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Kejadian Komplikasi Vaskuler Pasien Pasca Intervensi Koroner Perkutan di RSUP Dr. Hasan Sadikin Bandung Khoiriyati, Azizah; Ropi, Helwiyah; Kosasih, Cecep E
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 13, No 3 (2013)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v13i3.2485

Pasien pasca intervensi koroner perkutan (IKP) mempunyai risiko komplikasi vaskuler. Perawat di unit keperawatan kritis mempunyai peran penting dalam deteksi dini komplikasi vaskuler dengan melakukan pemantauan secara ketat pada pasien menggunakan lembar monitor. Penelitian ini bertujuan untuk mengetahui kejadian komplikasi vaskuler pasien pasca intervensi koroner perkutan. Penelitian ini bersifat deskriptifÂ denganÂ jumlah sampel 46 pasien pasca-IKP yang dirawat di ruang Cardiac Intensive Care Unit (CICU) RSUP Dr. Hasan Sadikin Bandung. Pemantauan dilakukan selama 6 jam periode tirah baring pasca-IKP pada semua pasien. Hasil pemantauan menunjukkan adanya komplikasi vaskuler yang meliputi komplikasi pada tempat pungsi dan vaskuler perifer. Komplikasi pada tempat pungsi meliputi sedikit perdarahan 45.7%, memar kecil 28.3% dan hematoma 1 cm 17.4%. Komplikasi vaskuler perifer meliputi akral dingin 21.73%, pucat pada ekstremitas 6.5%, kesemutan 8.7%, nadi distal lemah 10.9% dan CRT 2 detik 8.7%. Komplikasi yang terjadi pada pasien pascaintervensi koroner perkutan selama periode 6 jam yaitu komplikasi pada tempat pungsi (sedikit perdarahan, memar kecil dan hematom 1 cm, sedangkan komplikasi vaskuler perifer yang muncul yaituÂ akral dingin,pucat pada ekstremitas, kesemutan, nadi distal lemah dan CRT 2 detik. Pemantauan pasien pada tempat pungsi dan komplikasi vaskuler perifer sebagai langkah deteksi dini komplikasi vaskuler pasien pasca intervensi koroner perkutan perlu dilakukan.Â Post percutaneous coronary intervention (PCI) patients are at risk for vascular complications. Nurses in critical care nursing unit have a vital role such as closely monitor post PCI patients for early detection of vascular complications. The purpose of the study was to knowÂ the incidence of vascular complications of post PCI patients. This was a descriptive study with sample size of 46 post PCI who were treated in the Cardiac Intensive Care Unit (CICU) RSUP Dr. Hasan Sadikin Bandung. Each patient was monitored over a period of bed rest (6 hours) after PCI procedure. The incidence of vascular complications including complication at the puncture site and peripheral vascular complications. Complication at the puncture site including little bleeding 45,7%, small bruise 28,3% and hematoma 1 cm 17,4%. Peripheral vascular complication including cold in lower extremities 21,7%, pale in extremities 6,5%, tingling 8,7%, weak distal heart rate 10,9%, Capilarry Reffil Time 2 secondÂ 8,7%. Complications that occur in patients with post percutaneous coronary intervention over a period of 6 hours are complications at the puncture site including little bleeding,Â small bruise, and hematoma. Peripheral vascular complication including cold in lower extremities, pale in extremities,tingling, weak distal heart rate, capilarry reffil time 2 detik. The monitoring of puncture site and peripheral vascular complications as an early detection effort to minimize the incidence of vascular complications of post PCI patients.

GAMBARAN EFIKASI DIRI DAN PEAK EXPIRATORY FLOW RATE PASIEN PENYAKIT PARU OBSTRUKSI KRONIS (PPOK) Suprayitno, Emdat; Khoiriyati, Azizah; Hidayati, Titiek
Media Ilmu Kesehatan Vol 6 No 1: MIK April 2017
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v6i1.204

Background: Chronic Obstructive Pulmonary Disease (COPD) has become a huge public health problem in the world. In Asy-Syaafi Hospital, COPD is the most commonly found disease after bcronchitis among the patients in out patient unit of lung desease. Self efficacy showed patients’ confidence in independently managing chronic desease Wheter they want or not to start the treatment is determined by their self efficacy. Peak expiratory flow rate showed the condition and problems of lung function and the narrowing or blockage of the airway. Objective: To identify the conditions and problems of self efficacy and Peak expiratory flow rate in COPD patients in Asy-Syaafi Hospital Pamekasan, East Java. Method: This research was descriptive study used non analytic cross sectional design, with total sampling, involving 30 respondents. Data were collected with a questionnaire of the COPD self efficacy (CSES) and peak flow meter. Results: Self  efficacy was in low category with score less than 99 (86.7%) and Peak expiratory flow rate was less than <50% of the PEF (90%). Conclusion: Most of  COPD Self efficacy in Asy-Syaafi Hospital Pamekasan were not good category and Peak expiratory flow rate contained in red zone or the occurrence of major constriction of the airways.   Keywords: COPD, Self Eficacy, Peak Expiratory Flow Rate

GAMBARAN HASIL PENGOBATAN TBC PADA LANSIADI PUSKESMAS GOMBONG I Yuda, Hendri Tamara; Rosa, Elsye Maria; Khoiriyati, Azizah
Jurnal Ilmiah Kesehatan Keperawatan Vol 11, No 1 (2015): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Life expectancy becomes higher and higher is one of successful indicators in development. Pulmonary system diseases, especially tuberculosis is the common disease that attacks elderly. Â The aim of this researchÂ is Obtaining comprehension about tuberculosis treatment result in elderly This research used retrospective study using non-experimental descriptive analysis designThe treatment results of the tuberculosis sufferer in Gombong Public Health Center is about 50% elderly had recovered from tuberculosis, 18,75% of elderly passed away, 6,25% moved to other health center and 6,25% had dropped out of drugs / default. There are 4 themes identified from the family consist of changes the elderly, the ability to carry out the health task of family, life quality, values and beliefs in caring for the elderly with tuberculosis.Â Keywords: family, caring, elderly, tuberculosis.

GAMBARAN EFIKASI DIRI DAN PEAK EXPIRATORY FLOW RATE PASIEN PENYAKIT PARU OBSTRUKSI KRONIS (PPOK) Suprayitno, Emdat; Khoiriyati, Azizah; Hidayati, Titiek
MEDIA ILMU KESEHATAN Vol 6 No 1 (2017): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: Chronic obstructive pulmonary disease (COPD) has become a huge public health problem in the world. In Asy-Syaafi Hospital, COPD is the most commonly found disease after bcronchitis among the patients in out patient unit of lung desease. Self efficacy showed patientsâ€™ confidence in independently managing chronic desease. Wheter they want or not to start the treatment is determined by their self efficacy. Peak expiratory flow rate showed condition and problems of lung function and the narrowing or blockage of the airway. Objective: Identify conditions and problems on self efficacy and Peak expiratory flow rate of COPD patients in Asy-Syaafi Hospital Pamekasan, East Java. Method: This research was descriptive study used non analytic cross sectional design, with total sampling, involving 30 respondents. Data were collected with a questionnaire of the COPD self efficacy (CSES) and peak flow meter. Data analysis was performed with a univariate analysis. Results: Self efficacy was in low category with score less than 99 (86.7%) and peak expiratory flow rate was less than <50% of the PEF (90%). Conclusion: Most of COPD self efficacy in Asy-Syaafi Hospital Pamekasan were in not good category and peak expiratory flow rate contained in red zone or the occurrence of major constriction of the airways. Keywords: COPD, Self Eficacy, Peak Expiratory Flow Rate

Perawatan Spiritual dalam Keperawatan : Sebuah Pendekatan Sistematik Khoiriyati, Azizah
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 8, No 1 (2008)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v8i1.1654

Spiritual needs, and psychosocial needs are much less tangible than physical needs because they are often abstract, complex and more difficult to measure. Spiritual care can be a natural part of total care which fits easily into the nursing process of assessment, nursing diagnosis, planning, implementation and evaluation. Placing spiritual need and spiritual care within this framework, has proved to be very helpful, for both philosophical and practical reason. In reality though, nurses are in the best position to deliver this important aspect of nursing care, particularly when caring for the patient with a life-threatening illness. Nurses learn early to become good listeners and communicators. By helping patients express their beliefs and by staying with them during the events of their illness, they are providing spiritual care. The challenge for nurses is to embrace holism and a holistic view of life and self and then convey this into caring for others.Kebutuhan spiritual dan psikososial kurang menjadi hal yang prioritas daripada kebutuhan fisik karena kebutuhan tersebut seringkah abstrak, kompleks dan lebih sulit untuk diukur: Perawatan spiritual menjadi bagian dari perawatan secara menyeluruh yang cukup mudah diterapkan dalam proses keperawatan dari mulai pengkajian, diagnosa keperawatan, perencanaan, implementasi dan evaluasi. Kebutuhan dan perawatan spiritual di dalam kerangka kerja proses keperawatan ini telah terbukti sangat membantu baik dari segi filosofis maupun praktis. Faktanya, perawat berada dalam posisi terbaik dalam memberikan asuhan keperawatan, terutama ketika merawat klien yang mempunyai penyakit yang mengancam jiwa. Perawat belajar sejak dini untuk menjadi komunikator dan pendengar yang baik. Dengan membantu klien mengekspresikan kepercayaannya dan berada di dekat klien selama proses penyakitnya maka perawat sedang memberikan perawatan spiritual. Tantangan bagi perawat adalah menerapkan pandangan secara menyeluruh pada kehidupan dan dirinya dan kemudian ide ini diterapkan dalam pemberian perawatan pada orang lain.

GAMBARAN KARAKTERISTIK PASIEN GAGAL JANTUNG USIA 45 â€“ 65 TAHUN DI RUMAH SAKIT PKU MUHAMMADIYAH GAMPING SLEMAN Harigustian, Yayang; Dewi, Arlina; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 1 (2016): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Heart failure is a disease that can caused death. About 5.1 million people in the United States had heart failure. In 2009, one in nine deaths caused by heart failure. In Indonesia, the prevalence of heart failure in 2013 was 0.13%, the estimated number of heart failure patients in Yogyakarta was 6,943 (0.25%). Based on data from 2007 indicated CHF Riskesdas the third cause of death in Indonesia after stroke and hypertension. The purpose of this study to determine the characteristics of heart failure patients in the Poly Heart Gamping Sleman PKU Muhammadiyah Hospital in September-November 2016. The study was conducted using a descriptive design. The sample was 32 respondents. Characteristics of patients with heart failure in Poly Heart PKU Muhammadiyah Hospital Gamping Sleman highest respondent's age range 61-65 years was 59.38%, the highest gender was female Â 53.12%, the last education was elementary 34.38%, the worst job many are civil servants was 31.25%, stage 2 was Â 93.75%. The conclusion of this study is that most of the respondents are at the age of 61-65 years old, the sex of the respondents is bigger than the male, the most recent primary school education, the work of most civil servants, and almost all respondents had heart failure stage 2. The results of this study are expected to be a reference to know the description characteristics of patients with heart failure so that prevention or intervention can be done to reduce the recurrence of patients with heart failure.

Earthquake Preparedness Among Nursing Students Rahayu, Rahayu; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol 3, No 2 (2019): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Background: Nursing science students are prospective nurses who have an important role in disaster management, including disaster mitigation, disaster response, and post-disaster rehabilitation.Objective: This study aimed to investigate the earthquake disaster preparedness in nursing science students of Universitas Muhammadiyah Yogyakarta.Method: This study was a non-experimental study utilizing the quantitative method and descriptive survey design.Â The population of this study was active students of Nursing Study Program at Universitas Muhammadiyah Yogyakarta with a sample of 217 respondents. The sample was obtained using a proportional convenience sampling technique. The data were obtained through an instrument in the form of a valid and reliable earthquake preparedness questionnaire. The obtained data were then analyzed by using descriptive statistical analysis.Results: The findings of this study indicated that the level of students' earthquake preparedness was still in the low category. The findings on the parameters supported it. Students' knowledge and attitude towards an earthquake risk were in the high category while the emergency response plan parameter was included in the low category. The disaster warning system parameter was in the good category. At last, the resource mobilization parameter obtained was in a low category.Conclusion: Thus, it was concluded that the level of earthquake preparedness of Nursing Science students of Universitas Muhammadiyah Yogyakarta was in a low category. These findings explained the urge for disaster preparedness for students in the Nursing Science Study Program. Accordingly, routine training in earthquake disaster management is needed to improve students' disaster preparedness.

EFEKTIFITAS KOMBINASI TERAPI MUSIK DAN SLOW DEEP BREATHING TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI T., Sebastianus K.; K., Tri Wulandari; Khoiriyati, Azizah
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 2 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Hypertension is an increasing of blood pressure that does not cause symptoms for many years until there is asigniicant organ damage and the cause of the increasing of morbidity and mortality in Indonesia. The combination of music therapy and slow deep breathing help controlling blood pressure gradually. This condition will maintain the patient to not experience complications. The purpose of this research is to determine the efects of music therapy combined with slow deep breathing to decrease blood pressure in patients with hypertension. This research is quasy-experiment with pretest- posttest control group design. Samples in this study are 56 respondents who are the patients with primary hypertension in Alak Public Health Centerwhich are divided into 28 people for treatment group and 28 people for control group by simple random sampling. The irst stage iscarrying out the measurements of blood pressure and giving intervention in the treatment group for 20 minutes, then measuring blood pressure. Meanwhile, the blood pressureof control group is measured. The second stage is 4 times monitoring visits in the group treated for 2 weeks and the post data in the control group at the end of the second week. The dataof average changes in per-post are analyzed using the Wilcoxon test and comparison of two groups using the Mann-Whitney test. The result shows the average change in blood pressure treatment group is higher than the control group. The statistic analysis of p value of systolic and diastolic blood pressure is0.05. There is a decrease in changes in systolic and diastolic blood pressure (p value = 0.000) of treatment group and the control group. It can be concluded that the combination of music therapy with slow deep breathing is efective in lowering the blood pressure of patients with primary hypertension and there is a change in blood pressure of treatment group and control group.Key words: Blood Pressure, Combination of music therapy and slow deep breathing, Hypertension

Perawatan Spiritual dalam Keperawatan : Sebuah Pendekatan Sistematik Khoiriyati, Azizah
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 8, No 1 (2008)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v8i1.1654

Spiritual needs, and psychosocial needs are much less tangible than physical needs because they are often abstract, complex and more difficult to measure. Spiritual care can be a natural part of total care which fits easily into the nursing process of assessment, nursing diagnosis, planning, implementation and evaluation. Placing spiritual need and spiritual care within this framework, has proved to be very helpful, for both philosophical and practical reason. In reality though, nurses are in the best position to deliver this important aspect of nursing care, particularly when caring for the patient with a life-threatening illness. Nurses learn early to become good listeners and communicators. By helping patients express their beliefs and by staying with them during the events of their illness, they are providing spiritual care. The challenge for nurses is to embrace holism and a holistic view of life and self and then convey this into caring for others.Kebutuhan spiritual dan psikososial kurang menjadi hal yang prioritas daripada kebutuhan fisik karena kebutuhan tersebut seringkah abstrak, kompleks dan lebih sulit untuk diukur: Perawatan spiritual menjadi bagian dari perawatan secara menyeluruh yang cukup mudah diterapkan dalam proses keperawatan dari mulai pengkajian, diagnosa keperawatan, perencanaan, implementasi dan evaluasi. Kebutuhan dan perawatan spiritual di dalam kerangka kerja proses keperawatan ini telah terbukti sangat membantu baik dari segi filosofis maupun praktis. Faktanya, perawat berada dalam posisi terbaik dalam memberikan asuhan keperawatan, terutama ketika merawat klien yang mempunyai penyakit yang mengancam jiwa. Perawat belajar sejak dini untuk menjadi komunikator dan pendengar yang baik. Dengan membantu klien mengekspresikan kepercayaannya dan berada di dekat klien selama proses penyakitnya maka perawat sedang memberikan perawatan spiritual. Tantangan bagi perawat adalah menerapkan pandangan secara menyeluruh pada kehidupan dan dirinya dan kemudian ide ini diterapkan dalam pemberian perawatan pada orang lain.

EFEK PENDIDIKAN KESEHATAN TERHADAP PERAWATAN DIRI PASIEN GAGAL JANTUNG: KAJIAN PUSTAKA Azizah Khoiriyati
Majalah Keperawatan Unpad Vol 13, No 1 (2011): Majalah Keperawatan Unpad
Publisher : Fakultas Keperawatan Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.726 KB)

ABSTRAKPenyakit gagal jantung merupakan sindrom kompleks yang berhubungan dengan peningkatan angka kematian, hospitalisasi dan rendahnya kualitas hidup. Pendidikan kesehatan merupakan komponen yang penting untuk meningkatkan outcome pada pasien gagal jantung karena perawatan diri merupakan hal yang mendasar untuk mencapai outcome yang optimal pada pasien gagal jantung. Tujuan dari penulisan ini untuk review tentang pendidikan kesehatan tentang prinsip dasar menajemen gagal jantung yang dapat meningkatkan perilaku perawatan diri pasien gagal jantung. Pencarian literatur dari beberapa publikasi artikel dan jurnal dari database elektronik MEDLINE dari tahun 2000–2011. Kata kunci yang digunakan adalah beberapa kombinasi yang terdiri atas “self care”, “health education”, “education”, heart failure”. Hasilnya adalah ada 4 kunci pendidikan manajemen perawatan diri untuk pasien gagal jantung yang terdiri atas komponen self assessment yang dilakukan setiap hari dan membuat perencanan, menghindari konsumsi garam, latihan dan dukungan pengobatan yang dilakukan oleh individu maupun kelompok. Penerapan model perawatan diri Orem sangat efektif untuk pasien dengan gagal jantung. Simpulan dari penulisan review ini adalah pendidikan kesehatan yang berkelanjutan dan follow up secara periodik dapat meningkatkan perilaku perawatan diri pada pasien gagal jantung. Saran dari penulisan ini diharapkan dapat menjadi salah satu sumber referensi baik bagi perawat maupun mahasiswa keperawatan mengenai pendidikan kesehatan tentang perawatan diri pada pasien gagal jantung. Kata Kunci: Gagal jantung, Pendidikan kesehatan, Perawatan diri ABSTRACT Heart failure is a complex syndrome associated with increased mortality, hospitalization, and poor quality of life. Health education is essential component to improve outcomes for patients with heart failure, as self care is fundamental to achieve optimal outcomes for heart failure patients. The purpose of the literature review is to know whether health education about basic principles of management of heart failure can improve self care behaviors of patients with heart failure. Literature searching was conducted of several publications and journal articles from electronic MEDLINE from 2000 – 2011. The key words used were “self care”, “ health education”, “education”, “heart failure”. There were four key self care management education for patient with heart failure comprising the components: daily self assessment, avoiding excessive salt intake, exercise, and treatment support are conducted by individual or groups. Applications of Orem’s self care model is very effective for patients with heart failure. Conclusion of this review is an ongoing health education and periodic follow up can improve self care behaviors in patients with heart failure. Suggestion of writing is expected to be one source of reference for both nurses and nursing students about health education regarding self care in heart failure patients. Keywords: Heart failure, Health education, Self care

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