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"Fraktur merupakan masalah sistem muskuloskeletal yang paling sering terjadi. Penanganan fraktur yang tidak tepat dapat mengakibatkan osteomielitis. Osteomielitis tibia merupakan osteomielitis terbanyak kedua setelah femur. Perawat berperan sebagai pemberi asuhan keperawatan, peneliti dan innovator. Peran sebagai pemberi asuhan keperawatan dilakukan dengan pendekatan self care deficit theory pada klien osteomielitis. Masalah yang paling sering terjadi pada klien dengan gangguan sistem muskuloskeletal adalah konstipasi, peran sebagai peneliti dilakukan dengan praktik berbasis bukti (evidence based nursing) yaitu bowel management untuk mencegah konstipasi pada klien pasca Total Hip Replacement (THR) dan Total Knee Replacement (TKR). Inovasi pada tempat praktik dilakukan dengan menyediakan panduan komunikasi dengan metode SBAR pada kasus dengan gangguan sistem muskuloskeletal untuk mendukung komunikasi efektif inter-intra disiplin saat handover maupun komunikasi melalui telepon.

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Fractures are musculoskeletal system problems that most frequently occur. Fracture improper handling can lead to osteomyelitis. Tibial osteomyelitis is the second largest after the femoral osteomyelitis. Nurses act as care providers, researchers and innovators. Nurse as care provider use Orem's self-care deficit theory approach for client with osteomyelitis. Nurse as researcher found that the most often problem that occurs in clients with musculoskeletal system dysorder attempt Total Hip Replacement (THR) and Total Knee Replacement (TKR) is constipation that need to be performed bowel management as evidence based nursing. Nurse as innovator provides guidance communication using SBAR method in cases musculoskeletal system dysorder to support effective communication inter-intra discipline when handover or communication by telephone."

"Pada lansia terjadi perubahan semua sistem tubuh, diantaranya adalah sistem muskuloskeletal yang melibatkan otot, tulang, dan sendi yang sangatmempengaruhi mobilitas pada lansia itu sendiri. Dengan adanya proses penuaanmaka mobilitas pada lansia mengalami hambatan. Latihan rentang gerak (ROM)merupakan salah satu latihan yang dapat dilakukan untuk mengatasi hambatanmobilitas fisik pada lansia. Tujuan penulisan ini untuk memberikan gambaran analisis praktik klinik keperawatan kesehatan masyarakat perkotaan denganmasalah hambatan mobilitas fisik pada lansia di Sasana Tresna Werdha Karya Bhakti Cibubur. Pihak pemberi layanan kesehatan lansia harus terus meningkatkan pelayanan berupa latihan rentang gerak secara teratur dan bertahapdisertai dengan evaluasi yang berkelanjutan.

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On elderly occuring changes all body systems, including the musculosceletal syetem, that involves the muscles, bones, and joints are deeply influence themobility in the elderly. As the aging process and the mobility of the elderlyexperience barriers. Range of motion (ROM) is one of the exercises that can bedone to overcomed the obstacles of physical mobility in the elderly. The purposeof this writing is to provide and analysis of the practice of urban communityhealth nursing clinics with physical mobility impairment on the elderly in SasanaTresna Werdha Kaya Bhakti Cibubur. The elderly health care givers should becontinue to improve with range of motion exercises regularly and graduallyaccompanied by continous evaluation."

"Sebuah postur kerja dan area kerja yang ergonomis akan mempengaruhi keselamatan, kesehatan dan produktivitas pada saat bekerja. Pekerjaan dalam budidaya udang terutama pada saat pengecekan anco oleh para pekerja/feeder berkaitan dengan postur kerja yang dilakukan secara berulang dan monoton. Tentunya kondisi tersebut mengakibatkan feeder pada tambak udang berada pada postur kerja yang tidak alamiah dan bersifat statis sehingga beresiko menimbulkan gangguan muskuloskeletal. Penelitian ini mencoba mempelajari rangkaian kerja dan aspek ergonomi yang mempengaruhi postur area kerja yang ergonomis dalam aktivitas pengecekan anco menggunakan metode simulasi pada virtual environrnment. Penyesuaian dilakukan dengan mendesain kursi dan gawangan yang ergonomis. Penilaian postur kerja dilakukan dengan mengevaluasi Posture Evaluation Index (PEI) yang terdiri dari penilaian LBA, OWAS dan RULA dari pada task analysis toolkit software Tecnomatix Jack 8.2.

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An ergonomic work posture and work area will affect safety, health and productivity at work. Work in shrimp farming, especially when checking anco by workers/feeders, is related to repetitive and monotonous work postures. Of course, these conditions cause the feeder in shrimp ponds to be in an unnatural and static working posture so that it is at risk of causing musculoskeletal disorders. This research tries to study the work series and ergonomic aspects that affect the ergonomic work area posture in anco checking activities using a simulation method in a virtual environment. Adjustments are made by designing ergonomic chairs and seats. Assessment of work posture is carried out by evaluating the Posture Evaluation Index (PEI), which consists of LBA, OWAS and RULA assessments from the Tecnomatix Jack 8.2 software task analysis toolkit."

"Komputer merupakan alat kerja yang sudah tidak asing lagi bagi pekerja kantor. Aktivitas ini dapat meningkatkan risiko terjadinya ketidaknyamanan pada tubuh, hingga dapat menyebabkan keluhan nyeri muskuloskeletal. Penelitian ini bertujuan untuk menganalisis hubungan antara faktor individu (postur, usia, jenis kelamin, dan indeks massa tubuh) dan lingkungan kerja (suhu, pencahayaan, dan stasiun kerja) terhadap keluhan gangguan otot rangka akibat kerja (GOTRAK) di PT. X. Penelitian ini juga menilai ergonomi stasiun kerja pada PT. X berdasarkan PERMENKES no. 48 tahun 2016 tentang Standar K3 Perkantoran. Desain penelitian ini adalah potong lintang kepada 42 pekerja dan observasi langsung. Hasil yang didapatkan adalah 61,9% pekerja mengalami nyeri pada tubuh selama 1 bulan terakhir. Berdasarkan pengisian Nordic Body Map, keluhan terbanyak berada pada titik 5 (punggung) sebanyak 57,7%, titik 7 (pinggang) sebanyak 53,8%, dan titik 0 (leher atas) sebanyak 46,2%. Pada hasil analisis penelitian ini didapatkan bahwa pada faktor individu, hanya faktor indeks massa tubuh yang memiliki korelasi (rho = 0,330 = berpengaruh positif yang sedang) dan signifikan (p-value = 0,033) terhadap keluhan nyeri. Sedangkan pada faktor lingkungan kerja, hanya faktor pencahayaan yang memiliki korelasi (rho = -0,323 = berpengaruh negatif yang sedang) dan signifikan (p-value = 0,037) terhadap keluhan nyeri. Stasiun kerja pada PT. X membutuhkan beberapa perbaikan karena dapat menjadi salah satu penyebab terjadinya keluhan GOTRAK pada pekerja.

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Computers are work tools that are familiar to office workers. This activity can increase the risk of discomfort to body and become musculoskeletal pain. This study aims to analyse the relationship of individual factors (posture, age, sex, and body mass index) and work environment (temperature and lighting) on occurrence of work-related musculoskeletal disorders at PT. X. This paper is also assessing the ergonomics of work station at PT. X based on PERMENKES no. 48 of 2016 concerning Office K3 Standards. The design of this study was cross-sectional with 42 workers and direct observation. 61.9% of workers experienced pain in the body during the last 1 month. The results of Nordic Body Map questionnaire show the most pain occurrence are at point 5 (back) as much as 57,7%, point 7 (waist) as much as 53,8%, and point 0 (upper neck) as much as 46,2%. Through quantitative analysis, it is known that on the individual factors, only the body mass index factor has a correlation (rho = 0,330 = moderate positive correlation) and significant (p-value = 0,033) on pain occurrence. Meanwhile, on the work environment factor, only the lighting factor has correlation (rho = -0.323 = moderate negative correlation) and significant (p-value = 0.037) on pain occurrence. Work station at PT. X needs some improvements because an unergonomic work station can be one of the contributors of work-related musculoskeletal disorders occurrence complaints among workers."

"Kecelakaan akibat kendaraan bermotor meningkat seiring dengan meningkatnya jumlah kendaraan bermotor di wilayah perkotaan. Fraktur ektremitas bawah sering menjadi akibat dari berbagai jenis kecelakaan bermotor. Karya tulis ilmiah penganalisis asuhan keperawatan kepada pasien dengan fraktur tibia. Klien dengan fraktur tibia mengalami 3 masalah keperawatan utama yaitu: nyeri, hambatan mobilitas fisik, dan cemas. Intervensi diberikan antara lain manajemen nyeri, latihan rentang pergerakan sendi (RPS) dan pendidikan kesehatan. Setelah dilakukan intervensi, klien dapat mengontrol nyeri yang dirasakan, mengalami peningkatan Luas Gerak Sendi (LGS) dari 27o menjadi 35o dan cemas berkurang. Dari hasil ini karya tulis ini, penulis menyarankan pada instansi rumah sakit untuk melakukan asuhan keperawatan yang mencegah terjadinya komplikasi pada fraktur.

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Accidents because of motor vehicle increases with the increasing number of motor vehicles in urban areas. Lower extremity fractures are often the result of different types of motor accidents. This scientific papers analyze nursing care to patients with fractures of the tibia. Clients with tibia fractures had 3 major nursing diagnoses are: pain, impaired physica mobility, and anxiety. Interventions provided include pain management, joint range of motion exercises (ROM) and health education. After the intervention, the client can control the pain, increase joint motion area from 27o to 35o and reduced anxiety. From these results of this paper, the authors recommend the hospital authorities to conduct nursing care to prevent the occurrence of complications in fractures."

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