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FUNGSI PENGAWASAN KEPALA RUANG DALAM PENERAPAN PATIENT SAFETY: PERSEPSI PERAWAT PELAKSANA

Yuswardi, Yuswardi, Anwar, Anwar, Maulina, Maulina

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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ABSTRAKKeselamatan pasien (patient safety) merupakan kondisi bebas dari bahaya yang mengancam pasien selama menerima pelayanan kesehatan. Hal ini identik dengan kualitas pelayanan sehingga keselamatan pasien patient safety adalah hal yang harus diutamakan. Penerapan patient safety sangat membutuhkan peran aktif dari kepala ruang berupa fungsi pengawasan Tujuan penelitian untuk mengetahui hubungan pengawasan kepala ruang dengan penerapan patient safety di ruang rawat inap Rumah Sakit Umum Daerah Meuraxa Banda Aceh. Jenis penelitian ini deskriptif korelatif dengan desain cross sectional. Populasi penelitian adalah seluruh perawat pelaksana yang bekerja di di ruang rawat inap Rumah Sakit Umum Daerah Meuraxa Banda Aceh sebanyak 129 orang. Teknik pengambilan sampel pada penelitian ini adalah total sampling. Alat pengumpulan data berupa kuesioner. Hasil penelitian dapat diketahui bahwa: ada hubungan pengawasan kepala ruang dengan penerapan patient safety di ruang rawat inap Rumah Sakit Umum Daerah MeuraxaBanda Aceh (p-value = 0,002). Dari hasil penelitian disarankan kepada pihak Rumah Sakit Umum Daerah Meuraxa Banda Aceh perlu mempertahan pengawasan dilanjutkan dengan melaksanakan training bagi kepala ruang agar pengawasan dapat berjalan lebih optimal sehingga meningkatkan penerapan patient safety.Kata Kunci: Patient Safety, PengawasanABSTRACTPatient safety is a condition of free for dangers that threaten the patient for receiving health services. Application of patient safety in hospital requires an active role of head nurse in the form of guidance function in the form of controlling. Application an adequate controlling of the head nurse will have an impact on the application of optimal patient safety. The purpose of the study was to determine the relationship of controlling of head nurse with the implementation of patient safety in the inpatient unit. This study was descriptive correlative with cross sectional study design. Study population was comprised 129 nurses who work in the inpatient units at one of public hospital of Banda Aceh selected using total sampling. Data was collected by a self report questionnaire. Results of this study shows that there was a relationship between controlling head nurse with the implementation of patient safety (p-value = 0,002). The researchers suggest that the hospital should be conducting training for head nurse to increase knowledge of supervision and improve the application of patient safety in the inpatient unit.Keywords: Patient Safety, Controlling

HUBUNGAN PENGETAHUAN DENGAN UPAYA PENCEGAHAN KEKAMBUHAN ASMA BRONKHIAL

Astuti, Rita, Darliana, Devi

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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ABSTRAKInsidensi penyakit asma bronkhial menduduki peringkat ke-5 besar sebagai penyebab kematian di Indonesia. Asma bronkhial adalah penyakit inflamasi pada saluran pernapasan yang mengakibatkan penyempitan saluran napas yang ditandai dengan episode mengi, sesak napas, kekakuan dada, dan batuk berulang. Pengetahuan sangat penting dalam mengelola dan mengontrol pencegahan kekambuhan penyakit asma. Pasien dan keluarga yang memahami penyakit asma bronkhial akan menyadari bahaya yang dihadapi bila menderita asma sehingga pasien akan berusaha untuk menghindari faktor-faktor pencetus asma bronkhial seperti olahraga, menghindari alergen asap rokok, debu, virus, emosi dan lainnya. Tujuan penelitian untuk mengetahui hubungan pengetahuan dengan upaya pencegahan kekambuhan asma bronkhial. Penelitian dilakukan mulai tanggal 20 September sampai dengan 16 Oktober 2017. Jenis penelitian adalah descriptive correlative dengan desain penelitian cross sectional study dengan metode purposive sampling. Hasil penelitian menunjukkan pengetahuan berada pada kategori baik dengan jumlah responden 69 orang (81.2%) dan upaya pencegahan kekambuhan asma berada pada kategori baik dengan jumlah responden 65 orang (76,5%). Hasil analisa data di peroleh nilai P-Value = 0,002 sehingga H0 di tolak yang berarti terdapat hubungan pengetahuan dengan upaya pencegahan kekambuhan asma bronkhial pada pasien di Poliklinik Paru Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. Diharapkan kepada perawat agar senantiasa memberikan pendidikan kasehatan yang disertai dengan media sehingga dapat melakukan upaya pencegahan kekambuhan yang lebih baik lagi.Kata kunci: Asma bronkhial, upaya pencegahan kekambuhan.¬†ABSTRACTThe incidence of bronchial asthma has been ranked as the fifth cause of death in Indonesia. Bronchial asthma is an inflammatory disease of the respiratory tract that causes airway constriction characterized by episodes of wheezing, shortness of breath, chest tightness, and coughing. Based on that, knowledge is important to manage and control the prevention of asthma relepse. Patients and families will be aware of the dangers so it is better for them to avoid the disease by doing such things: exercise, avoid allergens, cigarette smoke, dust, viruses, get emotional and others.This study aims to determine the relationship between patient‚??s knowledge and effors to prevent recurrence of bronchial asthma. The study was conducted from 20 September to 16 October 2017. The type of this research is descriptive correlative with cross-sectional study design by purposive sampling method. The result showed that knowledge was in the best category with the number of respondents 69 people (81.5%) and the prevention of asthma relapse was in the best category¬† with the numbers of respondents 65 (76.5%). From the results of the data processing, the P-Value = 0.02 so H0 is rejected. Somehow, that means there is a relationship between patients‚?? knowlegde and efforts to prevent bronchial asthma to relapse. Furthermore, it is also suggested that nurses should continue to provide comprehensive health education to asthma patients so that they will be able to make better prevention of the recurrenceKeywords: Bronchial asthma, effort to prevent recurrence

TERAPI PSIKOFARMAKA PADA PASIEN RAWAT JALAN DI RUMAH SAKIT JIWA ACEH

Novitayani, Sri

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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ABSTRAKGejala skizofrenia muncul karena adanya ketidakseimbangan neurotransmiter diantaranya dopamin, serotonin, norefinefrin, asetilkolin, dan Gama Amino Butirik Asid (GABA). Psikofarmaka diperlukan untuk menyeimbangkan kembali neurotransmiter tersebut agar gejala skizofrenia berkurang. Tujuan penelitian ini adalah untuk mengetahui jenis psikofarmaka yang dikonsumsi pasien skizofrenia rawat jalan di poliklinik Rumah Sakit Jiwa Aceh. Penelitian ini adalah penelitian deskriptif. Responden sebanyak 40 pasien skizofrenia rawat jalan dengan menggunakan tehnik purposive sampling. Instrumen yang digunakan dalam penelitian ini yaitu data demografi dan form cheklist nama psikofarmaka yang diterima responden dari bagian farmasi Rumah Sakit Jiwa Aceh. Distribusi frekuensi merupakan statistik yang digunakan untuk menganalisa data hasil penelitian. Hasil data¬† menunjukkan bahwa mayoritas responden berada pada kategori dewasa awal (45%), laki-laki (65%), riwayat rehospitalisasi 2-5 kali (70%), menderita skizofrenia dalam rentang 11 tahun ‚?? 20 tahun (60%) dan mengkonsumsi Clozapin (70%), Risperidon (67,5%) serta Trihexiphenidil (77,5%). Berdasarkan hasil penelitian ini, peneliti menyarankan agar pemberian psikofarmaka yang telah sesuai dengan pedoman yang sudah ditetapkan dapat lebih difokuskan lagi untuk memperkecil gejala efek samping dari antipsikotik¬† selain berfokus pada penanganan gejala skizofrenia, sehingga dapat mencegah rehospitalisasi.Kata kunci: Skizofrenia, antipsikotik, dan trihexypenidil.¬†ABSTRACTSymptoms of schizophrenia arise due to an imbalance of neurotransmitter such as dopamine, serotonin, norefinephrine, acetylcholine, and Gama Amino Butirik Asid (GABA). Psychopharmacho therapy are needed to balance the neurotransmitters in order to reduce symptoms of schizophrenia. The aim of this study was to determine psychopharmaceutical that was consumed by schizophrenic outpatients in polyclinic of the Aceh Psychiatric Hospital. This study is descriptive design. Respondents were 40 schizophrenic outpatients by using purposive sampling. The instruments used in this study are demographic data and form checklist of psychopharmaca that respondents received from the pharmacy department of the Aceh Psychiatric Hospital. Frequency distribution was¬† used to analyze data of the study. The results showed that the majority of respondents were early adulthood (45%), male (65%), rehospitalization history 2-5 times (70%), suffering schizophrenia in the range of 11 - 20 years (60%) and consuming Clozapine (70%), Risperidone (67.5%) and also Trihexyphenidyl (77.5%). According to the results of this study, the researcher suggested that the provision of psychopharmaceutical that has been in accordance with established guidelines can be also focused to minimize the side effects from antipsychotic in addition to focusing on the managing of schizophrenic symptoms, so it can prevent rehospitalization. Keywords: Schizophrenia, antipsychotic, and tryhexiphenidil.

EFEKTIVITAS DIABETES SELF MANAGEMENT EDUCATION MELALUI SMS TERHADAP PENGETAHUAN PENDERITA DIABETES MELLITUS: A PILOT STUDY

Ridwan, Arfiza, Barri, Pathul, Nizami, Nevi Hasrati

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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ABSTRAKFederasi Diabetes Internasional (IDF) memperkirakan 382 juta orang menderita dibetes mellitus diseluruh duniadimana Indonesia menempati posisi ke 7 negara dengan prevalensi diabetes tertinggi di dunia, yaitu sebesar 8,5%. Dalam mengendalikan penyakit tidak menular, pemerintah Indonesis telah mengatur tugas pokok memandirikan masyarakat untuk hidup sehat dengan cara pengendalian faktor resiko yang salah satunya adalah diet. Diabetes Self-Management Education (DSME) merupakan proses pendidikan kesehatan bagi individu atau keluarga dalam mengelola penyakit diabetes yang telah dikembangkan sejak tahun 1930-an oleh Joslin Diabetes Center. Proses ini melibatkan metode pedoman, konseling, dan intervensi perilaku penderita diabetes agar dapat mengelola penyakitnya, sehingga pasien dan keluarga menjadi mandiri. Untuk dapat meningkatkan efektifitas dan efisiensi proses, penggunaan media elektronik seperti Short Message Service (SMS) dirasa perlu untuk diuji keefektifannya. Penelitian ini merupakan pilot study yang bertujuan untuk  mengetahui fisibilitas, efektifitas, dan efisiensi penggunaan SMS dalam meningkatkan pengetahuan penderita diabetes dengan mengaplikasikan program Diabetes Self Management Education (DSME) dalam skala kecil yaitu 6 orang sampel agar dapat digunakan untuk penelitian dengan skala yang lebih besar.  Penelitian dilakukan dengan melakukan kunjungan rumah dan dilanjutan dengan pengiriman SMS kepada sampel. Proses pengumpulan data dilakukan sebelum dan sesudah intervensi dilakukan. Berdasarkan hasil penelitian diketahui bahwa program ini sangat sesuai untuk diaplikasikan pada masyarakat karena lebih efisien dalam waktu dan tenaga, tanpa mengurangi kualitas materi dari pendidikan kesehatan yang diinginkan. Selain itu, dari hasil uji statistik menggunakan Wilcoxon Ranks Test, diketahui bahwa terdapat peningkatan signifikan pada pengetahuan penderita diabetes sebelum dan sesudah diberikan intervensi (p<0.05). Diharapkan kepada tenaga kesehatan khususnya perawat puskesmas untuk dapat mengaplikasikan program ini dalam penanggulangan penyakit diabetes agar meningkatkan efektifitas dan efisiensi kerja.Kata Kunci: diabetes, self- manajemen, SMS ABSTRACTThe International Diabetes Federation (IDF) estimates that 382 million people have diabetes mellitus worldwide where Indonesia ranks 7th in the world with the highest prevalence of diabetes in the world, which is 8.5%. In controlling non-communicable diseases, the government of Indonesia has set the main task of establishing people to live healthy by controlling risk factors, one of which is diet. Diabetes Self-Management Education (DSME) is a process of health education for individuals or families in managing diabetes that has been developed since the 1930s by Joslin Diabetes Center. This process involves methods of guidance, counseling, and behavioral interventions of diabetics in order to manage the disease, so that patients and families become independent. To improve the effectiveness and efficiency of the process, the use of electronic media such as Short Message Service (SMS) is considered necessary to test its effectiveness. This study is a pilot study that aims to determine the effectiveness, effectiveness and efficiency of SMS use in increasing the knowledge of diabetics by applying the program of Diabetes Self Management Education (DSME) on a small scale of 6 people in order to be used for research with a larger scale. The study was conducted by home visits and continued by sending SMS to the sample. The data collection process is conducted before and after the intervention is done. Based on the result, it is known that this program is very suitable to be applied to the community because it is more efficient in time and effort, without reducing the material quality of the desired health education. Moreover, from the results of statistical tests using Wilcoxon Ranks Test, it is known that there is a significant increase in knowledge of diabetics before and after the intervention (p <0.05). It is expected that health workers, especially health center nurses, can apply this program in the prevention of diabetes to improve the effectiveness and efficiency of work.Keywords: Diabetes, Self Management, SMS

KESIAPSIAGAAN TARUNA DALAM MENGHADAPI BENCANA TSUNAMI DI BALAI PENDIDIKAN DAN PELATIHAN

Tirtana, Faris Augus, Satria, Budi

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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ABSTRAKKesiapsiagaan taruna yang terdiri dari pengetahuan dan sikap, rencana untuk keadaan darurat bencana, sistem peringatan bencana, dan mobilisasi sumber daya memegang peranan penting dalam menghadapi bencana tsunami. Tujuan penelitian ini untuk mengetahui kesiapsiagaan taruna dalam menghadapi bencana tsunami di Balai Pendidikan dan Pelatihan Aceh Besar. Jenis penelitian ini descriptive explorative dengan desain cross sectional. Populasi penelitian seluruh taruna Balai Pendidikan dan Pelatihan Aceh Besar berjumlah 241 taruna, teknik pengambilan sampel menggunakan purposive sampling, sebanyak 100 responden, dengan alat pengumpulan data berupa angket dan jenis instrumen kuesioner. Penelitian dilakukan pada April 2018 dengan hasil penelitian didapatkan kesiapsiagaan taruna 86,97 dikategorikan sangat siap, dengan nilai rata-rata tiap parameter sebagai berikut; pengetahuan dan sikap taruna (90%) sebesar 87,45 dikategorikan sangat siap, rencana untuk keadaan darurat bencana pada taruna (84%) sebesar 88,15 dikategorikan sangat siap, sistem peringatan bencana pada taruna (92%) sebesar 89,70 dikategorikan sangat siap, mobilisasi sumber daya pada taruna (98%) sebesar 93,50 dikategorikan sangat siap. Dari hasil penelitian ini diharapkan pelatihan kesiapsiagaan bencana tsunami lebih intens diberikan pada taruna. Kata Kunci: Kesiapsiagaan menghadapi bencana, tsunami ABSTRACTCadets preparedness consist of Knowledge and Attitude (KA), Emergency Planning (EP), Warning System (WS), and Resource Mobilization Capacity (RMC) play an important role in facing tsunami disaster. The purpose of this research is to know cadet preparedness in facing tsunami disaster at Education and Training Center of Aceh Besar. This research type is descriptive explorative with cross sectional design. The research population is all of cadets in Education and Training Center of Aceh Besar that amounted to 241 cadets, sampling technique using purposive sampling, as many as 100 respondents, with data collection tools are in the form of questionnaires and types of questionnaire instruments. The research was conducted on May 02 until May 04, 2018 with the results of the research for the cadet preparedness were obtained 86,97 is categorized as highly prepared. Which the average of each parameter as follows: the average of knowledge and attitude of cadets (90%) of 87.45 are categorized as highly prepared, the average of emergency planing in cadets (84%) of 88.15 is categorized as highly prepared, the warning system in cadets (92%) of 89.70 is categorized as highly prepared, the average of Resource Mobilization Capacity at cadets (98%) of 93.50 is categorized as highly prepared. From the result of this research, it is expected that tsunami disaster preparedness training will be more intensely given to cadets. Keywords: Disaster preparedness, tsunami

SARANA DAN PRASARANA PENDUKUNG KESIAPSIAGAAN BENCANA SEKOLAH

Satria, Budi

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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ABSTRAKSarana dan prasarana sekolah yang memadai sangat penting dalam mempersiapkan kesiapsiagaan terhadap terjadinya bencana. Sarana dan prasarana merupakan aspek yang harus ada dalam sebuah sekolah siaga bencana (SSB). Penelitian ini bertujuan untuk mengetahui kesiapsiagaan sekolah dasar ditinjau dari sarana dan prasarana dalam menghadapi bencana. Jenis penelitian ini adalah deskriptif eksploratif dengan desain cross sectional study. Teknik pengambilan sampel menggunakan total sampling dengan jumlah populasi sebanyak 9 sekolah dari seluruh sekolah dasar di Kecamatan Meuraxa Kota Banda Aceh, kemudian diambil sampel sebanyak 9 sekolah. Pengumpulan data menggunakan kuesioner observasi dalam bentuk dichotomous. Analisa data menggunakan analisa univariat. Hasil penelitian adalah kesiapsiagaan ditinjau dari sarana adalah siap (100%). Kesimpulan semua Sekolah telah siap menghadapi bencana, namun dilihat dari jawaban kuisioner, ada beberapa item dari sarana dan prasarana yang masih perlu ditingkatkan seperti perlunya pemanfaatan ruang Unit Kesehatan Sekolah untuk kegiatan pelayanan kesehatan pada tingkat pertama. Disarankan bagi pemerintah dan pihak sekolah diperlukan adanya evaluasi setiap tahun untuk menilai kesiapan Sekolah dalam menghadapi bencana.Kata kunci: Sarana, prasarana, sekolah siaga bencana. ABSTRACTAdequate school facilities and infrastructure are essential in preparing for disaster preparedness. Facilities and infrastructure are aspects that must exist in a disaster prepared school (SSB). This study aims to determine the readiness of primary school in terms of facilities and infrastructure in the face of disaster. The type of this research is descriptive explorative with cross sectional study design. The sampling technique used total sampling with the total population of 9 schools from all primary schools in Meuraxa sub-district of Banda Aceh City, and then taken sample of 9 schools. Data collection using an observation questionnaire in dichotomous form. Data analysis using univariate analysis. The result of the research is the school preparedness in terms of infrastructure is ready (100%). Conclusion there are some items of facilities and infrastructure that are still the necessity of utilizing the space of the School Health Unit for health service activities on first level. It is advisable for the government and the school to have an annual evaluation to assess the readiness of the School in the face of disasterKeywords: Facilities, infrastructure, disaster preparedness school.

OPTIMALISASI KESELAMATAN PASIEN MELALUI KOMUNIKASI SBAR DALAM HANDOVER

Rachmah, Rachmah

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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Handover merupakan bagian mendasar dalam keselamatan pasien. Salah satu komunikasi efektif yang dapat digunakan pada saat handover adalah komunikasi SBAR. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi SBAR dalam handover dengan keselamatan pasien di RS. Penelitian ini dilakukan dengan metode deskriptif korelasional. Teknik sampel adalah purposive sampling dengan total sampel sebanyak 42 perawat pelaksana. Keselamatan pasien diukur dengan kuisioner valid. Data dianalisis menggunakan uji chi square  dan uji korelasi pearson. Hasil penelitian ini menunjukkan bahwa Komunikasi SBAR dalam handover memiliki hubungan yang signifikan dengan keselamatan pasien (p value= 0.001). Agar komunikasi SBAR menjadi efektif pada saat handover, kepala ruangan wajib melakukan supervisi sehingga komunikasi efektif ini menjadi budaya dalam keselamatan pasien.Kata kunci : komunikasi SBAR, handover, keselamatan pasien ABSTRACTOne of the effective communications that can be used during handover is SBAR communication. This study aims to determine the relationship between SBAR communications and patient safety improvement in an indonesia hospital. This research method was descriptive correlational. Purposive sampling was used with a total sample of 42 nurses. Patient safety was measured by a valid questionnaire. Data were analyzed using chi square test and Pearson correlation test. The results of this study indicated that SBAR Communication in handover has a significant relationship to patient safety (p value = 0.001). To conclude, it is expected that the head nurses supervise the nurse to implement SBAR communication in order to optimize safety culture.Keywords: SBAR communication, handover, patient safety

UPAYA PROMOSI DAN PREVENSI KESEHATAN REPRODUKSI WANITA OLEH PETUGAS KESEHATAN

Ermiati, Ermiati

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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Masalah kesehatan reproduksi wanita seperti infeksi menular seksual, kanker serviks, kanker payudara, angka kematian ibu terjadi peningkatan dari tahun ke tahun. Rumah sakit dan petugas kesehatan merupakan bagian yang tidak terpisah dari program pelayanan kesehatan dan menjadi ujung tombak dalam upaya promosi dan prevensi kesehatan dalam mencegah dan menurunkan masalah-masalah kesehatan reproduksi. Penelitian ini bertujuan untuk mengetahui gambaran upaya promosi dan prevensi yang dilakukan oleh petugas kesehatan berhubungan dengan kesehatan reproduksi wanita. Jenis penelitian deskriptif kuantitatif. Populasi seluruh petugas kesehatan di Ruang Kebidanan RSHS Bandung. Sampel berjumlah 37 responden, yang merupakan tenaga kesehatan/bidan di ruang kebidanan yang bersedia untuk diambil datanya. Instrumen yang digunakan adalah kuesioner yang berisi pernyataan yang berhubungan dengan materi kesehatan reproduksi. Penelitian ini menunjukkan lebih dari 80% tenaga kesehatan melakukan upaya promosi dan prevensi kesehatan pada kesejahteraan ibu dan bayi pada periode perinatal (ibu hamil, melahirkan, postpartum) dan KB. Kurang dari 50% tenaga kesehatan melakukan upaya promosi dan prevensi kesehatan reproduksi pada infeksi pada system reproduksi, kesehatan reproduksi remaja, deteksi dini, kesehatan lansia dan KDRT. Upaya promosi dan prevensi kesehatan reproduksi yang dilakukan oleh tenaga kesehatan di ruang kebidanan lebih berfokus pada periode perinatal dan KB sedangkan untuk kesehatan reproduksi seperti infeksi, kespro remaja, deteksi dini, lansia dan KDRT masih kurang optimal. Diharapkan upaya promosi dan prevensi kesehatan dilakukan oleh tenaga kesehatan mencakup seluruh aspek kesehatan reproduksi.¬†Kata Kunci: Promosi, prevensi, kesehatan reproduksiABSTRACTWomen‚??s reproductive health issues are increasing year by year in Indonesia. Hospitals and health workers are an integral part of the healthcare program and are at the forefront of promotional efforts and prevention to reduce reproductive health problems.The aim of the research is to determine the description of promotional and prevention efforts undertaken by health workers related to womens reproductive health. Quantitative descriptive methods are applied in this research. The population is all health workers in RSHS Bandung Midwifery Room. The sample is 37 respondents, who are health workers/midwives in midwifery room who are willing to take the data. The instrument used is a questionnaire containing statements relating to reproductive health materials. The results of this study indicate that more than 80% of health workers make promotion efforts and health prevention on the welfare of mothers and infants in the perinatal period (pregnant women, childbirth, postpartum) and family planning. Less than 50% of health workers make promotional efforts and prevention of reproductive health in infections of the reproductive system, adolescent reproductive health, early detection, elderly health and domestic violence. Reproductive health promotion and prevention efforts conducted by health workers in midwifery are more focused on perinatal and family planning periods, while for reproductive health such as infection, adolescent counseling, early detection, elderly and domestic violence are not optimal. It is expected that health promotion and prevention efforts will be conducted by health workers covering all aspects of reproductive health.Keywords: Promotion, illness prevention, reproductive health

Educational Program for Promoting Breast Self-Examination: A Literature Review

Juanita, Juanita, Jittanoon, Piyanuch

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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ABSTRACTBreast cancer was the most common type of cancer in women worldwide. It was the leading cause of death in young women. Therefore, detected breast cancer in the early stage were needed. Breast self-examination was one of methods can detect breast cancer. In addition, program that promote BSE was important to incerase awarness of women to perform BSE. The study aimed to to find or formulate the applicable, effective, and efficient educational program for promoting BSE. Methods of the study by using electronic databases, such as CINAHL, Pub Med, Science Direct, and Ovid. The articles which were included in this review were published from 1990 to 2010. The study also used the universal case entry website like goggle-web and goggle-scholars. The keywords that already used such as the effect of educational program for promoting BSE, breast cancer screening, breast self-examination, program for promoting BSE, breast cancer, factors influencing BSE, define of BSE, factor related to BSE practice. The results of the study were categorized into five main topic such as concept of BSE, factors related to BSE practice, educational program for promoting BSE, strengths and weakness of those program, and recommendation. Conclusion and recomendation, most of the program effectiveness to increase BSE practice and BSE self-efficacy among women, but many factors influence the program such as cultural, level of knowledge, and demographic data. Besides, most of the programs use the HBM and SCT to develop their program, because both of these theories have variables that can encourage women to perform BSE. But, both of the theories did not consider the important role of cultural on health behavior, which it can affect of the BSE practice and self-efficacy. In addition, for the further recommended program should consider the role of cultural and use multifaceted method to improve BSE practice. Keywords: Breast cancer, educational program, cultural sensitivity.

STIGMATISASI PADA PENDERITA GANGGUAN JIWA Berjuang Melawan Stigma dalam Upaya Meningkatkan Tujuan dan Kualitas Hidup

Aiyub, Aiyub

Idea Nursing Journal Vol 9, No 1 (2018): Vol 9, No 1 (2018) Idea Nursing Jurnal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

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Abstract

AbstrakOrang Dengan Gangguan Jiwa (ODGJ) selalu berjuang melawan dua masalah berat dalam kehidupannya, yaitu gejala penyakit dan stigmatisasi. Stigma masih menjadi masalah besar di Indonesia, khsusnya di Aceh. Banyak persepsi negatif yang dilabelkan kepada ODGJ dan keluarga mereka. Stigma sering menyebabkan ODGJ terisolasi atau diisolsi dari lingkungan sosialnya, sehingga kehilangan banyak kesempatan dalam mencapai tujuan hidup dan meningkatkan kualitas hidup. Artikel ini merupakan tinjauan kasus untuk melihat secara teoritis tentang tindakan anti stigma pada penderita gangguan jiwa dalam melawan stigmatisasi sehingga mereka mampu memanfaatkan kesempatan dalam mencapai tujuan hidup dan mampu meningkatkan kualitas hidup mereka. Kata Kunci : Stigmatisasi, orang dengan gangguan jiwa, tujuan hidup, kualitas hidup.AbstracPeople with mental disorders always struggle against double problems in their life. The first is fight against the syndrome of mental illness and the second is against stigmatization. Stigma is big problem for people with mental disorders in Indonesia, especially in Aceh. It has many negative perceptions that labeled for people with mental disorders, as well as their families. Stigma makes them isolated from the social environment, and they lose the opportunity to achieve their goals of life and quality of life. This article is a case study that discusses theoretically the phenomenon of anti-stigma intervention for people with mental disorders in fighting against stigmalization for taking advantaging of opportunities in achieving their their goals of life and  quality of life.Key words: stigmalization, people with mental disorder, goals of life, qulity of life.