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"Edukasi Suportif merupakan salah satu intervensi keperawatan dalam mendukung pasien untuk meningkatkan pengetahuan dan keterampilan mobilisasi mandiri pasca operasi. Pengalaman di lapangan masih banyak pasien tidak melakukan mobilisasi dini pasca operasi karena kurang pengetahuan tentang mobilisasi. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi eduksi suportif terstruktur terhadap kemandirian dalam mobilisasi pasien pasca operasi fiksasi ekstremitas bawah. Penelitian kuasi eksperimen dengan rancangan yang digunakan adalah pre-test and post-test with control group design (quasy experiment with controll). Intervensi dalam penelitian ini adalah pemberian edukasi suportif terstruktur terhadap pasien fraktur dengan fiksasi ekstremitas bawah pada periode pre operasi dan diobservasi tingkat kemandiriannya terhadap mobilisasi dini pada periode pasca operasi. Sampel kelompok kontrol dan kelompok intervensi 1 : 1 (kelompok kontrol 14 pasien dan kelompok intervensi 14 pasien), sehingga total sampel adalah 28 pasien. Hasil uji tpaired membuktikan ada perbedaan yang bermakna pada pengetahuan, sikap, dan keterampilan pasien terhadap mobilisasi dini pasca operasi (p=0.000). Hasil uji tpooled membuktikan adanya perbedaan bermakna pengetahuan, sikap, dan keterampilan pasien terhadap mobilisasi dini pasca operasi antara kelompok intervensi dan kelompok kontrol (p=0.000). Dapat disimpulkan bahwa edukasi suportif terstruktur yang diberikan pada pasien periode pre operasi fiksasi ekstremitas bawah sangat berpengaruh terhadap kemandirian mobilisasi dini pasca operasi. Sebagai rekomendasi hasil penelitian ini perlu dapat dilanjutkan sebagai intervensi di rumah sakit yang mungkin selama ini belum dilaksanakan secara terstruktur dan terencana.

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Supportive educative is one of the nursing interventions in supporting patients to increase knowledge and skills of self mobilization during post operation phase, however in fact it was lacking of the application in the field of nursing practice. This might be due to limited knowledge of the patient about early mobilization. This study aimed to describe the influence of a structured supportive educative intervention to self mobilization among patients with post operative on the lower limbs.

A quasy experiment design using a pre test and post test with a control group method was used in this study. The intervention applied in this study was a structured supportive educative that given to patients with fracture on the lower extremity and who used the fixation as the treatment. The level of patient self care in mobilization than was observed during the post operative period. The sample size of this study was 28 patients consisted of 14 patients in each intervention and control group.

The tpaired analysis showed that there was a statistically significant difference between knowledge, attitude, and patient skills and self care on the early mobilization group (p=0.005). Whereas the t-pooled test proved that there was a significant difference of knowledge, attitude, and patients skills in the intervention and the control group.

This study concluded that a structured supportive educative that provided to the patients during the pre operative phase had a great influence to the self care on the early mobilization during the post operative phase. It was concluded that a structured supportive education applied had an enormous impact on the self early mobilization during the post operative phase. This study clearly recommended that it is a necessity to apply the intervention more structured and well planed in the hospital."

"Masyarakat perkotaan dengan berbagai dinamika kehidupan yang kompleks, menjadi ancaman bagi kesehatan ibu hamil yang cenderung mengikuti gaya hidup modern. Gaya hidup seperti mengkonsumsi makanan cepat saji, kurang aktivitas, merokok, alkohol, dan lainnya, berisiko mengganggu kesehatan ibu dan kualitas hidup janin salah satunya gangguan neurologi. Gangguan neurologi seperti serebral palsy selain menyerang koordinasi motorik, juga dapat menyebabkan gangguan pada sfingter esofagus bawah yang memicu terjadinya gastroesofagus refluks (GER). Gastroesophageal refluks (GER) merupakan pengaliran kembali isi lambung ke dalam esofagus dan merupakan kondisi fisiologis yang terjadi hampir pada semua neonatus atau bayi. GER dapat menyebabkan terjadinya aspirasi, penurunan berat badan akibat muntah berulang. Jika tidak ditangani dengan baik, maka risiko kurang gizi bahkan kematian akibat aspirasi dapat terjadi. Salah satu intervensi keperawatan yang dilakukan pada klien adalah “upright position”. Hasil intervensi menunjukkan adanya pengurangan frekuensi muntah melalui intervensi keperawatan “upright position”.

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Urban communities with various dynamics of complex life, becoming a threat for health of pregnant women who tend to follow modern lifestyle. Lifestyle such as eating fast food, inactivity, smoking, alcohol, and other risk disturbing the health of mothers and fetuses quality life, like a neurological disorders. Neurological disorders such as cerebral palsy than attacking the motor coordination, it can also cause disturbances in the lower esophageal sphincter which triggered the gastroesophageal reflukx (GER). Gastroesophageal reflukx (GER) is the passage of gastric contents into the esophagus and is a physiological condition that occurs in virtually all neonates or infants. GER can cause aspiration, weight loss due to repeated vomiting. If not handled properly, then the risk of malnutrition and even death can occur due to aspiration. One of the nursing interventions performed on the client is “uprigth position”. Intervention results indicate a reduction in the frequency of vomiting through nuring interventions uprigth position”."

"Cedera menyebabkan 5,8 juta kematian di dunia dan 16% kasus cedera menyebabkan kecacatan. Faktor perilaku anak usia sekolah yang meliputi pengetahuan, sikap dan keterampilan terkait pencegahan cedera berpengaruh terhadap kejadian cedera. Strategi pencegahan cedera yang dilakukan adalah dengan Model Sandi (Simbol Andi) menggunakan video animasi dengan tokoh bernama Andi. Penelitian ini bertujuan untuk menganalisis penerapan Model Sandi dalam pencegahan cedera pada tatanan komunitas, khususnya di lingkungan sekolah. Desain penelitian ini adalah quasi experiment pre-post test without control group. Jumlah sampel penelitian sebanyak 136 anak usia sekolah berusia 11–12 tahun yang dipilih melalui teknik cluster sampling. Pengetahuan mengenai pencegahan dan penanganan cedera meningkat sebesar 2,18 poin dengan SD= 1,60, sikap mengenai pencegahan dan penanganan cedera meningkat sebesar 1,97 poin dengan nilai SD= 0,99 dan keterampilan mengenai pencegahan dan penanganan cedera meningkat sebesar 2,06 poin dengan nilai SD= 2,19. Hasil analisis menujukkan adanya perubahan yang bermakna pada pengetahuan, sikap dan keterampilan sebelum dan sesudah diberikan intervensi (p< 0,05). Intervensi Model Sandi diharapkan dapat dijadikan salah satu pendekatan intervensi keperawatan dalam menyelesaikan permasalahan risiko cedera pada anak usia sekolah.

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Injuries caused 5.8 million deaths worldwide and 16% of injury cases caused disability. Behavioral of school-age children that include knowledge, attitudes, and skills affect the incidence of injury in school-aged children. “Sandi” Symbolic Modelling is injury prevention using video animation for injury prevention. This study aimed to an analysis of the application of Model Sandi (Simbol Andi) in the prevention of injury to the community. The design of this study was a quasi-experiment pre and posttest without control group. A total sample 136 school-aged children at 11 and 12 years old involved in this study. The sampling method used cluster sampling technique. Results knowledge on prevention and treatment of injury increased by 2.18 points, attitude on prevention and treatment of injury increased by 1.97 points and skill on prevention and treatment of injury increased by 2.06 points. The results showed significant changes in knowledge, attitude, and skills before and after intervention (p< 0.05). Model Sandi Intervention is expected to be one of the approaches of nursing intervention in solving the problem of risk of injury in school-aged children at school."

"Tesis ini membahas metode dalam mengukur dampak proyek yang melakukan intervensi mata pencaharian terhadap pendapatan. Studi Kasus yang digunakan adalah Proyek PULIH di Kabupaten Belu dan NTT, dimana proyek ini melakukan intervensi di 28 desa selama 26 bulan. Intervensi mata pencaharian dilakukan sebagai salah satu usaha dalam mengurangi kemiskinan dan kerentanan, khususnya di kalangan pengungsi internal (IDPs) yang tidak dapat kembali ke wilayah asalnya. Studi ini merupakan gabungan studi kualitatif dengan metode wawancara dan kunjungan lapangan serta studi kuantitiatif dengan metode regresi data panel dan metode statistik dekriptif dengan metode perbandingan rata-rata. Hasil penelitian menunjukkan bahwa faktor yang mempengaruhi mata pencaharian adalah musim. Sementara itu Proyek PULIH secara kualitatif telah memberi dampak positif mata pencaharian masyarakat intervensinya, khususnya dalam menghadapi kerentanan yang diakibatkan oleh musim.

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This thesis discusses methods for measuring the impact of projects that carry out livelihood interventions on income. The case study used is the PULIH Project in Belu District and NTT, where the project intervened in 28 villages for 26 months. Livelihood interventions are carried out as one of the efforts to reduce poverty and vulnerability, especially among internally displaced persons (IDPs) who cannot return to their home areas. This study is a combination of qualitative studies with interview methods and field visits as well as quantitative studies using panel data regression methods and descriptive statistical methods with average comparison methods. The results of the study indicate that the factors that affect livelihoods are seasons. Meanwhile, the PULIH Project has qualitatively had a positive impact on the livelihoods of its intervention communities, particularly in dealing with vulnerabilities caused by seasons."

"The research was focussed on the effects of production , trade and macro economic policies on the real price, level of protection and the achievement of estate crop commodities, naeley cocoa, coffee, rubber, tea and crude palm oil (CPO), in the Indonesian domestic market. The method of analyses used includes the decomposition of relative prices of estate crop commodities and direct, indirect and total protection rates. The results show that the real prices of main estate crops in the period of 1985 - 1997 experienced, a decrease compared to that 1979 - 1985. However in the period of 1997 - 2005, the real prices of cocoa and rubber, but not for coffee , tea and CPO , showed an increase compared to the preceding periods. The indirect protection , in general indicated an increase, however, the direct protection, showed a decrease. In total , the rate protection of the estate crops resulted in positive value eventhough it seamed to decrease from time to time. Term of trade of estate crops againts the importing sugar, from 1979 to 1997 showed a decrease but they were still in positive values. The decreasing performance o of main estate crops would be more significant with respect to the capacity to import. In the future , it is suggested , it is seggested that the government of Indonesia should adjust its interventions continuosly by taking into account tha international price movements of main estate crops to give incentives t to producers and exporters. in general indicated "

"Praktek residensi keperawatan medikal bedah pada sistem muskuloskeletal bertujuan untuk mengaplikasikan peran perawat sebagai pemberi asuhan, pendidik, pengelola, peneliti dan agen pembaharu. Perawat spesialis sebagai pemberi asuhan dengan melakukan pengeloaan pasien yang menjadi kasus utama dan resume. Kasus utama diberikan pada pasien dengan multiple fraktur dengan pendekatan teori model Virginia Henderson. Perawat spesialis sebagai peneliti dengan menerapkan Evidence-Based Nursing Practice dalam melakukan tindakan keperawatan. Penerapan terapi musik menjadi salah satu pilihan tindakan keperawatan yang berbasis bukti untuk mengurangi kecemasan pada pasien rawat inap ortopedi. Sedangkan perawat spesialis sebagai agen pembaharu dilakukan dengan menerapkan program Enhanced Recovery After Surgery pada pasien dengan Total Hip Replacement. Rangkaian kegiatan yang dilakukan dalam prakteik residensi bertujuan untuk meningkatkan kualitas pelayanan asuhan keperawatan yang holistik.

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Clinical practice of Medical-Surgery Nursing residency in orthopaedic nursing aims to apply the role of nurses as patient care providers, educators, manager, researchers and reform agents. Nurse specialists as providers of care by conducting patient management which is the main case and resume. The main case was given to patients with multiple fractures with Virginia Hendersons model theory approach. Nursing specialists as researchers by applying Evidence Based Nursing Practice in caryying out nursing actions. The application of the music therapy is one of the choices of evidence based nursing actions to reduce anxiety in erthopaedic inpatients. Nurse specialists as reform agents are carried out by implementing enhanced recovery after surgery programs in patients with Total Hip Replacement. The series of activities carried our in the residency practice aims to improve the quality of holistic nursing care services."

"Spiritual Emotional Freedom Technique (SEFT) merupakan teknik penggabungan dari sistem energi tubuh dan terapi spiritualitas dengan menggunakan metode tapping pada beberapa titik tertentu pada tubuh. Selain sistem energi tubuh terdapat pula metode relaksasi dengan melibatkan faktor keyakinan pasien yang dapat mengurangi nyeri pada kanker. Teknik SEFT ini berfokus pada kata atau kalimat tertentu yang diucapkan berulang kali dengan ritme yang teratur disertai sikap pasrah kepada Tuhan sesuai dengan keyakinan pasien. Tujuan, Penelitian ini bertujuan untuk mengetahui pengaruh intervensi SEFT dalam mengurangi nyeri pada pasien kanker. Metode, Metode penelitian ini adalah quasi-eksperimental dengan pre test and post test design with control group. Pengambilan sampel dilakukan dengan consecutive sampling. Jumlah sampel 20 orang, 10 orang kelompok intervensi dan 10 orang kelompok kontrol. Kelompok intervensi diberikan kombinasi intervensi SEFT dan terapi analgesik dan kelompok kontrol hanya diberikan terapi analgesik. Intervensi SEFT dilakukan setelah pemberian analgesik dengan durasi 5-10 menit setiap hari selama lima hari. Sebelum dan sesudah intervensi pada kelompok intervensi dan kelompok kontrol dilakukan pengukuran nyeri dengan Numeric Rating Scale. Semua data yang terkumpul akan dianalisis dengan uji sample t test dengan tingkat kemaknaan a < 0,05. Hasil, Hasil penelitian menunjukkan bahwa kombinasi intervensi SEFT dan terapi analgesik lebih efektif untuk menurunkan nyeri pada pasien kanker dibandingkan hanya terapi analgesik saja (p=0,047). Implikasi, Implikasi dari penelitian ini adalah dapat digunakan untuk mengurangi nyeri pada pasien kanker serta mendorong kemandirian dalam peran autonomi perawat dan mengurangi ketergantungan pasien terhadap terapi analgetik.

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Spiritual Emotional Freedom Technique (SEFT) represents an affiliation technique from body’s energy system and spiritual therapy by tapping at certain points of the body. Beside the body’s energy system there is also a relaxation method with that engage patient belief to relieve pain cancer. SEFT focuses on certain words or sentences pronounced several timcs in a rhythm, follows by resignation to The God as patient belief. Purpose, This research was aimed to explore the effect of SEFT intervention to reduce of cancer pain patients at the Dr Soetomo General Hospital in Surabaya. Method, Quasi experimental used in this study was pre test and post test design with control group. Samples were recruited using consecutive sampling. The sample size was 20 respondents. They were divided into intervention and control group, each group’s consist of 10 respondents. The intervention group received SEFT intervention combined with analgesic therapy and the control group given only analgesic therapy. SEFT intervention implemented after administrating analgesic, for 5-10 minutes every day during five days. Pain scale was measured by using Numeric Rating Scale to both of group. The data were analyzed statistically with sample t test with significance of level a < 0,05. Result, The results demonstrated that the combination SEFT intervention and analgesic therapy was more effective than only analgesic therapy (p=0,047). Implication, The Implication of this research can be employed to the cancer patient to relieve their pain. The nursing intervention with SEFT encourages nurse role autonomy and reduces patient dependency on analgesic therapy."

"Sistem muskuloskeletal memberikan perlindungan terhadap organ vital tubuh gangguan pada sistem tersebut memberikan dampak serius bagi kondisi kesehatan seseorang kualitas hidup keuangan kenyamanan fisik dan kesehatan psikologis Penyakit dan cidera di Indonesia paling banyak merupakan kejadian patah tulang Pada kondisi patah tulang dapat mengakibatkan insufisiensi vaskuler dan kompresi saraf serta sindroma kompartemen Perawat spesialis medikal bedah berperan penting dalam penatalaksanaan asuhan keperawatan melalui pendekatan Model Adaptasi Roy pada kasus multipel fraktur dan sindroma kompartemen penerapan pemberian edukasi singkat dan latihan relaksasi nafas dalam sebagai upaya menurunkan nyeri pada klien post operasi ORIF Open Reduction Intra Fixation serta peran sebagai inovator melalui pengembangan program SBAR Situation Background Assessment Recommendation dalam handover perawat ruangan Hasil analisis praktik menunjukkan bahwa Model Adaptasi Roy sesuai dalam pengelolaan asuhan keperawatan pada multipel fraktur dan sindroma kompartemen Pemberian edukasi singkat dan latihan relaksasi nafas dalam mampu menurunkan tingkat nyeri secara efektif hingga hari ke 7 setelah operasi pemasangan ORIF Pengembangan program SBAR dilakukan melalui pembuatan panduan berdasarkan kasus yang sering terjadi di ruangan bedah orthopedi RSUP Fatmawati sehingga melalui panduan tersebut perawat dapat melakukan timbang terima menggunakan SBAR khususnya pada pasien dengan gangguan muskuloskeletal Kata kunci Model Adaptasi Roy fraktur multipel Edukasi singkat dan nafas dalam SBAR Depok 21 Agustus 2015 Mengetahui Suvervisor Utama Mahasiswa Dr Debie Dahlia S Kp MHSM Annas Sumeru.

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The musculoskeletal system provides protection against the body 39 s vital organs disturbances in the system create serious implications for a person 39 s health condition quality of life financial physical comfort and psychological health Disease and injury in Indonesia mostly caused by incidence of fractures Fractures could possibly lead to vascular insufficiency and nerve compression as well as compartment syndrome Medical surgical nurse specialist plays an important role in the management of nursing care by Roy Adaptation Model approach in the case of multiple fractures and compartment syndrome the application of brief educational and breathing relaxation exercises to reduce pain level of patient attempt ORIF Open Reduction Intra Fixation as well as a role as innovator through the development of SBAR Situation Background Assessment Recommendation programs for nurse handover The results of the analysis of practices shows that Roy Adaptation Model fit in the management of nursing care in multiple fractures and compartment syndrome Giving a brief educational and breathing relaxation exercises able to effectively reduce pain until the 7th day after ORIF surgery SBAR program development is done through the creation of guidelines based on the case that often occur in orthopedic ward of RSUP Fatmawati so that through the guidance of nurses can using SBAR particularly in patients with musculoskeletal disorders Keywords Roy Adaptation Model multiple fracture brief educational and breathing relaxation exercise SBAR Depok 21 Agustus 2015 Mengetahui Suvervisor Utama Mahasiswa Dr Debie Dahlia S Kp MHSM Annas Sumeru."

"Masyarakat perkotaan sebagai bagian dari ruang lingkup kerja dari keperawatan komunitas memiliki ciri khas tersendiri sehingga ia memiliki segmen yang dikenal dengan keperawatan kesehatan masyarakt perkotaan. Masyarakat perkotaan memiliki karakteristik yang khas, salah satunya ialah dalam hal masalah kesehatan yang dialaminya. Padatnya penduduk, tingginya angka pertumbuhan kendaraan bermotor, serta faktor gaya hidup menyebabkan timbulnya satu masalah kesehatan yang khas pada masyarakat perkotaan, yaitu kecelakaan lalu lintas. Kecelakaan lalu lintas menimbulkan banyak kerugian terutama pada korban kecelakaan itu. Salah satu masalah yang ditimbulkan dari kecelakaan ialah fraktur. Hasil praktik mahasiswa di ruang rawat bedah orthopedi RSUP Fatmawati menunjukkan bahwa berbagai macam fraktur dapat disebabkan oleh kecelakaan lalul lintas. Oleh karena itu penulis menuangkan salah satu kasus fraktur, yaitu fraktur radius ulna beserta asuhan keperawatan untuk kasus tersebut. Laporan ini diharapkan dapat menjadi salah satu bahan rujukan dalam menangani masalah fraktur khususnya fraktur radius ulna.

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Urban communities as part of the scope of work of the nursing community has its own characteristics so it has a segment known as urban nursing. Urban communities have distinct characteristics, one of which is in terms of health problems they experienced. Dense population, high rates of growth in motor vehicles, as well as lifestyle factors causing the health problems typical in urban communities, the traffic accidents. Traffic accidents cause a lot of damage, especially to the victims of the accident. One of the problems arising from accidents are fractures.

Result in the student practices at orthopedic surgery ward of RSUP Fatmawati indicates that a wide range of fracture can be caused by traffic accidents. Therefore, the author analyzed one case of fracture, the fracture radius ulna along with nursing care for these case. The report is expected to be one of the reference materials in dealing with particular fracture, especially radius ulna fracture."