutama penggunaan skala nyeri dengan berbagai kelebihan dan kekurangan masing-masing dan penerapan penggunaan skala nyeri tersebut.Kegiatan dilaksanakan di Rumah Sakit Universitas Brawijaya, Kota Malang pada November-Desember Tahun 2019. Metode kegiatan yang dilakukan terdiri dari: focus group discussion, pre-test dan post-test, dan pemberian materi.Hasil kegiatan menunjukkan bahwa pelatihan pengkajian nyeri ini dapat meningkatkan pengetahuan perawat tentang pengkajian nyeri. Berdasarkan hasil tersebut dapat disimpulkan bahwa pelatihan pengkajian nyeri pada perawat perlu dilakukan secara berkesinambungan untuk mendukung upaya manajemen nyeri yang optimal.
The higher dependence rate of elderly people in Ponorogo can make their quality of life lower.Unfortunately, how the quality of life can influence the mental emotional health is still unknown. The purpose of this research was to identify the influence of the quality of life to mental emotional disorders of older adults. The design of this research was Observational correlational with cross sectional approach. This research was held at 4 working areas of health facilities in Ponorogo district in East Java from March to May in 2015.This study included 200 elder people as participants and 50 sampling quota in each health facilities. The data collection in this study was assessed with 2 instruments. First instrument was used in this study developed by World Health Organization in Quality of life (WHO QOL-BREF) and second instrument was Self Reporting Questionnaire (SRQ). The Pearson Correlation test was performed in this study (SPSS version 20). The researchers found out that there was an influence of quality of life (physical health, psychologic, social relationship, and environment) on mental emotional disorders in elder people (p-Value < 0.05). This result revealed that quality of life in older adults influenced the mental emotional disorders. The improvement actions that can be proposed to decrease the mental emotional disorders of the elderly are the elderly are able to have an easy and quick access to health and general service facilities to support the mental well being of older people.
Hemodialysis adequacy describes a measure of the hemodialysis doses. Automatic measurement of adequacy through a hemodialysis machine has a more efficient advantage and can be accessed at any time. The purpose of this study was to determine the association between adequacy hemodialysis and the quality of life among chronic renal failure patientsundergoing hemodialysis. This study used a correlational analytic observational study with a cross sectional design. Data analysedwith the Spearman Rank correlation test. The subjects were 31 chronic renal failure patients undergoing hemodialysis, determined by consecutive sampling method. Data were collected retrospectively through hemodialysis record and the KDQOL SF-36 questionnaire. The result was there was no significant relationship between the adequacy of hemodialysis and quality of life in all dimensions of quality of life except for the dimensions of the physical composite (p=0,013, α=0,05) r=-0,449. There was a relationship between length of time undergoing hemodialysis and physical composite (p= 0,046, α=0,05), r = -0,367. The conclusion is confirmation of adequacy with blood urea examination is necessary.Monitoring machine monitor curves for smooth access, Qb, duration of hemodialysis and recirculation during hemodialysis is important to support the achievement of the expected adequacy. Evaluating the quality of life of patients needs to be done regularly.
People with heart failure need support and family presence to improve their quality of life. Nurses' views about family-centered care may be changed if they were taught about the idea and encouraged to support its implementation. In addition, families might provide help to ill relatives. This study aims to investigate the influence of education on nurses' attitudes about family-centered care for intensive care patients with heart failure. An experimental design with a pretestposttest control group was employed in this investigation. The experimental group received educational treatment in the form of booklet-based lectures. The participants in this study were 32 nurses from a Malang hospital's intensive care unit. In the experimental group, the Wilcoxon test indicated a significant difference in nurses' attitudes toward family-centered care (p-value 0.000), but no similar difference in the control group (p-value 0.083). The Mann Whitney test revealed that following instruction, nurses' views about family-centered care improved significantly in both the experimental and control groups (p-value 0.039). There is a significant effect of family centered care education on the attitude of nurses in the CVCU room for heart failure patients at Malang Hospital. Family-centered care in critical care from the perspective of nurses, education has an effect on people with heart failure.
Heart failure is a chronic disease that has a high rehospitalization rate. The cause of rehospitalization is due to inadequate self-care behavior. For that we need the role of the family in self-care by means of family empowerment. The purpose of this study was to determine the relationship between family empowerment and the ability of families to do self-care in the intermediate care room in Malang. This study a cross sectional design and consecutive sampling technique with 100 subjects. The family empowerment scale (FES) and contribution caregiver self care heart failure index (CCSCHFI) are used to assess families' abilities to care for themselves. The statistical test used is the Pearson correlation test. The mean value of family empowerment is 127.00 and the ability to do self-care is 48.28. Pearson correlation test results obtained p-value 0.000<alpha 0.05. In heart failure patients, there is a high correlation between family support and their ability to self-care. Family empowerment and ability to do self-care is lacking due to a lack of family knowledge about heart failure and its treatment. It is recommended that the nurse be more maintenance in providing education related to patient self-care to the family during treatment by empowering the family.
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