Jurnal Perawat Indonesia最新文献

{"title":"GAMBARAN STIGMA MASYARAKAT TERHADAP PASIEN GANGGUAN JIWA DI DESA BUKU","authors":"K FredyAkbar, Darmiati Darmiati, Isma Wati","doi":"10.32584/JPI.V4I3.705","DOIUrl":"https://doi.org/10.32584/JPI.V4I3.705","url":null,"abstract":"Gangguan jiwa adalah sindrom pola perilaku individu yang berkaitan dengan suatu gejala penderitaandan pelemahan didalam satu atau lebih fungsi penting dari manusia, yaitu fungsi psikologik, perilaku,biologik, gaangguan tersebut mempengaruhi hubungan antara dirinya sendiri dan juga masyarakatStigma yang terus tumbuh dimasyarakat dapat merugikan dan memperburuk bagi yang terkena labelsosial ini.Penelitian ini bertujuan untuk melihat gambaran stigma masyarakat terhadap pasiengangguan jiwa.Penelitian ini menggunakan kuisioner, untuk mengetahui hasil dari stigma masyarakatterhadap pasien gangguan jiwa. Dalam penelitian ini sampel yang akan diambil yaitu berjenis kelaminperempuan yang berusia 25-40 tahun ke atas dengan jumlah sampel sebanyak 30 sampel. Metode yangdigunakan dalam penelitian ini yaitu metode Deskriptif, metode deskriptif disini adalah salah satujenis metode penelitian yang menyajikan gambaran lengkap untuk mendeskripsikan, menjelaskanyang menjadi objek penelitian.","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117112139","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":"TANTANGAN ETIK PADA PERAWAT DALAM PENANGANAN PASIEN DI MASA PANDEMIK COVID-19: SCOPING REVIEW","authors":"Imran Pashar, Suhartini Ismail, I. Edward, Sarinti Sarinti","doi":"10.32584/JPI.V4I3.732","DOIUrl":"https://doi.org/10.32584/JPI.V4I3.732","url":null,"abstract":"Muncul tantangan etik utama bagi perawat selama pandemi COVID-19 yang teridentifikasi yakni adanya isolasi sosial, tugas perawatan yang semakin berat dan akses pelayanan yang dituntut untuk selalu adil selama pengobatan. Tantangan etik adalah hal yang umum terjadi dalam praktik keperawatan klinis. Tantangan etik  mengacu pada dilema etika dan konflik etika serta skenario lain yang membuat perawat berada  pada pilihan yang sulit. Tujuan dari review adalah untuk meringkas bukti dari tantangan etik pada perawat dalam penanganan pasien di masa pandemik COVID-19. Artikel ini dirancang menggunakan metode scoping review. Pencarian artikel dilakukan menggunakan data base dari Sciencedirect, Scopus, EBSCO, dan ProQuest yang terbit dalam pada bulan Januari sampai September tahun 2020 dengan kata kunci “COVID-19” AND “Nurse” AND “ethic challenges” OR “Issue Ethic” OR “Dilemma ethic. Munculnya berbagai masalah terkait etik dalam praktik perawatan pasien COVID-19 membuat perawat mengalami lebih banyak kesulitan, tanggung jawab dan tantangan  akibatnya berdampak terhadap kualitas pelayanan didalam ruang perawatan intensif dan isolasi. Hasil penelitian ditemukan 3 tema, yaitu 1) tanggung jawab perawat, 2) tantangan etik selama perawatan, 3) beban kerja selama perawatan. Kesimpulan dari review ini adalah Tantangan etik yang dihadapi perawat selama perawatan di masa pandemik COVID-19 yakni pasien dengan COVID-19 yang berbeda penangannya dengan pasien lainnya, terdapatnya ketidaksetaraan, tingginya tuntutan etika professional, dan kompetensi kerja yang berubah-ubah. Selain itu hak pasien yang terlupakan, kurang perhatian pada etik professional dan perawat selalu dihadapkan pada situasi yang membingunkan.","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127301926","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":"POTRET KUALITAS HIDUP PASIEN KANKER YANG MENJALANI KEMOTERAPI","authors":"I. Wahyuningsih","doi":"10.32584/JPI.V4I3.809","DOIUrl":"https://doi.org/10.32584/JPI.V4I3.809","url":null,"abstract":"Kemoterapi yang diberikan untuk pasien kanker seringkali memunculkan efek fisik dan emosional sehingga berdampak pada keberlangsungan dalam menjalani perawatan. Pemberian kemoterapi perlu dievaluasi agar efek negatifnya membuat kualitas hidup pasien menjadi lebih baik. Penelitian ini bertujuan untuk mengetahui potret kualitas hidup pasien kanker yang menjalani kemoterapi. Jenis penelitian menggunakan deskriptif kuantitatif yang melibatkan 86 pasien kanker yang terpilih berdasarkan teknik purposive sampling dengan kriteria inklusi yaitu pasien kanker stadium II,III dan IV, bersedia menjadi responden penelitian dan tidak mengalami gangguan komunikasi verbal. Pengukuran kualitas hidup menggunakan kuesioner EORTC QLQ. Hasil penelitian menunjukkan bahwa mayoritas kualitas hidup pasien yang kategori sedang sejumlah 59,3%, kualitas hidup baik 38,4% dan kualitas hidup buruk 2,3%. Kesimpulan penelitian ini adalah kualitas hidup pasien yang terkontrol dengan baik oleh perawat maka akan tampak kemampuan fungsional keseharian pasien sehingga akan berdampak pada nilai positif dari keberlangsungan hidup pasien. Perawat di sarankan untuk memotivasi pasien agar dapat mengikuti kemoterapi sampai selesai sesuai jadwal yang telah ditentukan.","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122164333","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":"UPAYA PENANGANAN GANGGUAN AKTIVITAS PADA PENDERITA GAGAL JANTUNG SELAMA MASA PANDEMI COVID-19","authors":"F. Ryandini, Laura K Noviyanti","doi":"10.32584/JPI.V4I3.766","DOIUrl":"https://doi.org/10.32584/JPI.V4I3.766","url":null,"abstract":"Masa Pandemi Covid 19  ini memberikan berbagai dampak bagi kehidupan manusia salah satunya adalah bagi penderita penyakit gagal jantung dalam melakukan manajemen perawatan dirinya. Gangguan aktivitas yaitu fatigue merupakan suatu tanda dan gejala yang paling sering dirasakan dan akan mempengaruhi kualitas hidup pasien tersebut. Penelitian ini bertujuan untuk mengetahui efektivitas progressive muscle relaxation (PMR) terhadap fatigue pada gagal jantung. Penelitian ini menggunakan Quasi-Eksperimental Design dengan Randomized Kontrol Group Pretest-Posttest Design . Pemilihan sampel dilakukan dengan teknik Probability Sampling yaitu Simple random sampling . Alat ukur yang digunakan adalah kuesioner Fatique Assessment Scale (FAS). Uji statistik menggunakan uji t dependen untuk melihat tingkat fatigue sebelum dan setelah intervensi dan uji t independen untuk melihat selisih tingkat fatigue pada pengukuran awal dan akhir pada kedua kelompok. Hasil penelitian didapatkan bahwa ada perbedaan yang signifikan antara nilai fatigue responden sebelum dan setelah diberikan intervensi (p value 0.0001) dan tidak terdapat perbedaan yang signifikan anatar nilai fatigue sebelum dan sesudah intervensi pada kelompok kontrol (p value 0.621). Hasil uji statistic antar kelompok didapatkan nilai p value 0.0001 sehingga disimpulkan bahwa ada perbedaan yang signifikan antara rata-rata nilai fatigue responden pada kelompok intervensi dan kontrol. Hasil penelitian ini menunjukkan bahwa PMR efektif untuk mengatasi masalah fatigue pada penderita gagal jantung. Saran bagi peneliti selanjutnya perlu dikembangkan metode dengan dengan pendekatan fisik (PMR) dan emosional (psiskis) untuk meningkatkan kapasitas fisik bagi penderita gagal jantung.","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117059025","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":"Penerapan Protokol Recruitment Perawat Berbasis Kompetensi Di Rumah Sakit Santa Elisabeth Medan","authors":"Ernita Rante Rupang, Nurmaini Nurmaini, Roymond H. Simamora","doi":"10.32584/JPI.V4I1.359","DOIUrl":"https://doi.org/10.32584/JPI.V4I1.359","url":null,"abstract":"Protokol recruitment perawat berbasis kompetensi merupakan suatu pedoman dalam pelaksanaan recruitment  perawat yang terdiri dari regulasi, pedoman, standar prosedur operasional (SPO). Penelitian ini bertujuan mengetahui pengaruh penerapan protokol recruitment perawat berbasis kompetensi di Rumah Sakit Santa Elisabeth Medan. Partisipan penelitian 16 orang. Metode penelitian: action research.  Data kuantitatif yaitu tingkat pengetahuan partisipan diperoleh melalui penyebaran kuesioner dianalisis menggunakan statistik deskriptif diperoleh hasil adanya peningkatan pengetahuan sebelum dan sesudah pelaksanaan recruitment  dengan menggunakan protokol recruitment  berbasis kompetensi dari 80% menjadi 100%. Data kualitatif diperoleh dari hasil  FGD , analisa dengan content analysis .  Dampak Penerapan Protokol recruitment perawat berbasis kompetensi di Rumah Sakit Santa Elisabeth Medan adalah perekrutan yang dilaksanakan lebih sistematis sesuai alur/prosedur yang telah ditetapkan; jumlah pelamar lebih banyak hasil dari perekrutan lebih bermutu. Implementation of Competency-Based Nurse Recruitment Protocol at Santa Elisabeth Hospital, Medan Competency-based recruitment protocols at the Santa Elisabeth hospital in Medan is a guideline in the implementation of nurse recruitment which consists of regulations, guidelines, standard operating procedur (SPO).  This study aims to determine the effect of the application of competency-based recruitment protocol at the Santa Elisabeth hospital in Medan. Study participants were 16 people. Research methods: action research. Quantitative data that is the level of participant knowledge obtained through the distribution of questionnaires were analyzed using descriptive statistics obtained the results of an icrease in knowledge before and after implementation of recruitment using competency based recruitment protocols from 80% to 100%. Qualitative data were obtained from FGD result, analysis with content analysis. The impact of the implementation of competency-based nurse recruitment protocols at the Santa Elisabeth hospital in Medan is the recruitment that is carried out more systematically according to the established procedures; the number of applicants more results from better quality recruitment.","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121959746","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":"Studi Kasus: Status Pernafasan Pada Pasien Myasthenia Gravis di Ruang Azalea RSUP Dr. Hasan Sadikin Bandung","authors":"Mia Listia, Mayriska Kalay, Dedi Kurnia, Tuti Pahria, Hasniatisari Harun, Yusshy Kurnia Herliani, Epi Fitriana","doi":"10.32584/JPI.V4I1.458","DOIUrl":"https://doi.org/10.32584/JPI.V4I1.458","url":null,"abstract":"Myasthenia gravis (MG) merupakan penyakit autoimun kronis yang dimediasi oleh antibodi terhadap acetylcholin receptor (AChR)  pada membran postsynaptic dari tautan otot saraf. Hilangnya situs AchR mengakibatkan kelemahan pada otot rangka yang berhubungan dengan pernafasan serta pergerakan ekstrimitas. Sebanyak 15 % – 20 % pasien dengan MG setidaknya mengalami satu kali myasthenic crisis. Myasthenic crisis  merupakan keadaan darurat medis yang terjadi akibat kelemahan otot-otot pernafasan sehingga pasien mengalami penurunan status pernafasan. Tujuan : untuk mengetahui gambaran karakteristik dan menganalisis status pernafasan pasien MG. Metode : penelitian dekriptif dengan pendekatan observasi studi kasus. Teknik pengambilan sampel menggunakan  consecutive sampling. Pengumpulan data dan pengkajian menggunakan form pengkajian asuhan keperawatan RSHS dan lembar observasi status pernafasan nursing intervention clasification. Hasil  :  karakteristik  pasien dalam studi ini adalah pasien MG dengan riwayat gagal nafas,  jenis kelamin perempuan, dengan klasifikasi klinis MG IIb dan IIIb. Hasil Kedua pasien mengalami keluhan kesulitan bernafass namun saat diobservasi pasien kedua mengalami dua kali gagal nafas karena melakukan aktivitas seperti berbicara lama, mengedan, dan tertawa berlebih yang mengakibatkan kelemahan pada otot-otot pernafasan sehingga terjadi peningkatan frekuensi pernafasan dan penurunan saturasi oksigen. Simpulan  :  edukasi yang tepat mengenai aktivitas serta observasi status pernafasan secara berkala dibutuhkan pasien MG agar dapat mengontrol dan mencegah terjadinya gagal nafas yang dapat menyebabkan kematian.  Case Study: Respiratory Status of Patients Myasthenia Gravis at Azalea Room Hasan Sadikin Bandung Hospital. Myasthenia gravis (MG) is a chronic autoimmune disease that is mediated by antibodies to the acetylcholine receptor (AChR) in the post-synapses membrane of the neural muscle tissues. Loss of the AchR site results in weakness in skeletal muscle associated with breathing and limb movements. A total of 15%-20% of patients with MG have suffered a one-time crisis. The Myasthenic crisis is a medical emergency that occurs due to the weakness of the respiratory muscles so that the patient experiences decrease in respiratory status. Objective: to determine the characteristics and analyze the respiratory status of MG patients. Method: Descriptive research with an observation approach to case studies. The sampling technique uses consecutive sampling. Data collection and assessment used the RSHS nursing care assessment form and an observation sheet about the classification status of nursing interventions. Results : The characteristics of the patients in this study were MG patients with a history of respiratory failure, female sex, with clinical classification of MG IIb and IIIb. Both patients had a history of respiratory failure but when observed the second patient experienced two symptoms of respiratory failure due to activities su","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128362771","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":"Perilaku Hidup Bersih Dan Sehat (PHBS) Siswa/siswi di Sekolah Menengah Pertama Negeri (SMPN)","authors":"Sri Hendrawati, Udin Rosidin, Santi Astiani","doi":"10.32584/JPI.V4I1.454","DOIUrl":"https://doi.org/10.32584/JPI.V4I1.454","url":null,"abstract":"Perilaku hidup bersih dan sehat di lingkungan sekolah merupakan sekumpulan perilaku yang dipraktikan oleh peserta didik, guru, dan  masyarakat lingkungan sekolah sebagai hasil pembelajaran. Permasalahan yang muncul di sekolah menengah pertama negeri menunjukan siswa/siswi tidak melakukan PHBS seperti jarang melakukan cuci tangan dengan air mengalir dan sabun, jarang menggunakan jamban sehat, jarang membuang sampah pada tempatnya sehingga terjadi beberapa kasus kejadian penyakit dseperti diare, cacingan, typoid, dan maag. Penelitian ini bertujuan untuk mengidentifikasi gambaran PHBS pada siswa/siswi di sekolah menengah pertama negeri. Penelitian ini menggunakan desain penelitian deskriptif kuantitatif. Populasi pada penelitian ini adalah siswa/siswi di SMPN 3 dan SMPN 4 di Wilayah Kerja Puskesmas Guntur Garut yang berjumlah 1458. Teknik pengambilan sempel menggunakan stratified random sampling sehingga didapatkan 317 orang. Penelitian ini menggunakan intrumen kuesioner PHBS di sekolah. Data dianalisis  secara univariat dengan menggunakan nilai mean dan disajikan dalam distribusi frekuensi. Hasil penelitian menunjukan bahwa setengah dari responden yaitu sebanyak 160 (50,5%) siswa/siswi sudah berperilaku baik dalam berperilaku hidup bersih dan sehat, dan hampir setengah responden yaitu sebanyak 157 (49,5%) siswa/siswi masih berperilaku buruk dalam berperilaku hidup bersih dan sehat. PHBS pada siswa/siswi ini harus lebih ditingkatkan lagi dengan cara pemberdayaan UKS bekerjasama dengan perawat yang ada di puskesmas terdekat dengan melakukan penyuluhan tentang PHBS.Clean and healthy life behaviour in school environment is an accumulation of behaviours which are practiced by students, teachers, and community as a result of learning. Problems which arose in junior high school showed that students did not do clean and healthy life behaviour such as rarely washing their hands with running water and soap, rarely using healthy toilets, rarely throwing garbage in the right places so that there were several cases of diseases such as diarrhea, intestinal worms, typoid, and peptic ulcer.This research aimed to identify the description of clean and healthy life behaviour in SMPN 3 and SMPN 4 Garut in the area of Guntur Community Health Centre. The research method used descriptive quantitative. The population in this research was students of SMPN 3 and SMPN 4 Garut, with the total of 1458. The sampling technique used stratified random sampling so that 317 people were obtained. This research used the clean and healthy life behaviour questionnaire instrument in schools. Data were analyzed univariately using mean values and presented in a frequency distribution. The results showed half of the respondents were 160 (50.5%) of students had behaved well in behaving clean and healthy, and almost half the respondents were 157 (49.5%) students still behaved poorly in the behavior of clean and healthy. PHBS for these students must be further improved by empowering School Hea","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"61 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126020370","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":"Studi Kasus : Status Neurologi Pasien Space Occupying Lesion Dengan Hiv dan Toxoplasmosis Cerebri","authors":"Ade Iwan Mutiudin, Ridal Sagala, Tuti Pahria, Yusshy Kurnia Herliani, Hasniatisari Harun, Epi Pitriana","doi":"10.32584/JPI.V4I1.450","DOIUrl":"https://doi.org/10.32584/JPI.V4I1.450","url":null,"abstract":"Space o ccupying l esion  merupakan desakan ruang yang diakibatkan peningkatan volume di dalam ruang intrakranial. Desakan ruang di intrakranial dapat mengakibatkan jaringan otak mengalami nekrosis sehingga dapat menyebabkan gangguan neurologik progresif. Pasien SOL dengan HIV dan Toxoplasmosis Cerebri menunjukkan hampir 80-90% ditemukan memiliki kelainan neurologik. Tujuan : menganalisis karakteristik pasien dan menganalisis status neurologi. Metode : penelitian dekriptif dengan pendekatan studi kasus observasi. Tehnik pengambilan sampel yang digunakan adalah consecutive sampling. Alat pengumpulan data menggunakan lembaran ceklis yang merupakan kriteria status neurologis berdasarkan Nanda, lembar observasi dan MMSE. Hasil : Durasi mulai sakit yang di alami kedua pasien lebih dari 3 bulan dengan lama hari perawatan lebih dari 7 hari. Kedua pasien mempunyai riwayat penyakit penyerta yang sama dan baru mendapatkan terapi Atiretroviral setelah dirawat di rumah sakit. Gangguan status neurologis yang paling dominan tampak pada pasien Space Occupying Lesion dengan HIV dan Toxoplasmosis Cerebri diantaranya : Keluhan sakit kepala, gangguan kognitif dan gangguan berbicara serta kelemahan otot. Saran : Monitoring status neurologi secara komprehensif merupakan bagian penting terutama pada pasien Space Occupying Lesion dengan HIV dan Toxoplasmosis Cerebri, agar pelayanan yang diberikan akan lebih optimal dan berkualitas. Sehingga dapat mengurangi angka morbiditas dan mortalitas yang diakibatkan oleh gangguan fungsi neurologi.  Case Study : Neurology Status of Patients Space Occupying Lesion with HIV and Cerebri Toxoplasmosis.  Space occupying lesion is the insistence of space caused by an increase in volume in the intracranial space. Pressure in the intracranial space can brain tissue to experience necrosis so that it can cause progressive neurologic disorders. SOL patients with HIV and Cerebri Toxoplasmosis show nearly 80-90% are found to have neurological abnormalities. Aims  : To analyze patient characteristics and analyze neurological status. Method : Descriptive research with an observational case study approach. The sampling technique used was consecutive sampling. Data collection tools use checklist sheets which are neurological status criteria based on Nanda, observation sheets and MMSE. Results : Duration of pain started in both patients was more than 3 months with a length of treatment more than 7 days. Both patients had a history of the same comorbidities and had only received Atiretroviral therapy after being hospitalized. The most dominant neurological status disorders seen in Space Occupying Lesion patients with HIV and Cerebri Toxoplasmosis include: Complaints of headaches, cognitive disorders and speech disorders and muscle weakness. Suggestion: Monitoring Neurology Status comprehensively is an important part especially in the patient's occupying lesion with HIV, so that the service provided will be more optimal and quality. Thus, it can redu","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133663816","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 Pruritus Uremik Pasien Gagal Ginjal Kronik di Unit Hemodialisa Rumah Sakit Umum Pusat Haji Adam Malik Medan","authors":"Friska Sembiring, Siti Saidah Nasution, Yesi Ariani","doi":"10.32584/JPI.V4I1.358","DOIUrl":"https://doi.org/10.32584/JPI.V4I1.358","url":null,"abstract":"Uremic pruritus is one of patient’s complaint about chronic kidney disease which is an uncomfortable and itchy sensation and can cause disturbances during the day or night and can even occur throughout the day such as sleep disturbance, activity, depression and complications in the skin that can reduce the quality of life of patients with chronic kidney failure. This study aims to look at the description of uremic pruritus experienced by patients with chronic kidney failure using descriptive quantitative design. The instruments used in this study were demographic data and a 5-D itch scale questionnaire. This research was conducted at the General Hospital of Haji Adam Malik Medan in one month with a sample of 49 people. The results of the study of the characteristics of respondents describe the majority of elderly (26.5%) who suffer from uremic pruritus, male gender (61.2%), have experienced uremic pruritus for more than 6 weeks (100%), the majority have undergone hemodialysis> 1 year (79.6%) and the majority are no longer working (73.5%) and hypertension is the majority of concomitant diseases (73.5%) with an itching scale of 15-24 (moderate) of 59.2%. This study provides some information on the factors that cause and that aggravate the incidence of uremic pruritus in patients with chronic renal failure so that nurses can get more leverage in nursing care for patients with uremic pruritus, especially in patients with chronic kidney failure.","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123422989","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":"Observasi Latihan Relaksasi Nafas Pada Pasien Chronic Kidney Diseases Dengan Fatigue","authors":"Sri Elis Rohaeti, Andi Sutandi, Eka Afrima Sari, Sri Hartati Pratiwi, Hesti Platini, H. Hamidah","doi":"10.32584/JPI.V4I1.452","DOIUrl":"https://doi.org/10.32584/JPI.V4I1.452","url":null,"abstract":"Menilai fatigue merupakan hal yang sangat penting karena fatigue sering meningkat secara langsung setelah dialysis.Masalah akan timbul jika fatigue pada pasien CKD tidak teratasi salah satunya adalah kualitas hidup yang buruk. Latihan nafas adalah teknik alami merupakan bagian strategi holistik self care untuk mengatasi keluhan seperti fatigue. Menggunakan teknik pernafasan yang efektif untuk menurunkan tingkat fatigue dapat menjadi manajemen fatigue yang dapat ditawarkan pada pasien CKD. Studi kasus ini bertujuan untuk mengobservasi penggunaan latihan nafas untuk mengatasi fatigue pada pasien CKD di Ruang Fresia 2 RSUP Dr.Hasan Sadikin Bandung. Penelitian dilakukan dengan pendekatan studi kasus pada 3 orang pasien dengan kriteria: pasien CKD stadium 5 dengan usia > 18 tahun, menjalani hemodialisis kurang dari 1 tahun, yang mengalami fatigue, dan lama rawat inap minimal 3 hari. K etiga pasien mengalami fatigue dengan skor rata-rata fatigue hari pertama sebelum latihan relaksasi nafas 59.6 dan skor rata-rata setelah latihan relaksasi nafas adalah 55.6, skor rata-rata fatigue hari kedua sebelum latihan 54.6 dan setelah latihan 49, terdapat penurunan skor rata-rata setelah pasien mempraktikan latihan nafas pada hari pertama dan kedua. Hasil latihan relaksasi nafas yang dilakukan pasien dapat menurunkan level fatigue yang dirasakan pasien. Breathing relaxation observation in chronic kidney diseases patients with fatigue . Assessing fatigue is very important because fatigue often increases directly after dialysis. Problems will arise if fatigue in CKD patients is not resolved, one of which is poor quality of life. Breath training is a natural technique that is part of a holistic self care strategy to deal with complaints such as fatigue. Using effective breathing techniques to reduce the level of fatigue can be a management of fatigue that can be offered to CKD patients. This case study aims to observe the use of breathing exercises to overcome fatigue in CKD patients in Fresia Room 2 Dr.Hasan Sadikin Hospital Bandung. The study was conducted with a case study approach on 3 patients with criteria: stage 5 CKD patients> 18 years old, undergoing hemodialysis less than 1 year, who experienced fatigue, and a minimum stay of 3 days . All three patients experienced fatigue with an average score of fatigue the first day before breathing relaxation exercise 59.6 and the average score after breathing relaxation exercise was 55.6, the average score of fatigue the second day before exercise 54.6 and after exercise 49, there was a decrease in the average score after the patient practices breathing exercises on the first and second day. Conclusion : The results of breathing relaxation exercises by the patient can reduce the level of fatigue that is felt by the patient.","PeriodicalId":427127,"journal":{"name":"Jurnal Perawat Indonesia","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133635076","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}