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"Penelitian ini merupakan penelitian kuantitatif dengan desain quasi eksperimen post test only yang bertujuan untuk membuktikan efektifitas pencegahan luka tekan grade I menggunakan VCO dengan pijat pada klien yang berisiko mengalami luka tekan di Unit Bedah, Rumah Sakit AB, Provinsi Lampung. Hasil uji Fisher exact dan regresi logistik berganda menunjukkan adanya perbedaan kejadian luka tekan pada klien yang dirawat menggunakan VCO dengan pijat dibandingkan dengan klien yang dirawat tanpa VCO (p= 0,033; α= 0,05; OR= 0,733; 95% CI 0,540 ? 0,995) setelah dikontrol oleh variabel Indeks Massa Tubuh (IMT). Disarankan kepada perawat agar dapat melakukan pijat menggunakan VCO, sebagai salah satu intervensi mandiri keperawatan dalam intervensi pencegahan luka tekan pada klien yang berisiko mengalami luka tekan.

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This study is a quantitative research design with quasi experiments post test only that aim to prove the effectiveness of prevention pressure ulcer grade I using VCO with a massage on clients at risk of developing pressure ulcer at Surgical Unit, AB Hospital, Lampung Province. The results of Fisher exact test and multiple logistic regression showed a difference in the incidence of pressure ulcer on clients who were treated using VCO with a massage than clients who were treated without VCO (p= 0,033; α= 0,05; OR= 0,733; 95% CI 0,540-0,995) after controlled by variable body mass index (BMI). It is recommended to nurses in order to do massage using VCO, as one of the nursing independent intervention in pressure ulcer prevention interventions on clients at risk of developing pressure ulcer."

"Penelitian merupakan penelitian kualitatif dengan pendekatan fenomenologi yang bertujuan memahami berbagai pengalaman Injecting Drug User Living with HIV/AIDS (ILWHA) dalam menjalani terapi antiretroviral (ARV) saat terapi rumatan metadon. Partisipan berjumlah 6 orang yang dipilih dengan purposive sampling. Pengumpulan data dengan wawancara mendalam dan analisis menggunakan metode "Colaizzi's".Penelitian menyimpulkan setiap ILWHA mengalami kebugaran dan lebih fungsional dalam hidup. Terdapat berbagai kebutuhan pelayanan kesehatan yaitu pelayanan yang terintegrasi antara ARV dan metadon, informasi penanggulangan efek ARV dan gizi serta informasi HIV, ARV dan metadon bagi masyarakat. Berdasarkan hal tersebut, perawat konselor ARV perlu memahami beban fisik, psikologis, dan sosial serta kedinamisan ILWHA dalam terapi ARV saat terapi rumatan metadon selain itu juga perlu mengidentifikasi dan mengembangkan lebih lanjut kebutuhan pelayanan kesehatan pada ILWHA."

"Pasien asma mengalami bronchospasme dan bronchokontriksi yang dapat menyebabkan penurunan fungsi pernapasan. Penelitianbertujuan mengidentifikasi pengaruh senam asma terhadap peningkatan kekuatan otot pernapasan dan fungsi paru pasien asmadi perkumpulan senam asma. Desain penelitian yaitu kuasi eksperimen dengan desain kelompok kontrol. Sampel berjumlah 50pasien, diambil dengan purposive sampling, dan terdiri atas kelompok intervensi dan kontrol. Hasil penelitian menunjukkanhubungan antara senam asma terhadap peningkatan kekuatan otot pernapasan (p= 0,0005; α= 0,05) dan fungsi paru (p= 0,0005;α= 0,05) pasien asma di perkumpulan senam asma, setelah dikontrol berat badan dan tinggi badan. Rekomendasi agar senamasma menjadi program intervensi keperawatan pada manajemen asma untuk meningkatkan kekuatan otot pernapasan dan fungsiparu pasien asma.Patients with asthma have bronchospasm and bronchoconstriction that can cause a decrease in respiratory function. Theresearch aims to identify the effect of exercise asthma to increased respiratory muscle strength and pulmonary function inasthma patients with asthma. The study design is a pretest-Post test Control Group design. Samples numbered 50 patients,taken with purposive sampling, and consists of intervention and control groups. The results of the study, there is a relationshipbetween exercise asthma to increased respiratory muscle strength (p= 0.0005; α= 0.05) and pulmonary function (p= 0.0005;α= 0.05) in patients with asthma, after controlling weight and height. Recommendations for exercise asthma into nursingintervention program on asthma management to improve respiratory muscle strength and lung function of asthma patients."

"Penelitian ini bertujuan untuk mendapatkan gambaran pengaruh Kegel?s exercise terhadap keluhan dribbling pasien pasca transurethral resection of the prostate (TURP). Sampel penelitian adalah responden yang dirawat di RS X dan RS Y yang memenuhi kriteria inklusi. Jumlah sampel pada kelompok intervensi sejumlah 10 responden, sedangkan kelompok kontrol 10 responden. Hasil penelitian menunjukan keluhan dribbling pada kelompok intervensi berhenti mulai hari ke-13, sedangkan pada kelompok kontrol berhenti mulai hari ke-24, sehingga membuktikan ada perbedaan yang signifikan rata-rata lama keluhan dribbling antara kelompok intervensi dan kelompok kontrol (p= 0,007; α= 0,05). Penurunan lama keluhan dribbling pada responden yang patuh melakukan Kegel?s exercise berhenti mulai hari ke-13, sedangkan pada responden yang tidak patuh berhenti mulai hari ke-20, sehingga membuktikan ada perbedaan yang bermakna rerata lama keluhan dribbling responden yang patuh melakukan Kegel?s exercise dengan responden yang tidak patuh (p= 0,004; α= 0,05). Simpulan dari penelitian ini adalah Kegel?s exercise terbukti dapat menurunkan keluhan dribbling pasien pasca TURP. Disarankan agar tiap rumah sakit dapat menerapkan Kegel?s excercise terhadap pasien dengan keluhan dribbling pasca-TURP.

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This study aims to see the effect of Kegel?s exercise on Dribbling Complaint of Post Transurethral Resection of the Prostate (TURP) patient. The sample was the patients who are hospitalized in X hospital and Y hospital fulfill the inclusion criteria. There were 10 responden each for intervention and control groups. The study results show that dribbling complaint of patient in intervention group stop at day 13, while in control group stop at day 24. Thus, there is a significant difference of the average of dribbling complaint duration between intervention and control groups (p= 0.007; α= 0.05). In addition, for the respondents in intervention group who did the exercise regularly, the dribbling complaint stop at day 13 and those who did not do exercise regularly the complaint stop at day 20. This is shown again that there is a significant difference of the average of dribbling complaint duration between those who do the exercise regularly and who do not do it regularly (p= 0.004; α= 0.05). In conclusion, the Kegel?s?s exercise is proven can reduce the dribbling complaint of post TURP patient. It is recommended that each hospital can apply Kegel?s excercise for patients with symptoms of post-TURP dribbling."

"Stroke adalah suatu sindrom klinis akibat gangguan aliran dara menuju otak, timbul mendadak yang biasanya mengenai penederita berusia 45-80 tahun. Menurut penyebabnya stroke dibagi dua yaitu bemoragik akibat pecahnya oembuluh darah otak dan stroke non hemoragik akibatanya adanya thrombus atau embolus pada pembuluh darah otak. Kesimpulan penelitian ini adalah tidak ada hubungan antara kepatuhan penderita stroke dalam mendhindari resiko yang dapat diubah dengan kejadian stroke berulang

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Stroke is a clinical syndrome due to disruption of blood flow to the brain, arising suddenly which usually affects patients aged 45-80 years. According to the cause, stroke is divided into two, namely hemorrhagic stroke due to rupture of a blood vessel in the brain and non-hemorrhagic stroke due to a thrombus or embolus in a cerebral blood vessel. The conclusion of this study is that there is no relationship between the compliance of stroke patients in avoiding modifiable risks and the incidence of recurrent stroke."

"Penelitian ini bertujuan mengidentifikasi efektifitas pengkajian metode NIHSS dan ESS dalam membuat diagnosa keperawatan aktual pada pasien stroke berat fase akut di RSUP X Jakarta. Penelitian ini menggunakan desain pra-eksperimen post-test only design (the one shot case study) dengan purposive sampling melibatkan 18 responden. Hasil menunjukkan hubungan sangat kuat berpola positif (r= 0,904) pada nilai NIHSS dan berpola negatif (r= -0,912) pada nilai ESS (p= 1,000; α= 0,05). Tidak ada perbedaan efektifitas penggunaan metode NIHSS dan ESS terhadap pembuatan diagnosa keperawatan yang aktual pada pasien stroke berat fase akut. Sebagai seorang perawat di ruang unit stroke sangatlah penting untuk menguasai pengkajian metode ini dalam rangka meningkatkan mutu asuhan keperawatan sehingga mempercepat proses penyembuhan pasien."

"Masalah keselamatan pasien yang ditimbulkan oleh mahasiswa dapat menimbulkan berbagai dampak yang merugikan bagi pasien. Pembimbing klinik berperan penting dalam membimbing mahasiswa dalam pelaksanaan program keselamatan pasien. Komunitas praktisi pembimbing klinik ditengarai mampu meningkatkan peran pembimbing klinik dalam program keselamatan pasien oleh mahasiswa. Penelitian ini bertujuan untuk mengukur pengaruh komunitas praktisi pembimbing klinik terhadap peran pembimbing klinik dalam program keselamatan pasien oleh mahasiswa. Metode penelitian ini menggunakan desain pre experimental dengan sampel sebanyak 36 mahasiswa profesi Ners yang sedang praktik di ruang rawat inap RSISA yang mendapatkan bimbingan dari pembimbing klinik yang mengikuti komunitas praktisi pembimbing klinik. Data dianalisis dengan menggunakan uji Wilcoxon. Hasil penelitian ini menunjukkan terdapat pengaruh komunitas praktisi pembimbing klinik terhadap peran pembimbing klinik dalam pelaksanaan program keselamatan pasien oleh mahasiswa p < 0,001. Penelitian ini merekomendasikan perlunya keterlibatan pembimbing klinik dari institusi pendidikan untuk menjadi bagian dari komunitas praktisi pembimbing klinik.

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The problem of patient safety which is caused by nursing students can effect disadvantage to patient. The clinical instructor have important role to guide nurse student in implementation patient safety program. Community of practice clinical instructor was predicted can increase the role of clinical instructor in patient safety program by student.

The purpose of this study is to explore the the influence community of practice clinical instructor to the role of clinical instructor in patient safety program by student. This research is pre experimental with the number of samples are 36 Ners student in ward RSISA who get guidance from clinical instructor. The data analysis that use of this research is wilcoxon test.

The result show that there is significant influence community of practice clinical instructor to the role of clinical instructor in patient safety program by student p < 0,001. The researcher suggests that the clinical instructor from education institution should be part in community of practice clinical instructor."

"[ABSTRAKKanker urogenital dan penatalaksanaannya sering kali menyebabkan perubahanidentitas seksual dan juga merubah struktur tubuh baik secara nyata ataupun keluhansubjektif pasien. Penelitian ini bertujuan mengidentifikasi gambaran pengalamankehidupan seksual pasien kanker urogenital bersama pasangannya, yang telahmenjalani kemoterapi, terapi radiasi atau pembedahan. Penelitian menggunakanpenelitian fenomenologi. Metode pengambilan data menggunakan teknik wawancara.Penelitian dilakukan di Siloam Hospitals Lippo Village. Partisipan adalah pasienkanker urogenital beserta pasanganya. Pengolahan Data dilakukan dengan caraverbatim, selanjutnya dianalisis dengan content analysis menggunakan teknik Colaizzi.Hasil penelitian didapatkan empat tema, yaitu ketidaknyamanan dalam melakukanhubungan seksual sebagai dampak perubahan kondisi fisik, ketidakterbukaan pasangandalam menyampaikan kepuasan seksual untuk lebih berfokus pada upaya pengobatan,pengalihan hasrat dalam berhubungan seksual sebagai upaya beradaptasi denganperubahan kondisi fisik, dan ketidakjelasan tentang pola hubungan seksual yang amanselama masa pengobatan. Kesimpulan: perubahan kondisi fisik dan psikososial pasienkanker urogenital menyebabkan permasalahan dalam kehidupan seksualnya. Hasilpenelitian ini merekomendasikan agar perawat proaktif dalam melakukan upayaprofesionalnya dalam perawatan klien kanker urogenital termasuk pemenuhankebutuhan seksual.

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ABSTRACTUrogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment;Urogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment, Urogenital cancers and their management leads to changes in sexual identity and alsochange the structure of the body, either real or subjective complaints. This study aimsto identify the description of the sexual life experience among urogenital cancerpatients with their partner, who had chemotherapy , pre-surgery or post-surgery. Thestudy used a qualitative research design with a phenomenological approach. Locationof this research in Siloam Hospitals Lippo Village. Participant were patients diagnosedwith urogenital cancer and their partner. Data processed in verbatim form, thenanalyzed using content analysis with Collaizi technique. Results of this study, foundfour themes, these are the themes had found: discomfort in sexual intercourse as aresult of changes in physical conditions, Lack of openness partner in delivering sexualsatisfaction in order to focus on treatment efforts, diversion of desire in intercourse asan attempt to adapt to the changing physical conditions, Attention couples (wife) as aneffort to adapt with changing physical condition of the client (the husband),Obscuration of pattern in safe sex during the treatment period. Conclusion: thephysical condition and psychosocial changing of urogenital cancer patients led toproblems in sexual life. The results of this study indicated that nurses proactive in theirprofessional efforts in the treatment of urogenital cancer clients including sexualfulfillment]"