PENINGKATAN KEMAMPUAN TIMBANG TERIMA PASIEN DENGAN BUDAYA KOMUNIKASI SBAR DI RUMAH SAKIT “X”BEKASI

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Dian Anggraini
Keyword(s):  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Managerial Support ◽  
Significant Difference ◽  
Communication Method ◽  
Before And After ◽  
Training Research ◽  
Communication Needs ◽  
Structured Communication

ABSTRAKKomunikasi tidak efektif dalam timbang terima pasien dapat meningkatkan kejadian medication error, membahayakan pasien, memperpanjang proses perawatan, menurunkan kepuasan pasien, memperpanjang hari rawat pasien, yang akan berdampak pada kurangnya mutu asuhan keperawatan yang diberikan pada pasien. Komunikasi dengan alur Situation, Background, Assessment, Recommendation (SBAR) adalah salah satu metode komunikasi efektif yang jelas, fokus, dan terstruktur. Tujuan penelitian adalah untuk mengidentifikasi perbedaan pengetahuan dan kemampuan perawat setelah pelatihan, desain penelitian dengan pre-eksperiment dengan pre-post tanpa kelompok kontrol, sampel penelitian seluruh Perawat Primer dan Penanggung Jawab shift  (n= 17), analisis data dengan uji t berpasangan dan uji Wilcoxon. Ada perbedaan yang bermakna rerata pengetahuan sebelum dan sesudah pelatihan (p value < 0,001), ada perbedaan yang  bermakna rerata kemampuan perawat sebelum dan sesudah pelatihan komunikasi SBAR dalam timbang terima pasien antar shift (p value < 0,001). Efektifitas pelaksanaan komunikasi SBAR perlu menjadi sebuah budaya, dan pelaksanaannya perlu ada dukungan dari pihak manajerial dan komitment perawat, dengan adanya pedoman komunikasi efektif dengan metode SBAR, motivasi, mentoring, dan supervisi, serta pengembangan pendidikan yang berkelanjutan.Kata kunci: Kemampuan, komunikasi, pengetahuan, SBAR, timbang terima  ABSTRACTIneffective communication in hand over patients can increase the incidence of medication errors, endanger patients, extend the treatment process, reduce patient satisfaction, extend patient care days, which will have an impact of the lack on quality nursing care given to patients. Communication with the groove Situation, Background, Assessment, Recommendation (SBAR) is one of the effective clear, focused and structured communication method. The objective of this  research is to identify differences in the knowledge and ability of nurses after training, research design with pre-experiment with pre-post without a control group, the study sample whole Nurses Primary and responsible shift (n = 17), data analysis with paired t test and Wilcoxon test. There is a significant difference in the average nurse's knowledge before and after training (p value <0.001), and there is a significant difference  means the ability of nurses before and after training SBAR communication in shifts handover (p value <0.001). Effective implementation of the SBAR communication needs of the managerial support and commitment of nurses, with the guidance effective methods SBAR communication, motivation, mentoring, and supervision, as well as the development of continuing education.Keywords: Abilities, Communication, handover, knowledge, SBAR

scholarly journals Manfaat Relaksasi Otot Progresif Bagi Klien DM Tipe II Untuk Mengurangi Gejala Fatigue

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati
Keyword(s):  
Muscle Relaxation ◽  
Intervention Group ◽  
Progressive Muscle Relaxation ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Diabetic Patients ◽  
Significant Difference ◽  
Before And After

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.

scholarly journals Efektifitas Pendidikan Kesehatan Dengan Media Audiovisual Dan Leaflet Terhadap Sikap Remaja Putri Menghadapi Menarche

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Veronica Silalahi
Keyword(s):  
Health Education ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Audiovisual Media ◽  
Teenage Girls ◽  
Significant Difference ◽  
Before And After

Objective: to identify the effectiveness of health education about menarche using audiovisual media and leaflets on the attitudes of teenage girls Methods: This article used a quasi-experimental non-equivalent control group design. This study divided the subjects into two groups, the intervention group and the control group with 31 respondents each, that is class III and IV in Sawunggaling 1 primary school, Surabaya. This article used a simple random sampling. Data processing was carried out by pretest and posttest and health education interventions using audiovisuals and leaflets for the intervention group, and for the control group using leaflet. Data analysis used the Mann Whitney test to assess the mean increase in attitudes in both groups, and the Wilcoxon test to see an increase in attitudes after the intervention in both groups.Results: The results showed p-value = 0.000 (p <0.05) in the intervention groups. This means that there is a significant increase in the attitude of teenage girls before and after being given health education which shows the effectiveness of health education about menarche using audiovisual media and leaflets. Whereas in the control group data obtained that 0.754 (p> 0.005), this means that there is no significant difference from the attitudes of teenage girls before and after being given health education about menarche with media leafletsConclusion : health education using audiovisuals and leaflets that are effective in improving the attitudes of teenage girls in facing menarche 

THE EFFECT OF CUPPING THERAPY ON THE SCALE OF PAIN IN ADVANCED AGE WHO EXPERIENCED JOINT PAIN IN JEMBER

2020 ◽  
Vol 1 (1) ◽  
pp. 21-29
Author(s):  
Istiadhatul Magfiroh ◽  
Wahyudi Widada ◽  
Sofia Rhosma Dewi
Keyword(s):  
Pain Intensity ◽  
Joint Pain ◽  
Cupping Therapy ◽  
The Body ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Significant Difference ◽  
Before And After

ABSTRACT   Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Bangsalsari Jember. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P-value 0.001 means there are significant differences before and after the wet cupping therapy. While Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.

scholarly journals Effect of Virgin Coconut Oil on Skin Integrity in The Elderly with Incontinence

2020 ◽  
Vol 4 (2) ◽  
pp. 105
Author(s):  
Sukhri Herianto Ritonga ◽  
Nanda Masraini Daulay
Keyword(s):  
Coconut Oil ◽  
The Elderly ◽  
Wilcoxon Test ◽  
Control Group ◽  
Incontinence Episode ◽  
P Value ◽  
Virgin Coconut Oil ◽  
Significant Difference ◽  
Skin Integrity ◽  
Before And After

Intorduction:Incontinence was a problem that often occurs in the elderly and this condition can worsen the elderly situation with the appearance of severe damage to the integrity of the skin,Virgin Coconut Oil (VCO) contains medium chain saturated fat that easily enters deep skin layers and maintains skin elasticity and suppleness. The aim of this study was to determine the effect of virgin coconut oil on skin integrity in the elderly with incontinence.Methods: The design of  research was a quasi-experimental with non equivalent control group design. The population in this study were all elderly who experience incontinence. The sampling technique used was consecutive sampling with a total of 10 people in the experimental group and 10 people in the control group. To assess skin integrity before and after treatment is used was The Ghent Global IAD (GLOBIAD) tool. The using of virgin coconut oil is done every time after the stool incontinence episode and after bathing. Virgin coconut oil has been applied to the damaged skin and also to other vulnerable skin. Results: Based on the Wilcoxon test results obtained p value smaller than 0.05 which is 0.010 so that there was a significant difference in the value of skin integrity before and after the treatment. Conclusions:There was a significant effect on the use of virgin coconut oil on skin integrity in the elderly with incontinence.

scholarly journals Pengaruh Pemberian Obat Kumur Daun Sirih (Piperis betle L) terhadap kesehatan Mulut Lansia di Panti Werda Trisno Mukti

2021 ◽  
Vol 3 (2) ◽  
pp. 99-109
Author(s):  
Ellyvina Setya Dhini ◽  
◽  
Ganes L Tentipratiwi ◽  
Keyword(s):  
Oral Health ◽  
Systemic Disease ◽  
Oral Health Status ◽  
Wilcoxon Test ◽  
Health Study ◽  
Control Group ◽  
P Value ◽  
Betel Leaf ◽  
Significant Difference ◽  
Before And After

Elderly is someone who has age of 60 yearsor over and the final stage of their life phase. Complexity of oral health status, systemic disease, cognitive impairment and took medicationseveral drugs causeselderly more susceptible to dental and oral problems. Purpose of this study was to determine effect of using betel leaf mouthwash (Piperis betle L.)forelderly’soral health. Study was designed byquasi experimental method with one group pre post design technique, interventionto thesubject without control group, sample studied in31 people. Effectiveness of Betel Leaf Mouthwash (OKDS) was tested by statistical analysis of the comparative Wilcoxon test. The results of the analysis showeda significant difference between before and after the intervention with p-value 0.019 which means OKDS effective to improving the subject's oral health

scholarly journals Peningkatan Kemampuan Timbang Terima Pasien Melalui Budaya Komunikasi SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION (SBAR) DI RS DI BEKASI

2020 ◽  
Vol 4 (2) ◽  
pp. 91
Author(s):  
Dian Anggraini ◽  
Enie Novieastari ◽  
Tuti Nuraini
Keyword(s):  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Training Methods ◽  
Managerial Support ◽  
Before And After ◽  
Primary Nurse ◽  
Group A ◽  
The Mean ◽  
Written Test

ABSTRAK Latar Belakang: Komunikasi tidak efektif dalam timbang terima dapat meningkatkan kejadian medication error, membahayakan pasien, memperpanjang proses perawatan, menurunkan kepuasan pasien, memperpanjang hari rawat pasien yang akan berdampak pada kurangnya mutu asuhan keperawatan yang diberikan pada pasien. Upaya meningkatkan mutu pelayanan salah satunya dengan menerapkan komunikasi Situation, Background, Assessment, Recommendation (SBAR). Komunikasi SBAR sudah mulai diterapkan pada kebijakan akreditasi rumah sakit, di beberapa rumah sakit masih ada yang belum menerapkan komunikasi SBAR. Tujuan: penelitian ini bertujuan mengidentifikasi perbedaan pengetahuan dan kemampuan perawat setelah pelatihan SBAR. Metode: pre-eksperiment dengan pre-post tanpa kelompok kontrol, sampel penelitian seluruh Perawat Primer dan Penanggung Jawab shift (n= 17). Pengukuran pengetahuan dengan melakukan tes tertulis sebelum dan sesudah pelatihan, dan untuk data kemampuan perawat timbang terima dengan komunikasi SBAR dilakukan pengamatan timbang terima sebelum dan sesudah pelatihan dengan menggunakan lembar observasi. Analisis data dengan uji t berpasangan dan uji Wilcoxon. Hasil: ada perbedaan yang bermakna rerata pengetahuan sebelum dan sesudah pelatihan (p-value <0,001), ada perbedaan yang bermakna rerata kemampuan perawat sebelum dan sesudah pelatihan komunikasi SBAR dalam timbang terima pasien antar shift (p-value <0,001). Kesimpulan: komunikasi SBAR efektif untuk meningkatkan sosialisasi, motivasi, mentoring, supervisi, serta pengembangan pendidikan yang berkelanjutan.Kata Kunci: Komunikasi, pengetahuan, SBAR, timbang terimaImprovement of the Handover Ability Through Situation, Background, Assessment, Recommendation (Sbar) Communication Culture in Hospital at Bekasi City ABSTRACTBackground: Ineffective communication in the handover can increase the incidence of medication errors, endanger the patient, prolong the treatment process, reduce patient satisfaction, extend patient care days which will have an impact on the lack of quality nursing care provided to patients. To improve quality of service, one of them is to apply SBAR communication. SBAR communication is already implemented in accreditation policy at hospital. Meanwhile, there are some hospital not yet implement it. Objective: this study was to identify differences in nurses’ knowledge and abilities after training. Methods: pre-experiment with pre-post without a control group, a sample of all Primary Nurse and Shift Guidance (n = 17), Measurement of knowledge by conducting a written test before and after training, and measurement of the ability to handover nurses with SBAR communication conducted handover observations before and after training using observation sheets. Data analysis by paired t-test and Wilcoxon test. Results: there were significant differences in the mean of knowledge before and after training (p-value <0.001), there were significant differences in the mean ability of nurses before and after SBAR communication training in the handover of patients between shifts (p-value <0.001). Discussion: SBAR communication must become a culture, its implementation needs managerial support and nurse commitment. Conclusion: communication with SBAR could improve effectively socialization, motivation, mentoring, supervision, and continuing education development.Keywords: Communication, knowledge, SBAR, handover

scholarly journals The Effect of Cupping Therapy on Pain Degree in Athralgia

Arkus ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 176-181
Author(s):  
Kusworini
Keyword(s):  
Pain Intensity ◽  
Cupping Therapy ◽  
The Body ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Blood Sucking ◽  
Significant Difference ◽  
Before And After

Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Malang. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P-value 0.001 means there are significant differences before and after the wet cupping therapy. While Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.

scholarly journals PENGARUH TERAPI AKUPRESUR TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST PARTUM DI PKU MUHAMADIYAH BANTUL

2020 ◽  
Vol 8 (4) ◽  
pp. 416
Author(s):  
Anita Liliana ◽  
Melania Wahyuningsih
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Control Group ◽  
P Value ◽  
Breast Milk Production ◽  
Significant Difference ◽  
Before And After ◽  
Increase Milk Production ◽  
Postpartum Mothers

Abstract Adequacy of milk production in the newborns will affect the success of exclusive breastfeeding. Not all postpartum mothers are able to increase milk production in the postpartum period. Acupressure at the meridian points is one way to increase milk production in postpartum mothers. This study aims to determine the effect of acupressure therapy on increasing breast milk production in postpartum mothers at PKU Muhamadiyah Bantul. This study was a quantitative study  a quasi-experimental research design with pre-test and post-test nonequivalent control group. The number of respondents in each group was 17 people. The treatment given was acupressure at the meridian points for 5 minutes on days 2 and 3of poatpartum. Breastfeeding adequacy was assessed before treatment and on day 4 postpartum. Data were analyzed by Mc Nemar analysis. The results showed that there was a significant difference in breast milk production before and after acupressure with p value of 0.000 (p value <0.05). There was a significant difference in breast milk production in the control group before and after being given the breastfeeding technique leaflet p value 0.001 (p value <0.05). Conclusion: There is no significant difference in breast milk production after being given acupressure and after being given leaflets about breastfeeding techniques at PKU Muhamadiyah Bantul p value 0.100 (p value> 0.05).  Keywords: acupressure, breast milk production, postpartum

scholarly journals Effect of whitening dentifrices on the surface roughness of a nanohybrid composite resin

2016 ◽  
Vol 10 (02) ◽  
pp. 170-175 ◽  
Author(s):  
Gabriela Migliorin da Rosa ◽  
Luciana Mendonça da Silva ◽  
Márcio de Menezes ◽  
Hugo Felipe do Vale ◽  
Diego Ferreira Regalado ◽  
...  
Keyword(s):  
Surface Roughness ◽  
Composite Resin ◽  
Wilcoxon Test ◽  
Control Group ◽  
Mean Values ◽  
Short Period ◽  
Significant Difference ◽  
Before And After ◽  
Nanohybrid Composite ◽  
One Way Anova

ABSTRACT Objectives: The present study verified the influence of whitening dentifrices on the surface roughness of a nanohybrid composite resin. Materials and Methods: Thirty-two specimens were prepared with Filtek™ Z350 XT (3M/ESPE) and randomly divided into four groups (n = 08) that were subjected to brushing simulation equivalent to the period of 1 month. The groups assessed were a control group with distilled water (G1), Colgate Total 12 Professional Clean (G2), Sensodyne Extra Whitener Extra Fresh (G3), and Colgate Luminous White (G4). A sequence of 90 cycles was performed for all the samples. The initial roughness of each group was analyzed by the Surface Roughness Tester (TR 200-TIME Group Inc., CA, USA). After the brushing period, the final roughness was measured, and the results were statistically analyzed using nonparametric Kruskal–Wallis and Dunn tests for intergroup roughness comparison in the time factor. For intragroup and “Δ Final − Initial” comparisons, the Wilcoxon test and (one-way) ANOVA were, respectively, performed (α = 0.05). Results: The roughness mean values before and after brushing showed no statistically significant difference when the different dentifrices were used. None of the dentifrices analyzed increased significantly the nanohybrid composite resin surface roughness in a 1 month of tooth brushing simulation. Conclusions: These results suggest that no hazardous effect on the roughness of nanohybrid composite resin can be expected when whitening dentifrices are used for a short period. Similar studies should be conducted to analyze other esthetic composite materials.

scholarly journals PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO

2019 ◽  
Vol 7 (2) ◽  
pp. 104-113
Author(s):  
Dwi Novitasari ◽  
Ikit Netra Wirakhmi
Keyword(s):  
The Elderly ◽  
Wilcoxon Test ◽  
Relaxation Technique ◽  
P Value ◽  
Common Symptom ◽  
Parasympathetic System ◽  
Significant Difference ◽  
Before And After ◽  
Autogenic Relaxation ◽  
The Mean

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache. Keywords: Autogenic relaxation, headache, hypertension.

Sign in / Sign up

Export Citation Format

Share Document