scholarly journals Komunikasi Terapeutik Tenaga Kesehatan (NAKES) Terhadap Pasien Covid-19 di Medan dan Pekanbaru

Author(s):  
Dewi Kurniawati

<strong>Abstrak</strong><p>Layanan keperawatan yang bermutu adalah layanan keperawatan yang senantiasa berupaya memenuhi harapan klien sehingga klien akan selalu puas terhadap pelayanan yang diberikan perawat. Pelayanan dan komunikasi yang baik dapat memotivasi pasien untuk segera sembuh ketika terkena penyakit. Pada masa pandemi Covid-19 sekarang banyak tenaga kesehatan (nakes) yang merawat pasien yang terjangkit penyakit akibat virus Covid-19. Para tenaga nakes tidak hanya merawat pasien secara fisik saja tetapi  juga perlu menjalin komunikasi dengan baik kepada pasien agar kondisi mental dari pasien juga dapat termotivasi untuk kembali pulih dari sakit. Tujuan dari penelitian ini yaitu menganalisis komunikasi terapeutik tenaga kesehatan dalam pemulihan pasien Covid di kota Medan dan Pekan Baru serta faktor-faktor pendukung dan penghambatnya. Penelitian ini merupakan penelitian kualitatif, data didapatkan dengan melakukan observasi dan wawancara informan secara mendalam. Informan dalam penelitian ini adalah tenaga kesehatan (NAKES) di kota Medan dan Pekan Baru yang akan dipilih sesuai dengan kriteria penelitian. Hasil penelitian menunjukkan bentuk komunikasi terapeutik dilakukan dengan memberikan dukungan psikologis agar memberikan rasa tenang dan percaya diri serta menumbuhkan keyakinan pasien untuk sembuh, menyentuh aspek perasaan supaya pasien lebih rileks dan nyaman untuk meningkatkan imunitas dan mempercepat proses kesembuhan pasien COVID 19. Faktor pendukung dari komunikasi terapeutik ini adalah komunikasi yang positif dari pihak keluarga pasien, sedangkan faktor penghambatnya yaitu banyaknya penerimaan berita negatif yang dapat memicu pikiran buruk pada pasien sehingga kesehatannya menjadi buruk kembali.</p><p> </p><p><em><strong>Abstract</strong></em></p><p><em>Quality nursing services are nursing services that always try to meet client expectations so that clients will always be satisfied with the services provided by nurses. Good service and communication can motivate patients to recover quickly when exposed to illness. During the Covid-19 pandemic, now many health workers (nakes) are treating patients infected with diseases caused by the Covid-19 virus. Health workers not only take care of patients physically but also need to establish good communication with patients so that the mental condition of the patient can also be encouraged to recover from illness. The purpose of this study was to analyze the therapeutic communication of health workers in the recovery of Covid patients in the cities of Medan and Pekanbaru as well as the supporting and inhibiting factors. This research is a qualitative research, data obtained by conducting in-depth observations and interviews with informants. Informants in this study are health workers (NAKES) in the cities of Medan and Pekanbaru who will be selected according to the research criteria. The results showed that the form of therapeutic communication was carried out by providing psychological support in order to provide a sense of calm and confidence as well as growing the patient's self-confidence to recover, touching the emotional aspect so that the patient was more relaxed and comfortable for activities. boost immunity. and accelerate the healing process of COVID 19 patients. The supporting factor for this therapeutic communication is positive communication from the patient's family, while the inhibiting factor is the large number of negative news receipts that can trigger bad thoughts in patients so that their health becomes bad again.</em></p>

2020 ◽  
Vol 1 (2) ◽  
pp. 69-78
Author(s):  
Siti Riskika ◽  
Melinda Restu Pertiwi ◽  
Nessy Anggun Primasari ◽  
Niswa Salamung

Introduction: Many things are done by a person to get peace in his life, but sometimes someone does not realize the importance of interacting with other people, in this case communication. Communication is very crucial in life, especially in family life. Someone who is experiencing illness also needs clear communication to help the healing process, be it communication with family or communication with health workers. Method: The literature search was carried out by looking for literature studies in Scopus and in ScienceDirect with the theme of communication in the family. Results: After applying the eligibility criteria in the review, the 15 studies that had been obtained were included. The 15 studies, it shows that the communication provided by the family to other family members is very important in supporting the recovery of a sick family member, even a baby who is sick will gradually improve if he gets good communication from his mother, in the form of communication with physical contact. and attachment. The study of communication is important considering that many do not understand that communication is very important in life. Effective and open communication is also one of the keys to achieving a harmonious life in the family. Conclusion: Effective and open communication is important to apply, especially in family life, and also in the hospital environment, good communication between health workers, patients and families will help heal patients who are experiencing illness


Tamaddun ◽  
2020 ◽  
Vol 18 (2) ◽  
pp. 62-72
Author(s):  
Nurfathana Mazhud ◽  
Ihramsari Akidah

The importance of language politeness is not just refining words, but conveying things that honestly reflect the pattern of civilized society. Language politeness is a very important aspect in shaping students' language and character. Assessment of language politeness is the ability of children to speak and with whom they speak. Speaking skills in students' language politeness can be seen when they communicate daily in both formal and non-formal environments. The age of children at the high school level is a period when thinking is full of idealism, so that this period requires personality formation to achieve positive behavior change, one of which is good communication behavior in the surrounding environment. Therefore, research on speaking skills in fostering language politeness among class X SMA Negeri 1 Parangloe becomes very meaningful for saving, habituation, and developing character values in realizing a civilized nation. This study aims to determine the language politeness of class X students of Sma Negeri 1 Parangloe during their learning interactions in class.  The data analysis technique used with a qualitative approach is literature study to analyze the results of the student's conversation transcription in the learning process. Based on the results of research and discussion, it can be concluded that 1) The learning process at SMA Negeri 1 Parangloe, in general, students have high self-confidence to speak in public so that vocabulary is needed to be balanced with language politeness. 2) The most typical form of language behavior occurs during face-to-face conversations between people who come from the same culture so that the principles of politeness are applied in the learning process.


2020 ◽  
Author(s):  
Sangwani Salimu ◽  
Maggie Woo Kinshella ◽  
Marianne Vidler ◽  
Mwai Banda ◽  
Laura Newberry ◽  
...  

Abstract Background Severe respiratory distress is a leading cause of mortality among neonates in Malawi. Despite evidence on the safety, cost effectiveness and efficacy of bubble continuous positive airway pressure (CPAP) in managing the condition, its use in Malawian health facilities is limited and little is known about caregivers' engagement with perspectives of bubble CPAP. The purpose of this study was to explore caregiver perspectives for bubble CPAP at both central and district hospitals and key factors that enable effective caregiver engagement in Malawi. Methods This was a descriptive qualitative study employing secondary analysis of 46 health care worker in-depth interviews. We interviewed the health workers about their thoughts on caregiver perspectives regarding use of bubble CPAP. We implemented the study at a tertiary facility and three district hospitals in southern Malawi. This was a part of a larger study to understand barriers and facilitators to implementing neonatal innovations in resource-constrained hospitals. Interviews were thematically analysed in NVivo 12 software (QSR International, Melbourne, Australia). Health workers were purposively selected to include nurses, clinicians and district health management involved in the use of bubble CPAP.Results Emerging issues included caregiver fears around bubble CPAP equipment as potentially harmful to their new-borns and how inadequate information provided to caregivers exacerbated knowledge gaps and was associated with refusal of care. However, good communication between health care providers and caregivers was associated with acceptance of care. Caregivers’ decision-making was influenced by relatives and peer advocates were helpful in supporting caregivers and alleviating fears or misconceptions about bubble CPAP.Conclusions Since caregivers turn to relatives and peers for support, there is need to ensure that both relatives and peers are counselled on bubble CPAP for improved understanding and uptake. Health workers need to provide simplified, accurate, up-to-date information on the intervention as per caregivers’ level of understanding. Notably, contextualised comprehensible information will help alleviate caregivers’ fear and anxieties about bubble CPAP.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Silondile Luthuli ◽  
Neil McKerrow

Abstract Background There is a high global burden of neonatal mortality, with many newborn babies dying of preventable and treatable conditions, particularly in low and middle-income countries. Improving quality of newborn care could save the lives of many thousands of babies. Quality of care (QoC) is a complex and multifaceted construct that is difficult to measure, but patients’ experiences of care are an important component in any measurement of QoC. We report the findings of a qualitative study exploring observations and experiences of health workers (HWs) and mothers of babies in neonatal units in South Africa. Methods A qualitative case study approach was adopted to explore care of newborn babies admitted to neonatal units in district hospitals. Observation data were collected by a registered nurse during working hours over a continuous five-day period. Doctors and nurses working in the neonatal unit and mothers of babies admitted during the observation period were interviewed using a semi-structured interview guide. All interviews were audio recorded. Observation data were transcribed from hand written notes. Audiotapes of interviews were transcribed verbatim and, where necessary, translated into English. A thematic content analysis was used to analyse the data. Results Observations and interviews were conducted in seven participating hospitals between November 2015 and May 2016. Our findings highlight the importance of information sharing between HWs and mothers of babies, contrasting the positive communication reported by many mothers which led to them feeling empowered and participating actively in the care of their babies, with incidents of poor communication. Poor communication, rudeness and disrespectful behaviour of HWs was frequently described by mothers, and led to mothers feeling anxious, unwilling to ask questions and excluded from their baby’s care. In some cases poor communication and misunderstandings led to serious mismanagement of babies with HWs delaying or withholding care, or to mothers putting their babies at risk by not following instructions. Conclusion Good communication between mothers and HWs is critical for building mothers’ confidence, promoting bonding and participation of mothers in the care of their baby and may have long term benefits for the health and well-being of the mother and her baby.


2019 ◽  
Vol 1 (1) ◽  
pp. 28
Author(s):  
Juniyaska Hari Pratama ◽  
Ninuk Dwi Kurniati ◽  
Abu Bakar

Introduction: Chronic renal failure is clinical syndrome caused by declining renal function, lasting progressively and irreversible. Physical change due to organ function decline will affect client psychologicaly and socially. These changes cause self esteem disorder where client tend to use maladaptive coping with manifestation of frequent irritating, angry, anxiety, and depression. Therapeutic communication between nurse and client that lead to client healing process which planned in conscious, purposive manner and this activity is centered on client. Method: This research used quasi experimental. Total sample in this research was 12 clients with chronic renal failure that meet inclusion criteria grouped in two groups: treatment group and control group. Independent variable was therapeutic communication while dependent variable was self esteem. In this research data analysis used was Wilcoxon Sign Rank Test with significance α ≤ 0,05 and Mann Whitney Test with significance α ≤0,05. Result: Result obtained after therapeutic communication intervention provided was p = 0,002 where there is significant difference on client self esteem before and after therapeutic communication intervention given. Result showed that there is significant difference between treatment group and comparative group with p = 0.026. Discussion: It is concluded that therapeutic communication has effect on improving self esteem in client with chronic renal failure. Therapeutic communication helps client to express his/her feeling and problems clients self esteem were improved.


2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Helmi Helmi

Therapeutic communication is the ability or skill of health workers to help clients adapt to stress, overcome pathological disorders and learn how to connect with others. Therapeutic communication activities mean interaction to facilitate help overcome health problems. The purpose of therapeutic communication to develop the personal client / patient towards a more positive.This research uses descriptive method of qualitative approach intended to describe, describe, and describe in detail about therapeutic communication form conducted by midwife in orientation phase, working and termination phase and exploring support factor and inhibiting of communication therapeutic to patients in the care of Antenatal care. While the pregnant mother's patients conducted in-depth interviews after receiving Antenatal care service.The results obtained, the process of Antenatal services at Puskesmas Jelapat Barito Kuala District is in accordance with antenatal care standards that is guided by 10 T. Therapeutic communication conducted midwives to pregnant women patients in providing services Antenatal care at Puskesmas Jelapat Barito Kuala District. therapeutic communication forms performed by the midwife either at the stage or the initial phase (orientation), the working stage and termination stage is interpersonal communication through verbal, written, and nonverbal message delivery. Midwives can identify and describe supporting and inhibiting factors in therapeutic communication. The patient's assessment is conceptually impaired but the patient benefits from therapeutic communication.Suggestion; quality health service needs awareness of Puskesmas Jelapat about the importance of therapeutic communication, all midwives in Puksesmas Jelapat to improve skill or ability in communicating with patient, Puskesmas Jelapat suggested make SOP which firmly, evaluative and responsive especially for therapeutic communication service implementation, preparing a draft of Therapeutic Communication SOP in the ANC service to be submitted to the Puskesmas Leadership Keywords: Therapeutic Communication, Midwife. Pregnant Women, Antenatal Care (ANC)


2019 ◽  
Vol 2 (1) ◽  
pp. 93-99
Author(s):  
Elisabeth Dame Manalu ◽  
Nina Dwi Yanti Siagian

Mental health is a state where one is free from mental disorders and has a positive attitude to describe maturity and personality. Based on preliminary studies at Sidodadi Public Health Center, patients suffering from anxiety as many as 26 people and patients suffering from depression as many as 38 people. The purpose of this study is to determine the factors that influence the patient's compliance with mental disorders doing routine treatment to Sidodadi Health Center District West Kisaran City Asahan Region 2018, with the type of quantitative writing that is analytic. The population in this writing is the entire head of the family of patients who have mental disorders anxiety and depression that is as many as 64 people. The sampling technique used is total sampling. Data were collected by interviews using the questionnaire. Data analysis was done univariate and bivariate with the Pearson correlation test. The findings of the research showed that there was significant influence between family attitudes, family support, the distance of Health Center, support of health workers. The most dominant variable that influenced the patient's compliance with mental disorder to do routine treatment is the support of health manpower 5.8 times. Head of Health Center to encourage health workers to continue to visit the family home of mental disorders so that they can help the healing process or care for people with mental disorders.


Author(s):  
Heni Frilasari ◽  
Heri Triwibowo

Anxiety can affect the condition of pregnant women. Also, it causes increased heart rate and systolic blood pressure. The psychological responses make individuals withdraw and reduce involvement with others. cognitive responses unable to pay attention decreased concentration. And effective response causes confusion and excessive suspicion. Impact of anxiety can be minimized by doing spiritual guidance to lower anxiety levels. The purpose of the research was to know the influence of spiritual guidance on the level of anxiety in patients pre Sectio Caesar in RSI Sakinah Mojokerto. This research used analytic design. The population was all pre-operative patients in SSI surgery Sakinah Mojokerto, and samples taken with consecutive sampling type. The instruments used are spiritual guidance and anxiety materials using HARS questionnaires. The result of research by using Wilcoxon signed rank test, got ρ value equal to 0.000 <0,05, then H0 rejected, mean there is the influence of spiritual guidance to pre patient's anxiety level in surgery room of Hasyim As'ary RSI Sakinah Mojokerto. Spiritual guidance is one means of good therapeutic communication to improve the mechanism of coping and individual relaxation because it is spiritual guidance should be used as a communication of health workers in midwifery care.    


Author(s):  
Mohammad Shahadat Hossen ◽  
Abu Hayat Md Rafiqul Rezvi

Novel Coronavirus (COVID-19) is a dangerous virus that was first emerged in China at December 2019. It has already infected more than 128 million people and killed more than 2.8 million people. The main purpose of this paper is to find out the present mental condition of Bangladeshi Senior Citizens in Dhaka city to overcome their loneliness or boringness. A systematic cross-sectional online survey regarding COVID-19 has been conducted from June 15 to June 25, 2020. After developing questionnaires utilizing Google form, it has been sent out to the participants using an online platform and the responses of the participants have been recorded. A total of 280 participants (100 female and 180 male) completed the survey. The average age of them is about 60 years. It has been observed that maximum male participants (58.3%) felt financial stress and maximum female participants (56%) felt horrified due to COVID-19. Additionally, it has been found that maximum male and female participants were utilized more time in social media then the normal time. Since COVID-19 has already become a major issue all over the world, it is necessary to identify the mental health conditions and activities of people during this pandemic situation so that appropriate measures can be taken. More research should be conducted regarding mental health impact and possible solutions. Hopefully, it will ease to provide fruitful information especially for the community health workers with a view to helping them tackle these psychological fitness-related issues in response to other similar societal disasters. After the pandemic, follow-up should be made in order to improve mental health.


2019 ◽  
Vol 6 (01) ◽  
pp. 33-43
Author(s):  
Dudi Ahmad M ◽  
Sri Mulyanti ◽  
Neni Nuraeni

Human Immunodeficiency Virus (HIV) is a condition where a person does not have immunity. The disease can be transmitted from pregnant women to the child they are carrying, in an effort to detect early HIV, VCT needs to be done. Karanganyar Community Health Center data in 2017 VCT service coverage for pregnant women in 2017 was less than 26.7%. This study aims to determine the factors associated with the use of VCT in pregnant women. This type of research is quantitative by using descriptive correlation method and cross sectional approach. The population is 70 pregnant women who were obtained by purposive sampling technique. Data obtained by closed questionnaire and data analyzed using frequency distribution and chi square test. The results showed knowledge about VCT examination included less (52.9%), attitudes included negative (55.7%), secondary education (52.9%), most did not work (67.1%), more than half received less support from their husbands (57.1%), and most did not utilize VCT services (72.9%). Factors related to the use of VCT are knowledge (p value 0,000), attitude (p value 0,000), education (p value 0,000) and husband's support (p value 0,000), unrelated factors are work (p value 0.196). The conclusion from this study factors related to the use of VCT are knowledge, attitudes, education and husband's support. Therefore, it is better for health workers, especially nurses, to provide nursing services to pregnant women, especially the use of VCT services as an effort in early detection of HIV in pregnant women. Keywords: Factors, Utilization of VCT Services


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