RELATIONSHIP OF WORK LOADS, WORK CULTURE AND OLD WORK TOWARDS NURSING WORK STRESS IN IRNA III REGIONAL GENERAL HOSPITALS Dr. ABDUL MOELOEK PROVINSI LAMPUNG Background: The effect of work stress on nurses influences the professionalism of nurses in serving patients. Based on the results of prasurvey on December 1 to 4, 2017, it was found out from 15 nurses at RSUDAM 73.3% of nurses stated that they were saturated with routine and tiring, 66.7% of the work culture in hospitals made a burden of mind and the majority of nurses worked more than 10 years 73.3%.Purpose: to determine the relationship between burden, duration of work, culture and stress between nursing at irna III ward-dr.h. Abdul Moeloek Lampung Lampung Province General Hospital 2018.Methods: This research is a quantitative research, using Analytical Survey method with Cross Sectional approach. Research will be conducted after the proposal exam is approved. The population in this study were all nurses in the Irna III Room Abdul Moeloek Regional General Hospital totaling 250 people, a sample of 154 people. Sampling techniques with Purposive Sampling. Data collection using questionnaire sheets. Data processing editing, coding, processing, cleaning. Data analysis using univariate and bivariate (Chi Square).Results: Based on the results it is known that as many as 1 26 (16.9%) respondents experienced work stress. 102 (66.2%) respondents had a light workload. as many as 95 (61.7%) respondents of good organizational culture, as many as 117 (76.0%) old respondents in working.Conclusion: There is a relationship between workload (p-value = 0,000 or 6,221), There is a relationship between organizational culture (p-value = 0,014 or 3,163), There is a relationship between length of work (p-value = 0,000 or 5,326) with the stressful incidence of nurse work. It is expected that the hospital will provide activities such as recreation for employees and families Keywords: Expenses, Culture, Length of work, stress, nurses INTISARI: HUBUNGAN BEBAN KERJA, BUDAYA KERJA DAN LAMA KERJA TERHADAP STRES KERJA PERAWAT DI RUANG IRNA III RUMAH SAKIT UMUM DAERAH DR.H. ABDUL MOELOEK PROVINSI LAMPUNG Latar Belakang: Pengaruh stres kerja pada perawat berpengaruh terhadap profesionalisme perawat dalam melayani pasien. Berdasarkan hasil prasurvey tanggal 1 - 4 Desember 2017, diketahui dari 15 perawat di RSUDAM 73,3% perawat menyatakan jenuh dengan rutinitas yang dilakukan dan terasa melelahkan, 66,7% budaya kerja di rumah sakit membuat beban pikiran dan mayoritas Perawat telah bekerja lebih dari 10 tahun 73,3%.Tujuan: untuk mengetahui hubungan antara beban, lama kerja, budaya dan stres di antara keperawatan di irna III ward- dr.h. Abdul Moeloek Lampung Rumah Sakit Umum Provinsi Lampung 2018Metode Penelitian : Penelitian ini merupakan penelitian kuantitatif, menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Penelitian akan dilaksanakan setelah ujian proposal disetujui. Populasi dalam penelitian ini adalah seluruh perawat di Ruang Irna III Rumah Sakit Umum Daerah Abdul Moeloek berjumlah 250 orang, sampel 154 orang. Teknik Pengambilan sampel dengan Purposive Sampling. Pengumpulan data menggunakan lembar kuesioner. Pengolahan data editing, coding, processing, cleaning. Analisis data dengan secara univariat dan bivariat (Chi Square).Hasil: Berdasarkan hasil diketahui bahwa sebanyak 1 26 (16,9%) responden mengalami stres kerja. sebanyak 102 (66,2%) responden memiliki beban kerja ringan. sebanyak 95 (61,7%) responden budaya organisasi baik, sebanyak 117 (76,0%) responden lama dalam bekerja.Kesimpulan: Ada hubungan antara beban kerja (p-value = 0,000 or 6,221), Ada hubungan antara budaya organisasi (p-value = 0,014 or 3,163), Ada hubungan antara lama bekerja (p-value = 0,000 or 5,326) dengan kejadian stres kerja perawat. Diharapkan pihak rumah sakit Memberikan kegiatan seperti rekreasi bagi karyawan dan keluarga Kata kunci : Beban, Budaya, Lama bekerja, stress, perawat
The prevalence of hypertension according to the World Health Organization (WHO) records, in 2011 was 1 billion people in the world. Two-thirds of them are in low-medium-income developing countries, one of which is Indonesia. WHO also estimates that the prevalence of hypertension will continue to increase , and it is predicted that by 2025 as many as 29% of adults worldwide suffer from hypertension. Conducting studies, data analysis, diagnosis, intervention, implementation of nursing care evaluation with foot soak techniques to reduce blood pressure in people with hypertension in 2022. Student oral case analysis (SOCA) design uses case study design in the form of application by approaching according to descriptive methods, this method is to collect data first, analyze data and then draw data conclusions. The units that are the case are further analyzed and given a therapeutic action. It is known that there is a change in blood pressure on the first day and day six because the client is able to do and apply a warm water foot bath with baiak. The client also took the drug from the Amlodipine health center 5mg per day. Amlopdipine is a drug to lower high blood pressure. During observation Mrs. T did not take care of her diet. It is known that there is a change in blood pressure on the first day and day six is caused by the client being able to do and apply a warm water foot bath with a baiak. Keywords: Hypertension, Decrease In Blood Pressure, Foot Baths With Warm Water, Comprehensive Nursing Care ABSTRAK Pevalensi hipertensi menurut catatn World Health Organization (WHO), tahun 2011 sebesar 1 milyar orang di dunia. Dua per-tiga diantaranya berada di negara berkembang yang berpenghasilan rendah-sedang salah satunya negara Indonesia. WHO juga memperkirakan Prevalensi hipertensi akan terus meningkat , dan diprediksi pada tahun 2025 sebanyak 29% orang dewasa di seluruh dunia menderita hipertensi. Melakukan pengakajian, analisa data, mendiagnosa, intervensi, implementasi evaluasi asuhan keperawatan dengan teknik rendam kaki untuk menurunkan tekanan darah pada penderita hipertensi tahun 2022. Desain student oral case analysis (SOCA) menggunakan desain studi kasus dalam bentuk penerapan dengan cara pendekatan sesuai metode deskriptif, metode ini bersifat mengumpulkan data terlebih dahulu, menganalisis data lalu menarik kesimpulan data. Unit yang menjadi kasus tersebut secara lebih jauh dianalisis dan diberikan suatu tindakan terapi. Diketahui adanya perubahan tekanan darah hari pertama dan hari ke enam ini di sebabkan klien mampu melakukan dan menerapkan rendam kaki air hangat dengan baiak. Klien juga mengkonsumsi obat dari puskesmas Amlodipine 5mg perhari. Amlopdipine merupakan obat untuk menurunkan tekanan darah tinggi. Selama observasi Ny. T kurang menjaga pola makannya. Diketahui adanya perubahan tekanan darah hari pertama dan hari ke enam ini di sebabkan klien mampu melakukan dan menerapkan rendam kaki air hangat dengan baiak. Kata Kunci: Hipertensi, Penurunan Tekanan Darah, Rendam Kaki Dengan Air Hangat, Asuhan Keperawatan Komprehensif
Stunting threatens the future of the nation's next generation, until 2022 the incidence of stunting nationally is still high, including in Lampung Province. The incidence of stunting is still far from the target of under 14% in 2024. The purpose of this study was to analyze the dominant factors associated with the risk of stunting in children under five aged 12-59 months in the city of Bandar Lampung in 2022. This study is an analytical survey research with a cross sectional approach that analyzes the dominant factors associated with the risk of stunting in children under five in the city of Bandar Lampung in 2022. The sampling technique used is cluster sampling, by selecting 20% of 10 locations which are priority areas for stunting control in the city of Bandar Lampung. After selecting two locations, then a sample of 20% of the total children under five in that location was selected. The number of samples was 262 children under five aged 12-59 months who came to the posyandu in the selected area. The data obtained were analyzed using logistic regression. The results showed that maternal height (pV=0.001) and planned pregnancy status (pV=0.001) were the most dominant factors associated with the risk of stunting in Bandar Lampung City in 2022. In addition, the completeness of the child's immunization status (pV=0.014), history of exclusive breastfeeding (pV=0.05) and the child's body length at birth (pV=0.043) were also significantly related to the risk of stunting in children under five in the city of Bandar Lampung. Special attention needs to be paid to pregnant women who have short height and/or mothers whose pregnancies are not planned/desired must get optimal nutritional intake during pregnancy and ensure that when their children are born, they must receive exclusive breastfeeding and receive complete immunizations to avoid the risk of stunting. Keywords: Stunting, Pregnant Women, Children ABSTRAK Stunting mengancam masa depan generasi penerus bangsa, hingga tahun 2022 ini angka kejadian stunting secara nasional masih tinggi, termasuk di Propinsi Lampung. Angka kejadian stunting masih jauh dari target di bawah 14% pada tahun 2024. Tujuan dari penelitian ini adalah menganalisis faktor apa saja yang dominan berhubungan dengan risiko kejadian stunting pada anak balita usia 12-59 bulan di kota Bandar Lampung tahun 2022. Penelitian ini adalah penelitian survey analitik dengan pendekatan cross sectional yang mencoba menganalisis faktor apa saja yang berhubungan dengan risiko stunting pada anak balita di kota Bandar Lampung tahun 2022. Teknik sampling yang digunakan adalah cluster sampling, dengan memilih 20% dari 10 lokasi yang merupakan daerah prioritas pengendalian stunting di kota Bandar Lampung. Setelah terpilih dua lokasi/kelurahan, kemudian diambil sampel sebesar 20% dari total anak balita di lokasi/kelurahan tersebut. Adapun jumlah sampelnya adalah 262 anak balita usia 12-59 bulan yang datang ke posyandu di daerah yang terpilih. Data yang di dapat dianalis dengan mengunakan regresi logistic. Hasil penelitian didapatkan bahwa faktor tinggi badan ibu (pV=0,001) dan status kehamilan yang direncanakan (pV=0,001) merupakan faktor yang paling dominan berhubungan dengan risiko kejadian stunting di Kota Bandar Lampung tahun 2022. Selain itu, faktor kelengkapan status imunisasi anak (pV=0,014), riwayat mendapatkan ASI eksklusif (pV=0,05) serta panjang badan anak saat lahir (pV=0,043) juga berhubungan bermakna dengan risiko kejadian stunting pada anak balita di kota Bandar Lampung tahun 2022. Perlu adanya perhatian khusus pada ibu hamil yang memiliki tinggi badan pendek dan atau ibu yang hamil tidak direncanakan/diinginkan harus mendapatkan asupan nutrisi yang optimal selama kehamilannya serta memastikan saat anaknya lahir, harus mendapatkan ASI eksklusif serta mendapatkan imunisasi lengkap agar terhindar dari risiko stunting. Kata Kunci: Stunting, Wanita Hamil, Anak-anak
ABSTRAK Menurut International Diabetes Federation (IDF) (2015), saat ini Indonesia merupakan negara dengan urutan ke-7 jumlah penderita diabetes terbanyak di dunia yaitu sebanyak 10,0 juta jiwa, dan pada tahun 2020 diperkirakan penderita diabetes di Indonesia akan naik ke nomor enam terbanyak di dunia dengan jumlah penderita 16,2 juta jiwa, dan dilaporkan bahwa kota-kota besar seperti Jakarta, Surabaya, sudah hampir 10 % penduduknya menderita diabetes. Diabetes merupakan penyakit kronis yang serius dan terjadi baik saat pankreas tidak menghasilkan cukup insulin (hormon yang mengatur glukosa darah) maupun jika tubuh tidak dapat menggunakan insulin yang dihasilkan secara efektif. pengobatan bisa dilakukan secara non farmakologi, diantaranya dengan menggunakan terapi pijat refleksi. Tujuan setelah penyuluhan dan demonstrasi, diharapkan pemberian pijat refleksi dapat untuk menurunkan glukosa darah. Adapun kegiatan yang dilakukan berupa penyuluhan menggunakan leaflet dan demonstrasi terapi pijat refleksi. Terdapat penurunan gula darah pada klien diabetes melitus setelah pemberian terapi pijat refleksi selama 3 hari di Tiyuh Dayaasri Tumijajar Tulang bawang barat. Dari evaluasi hari terakhir pemeriksaan kadar glukosa darah terjadi penurunan yaitu antara sebelum diberikan terapi dan sesudah diberikan terapi, diperoleh data pada nilai glukosa darah sebelum diberikan asuhan keperawatan yaitu hari pertama GDS: 215 mg/dl, setelah diberikan intervensi pijat refleksi selama kurun waktu 3 hari dan di beri waktu istirahat selama 4 hari tetapi tetap dalam pengontrolan pola makan, untuk memberikan efek rileks kemudian di cek gula darah kembali di hari ke 7 (tujuh), dari hasil pemeriksaan didapatkan yaitu GDS: 189 mg/dl. Saran agar dapat menerapkan terapi pijat refleksi kepada penderita diabetes melitus dan sebagai pengobatan alternatif untuk menjaga kestabilan glukosa darah, untuk mengurangi efek samping penggunaan obat jangka panjang. Dengan demikian, pemberian pijat refleksi pada klien diabetes melitus sangat efektif dalam menurunkan gula darah.Kata kunci : Diabetes Melitus, Gula Darah, Terapi Pijat Refleksi ABSTRACT According to the International Diabetes Federation (IDF) (2015), Indonesia is currently the 7th largest number of diabetics in the world with 10.0 million people, and 2020 estimated that diabetics at Indonesia will rise to number 6th in the world with 16.2 million sufferers, and it is reported that big cities like Jakarta, Surabaya, already almost 10% the population suffer of diabetes. Diabetes is a serious chronic disease and occurs both when the pancreas does not produce enough insulin (a hormone that regulates blood glucose) or if the body cannot use insulin produced effectively. treatment can be non-pharmacologically, including by reflexology therapy. The purpose after counseling and demonstration, is expected to provide reflexology to reduce blood glucose. The activities carried out in the form of counseling used leaflets and demonstration of reflexology therapy. There is a decrease in blood sugar in diabetes mellitus clients after giving reflexology therapy for 3 days at Tiyuh Dayaasri Tumijajar West Tulang Bawang. From evaluation of the last day,examination of blood glucose levels there was a decrease between before being given therapy and after being given therapy, obtained data on blood glucose values before being given nursing care that is the first day of GDS: 215 mg / dl, after being given a reflexology intervention for a period of 3 days and given a rest period of 4 days but still in control of eating patterns, to provide a relaxing effect then checked for blood sugar again on day 7 (seven), from the examination results obtained namely GDS: 189 mg / dl. Suggestions for adjust reflexology therapy to people with diabetes mellitus and alternative treatment to maintain blood glucose stability, to reduce the side effects of long-term drug use. Thus, giving reflexology to diabetes mellitus's client is very effective of lowering blood sugar. Keywords: Diabetes Mellitus, Blood Sugar, Reflexology Therapy
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