Preeklampsia adalah kelainan multisistemik spesifik pada kehamilan yang ditandai oleh timbulnya hipertensi dan proteinuria setelah umur kehamilan 20 minggu. Kondisi yang terjadi pada kasus preeklampsia perlu ditangani dengan tepat karena preeklampsia dapat menimbulkan komplikasi yang serius pada ibu dan janin. Sementara itu, hingga saat ini penyebab preeklampsia belum diketahui secara pasti. Namun demikian, beberapa penelitian telah mengidentifikasi faktor-faktor yang berhubungan dengan kejadian preeklampsia. Sehingga, studi literatur ini dilakukan untuk mengidentifikasi faktor-faktor yang berhubungan dengan preeklampsia berdasarkan hasil penelitian yang telah dilakukan di Indonesia. Studi literatur ini dilakukan dengan cara melakukan pencarian artikel pada google cendekia, pengkategorian artikel sesuai kriteria inklusi, dan analisis artikel. Kata kunci yang digunakan dalam pencarian artikel adalah : faktor-faktor dan preeklampsia. Pada pengaturan lanjutan ditentukan artikel yang dicari adalah artikel pada tahun 2008-2018. Dalam pencarian tersebut didapatkan 887 artikel. Kriteria inklusi yang digunakan dalam pencarian artikel adalah : (1) artikel berisi tentang kejadian preeklampsia di Indonesia, (2) kata kunci yang digunakan dalam pencarian ada dalam judul artikel, dan (3) rancangan penelitian dalam artikel menggunakan case control design. Berdasarkan kriteria inklusi tersebut, maka didapatkan 10 artikel yang dapat dianalisis untuk studi literatur ini. Berdasarkan analisis yang telah dilakukan, telah teridentifikasi bahwa faktor-faktor resiko yang berhubungan dengan kejadian preeklampsia adalah karakteristik ibu, riwayat kehamilan, berat badan, riwayat penyakit kronis, pengetahuan, dan riwayat kontrasepsi. Faktor-faktor resiko yang telah teridentifikasi ini diharapakan dapat digunakan sebagai dasar untuk menganalisis program pencegahan preeklampsia dan menentukan penatalaksanaan yang lebih tepat pada ibu hamil dengan preeklampsi di Indonesia.
Introduction: Professional nurses should have adequate competency in order to apply Evidence Based Practice (EBP) in their nursing care. However, many nurses provide nursing care based on traditions, habits and personal experience. Less confidence in the feeling of nurses about their competency when employing EBP could inhibit successful EBP implementation in nursing care. Therefore, introducing and applying EBP during clinical placements in the Ners program is essential to form a professional attitude and to provide a basic level of experience when applying EBP in patient care. However, the self-efficacy and competence of the students when applying EBP has not yet been evaluated properly and there is little known about the nursing students’ competences and self-efficacy toward EBP implementation during clinical practice. Thus, the study aims to describe the self-efficacy and competency of nursing students toward the implementation of EBP, while also investigating the relationship between self-efficacy and the competency of nursing students in the implementation of EBP.Methods: This descriptive correlational study involved 120 nursing students who were actively registered on the Ners program 2016/2017. The data was collected by using the self-reporting Evidence-Based Practice Questionnaire (EBPQ), which was then analysed descriptively and inferentially using statistics.Results: The results of this study revealed that more than half (55%) of the participants had a high score of self-efficacy and almost half (49%) were categorised as having a high competence when implementing EBP. The self-efficacy score was significantly correlated to the score of competency (r = 0.607, p < 0.01).Conclusion: This study recommends that the development of the students’ competence in implementing EBP is essential to promote self-efficacy when applying EBP, and vice versa.
AbstrakIndonesia masih tertinggal dalam banyak aspek kesehatan reproduksi khususnya pada perempuan. Upaya-upaya promosi dan prevensi kesehatan perempuan pada kelompok perempuan sehat sangat dibutuhkan untuk meningkatkan kondisi kesejahteraan perempuan. Penelitian ini bertujuan untuk mengetahui upaya promosi kesehatan dan prevensi timbulnya penyakit pada kesehatan reproduksi perempuan usia subur. Metode penelitian adalah deskriptif kuantitatif, jumlah sampel 51 perempuan di Wilayah Cikutra, instrument penelitian berupa kuesioner tentang aktivitas perempuan dalam menjaga kesehatan reproduksi. Cara pengumpulan data dilakukan langsung pada responden, data dianalisa dengan menggunakan distribusi frekuensi. Hasil penelitian menunjukan upaya perempuan menjaga kesehatan reproduksi bervariasi yaitu seluruh responden mengikuti program keluarga berencana, menjaga kesetiaan pada pasangan dan upaya untuk mencegah kekerasan dalam rumah tangga dilakukan oleh sebagian besar responden. Disisi lain sedikit perempuan melakukan upaya pencegahan penyakit infeksi sistem reproduksi, dan upaya pencegahan penyakit kanker payudara dan kanker cerviks. Kesimpulan, upaya perempuan menjaga kesehatan reproduksi belum maksimal, perlu perhatian yang lebih dari pemerintah untuk lebih memfasilitasi perempuan dalam meningkatkan kesehatan dan pencegah penyakit reproduksi. Kata kunci; Promosi kesehatan; Pencegahan penyakit; Kesehatan reproduksi perempuan Abstract Please Reproductive Health Behaviour amongst Women of Reproductive Age. Women'sreproductive health in Indonesia is still under expectation. Women's health promotion and illness prevention programmes are significant to improve women's wealthiness, in particular, their reproductive health. The objective of this study was to determine women's health behavior related to health promotion and illness prevention in reproductive diseases and issues. this study applied the descriptive qualitative approach that involved 51 women from sub-district Cikutra, Bandung. Respondents filled in a questioner about women's health behavior in health promotion and illness prevention related to reproductive health. The data were analyzed using distribution frequency. This study found that all respondents participated in the family planning programmes (100%), the majority of respondents were faithful to their partner (92%), and they understood how to deal with domestic violence (75%). While less of women did illness prevention or screening related to infection of the reproductive system (31%), and breast and cervical cancer (35% and 39%, respectively). Women's reproductive health behavior is not maximum yet. the Indonesian government needs to provide more attention, facilities, and programmes to enhance women's health behavior in women's reproductive health promotion and illness prevention.
Kebutuhan perawat profesional dapat dicapai melalui program profesi ners yang merupakan bagian dari program pendidikan keperawatan, dimana didalamnya terjadi proses pembelajaran klinik untuk menciptakan perawat profesional yang kompeten. Salah satu peran perawat professional adalah terus mengupdate keilmuan dengan cara menelaah jurnal terbaru untuk mengekplorasi intervensi keperawatan terbaik bagi pasien sehingga mendapat hasil yang optimal. Mahasiswa program profesi ners pada saat jenjang pendidikan perkuliahan telah terlatih untuk menelaah kasus dengan menggunakan metode EBP, namun belum terdapat evaluasi terkait pemahaman mahasiswa terhadap metode tersebut serta penerapannya pada tatanan praktik klinik. Dengan demikian, penelitian ini bertujuan untuk mengidentifikasi bagaimana pengetahuan, sikap dan kesiapan mahasiswa dalam penerapan evidence based practice (EBP) pada pasien kelolaan di stase keperawatan medikal bedah.Penelitian ini adalah penelitian kuantitatif. Sampel pada penelitian ini adalah mahasiswa program profesi ners yang sedang menjalankan praktik klinik dengan menggunakan teknik pengambilan sampel total sampling, yaitu sebanyak 120 responden. Instrumen yang digunakan adalah kuesioner Evidence Based Practice Questionnaire (EBPQ) dengan menggunakan analisis deskriptif (frekuensi, persentase, rata-rata, dll)Hasil penelitian menunjukan bahwa pengetahuan mahasiswa pada konsep Evidence based practice adalah baik sebanyak (68%), sebagian besar responden memiliki sikap yang positif (85%) dan lebih dari setengah responden mempunyai kesiapan yang cukup sebanyak (59%). Temuan hasil penelitian ini adalah penting untuk rekomendasi masukan terkait mengembangkan bahan ajar pada lingkup pendidikan keperawatan terkait praktik keperawatan dalam memberikan pelayanan terbaik untuk pasien
Background Indonesia failed to achieve the maternal mortality rate target as the MDGs' agreement in 2015. The Ministry of Health has developed health promotion and illness prevention programmes to improve women's health and wealthiness. However, only few studies provide information of women's health behaviour related to a health promotion and an illness prevention in the perinatal period comprehensively. This study aimed to determine women's health behaviour related to the health promotion and the illness prevention in the perinatal period; pre, intra, and postnatal. Method This study applied a descriptive quantitative approach. Samples were chosen using the Convenience sampling method. 51 women from Sukapada, Bandung were involved in this study. Data were collected using a questionarrie and analysed using a frequency distribution. Result This study found that the majority of respondents (96%) visited health services for prenatal visit. Women also concerned with other health activities including having tetanus vaccination (49%), consuming Iron tables and nutrisious food (65% and 61% respectively), and having give birth at health facilities (100%). In contrast, this study also found that women's participation in prenatal classes was limited (25%). In addition, to prevent prenatal and postnatal complications, women need to have a good understanding of dangerous signs in pregnancy and postpartum. However, the majority of them had limited health literacy about it. Conclusion Women's health behaviour in the perinatal period is varied. Health education programmes are required for increasingwomen's health literacy and awareness of health promotion and illness prevention in this period. AbstrakLatarbelakang, Target Millennium Development Goals tahun 2015 berkaitan dengan Angka Kematian Ibu tidak dapat dicapai oleh Indonesia. Kementerian kesehatan Republik Indonesia mengembangkan berbagai program promosi kesehatan dan pencegahan penyakit untuk meningkatkan kesehatan dan kesejahteraan perempuan. Namun, riset yang menginformasikan tentang perilaku kesehatan pada perempuan yang komprehensif berkaitan dengan promosi kesehatan dan prevensi pada periode perinatal masih terbatas. Penelitian ini bertujuan untuk mengidentifikasi perilaku perempuan berkaitan dengan promosi dan prevensi kesehatan pada periode perinatal yang meliputi: hamil, melahirkan, postpartum. Metode, Penelitian ini merupakan penelitian deskriptif kuantitatif. Sampel dipilih dengan menggunakan metode Convenience sampling. Sebanyak 51 perempuan dari Sukapada, Bandung berpartisipasi dalam penelitian ini. Data dikumpulkan menggunakan kuesioner dan kemudian dianalisa dalam bentuk distribusi frekwensi. Hasil menunjukan sebagian besar perempuan (96%) melakukan kontrol kehamilan, 49% mendapatkan immunisasi TT, 65% mengkonsumsi tablet Fe, 61% mengkonsumsi makanan bergizi, dan seluruh perempuan (100%) melahirkan dengan ditolong oleh pertugas kesehatan. Namun sebaliknya, sebagian kecil perempuan (25%) berpartisipasi dalam kelas prenatal. Selain itu, dalam upaya pencegahan...
Menarche is the first experience of menstruation would cause anxiety among teenagers, fear, discomfort, and affect the quality of life of teenage. This condition was caused by the taboo assumption to discuss menstruation with family and their environment. Therefore, this study was conducted to identify urban teenagers' readiness toward menarche. This study was conducted with the process of searching, collecting and analyzing articles. The search sources used were Cinahl, Scopus, Cochrane, Pubmed, and Cengage databases. The keywords used were menarche, readiness, and urban teenagers. The inclusion criteria used were 2013 - 2018 research articles, full text, and English articles. The exclusion criteria used was non-urban teenagers. According to the keyword was found 124 articles. After being selected based on the inclusion and exclusion criteria, 7 articles were analyzed. The result showed urban teenagers' readiness consisted of internal and external readiness. Internal readiness consists of age and knowledge. Internal readiness can affect self-acceptance, maturity of mind, and views on the stages of growth and development that are being faced. External readiness consists of social support. Social support for urban teenagers is useful to get information and attention when menarche. External readiness for urban teenagers was already good but lack of internal readiness. Therefore, counseling and health education related to menarche was needed starting from elementary school.Keywords: Menarche, readiness, urban teenager.
AbstrakKondisi hemodinamik yang tidak stabil merupakan kondisi yang biasa terjadi pada pasien di General Intensive Care Unit (GICU). Hal ini dapat disebabkan karena stresor yang berasal dari aspek fisiologis, psikologis, maupun lingkungan. Saat ini terapi yang diberikan pada pasien di GICU didominasi oleh terapi farmakologi. Sementara berdasarkan teori keperawatan holistik, asuhan perawatan pada pasien dapat dioptimalkan dengan terapi komplementer seperti foot massage. Penelitian ini bertujuan untuk mengetahui pengaruh foot massage terhadap parameter hemodinamik non invasif pada pasien di ruang GICU RSUP Dr. Hasan Sadikin Bandung. Rancangan penelitian ini menggunakan quasi experimental design dengan pendekatan time series design. Jumlah sampel yang digunakan sebanyak 33 pasien dengan teknik consecutive sampling. Data penelitian dianalisis menggunakan uji Friedman dan dilanjutkan dengan analisis Post-Hoc. Hasil penelitian menunjukkan terdapat pengaruh foot massage secara signifikan terhadap penurunan MAP (p<0,001), penurunan denyut jantung (p=0,002), dan penurunan frekuensi pernafasan (p<0,001); namun tidak terdapat pengaruh foot massage secara signifikan terhadap peningkatan saturasi oksigen (p=0,150). Foot massage dapat menimbulkan aktivitas vasomotor di medula. Aktivitas vasomotor ini dapat menurunkan resistensi perifer dan merangsang saraf parasimpatis untuk menurunkan frekuensi jantung yang selanjutnya dapat meningkatkan curah jantung sehingga membuat pengiriman dan penggunaan oksigen oleh jaringan menjadi adekuat. Oleh karena itu, diharapkan perawat dapat melakukan praktik foot massage terhadap pasien untuk melengkapi terapi farmakologi yang sudah diberikan. Kata kunci: Foot massage, parameter hemodinamik non invasif. Effects of Foot Massages towards Non Invasive Hemodynamic Parameters of Patients in General Intensive Care Unit AbstractUnstable hemodynamic condition commonly happens in General Intensive Care Unit (GICU). This is caused by stressors from physiological, psychological, and environmental stressors. Nowadays, therapies for GICU patients are dominated by pharmacological therapies. Meanwhile, holistic nursing care could be optimized using complementary therapy such as foot massages. This study aimed to identify the effects of foot massages towards non-invasive hemodynamic parameters of patients in GICU Dr. Hasan Sadikin Hospital Bandung. The research design was quasi experimental using time series design. The sample size was 33 patients who were recruited using consecutive sampling technique. The data were analysed using Friedman test and followed by Post-Hoc analysis. The results showed that there were significant effects of food massage towards the decreased of MAP (p<0,001), the decreased of heart rate (p=0,002), and the decreased of respiration rate (p<0,001); however, there was no significant effect of foot massages towards the increased of oxygen saturation (p=0,150). Foot massage can create vasomotor activation in the medulla. This vasomotor activation can decrease peripheral resistances an...
Professional nurses could be prepared through professional nursing programs. Professional nursing program is part of the nursing education program. One of the competencies required to be professional nurses is implementing evidence-based practice (EBP) to explore the best nursing interventions for patients to get optimal outcome. Nursing students have learned EBP during bachelor degree by analysis case using the EBP method. However, evaluation related students' understanding of the method and its application of EBP to the clinical practice was none. The purpose of this study was to determine the relationship of knowledge with student competency in the implementation of evidence based practice (EBP) to managed patients in the medical surgical nursing stage. This research is quantitative research. The sample in this study was 120 nursing students who were at professional nursing program that were recruited using total sampling technique. The instrument used is the Evidence Based Practice Questionnaire (EBPQ) questionnaire. The results showed that more than half of the respondents had high knowledge (68%), and high competence (49%). This study shows a meaningful relationship between knowledge of student competence in applying EBP (r = .6070, p <0.01). The findings of this study are important for recommendations related to developing teaching materials in nursing education related to for providing the best service for patients.
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