Jurnal Keperawatan Karya Bhakti

PEMBERIAN MOBILISASI DINI UNTUK MENURUNKAN RASA NYERI PADA IBU POST SECTIO CAESAREA

Fajar Prayoga — 2025-01-14

Introduction: Sectio caesarea is an operation to help with childbirth through an incision (incision) in the abdominal wall (laparotomy) and uterus (hysterectomy) to deliver the fetus. One of the nursing interventions that can be given is early mobilization for post-operative patients. Mobilization is the main factor in speeding up recovery and preventing post-surgical complications. Early mobilization can increase blood circulation which can reduce pain, prevent thrombophlebitis, provide nutrition for the healing of the wound area and improve smooth kidney function are important goals in the treatment process. These benefits will be felt by patients if they mobilize early after surgery. Method: The research design that will be used is descriptive research. Sampling in this research will use purposive sampling technique. The number of samples that will be used in this research is 2 respondents with cases After Caesarean Section in the inpatient room at TK IV Army Hospital 01.04.07 Pematangsiantar, in April 2024. Results: Based on the results of the implementation that has been carried out, there is a reduction in the intensity of pain in mothers post section caesarea after being given early mobilization techniques Suggestion: Suggestions given for the research that has been carried out are that nurses should be able to innovate in developing nursing knowledge, especially in caring for clients who experience it after caesarean section by providing early mobilization measures to reduce pain in the mother.

IMPLEMENTASI PEMBERIAN TEKNIK FOOT MASSAGE PADA ANGGOTA KELUARGA YANG MENDERITA HIPERTENSI UNTUK MENURUNKAN TEKANAN DARAH

Risma Silviana — 2025-01-14

Latar Belakang : Hipertensi merupakan tekanan sistolik lebih besar atau sama dengan 160 mmHg dan tekanan diastolik sama atau lebih besar 95 mmHg. Prevelensi Hipertensi sekitar 1,28 miliar orang manula 30-79 tahun diseluruh dunia. Teknik non farmakologis yaitu teknik foot massage untuk menurunkan tekanan darah. Tujuan : menerapkan teknik foot massage untuk menurunkan tekanan darah pada pasien Hipertensi di Puskesmas Kartini Kota Pematangsianatar. Metode : Desain penelitian deskriptif melalui pendekatan studi kasus. Sampel dalam penelitian sebanyak 2 responden yaitu penderita Hipertensi di Puskesmas Kartini Pematangsiantar. Hasil : hasil studi kasus menunjukkan bahwasanya nyeri pada daerah kepala karena peningkatan tekanan darah pada anggota keluarga yang menderita Hipertensi dapat diturunkan menggunakan teknik foot massage.

Kata Kunci: Implementasi; foot massage; Tekanan Darah; Hipertensi

Abstract

Background: Hypertension is a systolic pressure greater than or equal to 160 mmHg and a diastolic pressure equal to or greater than 95 mmHg. Hypertension prevalence is about 1.28 billion people aged 30-79 years worldwide. Non-pharmacological techniques are foot massage techniques to lower blood pressure. Objective: applying foot massage techniques to reduce blood pressure in hypertensive patients at the Kartini Health Center in Pematangsianatar City. Methods: Descriptive research design through a case study approach. The sample in the study were 2 respondents, namely patients with hypertension at the Kartini Health Center in Pematangsiantar. Results: the results of the case study show that pain in the head area due to increased blood pressure in family members suffering from hypertension can be reduced using foot massage techniques.

Keywords: Implementation; foot massage; Blood Pressure; Hypertension

IMPLEMENTASI PEMBERIAN TEKNIK BATUK EFEKTIF PADA KLIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) UNTUK MENGELUARKAN SPUTUM

Eka Nurzanah — 2025-01-14

Background: Chronic Obstructive Pulmonary Disease (COPD) is a lung disorder that occurs over a long period of time / chronically characterized by obstruction of airflow in the respiratory tract. One of the nursing problems that arise in COPD cases is ineffective airway clearance. Efforts made to overcome airway clearance include providing effective cough techniques. Objectives: being able to perform and apply nursing care to patients with Chronic Obstructive Pulmonary Disease (COPD) with the implementation of effective coughing techniques to remove sputum at Vita Insani Hospital Pematangsiantar. Methods: This research design is quantitative-descriptive using a case study approach. The research sample consisted of 2 respondents, namely patients with chronic obstructive pulmonary disease (COPD). The sampling used in this study was purposive sampling. Data collection was carried out using observation techniques, interviews, physical examinations, supporting examinations, documentation conducted on April 24, 2024-26 April 2024 at Vita Insani Hospital Pematangsiantar. Results: the results of this case study indicate that after implementation by providing an effective cough for 3 days the results obtained that both clients experienced a decrease in respiratory frequency and sputum could be removed, vesicular breath sounds, regular breathing rhythms and sonorous lung percussion in both clients

PENERIMAAN DIRI ORANG TUA MELALUI DUKUNGAN KELUARGA TERHADAP ANAK BERKEBUTUHAN KHUSUS

Asiah Asiah — 2025-01-14

The process of accepting the condition of children with special needs requires family support. Self-acceptance of children is an important aspect that parents need to have. Parents often show various reactions when dealing with children with special needs. One response that usually arises is to give high demands or expectations to children, which can be a sign that they have not entirely accepted the child's condition. This phenomenon is known as denial or rejection of the reality experienced. The study aimed to determine the relationship between family support and self-acceptance of parents of children with special needs in S.L.B. Quantitative research design with a Cross-Sectional approach. The population of 40 parents with children with special needs in S.L.B. used total sampling to obtain a total sample of 40 people. The research instrument was a family support and self-acceptance questionnaire. Data analysis was carried out using the Spearman Rank test approach method. The study results showed that family support had a sufficient category of 20 respondents (50%). The self-acceptance of parents with special needs children was obtained in the high category of 15 respondents (37.5%). The statistical test results obtained a p-value of 0.018 (<0.05), indicating a relationship between family support and self-acceptance of parents with children with special needs in S.L.B. Suggestions for parents who have children in S.L.B. should socialize more often with family, relatives or the surrounding environment so that they can provide support and motivation to increase self-acceptance and continue to explore their child's potential so that parents are more accepting of their child's condition.

Keywords: Family Support; Self Acceptance; Children with Special Needs

ANALISIS KESEJAHTERAAN MENTAL MAHASISWA MENGGUNAKAN SELF-REPORTING QUESTIONNAIRE-20 (SRQ-20)

Ratna Kurniawati — 2025-01-14

Latar belakang : Mahasiswa sering menghadapi berbagai tekanan, seperti akademik, sosial, maupun personal hingga berdampak pada kesehatan mental. Perguruan tinggi berperan penting membentuk individu dan mengembangkan masyarakat. Masalah psikologis sering dialami mahasiswa akibat tekanan dari berbagai sumber dan masalah yang dihadapi mahasiswa sangat kompleks. Tujuan: penelitian ini untuk menganalisis kesejahteraan mental mahasiswa dengan mengadaptasi SRQ-20. Metode : penelitian deskriptif kuatitatif, penelitian dilakukan selama 1 bulan, pengumpulan data menggunakan kuesioner online pada 71 mahassiwa. Hasilnya: terdapat hubungan sangat kuat dan positif, antar skor SRQ-20 dengan gangguan mental emosional, sebanyak 31% mahassiwa mengalami gangguan mental emosional mengakibatkan kesejahteraan mahasiswa berkurang. Prosentase keluhan di atas 25% dirasakan oleh mahasiswa yaitu ketidakmampuan melakukan hal yang bermanfaat 43,7%, mudah merasa lelah 42,3%, mudah takut 36,6%, sulit mengambil keputusan 35%, merasa tegang, cemas atau khawatir 32,4% dan sering sakit kepala 28,2%. Kesimpulan : Munculnya hambatan psikologis, mengakibatkan terhambatnya kesejahteraan

FAKTOR-FAKTOR YANG MEMPENGARUHI CITRA TUBUH REMAJA

Monika Sawitri Prihatini — 2025-01-14

ABSTRAK

Latar belakang : Remaja merupakan masa transisi dari anak menjadi dewasa. Pada masa transisi anak menuju remaja, mereka mengalami berbagai perubahan biologis, kognitif, sosial dan emosional. Hal yang sering terjadi pada masa ini, remaja lebih tidak puas dengan keadaan tubuhnya. Pemahaman yang kurang tersebut akan berdampak pada kecenderungan citra tubuh ke arah negatif yang rentan mengalami harga diri rendah, depresi, kecemasan sosial, menarik diri dan disfungsi seksual. Tujuan penelitian untuk mengetahui faktor-faktor yang mempengaruhi citra tubuh remaja. Metode : jenis penelitian menggunakan analitik korelasional dengan pendekatan cross sectional. Populasi semua siswa salah satu SMP swasta di Jombang pada TA 2021/2022 sebanyak 100 orang. Sampel sejumlah 78 responden. Teknik pengambilan sampel menggunakan consecutive sampling. Alat ukur menggunakan kuesioner. Analisa data menggunakan chi square. Hasil penelitian 33,3% siswi perempuan memiliki citra tubuh positif. 29,5% siswa usia 13 tahun memiliki citra tubuh positif. 3,8% siswa yang memiliki cacat fisik memiliki citra tubuh positif. 46,2% siswa dengan pola asuh demokratis memiliki citra tubuh positif. 37,2% siswa dengan hubungan teman sebaya tingkat sedang memiliki citra tubuh positif. 25,6% siswa dengan harga diri tinggi memiliki citra tubuh positif. Dari semua faktor yang diujikan hanya faktor pola asuh dan teman sebaya yang memiliki hubungan dengan citra tubuh. Kesimpulan orang tua harus terus belajar untuk memberikan pola asuh yang terbaik bagi putra putrinya agar anak mendapatkan role model yang terbaik dari orang tua. Orang tua harus memiliki kerjasama yang baik dengan guru dalam membimbing dan memberikan pengawasan pada anak.

Kata Kunci : Faktor-faktor, citra tubuh, siswa SMP

ABSTRACT

Background : Adolescence is a transition period from childhood to adulthood. During the transition from childhood to adolescence, they experience various biological, cognitive, social and emotional changes. What often happens during this period is that adolescents are more dissatisfied with their bodies. This lack of understanding will have an impact on the tendency of body image towards negative which is prone to low self-esteem, depression, social anxiety, withdrawal and sexual dysfunction. The purpose of the study was to determine the factors that influence the body image of adolescents. Method: his type of research uses correlational analytics with a cross-sectional approach. The population of all students of one of the private junior high schools in Jombang in the 2020/2021 academic year was 100 people. The sample was 78 respondents. The sampling technique used consecutive sampling. The measuring instrument used a questionnaire. Data analysis used chi square. The results of the stutdy 33.3% of female students have a positive body image. 29.5% of students aged 13 years have a positive body image. 3.8% of students with physical disabilities have a positive body image. 46.2% of students with democratic parenting have a positive body image. 37.2% of students with moderate peer relationships have a positive body image. 25.6% of students with high self-esteem have a positive body image. Of all the factors tested, only parenting and peer factors have a relationship with body image. Conclusion: parents must continue to learn to provide the best parenting for their children so that children get the best role models from their parents. Parents must have good cooperation with teachers in guiding and supervising their children.

Keywords: Factors, body image, junior high school students

GAMBARAN EFIKASI DIRI MAHASISWA DIPLOMA III KEPERAWATAN

Tri Wulandari — 2025-01-29

Mahasiswa keperawatan memerlukan adanya efikasi diri agar dapat menghadapi dunia pembelajaran/perkuliahan. Efikasi diri sebagai keyakinan seseorang terhadap kemampuan dalam melakukan kontrol diri terhadap suatu hal yang terjadi pada diri nya atau lingkungan. Mahasiswa sangat perlu percaya pada kemampuan dalam menghadapi masalah agar dapat berhasil atau agar mampu bangkit dan beradaptasi (resiliensi) dalam menghadapi kesulitan yang muncul selama proses pembelajaran. Penelitian ini bertujuan untuk menganalisis gambaran efikasi diri mahasiswa diploma III keperawatan di Temanggung. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Teknik pengambilan sampel yang digunakan adalah convenience sampling menggunakan aplikasi google form yang disebarkan melalui email dan whatsapp dengan waktu pengisian 3 hari (14-16 Desember 2024). Kriteria inklusi penelitian antara lain mahasiswa keperawatan Diploma III Keperawatan yang aktif dan terdaftar dalam pangkalan data pendidikan tinggi tahun 2024/2025, bersedia menjadi responden dengan mengisi aplikasi. Kriteria ekslusi yaitu responden bukan mahasiswa keperawatan. Sampel penelitian sejumlah 95 responden. Hasil penelitian diperoleh efikasi diri mahasiswa DIII Keperawatan pada tingkat keyakinan (Strength) memiliki rata-rata nilai tertinggi dengan 74,32% diikuti dengan tingkat keluasan (Generality) dan tingkat kesulitan (Magnitude) dengan 72,68% dan 71,92% yang didominasi pada usia 18-19 tahun, jenis kelamin laki-laki dan pada tingkatan studi pertengahan (tingkat 2). Kesimpulan: Mahasiswa diploma III keperawatan sebanyak 95 responden memiliki efikasi diri baik dan bahkan mendekati sangat baik.

DETERMINANTS OF PREGNANCY COMPLICATIONS: AN ANALYSIS OF INDONESIAN DEMOGRAPHIC AND HEALTH SURVEY DATA (IDHS) 2017

Salma Tsuraya Salsabila — 2025-01-31

Indonesia is the third country with the highest maternal mortality rate (MMR) in Southeast Asia and has not yet reached the SDGs target. Many maternal deaths in Indonesia are caused by pregnancy complications. Information on factors that influence pregnancy complications in Indonesia is still limited, especially those that use large amounts of data. The purpose of this study was to analyse the factors that influence the occurrence of pregnancy complications in provinces with different MMR levels, namely Papua, West Java and DKI Jakarta.

This study used a descriptive correlational design using secondary data from the 2017 Indonesian Demographic and Health Surveys (IDHS). Data were obtained from the official website, dhsprogram.com. The population in the study was women of reproductive age (WRA) in Indonesia. Sampling used cluster sampling technique. Inclusion criteria were WUS aged 15-49 years who had or were experiencing pregnancy in the last 5 years when the survey was conducted, namely 1,451 samples. The analysis conducted was univariate analysis to describe the proportion of pregnancy complications and data distribution based on the independent variables studied and bivariate chi square analysis to see the relationship between the independent and dependent variables.

The findings showed that the majority of WRA from the three provinces experienced uncomplicated pregnancies. Bivariate analysis showed no significant association between age, parity, birth interval, education level, smoking lifestyle, antenatal care visits, and husband support with pregnancy complications among women in Papua and DKI Jakarta provinces. Meanwhile, in West Java Province there was a significant association between smoking lifestyle and pregnancy complications, however, the other six factors were not associated.

The study concluded that pregnancy complications are influenced by other factors that more strongly affect pregnancy complications. It is recommended for future research to examine other variables that have not been studied in this study. In addition, strategic planning is also needed to reduce the number of high-risk pregnant women in the provinces of Papua, West Java, and DKI Jakarta.

ANALISIS KECERDASAN EMOSIONAL DENGAN STRATEGI KOPING PADA REMAJA AKHIR DI SMA NEGERI 3 SAMARINDA

Lutfi Nur Amalia — 2025-01-31

Abstrak

Dalam proses kehidupan manusia yang dimana akan terjadi perubahan seperti fisik, social, emosional, dan psikosoisal dari masa transisi kanak-kanak ke masa beranjak dewasa. Orang yang cerdas secara emosional mampu mengendalikan emosi mereka dengan baik dari stres, depresi, kecemasan, atau kemarahan yang berlebihan serta menahan atau menunda kesenangan sementara mereka dalam mengejar tujuan jangka panjang. Tujuan penelitian ini untuk mengetahui hubungan antara kecerdasan emosional dengan strategi koping pada remaja akhir di SMA Negeri 3 Samarinda. Penelitian ini kuantitatif korelasi dengan pendekatan Cross Sectional, dengan sampel berjumlah 178 menggunakan teknik stratified random sampling. Instrumen yang digunakan yaitu kuesioner kecerdasan emosional TEIQue dan strategi koping Brief Cope Analisa data menggunakan uji Spearman Rank. Hasil uji statistik antara kecerdasan emosional dengan strategi koping pada remaja akhir didapatkan hasil koefisien korelasi -0,157 dan hasil p value adalah 0,037 kurang dari taraf signifikansi sebesar 0,05. Hal ini terdapat hubungan yang signifikan antara kecerdasan emsoional dengan strategi koping pada remaja akhir di SMA Negeri 3 Samarinda dan menunjukkan keeratan hubungan lemah dengan arah korelasi negative bahwa semakin rendah kecerdasan emosional yang dimiliki maka semakin adaptif strategi koping yang dilakukannya.

Kata Kunci: Kecerdasan Emosional, Strategi Koping, Remaja Akhir