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Kusman Ibrahim
Universitas Padjadjaran
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PENGALAMAN PSIKOLOGIS PASIEN INFARK MIOKARD AKUT SELAMA DIRAWAT DI RUANG INTENSIF Emaliyawati, Etika; Sutini, Titin; Ibrahim, Kusman; Trisyani, Yanny; Prawesti, Ayu
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 3, No 1 (2017): Vol 3, No. 1 (2017)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v3i1.7477

Abstract

Infark Miokard merupakan salah satu penyakit terminal yang memerlukan perawatan intensif. Perawataan intensif yang diperlukan harus holistik, mencakup bio psiko sosial dan spiritual. Psikologis infark miokard harus selalu diperhatikan, karena salah satu penyebab infark miokard adalah dari psikologis atau dikenal dengan stress. Tujuan dari penelitian ini untuk mengetahui pengalaman pasien infark miokard akut yang menjalani perawatan di ruang intensif. Jenis penelitian adalah deskriptif kualitatif dengan pendekatan phenomenology yang dilakukan di salah satu rumah sakit di Bandung periode Juni-Juli 2013. Jumlah informan 10 orang pasien infrak miokard akut yang pada saat dilakukan wawancara sudah dalam perbaikan killip I dan II yang diambil secara purposive sampling, dirawat di ruang intensif dan kondisinya telah stabil. Pengumpulan data dilakukan dengan wawancara mendalam kemudian dianalisa menggunakan content analysis dari Hancoch. Hasil penelitian didapatkan 3 tema penelitan yaitu seluruh responden merasa tidak berdaya, 9 responden mengalami ketidakpastian menghadapi masa depan dan 10 responden menyatakan ketakutannya akan kematian. Seluruh pasien infrak miokard mengalami masalah psikologis, oleh karena itu hasil penelitian ini dapat menjadi rekomendasi dalam memberikan layanan kesehatan bagi pasien kondisi terminal; infark miokard akut yang sedang menjalani perawatan intensif. Penting kiranya untuk dapat mengelola dan mengintegrasikan pelayanan perawatan pada pasien infark miokard akut yang sedang dirawat di unit intensif secara holistik meliputi fisik psikologis sosial dan spiritual. ABSTRACTCommunication is a very important process in human relationship. In providing nursing care, nurses should have a good knowledge and communication skill as the beginning of a good relationship between nurses, patients, and their families. Nurses with good communication skill had an easier opportunity to make a good relationship with the patient and their families. This study aimed to identify effective communication barriers among nurses in developing communication with patients’ family according to nurses’ perspective in Intensive Care Unit Rumah Sakit Umum Al Islam Bandung. This descriptive explorative study involved 10 nurses were taken with accidental sampling. Data were gathered using interview and observation. Data analyzed with the content analysis. Result showed that there were at least five topic of effective communication barriers among nurses in developing communication with patients’ family according to nurses’ perspective in Intensive Care Unit Rumah Sakit Umum Al Islam Bandung; role conflict, family demographic factors, misunderstanding, environment and situation in the ICU, and family psychological condition. So, training related to communication between nurses and patients’ family were necessary to undertake in order to improve the ability of nurses such as foreign language skills and patience in dealing with the situation in the ICU especially in relation to the patient's family. This is because nurses are the spearhead of health care service in hospital.
Pengaruh Pendidikan Kesehatan Terhadap Kepatuhan Diet Pada Pasien DM Tipe 2 di Irna Non Bedah Penyakit Dalam RSUP dr.m. Djamil Padang Tahun 2014 Harwadi, Hendra; Ibrahim, Kusman; Hayaty, Helmi
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol 4 No 2 (2015): Jurnal Ilmu Kesehatan Bhakti Husada
Publisher : Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.574 KB)

Abstract

Diabetes Mellitus is a degenerative disease that has become a health problem in the world. The prevalence of this disease is increasing in developing countries, including Indonesia. Uncontrolled blood sugar and further complications may be influenced by the patient's behavior and lifestyle. Disobedience in implementing the diet is one of the problems for Diabetic patients. One of the nursing interventions that can be used to overcome the disobedience of the diet is to provide health education on dietary management. The purpose of this study was to determine the effect of health education on dietary obedience in patients with Diabetes Mellitus in Irna Non Bedah Penyakit Dalam, Dr. M. Djamil Hospital. The type of research is a Quasi-Experimental by using One Group Pre-Post Test Design, 15 people as samples were taken by Purposive Sampling Method. Data collection was conducted on 01 February 2014 to 05th March 2014. The statistical test used is Wilcoxon signed rank test. The results show that there is an increased obedience of patients in implementing Diabetic diet (the right amount, the right type, and the right schedule) after a given health education (p = 0.002). As a conclusion, giving the  health education about the implementation of the diet can improve dietaryobedience in patients with Diabetes Mellitus who are undergoing treatment. It is expected that the implementation of health education can be done intensively in health services in Dr. M. Djamil Hospital as anticipation of further complications due to disobedience in implementing the diet.
Literasi Kesehatan Orang Dengan HIV/AIDS Kesumawati, Rianti; Ibrahim, Kusman; witdiawati, witdiawati
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 5, No 1 (2019): Vol 5, No 1 (2019)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v5i1.15533

Abstract

 ABSTRAK Literasi kesehatan merupakan kemampuan seseorang untuk mencari, memahami informasi kesehatan dalam menentukan keputusan bagi kesehatannya. Di Kabupaten Garut prevalensi kasus AIDS masih tinggi. Literasi kesehatan ini sangat penting untuk orang dengan HIV/AIDS (ODHA) karena sangat rentan terkena infeksi opportunistik apabila tidak dapat melakukan perawatan kesehatan, pencegahan penyakit dan promosi kesehatan, diharapkan ODHA dapat memenuhi kebutuhannya melalui informasi yang diperoleh guna meningkatkan derajat kesehatan. Penelitian ini bertujuan untuk mengetahui bagaimana gambaran literasi kesehatan orang dengan HIV/AIDS. Penelitian ini menggunakan desain deskriptif kuantitatif dan penarikan sampel menggunakan purposive sampling, sebanyak 60 responden. Instrumen pada penelitian ini menggunakan kuesioner Health Literacy Study-Asia (HLS-Asia) diadaptasi dari Health Literacy Study-European (HLS-EU) yang dikembangkan oleh Kristine Sorensen terdiri dari 40 pertanyaan dan sudah diuji validitas dengan hasil alpha cronbach 0.982 untuk mengukur literasi kesehatan yang dilaksanakan pada bulan Juni 2018 di Poliklinik Dahlia TNI-AD Tk. IV Garut. Hasil penelitian Responden memiliki literasi rendah (56.7%) lebih banyak dibandingkan dengan responden yang memiliki literasi tinggi (43.3%). Keempat komponen literasi kesehatan yang rendah di Poliklinik Dahlia dikarenakan responden masih kesulitan dalam menilai informasi (63.3%) dan menerapkan informasi kesehatan (61.7%). Perlunya bagi petugas kesehatan memberikan informasi secara jelas, sederhana dan menyediakan sarana dan prasarana bagi ODHA untuk memenuhi kebutuhan perawatan kesehatannya.ABTRACTHealth literacy is an individual’s ability to find, understand and comprehend health information in determining decisions for their health. AIDS cases prevalence in Garut is still considered high. Health literacy is very important for those who live with HIV / AIDS (ODHA) because they are tend to be fragile toward opportunistic infections if they don’t get health treatment, disease prevention and health promotion. It is expected that ODHA can fulfill their needs by obtaining some health information in order to improve their health status. This study purpose is to find out the description of health literacy on people living with HIV / AIDS. This research used quantitative descriptive design and purposive sampling to take 60 respondents. The instrument used on this research are Health Literacy Study-Asia (HLS-Asia) questionnaire that is adapted from the Literacy Study-European (HLS-EU), wich developed by Kristine Sorensen. It consist of 40 questions and its validity has been tested with the results of alpha cronbach 0.982 to measure health literacy that conducted  on June 2018 at the Dahlia Polyclinic of TNI-AD, Tk. IV Garut. Results this research Respondents who have lower literacy (56.7%) more than respondents who had high literacy (43.3%). The four components of low health literacy in Dahlia Polyclinic are the respondents’ difficulty to assess the information (63.3%) and to apply health information (61.7%). Hence, the health workers need to give ODHA simple health  information clearly and provide facility for fulfilling their health treatment needs.
MANAJEMEN DIRIUNTUK MENGATASI FATIGUE PADA PASIEN HEMODIALISIS: KAJIAN LITERATUR SISTEMATIS Malisa, Novi; Ibrahim, Kusman
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 16, No 1 (2016): Agustus 2016
Publisher : STIKes BTH Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.971 KB) | DOI: 10.36465/jkbth.v16i1.172

Abstract

Fatigue merupakan gejala yang paling sering dikeluhkan oleh pasien Gagal Ginjal Terminal yang menjalani terapi hemodialisis yaitu sebanyak 60-97% dari total pasien yang menjalani hemodialisis, menyebabkan konsentrasi menurun, malaise, gangguan tidur, gangguan emosional, dan penurunan kemampuan pasien dalam melakukan aktivitas sehari harinya yang dapat menurunkan kualitas hidup pasien hemodialisis.Kajian literatur diperlukan untuk mengetahui intervensi berbasis fakta untuk mengatasi fatigue. Artikel ini bertujuan untuk mengetahui strategi intervensi manajemen diri pasien hemodialisis dalam mengelola fatigue. Metode yang digunakan dalam membuat artikel ini adalah cirtical review. Proquest(tahun 2005-2015)dan Google Scoolar(tahun 2005-2015) merupakan database yang digunakan dalam review ini.Key word yang digunakan adalah fatigue, nursing intervention, end stage renal deseases, chronic kidney deseases, hemodialysis, self management, intervensi keperawatan, penyakit ginjal, gagal ginjal kronis, hemodialisis dan manajemen diri.Didapatkan 6 artikel penelitian yang sesuai dengan tujuan dan kriteria review. Ada3strategi untuk mengatasi fatigue, yaitu latihan fisik, penggunaan sinar infra merah dan relaksasi: yoga. Penerapan intervensi ini terbukti menurunkan fatigue. Dari 6 penelitian,pelaksanaan intervensi yang memungkinkan sebagai self management pasien adalah intervensi latihan fisik saja. Akan tetapi pelaksanaan latihan fisik ini perlu pendampingan dari ahli untuk memantau tanda-tanda vital dan kondisi pasien secara keseluruhan setelah latihan fisik, oleh karena itu disarankan perlunya penelitian mengenai empowering interventionyang benar benar melibatkan pasien secara langsung dan pelaksanaannya dapat dilaksanakan secara mandiri oleh pasien sehingga pasien dapat mengelola kondisi yang dialaminya setiap saat sehingga dapat menurunkan tingkat ketergantungan pasien yang berdampak pada peningkatan kualitas hidup pasien.
The Difference of Perceived HIV Stigma between People Living with HIV Infection and Their Families Ibrahim, Kusman; Kombong, Rita; Sriati, Aat
Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (699.393 KB) | DOI: 10.14710/nmjn.v9i2.24256

Abstract

Background: The stigma of HIV and AIDS become a significant barrier to prevention, treatment, and care for HIV infected people. Disclosure of HIV status to the family can help People Living with HIV infection (PLWH) to obtain support and comfort from their family. However, the difference of perceived HIV stigma held by patients and families has become problematic and lead to inadequate responses of PLWH and their families.Purpose: This study aimed to examine the difference in perceived HIV stigma between PLWH and their families.Methods: This was a cross-sectional study involving 60 respondents that consisted of 30 PLWH and 30 family members. They were recruited purposively in an HIV clinic of a residencial hospital in West Java Province, Indonesia. The perceived HIV stigma was measured by the Berger’s HIV stigma scale (BHSS), and the Liu’s Courtesy Stigma Scale (LCSS) was used to measure the perceived HIV stigma at the family level. Data were analyzed using descriptive and inferential analysis (independent t-test) to test the difference in perceived HIV stigma between PLWH and their families.Results: The study found that most PLWH and their families perceived HIV stigma at a moderate level (70% vs. 63.4%, respectively). There was a significant difference in perceived HIV stigma between PLWH and their families (t=3.4; p=0.001). The PLWH perceived HIV stigma was higher than their family members (M=41, SD=13.9 vs. M=28.5, SD=14.0).Conclusion: This study highlighted that PLWH and their family have different perceptions regarding HIV stigma, which can lead to different responses. Therefore, nurses and other health care providers need to be aware and take a comprehensive assessment-related perceived HIV stigma in order to provide a high quality of nursing care, mainly dealing with HIV stigma for both PLWH and their family members.
Effects of Spiritual Counseling on Spiritual Health-Quality of Life in Patients with HIV/AIDS Hasanah, Ulung; Ibrahim, Kusman; Sriati, Aat
Nurse Media Journal of Nursing Vol 9, No 1 (2019): (JUNE 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (703.663 KB) | DOI: 10.14710/nmjn.v9i1.22983

Abstract

Background: HIV/AIDS is a chronic and progressive disease that has complex health problems which affect the quality of life. Patients with HIV/AIDS need spiritual support to increase their spiritual health. A more effective therapeutic approach using spiritual counseling is seen as effective for improving health in chronic conditions.Purpose: This study aimed to examine the effects of spiritual counseling on the quality of life-spiritual health in patients with HIV/AIDS.Methods: This study employed a pre-posttest quasi-experimental design with a control group. The samples were 30 patients each in the experimental group and the control group recruited using purposive sampling. The experimental group received three sessions of spiritual counseling intervention. Data of the quality of life-spiritual health were collected using the WHOQOL-SRPB BREF and analyzed using t-test with significance <0.05.  Results: Results indicated significant differences in the spiritual health-quality of life between the control and experimental groups. The result of paired t-test before and after the intervention in the experimental group showed a p-value of <0.05, whereas in the control group, the p-value was >0.05. After the intervention, the p-value in the experimental and control groups was <0.05, indicating significant differences between the two groups.Conclusion: This study concluded that spiritual counseling interventions had an effect on increasing the quality of life-spiritual health in patients with HIV/AIDS. Thus, it is necessary for the hospital to consider the results of this study as one of the interventions in providing nursing care to HIV/AIDS patients.
PREDIKTOR STRES KELUARGA AKIBAT ANGGOTA KELUARGANYA DIRAWAT DI GENERAL INTENSIVE CARE UNIT Farhan, Zahara; Ibrahim, Kusman; Sriati, Aat
Majalah Kedokteran Bandung Vol 46, No 3 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (661.235 KB)

Abstract

Terdapat anggota keluarga yang dirawat di ruang perawatan intensif merupakan situasi yang dapat memicu stres pada keluarga. Faktor yang dapat memicu stres pada keluarga meliputi, perubahan lingkungan, aturan ruangan perawatan, perubahan status emosi keluarga, perubahan peran keluarga, perubahan kehidupan sehari-hari, perubahan finansial, serta sikap petugas kesehatan dalam pemberian informasi tentang kondisi kesehatan pasien. Penelitian ini menggunakan rancangan potong lintang. Subjek penelitian sebanyak 60 orang yang mewakili keluarga saat anggota keluarganya sedang dirawat di General Intensive Care Unit (GICU) Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung periode Maret?Mei 2012. Teknik sampling yang digunakan pada penelitian ini yaitu purposive sampling. Instrumen untuk mengukur prediktor stres disusun berdasarkan kajian teori dan modifikasi instrumen baku family inventory live events, sedangkan instrumen untuk mengukur stres keluarga menggunakan Depression Anxiety Stress Scale 42. Data dianalisis menggunakan uji chi-kuadrat dan analisis regresi logistik. Hasil penelitian menunjukkan faktor perubahan lingkungan, aturan di ruang perawatan, perubahan status emosi, dan perubahan kehidupan sehari-hari memiliki hubungan yang bermakna dengan terjadinya stres (nilai p berturut-turut sebesar 0,01, 0,04, dan 0,03). Simpulan, tidak ada satu pun prediktor yang paling dominan di antara enam prediktor stres keluarga yang dapat memprediksi terjadinya stres. Diharapkan perawat mampu mendeteksi dini masalah psikologis keluarga di ruang intensif dan lebih mengoptimalkan tindakan supportive-educative dalam bentuk pemberian konseling kepada keluarga.Kata kunci: Keluarga, prediktor, stresPredictors of Stress in the Family whose Family Member was Treated in General Intensive Care Unit Hospitalization of family member in intensive care can be a trigger of stress in the family. Several factors which could create a stressful situation in a family are changes of environment, rules in the ward, changes of family emotional status, changes of family member roles, changes of daily activities, changes in financial situation and health care workers' attitude when giving information on patient?s health status. This study was a cross-sectional study. The number of subjects included in this study were 60 representing families whose member was hospitalized in the General Intensive Care Unit (GICU) of Dr. Hasan Sadikin General Hospital (RSHS) Bandung during the period of March to May 2012. The sampling technique used was purposive sampling. The instrument used to measure the stress predictors was developed based on theoretical review and modification of family inventory live events standard instrument. Meanwhile, the instrument used for measuring the family stress was the Depression Anxiety Stress Scale 42. Data were analyzed using chi-square test and logistic regression. The results of this study showed environmental changes, rules in the ward, emotional status changes and daily activity changes significantly corelated with stress (p value 0.01, 0.04 and 0.03, respectively). In conclusion, none of the 6 family predictors dominantly predicts stress. Nurses are expected to do early detection on psychological family problems in intensive care unit and optimize supportive-educative treatment in the form of counseling for family members.Key words: Family, predictors, stress DOI: 10.15395/mkb.v46n3.316
Prediktor Adekuasi Dialisis pada Pasien Haemodialisis di Rumah Sakit PKU Muhammadiyah Yogyakarta Chayati, Nur; Ibrahim, Kusman; komariah, Maria
Majalah Kedokteran Bandung Vol 47, No 1 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (593.232 KB)

Abstract

Keadaan umum lemah, badan kurus, tekanan darah tinggi, anemia, gatal di kulit, warna kulit menjadi lebih gelap, mual adalah tanda tidak adekuatnya hemodialisis secara klinis. Berdasarkan telaah literatur didapatkan sembilan faktor yang berpengaruh langsung terhadap adekuasi dialisis yaitu body mass index (BMI), jenis akses vaskular, lama hemodialisis, frekuensi hemodialisis, kecepatan aliran darah, ultrafiltrasi rata-rata, luas permukaan dializer, jenis heparinisasi, dan hematokrit. Penelitian bertujuan untuk mengetahui prediktor dominan terhadap adekuasi dialisis pada pasien hemodialisis di Rumah Sakit PKU Muhammadiyah Yogyakarta berlangsung dari bulan Mei–Juni 2013. Studi potong lintang dilakukan pada 90 responden secara purposive sampling. Adekuasi dialisis dihitung dengan rumus Kt/V. Semua data diambil pada sesi kedua hemodialisis. Data dianalisis menggunakan uji regresi linier ganda. Diperoleh adekuasi dialisis rata-rata 1,36±0,377. Terdapat hubungan yang bermakna adekuasi dialisis dengan BMI dan jenis heparinisasi. Tidak terdapat hubungan yang bermakna jenis akses vaskular, kecepatan aliran darah, ultrafiltrasi rata-rata, hematokrit, lama hemodialisis, frekuensi hemodialisis, dan luas permukaan dializer dengan adekuasi dialisis. Simpulan, faktor dominan yang memengaruhi adekuasi dialisis pada pasien hemodialisis adalah BMI dan jenis heparinisasi. [MKB. 2015;47(1):29–34]Kata kunci: Adekuasi, body mass index, hemodialisis, prediktorPredictor of Dialysis Adequacy in Hemodialysis Patients in PKU Muhammadiyah Hospital YogyakartaWeakness, thin appearance, , high blood pressure, anemia, itches, darkened skin color and nausea are the clinical signs of inadequate hemodialysis. Based on literature reviews, there are 9 factors that directly influence the adequacy of hemodialysis; body mass index (BMI), vascular access, length and frequency of hemodialysis, blood flow rate, ultrafiltration rate, dialyzer surface area, heparinization, and hematocrit. This study aimed to study the dominant predictor of dialysis adequacy in hemodialysis patients in PKU Muhammadiyah Hospital Yogyakarta. Cross sectional study was done involving 90 respondents through purposive sampling method. The hemodialysis adequacy was assessed using the Kt/V formula. All data were collected during the second session of hemodialysis. Data were examined using double linier regression. The ,ean dialysis adequacy was 1.36±0.377. The statistic test result revealed a significant correlation between dialysis adequacy and BMI and the type of heparinization. There was no significant correlation with the type of vascular access, blood flow rate, ultrafiltration rate, hematocrit, length and frequency of hemodialysis, and dialyzer surface area with dialysis adequacy. In conclusion, the dominant factors influencing dialysis adequacy on hemodialysis patients are  BMI and type of heparinization. [MKB. 2015;47(1):29–34]Key words: Adequacy, body mass index, hemodialysis, predictors DOI: 10.15395/mkb.v47n1.410   
Effects of Compression Stockings on the Risk of Obstructive Sleep Apnea (OSA) in Hemodialysis Patients Astilia, Astilia; Bandiara, Ria; Kosasih, Cecep Eli; Ibrahim, Kusman
Nurse Media Journal of Nursing Vol 10, No 2 (2020): (August 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v10i2.24527

Abstract

Background: Obstruction Sleep Apnea (OSA) in hemodialysis patients is a sleep disorder that involves stopping or decreasing air flow to breathe during sleep due to excess fluid in the leg. Compression Stockings (CS) with 30-40 mmHg are high pressure elastic stockings that are assumed to reduce foot fluid accumulation during the day and to prevent overnight fluid shifting to the neck.Purpose: This study aimed to determine the effects of 30-40 mmHg CS on the risk of OSA in hemodialysis patients.Method: This research used a quasi-experimental pre-posttest with control group design. A purposive sampling was applied to recruit as many as 68 hemodialysis patients. The risk score of OSA was measured using STOP Bang questionnaire. High pressure CS were given for one week to the intervention group with two OSA measurements on the 4th and 7th days. The data then were analyzed using the Post Hoc Wilcoxon test and the Mann Whitney test.Results: There was a significant difference between the risk score for OSA before and after the use of 30-40 mmHg Compression Stocking in the intervention group on day 4 (p=0.000) and day 7 (p=0.000) compared to the control group.Conclusion:  High pressure CS decreased the risk of OSA in hemodialysis patients by avoiding fluid retention in the legs, thus preventing fluid shifting to the neck. CS should be recommended as an alternative to prevent the risk of OSA in hemodialysis patients.
PENGALAMAN DAN MANAJEMEN NYERI PASIEN PASCA OPERASI DI RUANG KEMUNING V RSUP Dr. HASAN SADIKIN BANDUNG : STUDI KASUS HIDAYATULLOH, ANA IKHSAN; limbong, Earlyana Octavia; ibrahim, kusman ibrahim
Jurnal Ilmu Keperawatan dan Kebidanan Vol 11, No 2 (2020): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : STIKES Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v11i2.795

Abstract

ABSTRAKNyeri adalah gejala subjektif; hanya klien yang dapat mendeskripsikannya.  Salah satu penyebab nyeri adalah tindakan pembedahan atau operasi. Jika nyeri tidak dikendalikan, hal tersebut memperpanjang proses penyembuhan dengan menyebabkan komplikasi pernapasan, ekskresi, peredaran darah, dan sistemik lainnya. Sebagai akibatnya, beberapa pasien meninggal, kualitas hidup dan pasien kepuasan menurun, lamanya tinggal di rumah sakit meningkat, dan biaya perawatan meningkat. Tujuan penelitian ini adalah untuk menggambarkan pengalaman nyeri, menganalisis manajemen nyeri dan mengevaluasi efektivitas manajement nyeri pasca operasi. Metode penelitian: studi fenomena dengan studi kasus menelaah pengalaman nyeri dan pengelolaan nyeri paska operasi pada 4 pasien di ruang rawat inap Kemuning V RSUP Dr. Hasan Sadikin Bandung. Hasil penelitian dari pengalaman nyeri pasca operasi bervariasi dan dipengaruhi oleh beberapa faktor yaitu usia, jenis kelamin, jenis pembedahan dan budaya. Pengkajian skala nyeri juga tidak bisa hanya melibatkan satu skala tapi dapat dilihat dari karakteristik pasien, contohnya pasien diatas 65 tahun lebih efektif menggunakan Verbal Rating Scale (VRS). Pemberian analgesik masih kurang efektif karena pasien belum bebas nyeri. Tehnik non farmakologi relaksasi efektif mengurangi nyeri pasca bedah abdomen. Kesimpulan: Format pengkajian berisikan elemen COLDSPA dapat digunakan dalam mengkaji nyeri secara komprehensif. Bagi pasien lansia, skala VRS lebih mudah dimengerti. Pemberian obat analgesic opioid adalah pada skala nyeri sedang-berat, perlu dipertimbangkan mengenai pemberian obat secara prn (pro re nata), dimana perawat dan pasien terlibat dalam pengambilan keputusan untuk mengelola perawatan nyeri akut dan pasien merasa dilibatkan dan memiliki kendali atas nyeri yang dirasakan. Metoda non-farmakologi lain, selain relaksasi dapat dikombinasikan untuk mengurangi nyeri pasca operasi.
Co-Authors Aan Nur&#039;aini Aan Nuraeni Aan Nur’aeni Aan Nur’aini Aat Sriati Aat Sriati Abdul Rahman Alfian Alfian Amelia, Iftikar Salma Amelia, Vira Amirah, Shakira ANA IKHSAN HIDAYATULLOH Andri Nugraha, Andri Anita Setyawati Arlette Suzy Puspa Pertiwi Asadul Islam Astilia, Astilia Ayu Prawesti Priambodo Baiq Emi Nurmalisa Budiawan, Heri Cabanes, Ria C Cahyo Nugroho, Cahyo Cecep Eli Kosasih Christina Listha Citra Windani Mambang Sari Derison Marsinova Bakara Desy Indra Yani Dian Adiningsih Didi Kurniawan Dyah Setyorini Dyah Setyorini Earlyana Octavia limbong Ermiati Ermiati Etika Emaliyawati Etika Emliyawati Eva Nurlaela Faizal Idrus Fauziyyah, Raden Nabilah Putri Fera Imelia Agustin Gina Nurdina Habsyah Saparidah Agustina Hadi Nasbey Hana Rizmadewi Agustina Harmita, Devi Hartiah Haroen Harun, Hasniatisari Harun, Hasniatisari Harun, Hasniatisari Harwadi, Hendra Hasanah, Ulung Hayaty, Helmi Helmi Hayaty Hendra Harwadi Herliani, Yusshy Kurnia HIDAYATULLOH, ANA IKHSAN Ida Maryati Ida Rosidawati Ida Widaningsih Ihda Al Adawiyah Mz Ikeu Nurhidayah Ikeu Nurhidayah Ikeu Nurhidayah Imas Rafiyah Indriono Hadi Inriyana, Ria Iqbal Pramukti Ita Vusfita Iyus Yosep Jabareen, Raifa Jain, Oktavia Nur Azizah Jayalangkara Tanra Kesumawati, Rianti Kombong, Rita La Rangki La Rangki La Rangki Laili Rahayuwati Lia Meilianingsih Lilin Rosyanti Lilis Lismayanti Lilis Lismayanti Lilis Mamuroh limbong, Earlyana Octavia Lin, Chung-Ying Luthfi, Wazirul Made Yos Kresnayana Mamat Lukman, Mamat Maria komariah Maria komariah Maulana, Sidik Maziyya, Nur Meilita Enggune Meita Dhamayanti Mochammad Hatta Mustari Aji, Nandang Nia Kurniasih Nita Arisanti Novi Malisa, Novi Nur Chayati Nur Maziyya Nursiswati Nursiswati Oktavia Nur Azizah Jain Olivia, Claudia Pramukti, S.Kp., MsC, Iqbal Purwo Suwignyo Raden Nabilah Putri Fauziyyah Raden Nabilah Putri Fauziyyah Raden Nabilah Putri Fauziyyah Rahmah, Tira Nur Rahmi Muthia Raini Diah Susanti Ramadani, Regina Cahya Restuning Widiasih Ria Bandiara Ria Inriyana Riri Amalina Riri Amalina Ristina Mirwanti, Ristina Rudi Kurniawan Rudi Wisaksana Rudi Wisaksana Sandra Pebrianti Saritessa, Nining Septian Andriyani, Septian Setiyawan Setiyawan siti romadoni Siti Ulfah Rifa’atul Fitri Slamet Riyanto Sri Elis Rohaeti Sri Hartati Pratiwi Sri Hendrawati Sri Hendrawati Sri Hendrawati SRI WULANDARI Stevani Basry Suryani Suryani Titin Mulyati Titin Sutini, Titin Titis Kurniawan Titis Kurniawan Titis Kurniawan Titis Kurniawan Titis Kurniawan Tuti Anggriani Utama Tuti Pahria Upit Pitriani Urip Rahayu Urip Rahayu Urip Rahayu, Urip Veny Hadju Waluya, Ady Waluya, Jajang Ganjar Widaningsih, Ida Windiramadhan, Alvian Pristy Witdiawati Witdiawati Witdiawati Witdiawati, Witdiawati Witdiawati, Witidiawati Yanny Trisyani Yeni Yeni Yulianti Yovita Hartantri Yusshy Kurnia H Yusshy Kurnia Herliani Yusshy Kurnia Herliani Zahara Farhan