Sindrom Koroner Akut (SKA) merupakan kondisi kegawatan yang paling sering mengakibatkan kematian. Penyakit ini membutuhkan penatalaksaan yang cepat dan tepat, tetapi yang sering terjadi adalah waktu keterlambatan prehospital yang panjang. Penyebab keterlambatan prehospital dikaitkan dengan persepsi pasien tentang nyeri kardiak. Tujuan penelitian yaitu untuk menjelaskan hubungan persepsi nyeri kardiak dengan keterlambatan prehospital pada pasien SKA di IGD RSUD dr. T.C. Hillers Maumere. Jenis penelitian observasional analitik dengan pendekatan cross sectional. Sampling yang digunakan adalah consecutive sampling dengan besar sampel sebanyak 42 orang. Data dikumpulkan dengan lembar wawancara pada bulan April-Juni 2017, kemudian di analisis secara univariat dan bivariat (uji contingency coefficient). Hasil penelitian menunjukkan sebanyak 28 pasien (66.7%) mempersepsikan nyeri kardiak adalah bukan penyakit jantung, pasien tiba terlambat di IGD sebanyak 26 pasien (61.9%). Hasil uji contingency coefficient diperoleh ada hubungan persepsi nyeri kardiak dengan keterlambatan prehospital pada pasien SKA di IGD RSUD dr. T.C. Hillers Maumere (p=0.002). Nilai contingency coefficient sebesar 0.437, maka dapat disimpulkan hubungan ke dua variabel dalam kategori sedang. Penelitian ini mengindikasikan pentingnya penyuluhan kesehatan untuk meningkatkan persepsi pasien yang sesuai.
Anxiety becomes a psychological response when there is an attack and becomes a cause to bad treatment of Acute Coronary Syndrome (ACS) patients. Music therapy interventions to reduce anxiety need to be considered because it has no harmful effects. The study aimed to analyze the influence of gong waning music therapy toward anxiety in patients with ACS in Regional Public Hospital of dr. T.C. Hillers Maumere. The research design was quasi experimental with non-equivalent control group design. The sample was 32 patients divided into 2 groups with 16 patients per group taken by using purposive sampling technique. The intervention was implemented in three days. State Trait Anxiety Inventory (STAI) was used as the instrument of the study. The study used paired t-test, independent sample t-test and repeated anova for data analysis. The study showed that experimental group’s trait anxiety and state anxiety were reduced (p 0.000 and 0.001). There was a difference on anxiety in experimental and control group (p 0.043 and 0.049). There was a bigger decrease of anxiety level in experimental group and it was statistically significant (p 0.000). The findings proved to support intervention of traditional music therapy to reduce anxiety. Nurses should not only focus on physical problems and ignore anxiety. It is hoped that nurses can use music therapy as a non-pharmacological adjunct therapy to help reduce anxiety of ACS patients.
Introduction: Mount eruption can happen at any time without warning including during teaching learning proces in school time and the children are included into the the very susceptible group on disaster situation. Less preparedness causes the children be in critical situation. To increase children’s preparedness could be done through the training on disaster preparedness in overcoming the disater caussed by volcano eruption. The aim of this research is to explain The Effect Of Training On Preparedness Disaster on The Preparedness of Elementary School Children in Overcoming The Disaster of Volcano Eruption of Mount Egon in Lere Catholic Elementary School. Method: This research is classified as quasi experimental with the research design one pre test post test design. The population on this research is all children of class IV and V in Lere Catholic Elementary School. The total number is 51 children. The sample used is systematic random sampling. The total number of sampling is 45 respondents. Result: There is effect of training on disaster preparedness on the preparedness of elementary school children in overcoming mount Egon eruption (p 0,000). Conclusion: The training of disaster preparedness can increase on the preparedness of elementary school childen in overcoming the disaster of volcano eruption, therefore the training of disaster preparedness needs to be done every year and to accommodate the content of disaster in the school curriculum.
ABSTRAKKondisi kegawatdaruratan sindrom koroner akut (SKA) memerlukan penatalaksanaan yang cepat dan tepat. Keterlambatan respon waktu yang panjang sebelum ke rumah sakit dapat berakibat kematian yang dikaitkan dengan perilaku pencarian pelayanan kesehatan dan jenis transportasi. Tujuan penelitian ini untuk menganalisis hubungan perilaku pencarian pelayanan kesehatan dan jenis transportasi dengan waktu keterlambatan penanganan sebelum masuk ke rumah sakit pasien SKA di IGD RSUD dr. TC. Hillers Maumere. Jenis penelitian observasional analitik dengan pendekatan cross sectional. Tehnik yang digunakan adalah consecutive sampling dengan besar sampel sebanyak 42 partisipan. Data dikumpulkan dengan lembar wawancara pada bulan April-Juni 2017, kemudian di analisis secara univariat dan bivariat (uji Fisher). Hasil penelitian menunjukkan mayoritas perilaku pencarian pelayanan kesehatan pasien SKA adalah menunda ke rumah sakit (76,2%) dan jenis transportasi yang digunakan adalah kendaraan umum (31%). Waktu keterlambatan penanganan sebelum masuk ke rumah sakit terbanyak yaitu tiba terlambat (>120 menit) (61,9%). Hasil uji Fisher menunjukkan ada hubungan perilaku pencarian pelayanan kesehatan dan jenis transportasi dengan waktu keterlambatan penanganan sebelum masuk ke rumah sakit pasien SKA di IGD RSUD dr. TC. Hillers Maumere. Hasil penelitian mengindikasikan pentingnya memperbaiki sistem rujukan pasien, pemberian pendidikan kesehatan untuk memperbaiki perilaku pencarian pelayanan kesehatan, menyediakan ambulan desa, mendukung dan membentuk layanan gawat darurat medis. ABSTRACT Emergency conditions of the acute coronary syndrome (ACS
Self-efficacy menjadi salah satu unsur penting dalam proses pendidikan keperawatan departemen gawat darurat, karena situasi di Instalasi Gawat Darurat (IGD) dengan beban kerja, stress dan kecemasan tinggi dapat menyebabkan tidak tercapainya capaian pembelajaran. Intervensi yang dapat meningkatkan self-efficacy adalah pelatihan kecerdasan emosional. Tujuan penelitian untuk menjelaskan pengaruh pelatihan kecerdasan emosional terhadap self-efficacy mahasiswa praktik klinik keperawatan gawat darurat. Jenis penelitian quasi experimental dengan rancangan nonequivalent control group design. Besar sampel sebanyak 42 orang yang diambil dengan total sampling dan dibagi dalam kelompok perlakuan dan kontrol, masing-masing kelompok berjumlah 21 orang. Pelatihan kecerdasan emosional diberikan dalam 5 sesi (tiap sesi 100 menit). Self-efficacy diukur menggunakan General Self Efficacy Scala (GSES). Penelitian dilaksanakan pada bulan April tahun 2021 di Universitas Nusa Nipa. Analisis data menggunakan uji paired t test dan uji independent t-test. Hasil penelitian menunujukkan ada pengaruh pelatihan kecerdasan emosional terhadap self-efficacy mahasiswa (p 0.000). Sebelum diberikan pelatihan kecerdasan emosional pada kelompok perlakuan tidak ada perbedaan self-efficacy pada ke dua kelompok (p 0.872), akan tetapi setelah diberikan pelatihan ada perbedaan self-efficacy pada ke dua kelompok (p 0.000). Pelatihan kecerdasan emosional dapat meningkatkan self-efficacy mahasiswa, diharapkan kecerdasan emosional dan self-efficacy dipertimbangkan dan diterapkan dalam kurikulum keperawatan.
Hypertension is a non-communicable disease that causes various problems, complications and every year have increased. Prevention of complications and severity can be done by changing the wrong health seeking behaviour. So far the education provided is only limited to health counselling that has not been scheduled and implemented properly, therefore community service aims to change the health seeking behaviour in hypertensive patients through structured education. This activity was held at Nelle Public Health Center of Sikka Regency 4 times for 60 minutes with the method of lectures, questions and answers, sharing and discussion. Implementation of activities still pay attention to the COVID-19 protocol. A total of 32 people with hypertension were involved in this activity. The output produced is a change in the health seeking behaviour when the symptoms of the disease are felt by going to a health facility. For health workers to be able to carry out structured education regularly
Angka kematian ibu dan anak (AKI) masih menjadi masalah serius di Negara berkembang seperti Indonesia. Salah satu penyebabnya adalah kurangnya persiapan persalinan ibu primigravida. Upaya yang dapat dilakukan untuk meningkatkan persiapan persalinan yaitu melalui edukasi terstruktur. Tujuan penelitian yaitu untuk menjelaskan pengaruh edukasi terstruktur terhadap persiapan persalinan ibu primigravida. Jenis penelitian yang digunakan yaitu pra eksperimental dengan rancangan one group pretest and posttest. Populasi dalam penelitian ini sebanyak 38 ibu primigravida. Sampling menggunakan purposive sampling. Berdasarkan kriteria penelitian besar responden berjumlah 26 ibu primigravida. Penelitian dilakukan pada bulan Maret-April 2022 di Puksesmas Teluk Kabupaten Sikka Propinsi Nusa Tenggara Timur. Intervensi edukasi terstruktur diberikan sebanyak 4 kali. Data dikumpulkan menggunakan kuesioner yang telah divalidasi dan dianalisis menggunakan uji wilcoxon. Hasil penelitian menunjukkan ada pengaruh edukasi terstruktur terhadap persiapan persalinan ibu primigravida (p 0.000). Penelitian ini membuktikan bahwa edukasi terstruktur dapat meningkatkan persiapan persalinan ibu primigravida. Untuk itu Puskesmas dapat membuat program promosi kesehatan yang komprehensif dengan mengintegrasikan edukasi terstruktur pada pelayanan kesehatan ibu hamil.
The Covid -19 outbreak brought global tensions because the transmission process was so fast that it caused health workers to experience psychological problems. Long-term psychological disorders lead to weakened social relationships, mental health problems, local and economic dynamics. Purpose Review of studies on the psychological stress of health workers caused by the COVID-19 pandemic. The method of searching for data using PubMed was carried out with the keywords COVID-19", "mental health", "stress", "health workers", "staff". Quantitative studies (including letters to editors) were published from January 2019 to March 2020. The quality of articles was analyzed by PRISMA and the Critical Ability Assessment Program (CASP). The results of 5 studies found that psychological disorders occurred in the covid ward, internal medicine, and other departmental wards such as symptoms of depression, anxiety, insomnia to fear. There are various questionnaires used. The sample size ranged between 80 and 2,299 participants. The severity of mental symptoms was influenced by age, working hours, occupation, and proximity to COVID-19 patients. Seeing the high frequency of psychological disorders that occur in health workers, it is necessary to provide psychological support and health education to facilitate coping for health workers.
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