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"Latar Belakang: Needle Stick Injury merupakan luka yang dialami oleh tenaga kesehatan dan diakibatkan karena tusukan atau robekan dari jarum atau benda tajam lainnya. Tenaga kesehatan yang sangat rentan terhadap kejadian tertusuk jarum adalah perawat. Saat ini, angka kejadian tertusuk jarum dikalangan perawat yang bekerja di rumah sakit menunjukkan angka yang masih tinggi. Di RSUP Fatmawati, tahun 2015 dan 2016 dari bulan Januari-Desember tercatat sebanyak 40 kasus tertusuk jarum pada perawat dan pada bulan Januari-Agustus 2017 tercatat sebanyak 4 kasus tertusuk jarum pada perawat. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara pengetahuan, sikap, dan upaya pencegahan kejadian tertusuk jarum pada perawat di Instalasi Rawat Inap Teratai RSUP Fatmawati tahun 2018. Desain dan Metode: Penelitian ini dilakukan dengan desain studi cross sectional dengan pengumpulan data primer melalui penyebaran kuisioner kepada 170 responden yaitu perawat pelaksana di Instalasi Rawat Inap Teratai RSUP Fatmawati yang telah bekerja minimal 1 tahun. Analisis data yang digunakan adalah analisis univariat dan analisis bivariat dengan menggunakan uji Chi Square. Hasil: Hasil analisis univariat menunjukkan bahwa mayoritas responden memiliki tingkat pengetahuan yang baik 97,1, sikap yang cukup baik 88,8, dan upaya pencegahan kejadian tertusuk jarum yang cukup baik 66,5. Hasil analisis bivariat dengan uji Chi Square = 0,05 ditemukan bahwa tidak ada hubungan yang bermakna antara pengetahuan perawat dengan sikap perawat pvalue = 0,451 dan OR=0,490 tidak ada hubungan yang bermakna antara pengetahuan perawat dengan upaya pencegahan kejadian tertusuk jarum pvalue = 0,665 dan OR = 2,055 dan ada hubungan yang bermakna antara sikap perawat dengan upaya pencegahan kejadian tertusuk jarum pvalue = 0,033 dan OR = 3,139. Kesimpulan dan Saran: Hubungan yang tidak bermakna adalah pengetahuan dengan sikap, serta pengetahuan dengan upaya pencegahan kejadian tertusuk jarum. Sedangkan, hubungan yang bermakna adalah sikap dengan upaya pencegahan kejadian tertusuk jarum. Diharapkan pihak rumah sakit memberikan pelatihan rutin dan berkala terkait needle stick injury khususnya dalam hal teknik recapping minimal setiap 6 bulan sekali; menyediakan poster K3 terkait prosedur melakukan tindakan penyuntikan yang benar di setiap ruangan kerja perawat; dan pemberian penghargaan setiap bulan bagi perawat yang telah melakukan praktik kerja yang aman.

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Background: A Needle Stick Injury is a wound suffered by healthcare workers that caused by needles or other sharps objects that accidentally puncture the skin. Nurses are most likely to have needle stick injuries among healthcare workers. Currently, the incidence of needle stick injuries among nurses working in hospitals shows a high rate. At RSUP Fatmawati, from January to December in 2015 and 2016, there were 40 cases of needle stick injuries among nurses and from January to August 2017, there were 4 cases of needle stick injuries among nurses. The purpose of this research was to find out the correlation between knowledge, attitude, and needle stick injury prevention effort among nurses at Teratai Inpatient Installation RSUP Fatmawati in 2018.

Design and Method: This research was conducted with cross sectional study with primary data collection through questionnaires distribution to 170 executor nurses who have worked at Teratai Inpateint Installation RSUP Fatmawati at least 1 year. Data were analyzed using is univariate and bivariate analysis using Chi Square test.

Results: The result of univariate analysis showed that the majority of respondents have good knowledge 97.1, good attitude 88.8, and good at needle stick injury prevention effort 66.5. The result of bivariate analysis using Chi Square test 0,05 showed that there is no significant relationship between nurses 39 knowledge and nurses 39 attitude pvalue 0,451 and OR 0,490 there is no significant relationship between nurses 39 knowledge and the prevention effort of needle stick injury pvalue 0.665 and OR 2.055 and there is a significant relationship between nurses 39 attitude and the prevention effort of needle stick injury pvalue 0.033 and OR 3.139.

Conclusions and Recommendations There is no significant relationship between knowledge and attitude, as well as knowledge and the prevention effort of needle stick injury. Meanwhile, there is a significant relationship between attitude and the prevention effort of needle stick injury. It is expected that the hospital should provide routine and periodic training related to needle stick injury especially in terms of recapping technique at least every 6 months provide K3 posters regarding the procedures of injecting actions in each nurses 39 workroom and give the monthly rewards for nurses who have implemented safety work practices."

"ABSTRACTNumber of patients with chronic renal failure is increasing from time to time.Hemodialisis is one alternative therapy kidney is the most preferred by patients.Hemodialysis is a process that is carried out by means of a tube to drain bloodinto the artificial kidney. This study aims to determine the relationship betweenthe level of knowledge and anxiety in patients undergoing hemodialysis readinessis the first time in the RS Bengkulu. This research is the use of cross-sectionaldesign with a sample of patients undergoing hemodialysis in the hospital the firsttime in Bengkulu province, amounting to 46 respondents, taken with c onsecutivesampling technique. Data analysis using chi-square and independent t-test at α5%. The results showed no correlation between knowledge and anxietyhemodialysis patients undergoing hemodialysis with readiness the first time.Nurses need to improve the knowledge and health education and counseling forincrease the psychological readiness when first responders undergoinghemodialysis."

"[ABSTRAKTindakan CAPD adalah salah satu terapi pengganti ginjal. Persepsi pasien yangbaik tentang CAPD dapat meningkatkan efikasi diri pasien yang menjalaniCAPD. Mayoritas pasien CAPD berawal dari pasien HD yang memiliki persepsipengalaman ketidaknyamanan baik fisik dan psikis. Tujuan penelitian mengetahuihubungan antara persepsi tentang tindakan CAPD dan efikasi diri pada pasienyang menjalani CAPD. Penelitian menggunakan pendekatan cross-sectional.Jumlah sampel 75 responden dipilih dengan teknik consecutive sampling. Hasiluji regresi logistik menunjukkan ada hubungan antara persepsi tentang tindakanCAPD dan efikasi diri pada pasien yang menjalani CAPD dengan variabelconfounding yang mempengaruhi adalah variabel dukungan sosial.Kesimpulannya, perawat perlu meningkatkan kemampuan saat mengkaji persepsipasien serta meningkatkan peran dukungan sosial, sehingga informasi yangdidapat menjadi dasar untuk meningkatkan efikasi diri pada pasien yangmenjalani CAPD.

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ABSTRACTContinuous Ambulatory Peritoneal Dialysis (CAPD) is one of renal replacementtherapies. Good perception of CAPD therapy could improve patients self-efficacywho are undergoing CAPD. CAPD patients mostly came from HD patients whohad physical and psychological discomfort perception This study aimed todetermine relationship between the perception of CAPD therapy and patients selfefficacy.A cross-sectional approach and 75 respondents selected using aconsecutive sampling technique. The results from logistic regression test showedthat there was a relationship between patients perception and self efficacy withconfounding variable was social support. In conclusion, nurses are required toenhance the role of social support, so that the information obtained would becomethe basis for improving self-efficacy in patients undergoing CAPD;Continuous Ambulatory Peritoneal Dialysis (CAPD) is one of renal replacementtherapies. Good perception of CAPD therapy could improve patients self-efficacywho are undergoing CAPD. CAPD patients mostly came from HD patients whohad physical and psychological discomfort perception This study aimed todetermine relationship between the perception of CAPD therapy and patients selfefficacy.A cross-sectional approach and 75 respondents selected using aconsecutive sampling technique. The results from logistic regression test showedthat there was a relationship between patients perception and self efficacy withconfounding variable was social support. In conclusion, nurses are required toenhance the role of social support, so that the information obtained would becomethe basis for improving self-efficacy in patients undergoing CAPD, Continuous Ambulatory Peritoneal Dialysis (CAPD) is one of renal replacementtherapies. Good perception of CAPD therapy could improve patients self-efficacywho are undergoing CAPD. CAPD patients mostly came from HD patients whohad physical and psychological discomfort perception This study aimed todetermine relationship between the perception of CAPD therapy and patients selfefficacy.A cross-sectional approach and 75 respondents selected using aconsecutive sampling technique. The results from logistic regression test showedthat there was a relationship between patients perception and self efficacy withconfounding variable was social support. In conclusion, nurses are required toenhance the role of social support, so that the information obtained would becomethe basis for improving self-efficacy in patients undergoing CAPD]"

"Fatigue merupakan kelemahan atau kelelahan mental dan/atau fisik yang ekstrim dan persisten. Fatigue merupakan gejala yang umum dialami orang-orang dengan kronis penyakit, seperti klien gagal ginjal kronik yang menjalani hemodialisis. Penelitian ini bertujuan untuk mengidentifikasi hubungan depresi dan kecemasan dengan tingkat fatigue pada klien dengan gagal ginjal kronik yang menjalani hemodialisis. Desain penelitian yang digunakan adalah cross sectional, dengan jumlah sampel 96 responden. Alat ukur yang digunakan Fatigue Severity Scale (FSS), Hospital Anxiety and Depression Scale (HADS),dan Medical Outcomes Study (MOS) Social Support Survey.Hasil penelitian menunjukkan adanya hubungan yang bermakna antara depresi dengan tingkat fatigue pada klien gagal ginjal kronik yang menjalani hemodialisis (p value < 0,05). Penelitian ini juga menunjukkan tidak ada hubungan antara kecemasan dengan tingkat fatigue pada klien gagal ginjal kronik. Hubungan antara variabel perancu yaitu usia, jenis kelamin, dukungan sosial dan lamanya menjalani hemodialisis tidak ada hubungan dengan tingkat fatigue.

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Fatigue is a mental weakness or fatigue and / or extreme physical and persistent. Fatigue is a common symptom experienced by people with chronic diseases, such as clients with chronic renal failure undergoing hemodialysis. The research aims to identify the relationship of depression and anxiety with fatigue levels in clients with chronic renal failure undergoing hemodialysis. The study design is cross-sectional, with 96 respondents. Fatigue Severity Scale (FSS), Hospital Anxiety and Depression Scale (HADS), and the Medical Outcomes Study (MOS) Social Support Survey were used.The results showed a significant relationship between depression and fatigue levels on chronic renal failure patient undergoing hemodialysis (p value <0.05). The study also showed no relationship between anxiety with fatigue levels on a client with chronic renal failure. There were no correlation between confounding variables as age, sex, social support and the duration of hemodialysis with the level of fatigue."