Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)最新文献

{"title":"Dampak Pandemi COVID-19 terhadap Aspek Psikologis Perawat: Studi Literatur","authors":"Fittriya Kristanti, Tiur Yulianta Simamora, A. Hidayatulloh","doi":"10.22146/jkkk.75287","DOIUrl":"https://doi.org/10.22146/jkkk.75287","url":null,"abstract":"Background: As a health worker, nurses put themselves in high risk since they have been exposed in the front line battle against COVID-19 virus. Nurses suffer from physical exhaustion, psychological or mental fatigue, and even excessive stress due to heavy workload. Objective: To find out the impact of covid toward nurses’ psychological aspect. Method: The literature review was carried out using the PRISMA flow diagram. Sciencedirect, Willey Online and EBSCO were used as the journal database. The keywords of the PICO framework were Nurse AND Psychological AND Impact of COVID-19. Inclusion criteria included focus on the COVID-19 pandemic, publications in the last 3 years, written in English, and original research. The exclusion criteria was literature review type of article. Result: As the result, there were 9075 articles consisted of 1751 articles from Sciencedirect database, 3871 articles from Willey Online, 3453 articles from EBSCO, and 5 articles from handsearching. After inclusion and exclusion criterias were applied, there were 16 articles left to be analyzed. These articles discussed the psychological impact on nurses who were facing the COVID-19 pandemic, such as insomnia, sadness, fear, anxiety, depression, stress, suicidal ideation, depersonalization, and PTSD (Post-Traumatic Stress Disorder). Conclusion: The COVID-19 pandemic have impacted nurses in carrying out their duties in health services, hence it needs serious attention to their psychological condition. ABSTRAKLatar belakang: Sebagai tenaga kesehatan, perawat menempatkan dirinya pada risiko tinggi karena mereka merupakan garda terdepan dalam melawan virus COVID-19. Perawat mengalami kelelahan fisik, kelelahan psikologis/mental, bahkan stres yang berlebihan karena tingginya beban kerja selama pandemi COVID-19. Tujuan: Untuk mengetahui dampak COVID-19 terhadap aspek psikologis perawat. Metode: Tinjauan literatur dilakukan menggunakan alur diagram PRISMA dan database jurnal yang digunakan meliputi Sciencedirect, Willey Online, dan EBSCO. Kata kunci dari kerangka kerja PICO, yaitu Nurse AND Pscyhological AND Impact of COVID-19. Kriteria inklusi meliputi fokus pada pandemi COVID-19, publikasi 3 tahun terakhir, berbahasa Inggris, penelitian asli/original article. Kriteria eksklusinya adalah penelitian artikel jenis review.  Hasil: Hasil pencarian literatur didapatkan 9075 artikel dengan pencarian database Science Direct 1751 artikel, Willey Online 3871 artikel, EBSCO 3453 artikel dan handsearching 5 artikel. Artikel diskrining sesuai dengan kriteria inklusi sehingga didapatkan 16 artikel utama yang dianalisis. Dampak psikologis yang dirasakan perawat saat menghadapi pandemi COVID-19, meliputi insomnia, kesedihan, ketakutan, kecemasan, depresi, stres, ide bunuh diri, depersonalisasi, dan gangguan stres pascatrauma (post-traumatic stress disorder atau PTSD). Simpulan: Pandemi COVID-19 berdampak pada perawat dalam menjalankan tugasnya di pelayanan kesehatan sehingga perlu perhatian serius","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139197110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manajemen Luka Tekan Pada Pasien Tirah Baring : Literature Review","authors":"Tiur Yulianta Simamora, Fittriya Kristanti, Sinta Restu Wibawa","doi":"10.22146/jkkk.80144","DOIUrl":"https://doi.org/10.22146/jkkk.80144","url":null,"abstract":"Background: Pressure sores are a health problem that has an impact on health conditions, length of hospitalization, growing treatment costs, and more fatally result as in death. Therefore, pressure sores management is needed to prevent and minimize their impact. Unfortunately, there are only small number of literature reviews about pressure sores management on bed rest patients. Objective: To determine research about the management of pressure sores in bed rest patients Method: Literature review was carried out using PRISMA flowcharts with journal databases such as Sciencedirect, Willey Online, and EBSCO. The keywords of the PICO framework were Bed rest patient AND management decubitus OR pressure sores OR pressure ulcers AND minimize decubitus. Inclusion criterias included focus on prevention and treatment of pressure sores, publication of the last 10 years, open access, English, and original research. As for the exclusion criteria was review article type research. Result: There were 3674 articles obtained by searching three databases: PubMed, Sciencedirect, and ProQuest plus handsearch. It was found that  pressure sores management focused on prevention and treatment. Pressure sores prevention were using techniques such as using mattresses, carrying out periodic repositioning, carrying out skin care, and using bandages or pads. On the other hand, pressure sores treatment were using Cathodal and Cathodal-Anodal High Voltage Monophasic Pulses, and using honey or other preparations such as Thai Herbal Oil (THO). Conclusion: Management of pressure sores in bed rest patients varies but generally focuses on two main goals, namely preventing and healing pressure sores.ABSTRAKLatar belakang: Luka tekan merupakan suatu masalah kesehatan yang berdampak pada kondisi kesehatan, lama rawat inap, peningkatan biaya perawatan, dan yang lebih fatal adalah mengakibatkan kematian. Oleh karena itu, manajemen luka tekan diperlukan untuk mencegah dan meminimalkan dampak dari luka tekan. Namun, studi pustaka terkait hal ini pada pasien tirah baring masih jarang dilakukan.  Tujuan: Untuk mengetahui penelitian tentang manajemen luka tekan pada pasien tirah baring. Metode: Tinjauan literatur dilakukan menggunakan alur diagram PRISMA. Database jurnal yang digunakan meliputi Sciencedirect, Willey Online, dan EBSCO. Kata kunci dari kerangka kerja PICO, yaitu Bed rest patients AND management decubitus OR pressure sores OR pressure ulcer AND minimize decubitus. Kriteria inklusi meliputi artikel yang berfokus pada pencegahan dan penanganan luka dekubitus, publikasi 10 tahun terakhir, open access, berbahasa Inggris, dan penelitian original. Sementara, kriteria eksklusinya adalah penelitian artikel jenis review. Hasil: Hasil pencarian literatur didapatkan 3674 artikel pada pencarian tiga database, yaitu PubMed, Sciencedirect, dan ProQuest ditambah handsearching (pencarian secara manual). Dalam artikel-artikel tersebut disimpulkan bahwa manajemen luka tekan berfokus pada pencegah","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139198427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh Metode Edukasi Focus Group Discussion terhadap Persepsi Masyarakat tentang Pencegahan Kekerasan Seksual pada Anak di Wonosari","authors":"Galuh Novita Sari, E. Kurniawan","doi":"10.22146/jkkk.87680","DOIUrl":"https://doi.org/10.22146/jkkk.87680","url":null,"abstract":"Background: Children sexual abuse still occurs today. In 2022, Commission on Violence Against Women and Children Gunungkidul Regency recorded 7 sexual abuse cases and 4 of them occurred in Wonosari. During pandemic, Wonosari citizen have never received any education related to children sexual abuse prevention. Therefore, they need education to improve their perception. Objective: To determine the effect of education with focus group discussion method toward public perception of sexual abuse prevention among children in Wonosari. Method: This was a pre-experiment study with one group pretest-post test design. The sampling technique used stratified random sampling from 30 sample respondents. The data was collected using public perception questionnaires and analyzed using Wilcoxon tank test. Result: The median value of public perception before education was 50 (min-max:43-59), while after education was 64 (min-max: 53-68). The Wilcoxon rank test showed p value of 0,000. Conclusion: There is an effect of education with focus group discussion method toward public perceptions of sexual abuse prevention among children in Wonosari.ABSTRAKLatar belakang: Kekerasan seksual pada anak menjadi fenomena yang masih terjadi sampai saat ini. Data Dinas Pemberdayaan Perempuan dan Perlindungan Anak Gunungkidul pada tahun 2022 mencatat adanya 7 kasus kekerasan seksual dan 4 di antaranya terjadi di Wonosari. Masyarakat Wonosari belum pernah mendapatkan edukasi tentang pencegahan kekerasan seksual selama pandemi. Oleh karena itu, masyarakat perlu diberi edukasi agar dapat meningkatkan persepsi positif masyarakat mengenai pencegahan kekerasan seksual pada anak. Tujuan: Mengetahui pengaruh edukasi dengan metode focus group discussion terhadap persepsi masyarakat tentang pencegahan kekerasan seksual pada anak di Wonosari.  Metode: Penelitian ini menggunakan pre experimental design dengan rancangan penelitian one group pretest-posttest design. Teknik sampling menggunakan stratified random sampling dengan jumlah sampel 30 responden. Pengumpulan data menggunakan kuesioner persepsi masyarakat dan analisis data menggunakan Wilcoxon rank test. Hasil: Persepsi masyarakat sebelum edukasi memiliki nilai median = 50 (min-max: 43-59) dan persepsi masyarakat sesudah edukasi memiliki nilai median = 64 (min-max: 53-68). Hasil analisis data dengan uji Wilcoxon rank test diperoleh nilai p value 0,000. Simpulan: Ada pengaruh pemberian edukasi dengan metode focus group discussion terhadap persepsi masyarakat tentang pencegahan kekerasan seksual pada anak di Wonosari.","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139204474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aplikasi Terapi Guided Imagery Untuk Mengurangi Nyeri Akut Pada Ny. S Dengan Ca Mammae: Studi Kasus","authors":"Rr. Reza Fitri Dwi Milenia, Murtaqib Murtaqib, Ana Nistiandani, Sulis Setyowati","doi":"10.22146/jkkk.87315","DOIUrl":"https://doi.org/10.22146/jkkk.87315","url":null,"abstract":"Background: Breast cancer is the second leading cause of death in women after cervical cancer. One of the most feared symptoms by cancer patients is pain. Cancer patients have used guided imagery relaxation techniques for several years, and it has been proven that they can help reduce the side effects of chemotherapy, such as nausea, vomiting, pain, anxiety, and depression.Objective: To analyze the application of guided imagery therapy to reduce acute pain in Mrs.S with Ca Mammae in the Upper Melati Room, RSD dr. Soebandi.Case report: Mrs. S, 46 years old, is being treated in the Melati Room at RSD dr. Soebandi Jember with a medical diagnosis of Ca Mammae. When he came to RSD dr. Soebandi Jember patient complained of pain with a scale of 5 with a dull ache in the left breast. Patients were given the main intervention of Guided Imagery therapy for 3 days of treatment to reduce pain.Outcome: The patient said that on the first day of the intervention, the pain felt intermittent and it was difficult to sleep. Then after being given guided imagery therapy, the pain felt reduced.Conclusion: Guided imagery therapy can be applied to breast cancer patients where it can help reduce pain due to breast cancer felt by patients so that it will help in patient health care","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139205423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan antara Tingkat Pengetahuan Perawat dan Kualitas Manajemen Nyeri Pasien Pascabedah di RSUP Dr. Sardjito","authors":"M. Jannah, Arifin Triyanto, Anita Kustanti","doi":"10.22146/jkkk.90826","DOIUrl":"https://doi.org/10.22146/jkkk.90826","url":null,"abstract":"Background: The escalating number of surgical procedures globally, including in Indonesia, has not been followed by quality improvement in postoperative pain management. Insufficient postoperative pain management quality creates new problems, i.e.: decreasing in patients’ quality of life, prolonging hospital stay, and impacting the family’s quality of life. Literature indicates that the quality of pain management is influenced by various factors, one of which is the nurse’s knowledge of postoperative pain management. Objective: To determine the correlation between nurse’s level of knowledge and the quality of postoperative pain management in RSUP Dr. Sardjito. Method: This study was a descriptive correlational design with a cross-sectional approach. There were 47 nurses from Cendana Wards 1-3 in RSUP Dr. Sardjito as respondents who were selected through total sampling. Likelihood Ratio test was employed to identify the relationship between the nurse’s knowledge level and the quality of postoperative pain management. Results: The majority of nurses demonstrated a satisfactory level of knowledge regarding postoperative pain management, comprising 45 respondents (95,7%). However, the quality of pain management remained low in 30 respondents (63,8%). Likelihood ratio analysis indicated that there was no significant relationship between the nurse’s knowledge level and the quality of pain management, with a significance level of 0,683 (p > 0,05). Conclusion: There is no significant correlation between nurse’s level of knowledge and the quality of postoperative pain management.ABSTRAKLatar Belakang: Peningkatan jumlah operasi di seluruh dunia, termasuk di Indonesia, tidak diiringi dengan peningkatan kualitas manajemen nyeri pascabedah. Kualitas manajemen nyeri pasca bedah yang tidak memadai, dapat menimbulkan masalah baru, seperti penurunan kualitas hidup pasien, perpanjangan masa tinggal di rumah sakit, dan dampak terhadap kualitas hidup keluarga. Literatur menyatakan bahwa kualitas manajemen nyeri dipengaruhi oleh beberapa faktor, salah satunya adalah pengetahuan perawat mengenai manajemen nyeri pascabedah. Tujuan: Menentukan hubungan antara tingkat pengetahuan perawat dan kualitas manajemen nyeri pada pasien pasca bedah di RSUP Dr. Sardjito. Metode: Penelitian ini adalah studi deskriptif korelasional dengan desain potongan lintang. Pengambilan sampel dengan metode total sampling yang melibatkan 47 perawat dari Bangsal Cendana 1-3 di RSUP Dr. Sardjito. Uji Likelihood ratio digunakan untuk mengidentifikasi hubungan kedua variabel. Hasil: Mayoritas perawat memiliki tingkat pengetahuan yang baik mengenai manajemen nyeri pascabedah (95,7%). Namun, kualitas manajemen nyeri masih rendah pada 30 responden (63,8%). Analisis menunjukkan bahwa tidak ada hubungan signifikan antara tingkat pengetahuan perawat dan kualitas manajemen nyeri dengan taraf signifikansi 0,683 (p > 0,05). Simpulan: Tidak terdapat hubungan signifikan antara tingkat pengetahuan perawat dan","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139206556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Antara Self Management Behaviour terhadap Pengendalian Tekanan Darah pada Pasien Hipertensi di Rumah Sakit Panti Rini","authors":"F. Sonia, Paulus Subiyanto, Bernadetta Eka Noviati","doi":"10.22146/jkkk.90070","DOIUrl":"https://doi.org/10.22146/jkkk.90070","url":null,"abstract":"Background: Hypertension is a kind of chronic disease. In Indonesia, the prevalency of people with hypertension rises from 25.8% to 34.11% in 2018. It is estimated that in 2025 there will be 1.5 billion people with hypertension. Moreover, around 10.44 million people will die each year due to hypertension and its complications. Objective: To analyze the correlation between self management behavior and the control of blood pressure level in patient with hypertension. Method: This study used correlation analytic quantitative method with cross sectional descriptive approach. The number of samples used was 132 patients who met the inclusion and exclusion criteria. Data collection used the Hypertension Self Management Behavior Questionnaire (HSMBQ) and data analysis used the Spearman’s Rho test. Results: The results showed that there was a negative significant correlation between Self Management Behavior and Systolic Blood Pressure Control with correlation coefficient of -0.600 (p value 0.000). As for the results of the Spearman’s rho correlation test, it was found that there was a significant correlation between Self Management Behavior and Diastolic Blood Pressure Control with correlation coefficient of -0.452 (p value 0.000).  Conclusion: There is significant negative correlation between self management behavior and the control of blood pressure level in patient with hypertension systolic and diastolic blood pressure. The higher self management behaviour, the lower or more controlled the systolic and diastolic blood pressure values, and vice versa.ABSTRAKLatar belakang: Hipertensi merupakan salah satu jenis penyakit kronis. Di Indonesia, prevalensi penderita hipertensi meningkat dari 25,8% menjadi 34,11% pada tahun 2018. Diperkirakan pada tahun 2025 terdapat 1,5 miliar penderita hipertensi. Lebih jauh lagi, sekitar 10,44 juta orang akan meninggal setiap tahunnya akibat hipertensi dan komplikasinya. Tujuan: Mengetahui hubungan antara self management behaviour terhadap tingkat pengendalian tekanan darah pasien hipertensi. Metode: Penelitian ini menggunakan metode kuantitatif analitik korelasi menggunakan pendekatan deskriptif cross sectional. Jumlah sampel yang digunakan 132 pasien yang memenuhi kriteria inklusi dan eksklusi. Pengumpulan data menggunakan lembar kuesioner Hypertension Self Management Behavior Questionnaire (HSMBQ) dan lembar observasi tekanan darah. Adapun tekanan darah pasien diukur menggunakan alat tensimeter dengan analisis data menggunakan uji Spearman’s Rho. Hasil: Hasil penelitian menunjukkan bahwa nilai koefisien korelasi -0,600 dengan p value 0,000 antara self management behaviour dengan tingkat pengendalian tekanan darah sistolik. Adapun hasil uji korelasi  Self Management Behaviour dengan tingkat pengendalian tekanan darah diastolik diperoleh nilai koefisien korelasi -0,452 dengan p value 0,000.  Simpulan: Terdapat hubungan negatif dan signifikan antara self management behaviour dengan tingkat pengendalian tekanan darah sisto","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139201929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analisis Asuhan Keperawatan pada Pasien Terpasang Canul Trakeostomi dengan Masalah Keperawatan Bersihan Jalan Napas Tidak Efektif dengan Intervensi Fisioterapi Dada di Ruang Mawar RSD dr. Soebandi Jember: Studi Kasus","authors":"Tanwirotul Afidah, Murtaqib Murtaqib, Suheriyono Suheriyono","doi":"10.22146/jkkk.82213","DOIUrl":"https://doi.org/10.22146/jkkk.82213","url":null,"abstract":"Background: Maxillofacial fracture is a fracture that refers to the facial skeletal, dentoalveolar bone and related parts within the head and neck area due to external trauma. Severe fractures in the facial bones hinder client’s airway. Tracheostomy is one of the procedures for persistent airway obstruction.Objective: To analyze nursing care for clients with tracheostomy for indications of maxillofacial fracture with nursing problems in ineffective airway clearance using chest clapping physiotherapy interventions in the Mawar Room, RSD dr. Soebandi Jember.Case report: The client was admitted to the Hospital due to motorcycle accident. During the assessment the client complained of coughing, tightness, and sleeplessness. After a canul tracheostomy was attached to the client, there were several symptoms, ie.: the client coughed quite frequently, unable to cough effectively, there was a dry ronchi, had difficulty in speaking, and the client's breathing pattern changed. In conclusion, the main nursing problem was ineffective airway clearance.Outcome: The results of the analysis after chest physiotherapy 3 times for 3 days showed the expected result of chest physiotherapy action, which was the sputum was removed and cleared from the airway. Therefore, oxygen diffusion was optimal, the client's oxygen saturation increased within the normal range, coughing decreased, and insomnia complaints were reduced. Conclusion: Chest physiotherapy can help remove the client's sputum, thus reduces sputum and ronchi sound, tightness marked with respiration rate (RR) within the normal range, and coughing in clients with nursing problem ineffective airway clearance attached canul tracheostomy.ABSTRAKLatar belakang: Fraktur maksilofasial merupakan fraktur yang mengacu pada skeletal wajah, tulang dentoalveolar dan bagian-bagian yang terkait dalam daerah kepala dan leher karena trauma eksternal. Fraktur pada tulang wajah yang parah menyebabkan pasien tidak dapat mempertahankan jalan napasnya. Trakeostomi merupakan salah satu prosedur untuk obstruksi jalan napas persisten.Tujuan: Untuk menganalisis asuhan keperawatan pada pasien yang terpasang trakeostomi atas indikasi fraktur maksilofasial dengan masalah keperawatan bersihan jalan napas tidak efektif menggunakan intervensi fisioterapi dada clapping di Ruang Mawar RSD dr. Soebandi Jember.Laporan kasus: Pasien masuk ke Rumah Sakit karena kecelakaan sepeda motor. Saat dilakukan pengkajian, pasien mengeluh batuk, sesak napas, dan tidak bisa tidur. Terdapat beberapa gejala pada pasien setelah terpasang canul trakeostomi, antara lain batuk cukup sering, tidak mampu melakukan batuk efektif, terdapat ronchi kering, sulit berbicara, dan pola napas pasien berubah, sehingga memiliki masalah keperawatan utama bersihan jalan napas tidak efektif. Hasil: Hasil analisis setelah dilakukan fisioterapi dada 3 kali selama 3 hari, menunjukkan pencapaian tindakan fisioterapi dada, yaitu dapat mengeluarkan dan membersihkan sputum dari saluran n","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130939026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gambaran Pengetahuan, Sikap, dan Penerimaan Orang Tua terhadap Vaksinasi HPV di SMP Kota Yogyakarta","authors":"Arina Zulfa, Wiwin Lismidiati, Anita Kustanti","doi":"10.22146/jkkk.71832","DOIUrl":"https://doi.org/10.22146/jkkk.71832","url":null,"abstract":"Background: One of Cervical cancer etiology is Human Papillomavirus (HPV) infection which is transmitted through sexual activity. The main prevention of cervical cancer from WHO is through HPV vaccination in girls aged 9-14 years old who have not been sexually active. Factors related to parental acceptance of HPV vaccination are knowledge, attitude, and parental consent.Objective: To describe student parents’ knowledge, attitude, and acceptance of HPV vaccination in junior high schools of Yogyakarta City.Method: This descriptive study used a cross sectional design. The research was conducted at several  junior high schools in Yogyakarta city which involving 332 parents of grade VII and VIII students. Data collection was carried out online because it coincided with the Covid-19 pandemic. Knowledge, attitude, and acceptance questionnaires were prepared and tested for validity and reliability. Chi-square data analysis and fisher test were used to test bivariate aspect.Results: There were 59.3% of respondents who had a high level of knowledge, 57.2% of respondents who had positive attitude regarding this, and 92.5% allowed their children if they were given the HPV vaccination. The level of knowledge was related to the level of education (p=0.000) and information exposure about cervical cancer (p<0.05). Attitude was significantly related to parental income (p=0.014) and level of education (p=0.016). Parents' acceptance of the HPV vaccine was associated with parents' education level (p=0.013).Conclusion: Parents of junior high school students in Yogyakarta City have a high level of knowledge, a positive attitude, and good acceptance of HPV vaccination.ABSTRAKLatar belakang: Salah satu etiologi kanker serviks adalah Infeksi Human Papillomavirus (HPV) yang ditularkan melalui aktivitas seksual. Pencegahan utama kanker serviks dari WHO melalui vaksinasi HPV pada anak perempuan berusia 9-14 tahun yang belum aktif melakukan hubungan seksual. Faktor yang berhubungan dengan penerimaan orang tua terhadap vaksinasi HPV adalah pengetahuan, sikap, dan persetujuan orang tua.Tujuan: Mendapatkan gambaran tentang pengetahuan, sikap, dan penerimaan orang tua terhadap vaksinasi HPV di SMP Kota Yogyakarta.Metode: Penelitian deskriptif ini menggunakan rancangan cross sectional. Penelitian dilaksanakan di beberapa SMP di Kota Yogyakarta yang melibatkan 332 orang tua siswi SMP kelas VII dan VIII. Pengambilan data dilakukan secara daring karena bersamaan dengan pandemi Covid-19. Kuesioner pengetahuan, sikap, dan penerimaan disusun serta sudah dilakukan uji validitas dan reliabilitas. Uji Chi Square dan Fisher Test digunakan dalam analisis bivariat pada penelitian ini.Hasil: Sebanyak 59,3% responden mempunyai tingkat pengetahuan tinggi dan 57,2% responden memiliki sikap positif terkait vaksinasi HPV, serta 92,5% bersedia jika anaknya diberikan vaksinasi HPV. Tingkat pengetahuan berhubungan dengan tingkat pendidikan (p=0,000) dan pengalaman mendengar/paparan terhadap informasi","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130069092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategi Penanganan Pelecehan Seksual di Kalangan Remaja: Tinjauan Literatur","authors":"Fino Ardiansyah, Matsna Wilda Muqorona, Fariskha Yulfa Nurahma, Muhammad Dodik Prasityo","doi":"10.22146/jkkk.78215","DOIUrl":"https://doi.org/10.22146/jkkk.78215","url":null,"abstract":"Background: There are many sexual violence cases take place from school to college. Women mostly become sexual harassment victims, while men largely become the perpetrators. The most common forms of sexual harassment include hurtful or threatening comments, direct aggressive act, and online sexual harassment. Sexual harassment causes health problems, damaging mental, physical, social condition, and somatic effect. Eventhough, various efforts have been done, sexual harassment case against women keeps increasing.Objective: To explore strategies for handling sexual harassment in adolescents.Method: The research used Sexual AND Harassment as the keywords. Literature was selected from ScienceDirect, PubMed, ClinicalKey, and ProQuest databases with screening results 21,311 (N) articles. Total 5 (n) articles were analyzed from the results of the research quality assessment process at the minimum quartile of Scimago Journal Rank (SJR) 1 (Q1) and they also analyzed using critical appraisal  from Joanna Briggs Institute.Result: There were five literatures that fulfilled the criteria and had the strategy in reducing and preventing the occurrence of sexual harassment as their content. Themes of these articles included i.e.: prevention of sexual harassment (n=1), education material in sexual harassment content (n=1), and sexual harassment intervention (n=3).Conclusion: These three strategies (sexual harassment prevention, education, and intervention) can be applied in schools or colleges and can be used as a curriculum to improve individual behavior and reduce harassment.ABSTRAKLatar belakang: Banyak kasus kekerasan seksual terjadi di sekolah hingga perguruan tinggi. Pada umumnya, korban pelecehan seksual adalah perempuan dan pelaku pelecehan seksual sebagian besar adalah laki-laki . Bentuk pelecehan yang paling besar, meliputi: komentar yang menyinggung atau mengancam; perlakuan secara langsung; serta pelecehan seksual di dunia maya (online). Pelecehan seksual mengakibatkan masalah kesehatan, dapat merusak kondisi mental, fisik, sosial, hingga menimbulkan efek somatik. Berbagai upaya penanganan kasus kekerasan seksual telah dilakukan. Namun, kasus kekerasan terhadap perempuan masih mengalami peningkatan.Tujuan: Mengkaji strategi penanganan pelecehan seksual pada remaja.Metode: Penelusuran menggunakan kata kunci  untuk mengidentifikasi penelitian yang relevan. Seleksi literatur dilakukan melalui database yang tersedia di ScienceDirect, PubMed, ClinicalKey, dan ProQuest, dengan hasil skrining sebanyak n = 21.311 artikel. Total (n=5) artikel dianalisis dari hasil proses penilaian kualitas penelitian pada kuartil minimal Scimago Journal Rank (SJR) 1 (Q1) dan studi yang dianalisis dilakukan Critical Appraisal menggunakan Joanna Briggs Institute.Hasil: Lima literatur yang telah diperoleh, memiliki tema “Strategi dalam Mengurangi dan Mencegah Terjadinya Pelecehan Seksual.” Tema-tema tersebut membahas di antaranya: pencegahan pelecehan seksual (n=1); pendidikan pele","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115765213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Stres Akademik dengan Kecenderungan Depresi Mahasiswa Ilmu Keperawatan Universitas Gadjah Mada pada Masa Transisi Pandemi COVID-19","authors":"Afna Hanung Azizah, Sri Warsini, Kurnia Putri Yuliandari","doi":"10.22146/jkkk.84827","DOIUrl":"https://doi.org/10.22146/jkkk.84827","url":null,"abstract":"Background: College students as a group who are experiencing the transition from adolescence to early adulthood, are at risk of experiencing stress problems, especially academic-related stress. This condition has been exacerbated by the COVID-19 pandemic which has changed the education system in Indonesia. Experiencing high academic stress without any effort to overcome it, can potentially lead to depressive disorders. Research on the correlation between academic stress and depression tendencies among nursing students during the transition of COVID-19 pandemic has never been conducted.Objective: To determines the correlation between academic stress and depression on nursing students in School of Nursing, Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada in post pandemic COVID-19.Method: This study was an analytic observational study with a cross-sectional design. The research population was nursing students in School of Nursing, FK-KMK UGM. Data was collected in December 2022. The samples were 185 respondents obtained through stratified random sampling. This study used Academic Stress Scale questionnaire and The Patient Health Questionnaire 9 (PHQ-9) questionnaire. Data were analyzed using Spearman’s correlative test.Results: All nursing students in UGM experienced moderate academic stress in post pandemic COVID-19 and the majority of respondents (43,8%) showed a mild tendency to depression. The correlation test between academic stress and depression analysis showed a correlation coefficient (r) of 0,597 with a significant value of 0,000. Conclusion: There is strong significant correlation with a positive direction between academic stress and depression in nursing students during post pandemic COVID-19.ABSTRAKLatar belakang: Mahasiswa sebagai kelompok usia yang mengalami transisi dari masa remaja ke dewasa awal, berisiko mengalami masalah stres, terutama yang bersumber dari proses akademik. Kondisi ini diperparah dengan adanya pandemi COVID-19 yang mengubah sistem pendidikan di Indonesia. Tingginya kondisi stres akademik yang dialami dan tanpa upaya untuk mengatasinya, akan berpotensi menimbulkan gangguan depresi. Penelitian mengenai hubungan stres akademik dengan kecenderungan depresi pada mahasiswa ilmu keperawatan pada masa transisi pandemi COVID-19 belum pernah dilakukan sebelumnya. Tujuan: Mengetahui hubungan antara stres akademik dengan kecenderungan depresi pada mahasiswa ilmu keperawatan UGM pada masa transisi pandemi COVID-19.Metode: Penelitian ini merupakan penelitian analitik observasional dengan rancangan cross sectional. Populasi penelitian yaitu mahasiswa Ilmu Keperawatan UGM angkatan 2019, 2020, dan 2021. Jumlah sampel sebanyak 185 mahasiswa yang didapatkan melalui stratified random sampling. Kuesioner yang digunakan adalah Skala Stres Akademik dan The Patient Health Questionnaire 9 (PHQ-9). Analisis data menggunakan uji korelatif Spearman. Hasil: Pada masa transisi pandemi COVID-19, semua responden mengalami ","PeriodicalId":410006,"journal":{"name":"Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115038059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}