scholarly journals DUKUNGAN PERAWAT DAN KELUARGA DALAM PEMBERIAN ASUPAN NUTRISI CAIRAN PADA PASIEN PENDERITA DEMAM BERDARAH DI RUMAH SAKIT PARU DR. ARIO WIRAWAN, SALATIGA

2018 ◽  
pp. 39-47
Author(s):  
Dhanang Puspita ◽  
Kristiawan Prasetyo Agung Nugroho ◽  
Ni Komang K Sari

ABSTRAK Demam Berdarah Dengue (DBD) merupakan penyakit menular yang disebabkan oleh virus dengue yang ditularkan melalui gigitan nyamuk Aedes Aegypthy. Penyakit ini dapat menyerang semua orang, tidak mengenal usia maupun jenis kelamin. Kondisi tersebut menyebabkan demam terus-menerus selama 2–7 hari, manifestasi perdarahan berupa: tanda kebocoran plasma darah serta dapat timbul syok hipovolemik dari penderita DBD. Perawat dan keluarga memiliki faktor dalam proses penyembuhan pasien, utamanya adalah kecukupan kebutuhan cairan saat masa perawatan selama di rumah sakit. Bentuk dukungan yang diberikan oleh perawat dan keluarga ini guna mendukung perawatan pasien selama di rumah sakit dilihat dari upaya pemenuhan kecukupan cairan tubuh. Tujuan penelitian ini untuk memberikan gambaran bentuk dukungan perawat dan keluarga dalam upaya pemenuhan kecukupan pemberian asupan cairan pada pasien DBD. Penelitian ini menggunakan metode kualitatif bersifat deskriptif. Dengan kriteria penelitian ini adalah keluarga atau pasien DBD yang di rawat inap di rumah sakit Paru dr. Ario Wirawan Salatiga minimal selama 2 hari. Kegiatan penelitian dilaksanakan dari bulan Februari - Maret 2017. Hasil penelitian didapatkan penderita DBD mengalami gangguan pada asupan nutrisi dan cairan sehingga asupan tersebut kehilangan cairan yang berlebihan. Penanganan pada pasien demam berdarah dengue (DBD) mempunyai tujuan yaitu untuk memberikan asupan nutrisi dan cairan yang sesuai dengan kebutuhan pasien melalui dukungan perawat dan keluarga. Upaya yang telah dilakukan dalam pemenuhan keseimbangan asupan nutrisi dan cairan dengan menyiapkan asupan nutrisi yang sesuai kebutuhan kepada pasien seperti menyuapi dan menyediakan makanan yang disukainya. Sehingga dukungan perawat dan keluarga berperan dalam penanganan kasus demam berdarah dengue (DBD) terkait pemenuhan kebutuhan asupan nutrisi dan cairan untuk metabolisme tubuh guna mendukung prose pemulihan pasien.   Kata kunci: Demam Berdarah Dengue (DBD), cairan, nutrisi, dukungan.       ABSTRACT Dengue hemorrhagic fever (DHF) is an infectious disease caused by dengue virus that is transmitted through Aedes Aegypthy mosquito bites. This disease can affect everyone, not knowing age or gender. The condition cause a continuous fever for 2-7 days, Bleeding in the form of manifestation: plasma a sign of a leak, can arise shock, as well as marked with tachycardia and perfusi tissue that decline.Nurses and family has a factor in the healing process patients, thing is sufficiency needs a liquid during the care of patients during at hospital. The formulation problems research is what was the support provided by nurses and family to bolster care of patients during at hospital in terms of efforts to achieve sufficiency bodily fluids. The purpose of this research to give a form of support from nurses and family in an effort to achieve the adequacy liquid intake among respondents dengue hemorrhagic fever(DHF). The subjects of the study were family or dengue hemorrhagic patients who were hospital Paru Dr.Ario Wirawan Salatiga for a minimum of 2 days. The research was conducted from February to March 2017. The results reveal that DHF sufferers would experience lack of nutrients and fluids needed due to excessive body fluid loss. Treatment to patients with dengue haemorrhagic fever (DHF) by nurses or family members aimed atproviding nutritional intake and fluid that suited the needs of patients. Efforts had been made to meet the balance of nutritional and fluid intake such as the provision of necessary nutritional intake (in the foods they like) and the direct support for or feeding the patients. So that support nurses and family had a role in the handling of dengue haemorrhagic fever (DHF) related meeting the needs of nutritional intake and a liquid to metabolism of the body to support prose recovery respondents.   Keywords: Dengue, Fluid, Nutrition, Support.


A. aegypti is known as the main vector of Dengue Hemorrhagic Fever. Dengue Hemorrhagic Fever or better known as the acronym of DHF is an infectious disease caused by Dengue virus and transmitted by Aedes mosquitoes. Sidoarjo as part of East Java Province is also an endemic area of Dengue Haemorrhagic Fever because in every year there is many cases of DHF. Containers are stuffs s used to accommodate water for household use, where this container can be used as a place for mosquitoes to breed. So, it can appear mosquito larva which then develops into adult mosquitoes which is a vector of DBD disease. Judging from the location of the container can be divided into indoor containers are containers that are contained in the part of the house that is covered by a roof and outdoor containers are containers that are located in the part of the house that is not covered by the roof. This research is conducted to find out if there is a relationship between distribution and frequency of Indoor and Outdoor Containers with the numbers of DBD in the endemic areas of Dengue Haemorrhagic Fever in Tambak Cemandi Village, Sedati t, Sidoarjo. This method of research is analytical observation with cross-sectional design. The samples in this study are indoor containers, outdoor containers ,all residence and all the larvae of Aedes aegypti which are located in those taken from 100 house of respondents located in the village of Tambak Cemandi, Sedati District, Sidoarjo Regency.The result were found 183 containers obtained from 100 houses of respondents, consisting of 156 indoor containers and 25 outdoor containers. From 156 indoor containers were found 1611 Aedes aegypti larvae and from 25 outdoor containers were found 168 Aedes aegypti larvae. From 100 residence, who have got DBD as much as 16 people and who never got DBD as much as 84 people. Using Contingency Coefficient test obtained result P = 0432 (P < α = 0.05), meaning that there is no relationship between a relationship between distribution and frequency of Indoor and Outdoor Containers with the numbers of DBD in the endemic areas of Dengue Haemorrhagic Fever in Tambak Cemandi Village, Sedati, Sidoarjo.



2021 ◽  
Vol 1 (3) ◽  
pp. 98-103
Author(s):  
Kusuma Wijaya Ridi Putra ◽  
Riesmiyatiningdyah Riesmiyatiningdyah ◽  
Meli Diana ◽  
Khoiri Ahmad Fauzi Imron ◽  
Junaidah Anugraheni ◽  
...  

Background: One form of prevention of dengue haemorrhagic fever is through increasing public knowledge and understanding of the incidence of dengue haemorrhagic fever. Objective: This study was carried out with the aim of knowing the effect of health education on increasing behaviour for the prevention of dengue hemorrhagic fever in community. Methods: This study used a research design in the form of a pre experimental design with one group pre-post test design approach. This research was conducted on September 5, 2021 at RT 01 Kali Pecabean Village, Candi Sub-District, East Java Province, Indonesia. The population of this research is all families who live in RT 01 Kali Pecabean Village. The number of research samples was 26 families that were determined by using a sampling technique in the form of purposive sampling. Families who became respondents in this study were represented by one of the family members who participated in social gathering activities. The inclusion criteria used were families who participated in health education activities conducted at regular social gatherings. The instrument used is The Dengue Haemorrhagic Fever Prevention Questionnaire (DHFPQ). The result of reliability test was .550 and the validity was .84. Analysis of the data used is the Wilcoxon Signed Rank Test with p-value < .05. Result: The results showed that there was an effect of health education on increasing behaviour for the prevention of Dengue Haemorrhagic Fever in the community (p-value .0000). Conclusion: With the results of this study, it is hoped that health workers are expected to increase public understanding through the provision of health education as a preventive measure against the incidence of Dengue Haemorrhagic Fever. In addition, health workers are also expected to provide assistance to the community.



2020 ◽  
Vol 48 (2) ◽  
pp. 83-90
Author(s):  
Wening Widjajanti

Abstract One of the health problems in Central Kalimantan Province is dengue hemorrhagic fever (DHF), because its incidence rate is above the target of the Ministry of Health. The indicator of dengue transmission is observed by the presence of Aedes sp larvae, as measured by the value of House Index (HI), Breteau Index (BI), Container Index (CI) and Larvae-Free Number (ABJ). The aim of this research is to determine the values of HI, BI, CI and ABJ in Gunung Mas, Murung Raya and Pulang Pisau Districts, so that the prevention of dengue transmission can be done properly. Data collected were the number of Aedes sp. larvae in 100 houses in residential areas both inside and outside the house. Results showed that HI values in the three regencies are higher than WHO standards, the values of BI in Gunung Mas and Pulang Pisau are ≥ 50. CI values in the three s are 5%, meaning that they are at a high risk of dengue transmission. ABJ values in the three districts are below the Ministry of Health standards, which is below 95%, meaning that there is still a spread of DHF in the three districts. Keywords: dengue haemorrhagic fever, larvae, Aedes sp. Abstrak Demam berdarah dengue (DBD) masih menjadi masalah kesehatan di Provinsi Kalimantan Tengah, karena angka kesakitannya yang berada di atas target Kementerian Kesehatan. Indikator penularan DBD diamati dengan keberadaan jentik Aedes sp, yang diukur dengan House Index (HI), Breteau Index (BI), Container Index (CI) dan Angka Bebas Jentik (ABJ). Tujuan penelitian ini adalah untuk mengetahui nilai HI, BI, CI dan ABJ di Kabupaten Gunung Mas, Murung Raya dan Pulang Pisau sehingga pencegahan penularan DBD dapat dilakukan dengan tepat. Data yang dikumpulkan berupa jumlah jentik nyamuk Aedes sp. dari 100 rumah di pemukiman penduduk baik yang ada di dalam maupun di luar rumah. Hasil penelitian menunjukkan bahwa nilai HI di Kabupaten Gunung Mas, Murung Raya dan Pulang Pisau lebih tinggi dari standar WHO. Nilai BI di Gunung Mas dan Pulang Pisau ≥ 50. Nilai CI di ketiga kabupaten ≥5%, yang artinya memiliki risiko tinggi terjadinya penularan DBD. Nilai ABJ di ketiga kabupaten di bawah standar yang ditetapkan Kementerian Kesehatan, yaitu dibawah 95%, yang artinya masih terjadi penyebaran DBD di ketiga wilayah tersebut. Kata kunci: demam berdarah dengue, jentik, aedes sp.



2018 ◽  
Vol 10 (4) ◽  
pp. 417
Author(s):  
Ericha Fitria Widyatama

Pare Community Health Center or Puskesmas is one of Puskesmas in Kecamatan Pare which has the highest number of Dengue Hemorrhagic Fever incidence that is 64 incidence in 2016. The purpose of this study is to analyze the risk factors that affect the incidence of Dengue Hemorrhagic Fever in the work area of Puskesmas Pare. It was an observational study with cross sectional approach. Interviews and environmental observations were conducted on 100 respondents, randomly, in the working area of Puskesmas Pare, Desa Tulungrejo. The independent variables of the research were larvae existence , maya index status and 4M Plus behavior, with the dependent variable of the research was Dengue Hemorrhagic Fever incidence in 2016.This data was analized by binary logistic regression test.The results of this study indicate that risk factors that affect the incidence of Dengue Hemorrhagic Fever is the action of 4M Plus (p = 0,017).Therefore, the 4M Plus actions should be further improved independently and promoted evenly to the community in order to suppress the incidence of Dengue Hemorrhagic Fever.



2021 ◽  
Vol 41 ◽  
pp. 05004
Author(s):  
Novita Eka Putri ◽  
Sitti Rahmah Umniyati ◽  
Elsa Herdiana Murhandarwati

Klaten Regency is an area in Central Java Province with a high rate of endemic dengue hemorrhagic fever. This study aims to demonstrate a correlation between transovarial transmission and the incidence of dengue haemorrhagic fever in Ceper District, Klaten Regency. Aedes larvae and pupae were collected from January 2019 to March 2019 from various containers, using gamadotic and dipper tools, in Ngawonggo, Kajen, and Meger villages, which have high, medium, and low numbers of dengue cases, respectively. The larvae and pupae obtained were reared into adults. The presence of dengue virus in head squashes of 1-week-old female Ae. aegypti was identified based on an immunocytochemical assay using DSSE10 monoclonal antibody, made at Universitas Gadjah Mada as a primary antibody. The frequency of transovarial transmission of dengue virus (TIR) in Ae. aegypti in the three villages was 35.7%. The highest frequency occurred in Ngawonggo Village, at 40 %, and the lowest in Meger Village, at 28%, while the frequency in Kajen Village was 36.9 %. This study proves that there is a strong correlation (r = 0.99664) between transovarial transmission and the incidence of dengue hemorrhagic fever in Ceper District, Klaten Regency, Central Java.



2020 ◽  
Vol 2 (2) ◽  
pp. 215
Author(s):  
Priskila Agnesia Prayitno ◽  
Endang Srimurni Kusmintarsih ◽  
Daniel Joko Wahyono

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the Dengue virus and transmitted through by bite of Ae. aegypti. This mosquito is the main vector transmission of DENV with characteristics of the body and limbs are covered with scales silvery white lines. Mosquitoes are widespread in tropical and subtropical regions, and Purwokerto is an endemic of DHF and at the same time found mosquitoes as the vectors. East Purwokerto is the highest region of DHF cases in Banyumas, and the outbreak was happened in Sokanegara on 2016 until cause death. Based on previous research states that the most found Dengue virus in Purwokerto is serotype 3. Therefore, detection molecular of Ae. aegypti need to be carried out in relation to prediction of dengue transmission to obtain preliminary information on the prevention and control of DENV. The purpose of this research is to detects Dengue virus in adult mosquitoes Ae. Aegypti as vector of DENV. The research method used is survey method withcross sectional and purposive sampling technique. The parameter observed is a positivity DENV serotype 3 on mosquitoes. The analysis of the survey data is a positivity DENV of mosquitoes. The results of the research showed that based on entomological survey in East Purwokerto, DENV serotype 3 was not detected in mosquitoes. Key Words :  Aedes aegypti, dengue hemorrhagic fever, DENV



2019 ◽  
Vol 15 (1) ◽  
pp. 45
Author(s):  
Rahmad Budianto ◽  
Niniek Budiarti

Abstract: Dengue viral infection is a global disease with a spectrum of clinical manifestations mild fever to severe disease both dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). DHF is severe form of dengue fever (DF), which can be life-threatening. Climate changes is not the only factor that affects dengue transmission, but also globalization changes includes travel and trade. The pathogenesis of dengue infection is complex. The mechanism involved antibody-dependent enhancement, NS1 and its antibodies, T cells, and DENV genomics. There are several novel methods to detect the presence of dengue virus in the body of infected patients. These include ELISA-specific IgM and IgG detection, detection of monoclonal antibodies and mosquito cell strains, and PCR reverse transcriptase detection. Several trials found novel methods to predict the severity of dengue hemorrhagic fever earlier. These include platelet count, Aspartate aminotransferase / platelet count index (APRI) Index, serum chymase level, serum cytokine/chemokine profile, Tropomyosin-alpha 1 (TPM 1), Reticulocyte Production Index (RPI), and Immature Platelet Fraction (IPF). Several pharmacological therapies are known to have potential antidengue effect. Some of these are corticosteroids, antimalarial drugs, doxycycline and tetracycline, anticholesterol drugs, IVIG, celgosivir, balapiravir, pentoxifylline and calcium supplementation. Some natural products are known to have activity against Aedes aegypti through antiviral mechanisms, larvacidal activity, mosquitocidal, and mosquito repellants. It can be developed as the latest therapy of dengue hemorrhagic fever on the future. The objective of this paper is to provide new insight about the development of dengue hemorrhagic fever related to the history of its distribution, pathogenesis, and the latest developments related to detection methods, severity prediction methods, and the management of dengue hemorrhagic fever on the future. Keywords: globalization changes, novel detection methods, severity prediction methods, latest development in DHF therapy



2020 ◽  
Vol 19 (1) ◽  
pp. 27
Author(s):  
Ririh Yudhastuti ◽  
Muhammad Farid Dimjati Lusno

Latar Belakang: Demam Berdarah Dengue (DBD) hingga saat ini masih merupakan masalah kesehatan masyarakat di Indonesia, termasuk pulau Bali. Provinsi bali  yang terdiri dari 9 kabupaten/kota adalah daerah endemis DBD, padahal Provinsi Bali adalah destinasi wisata baik lokal maupun mancanegara.Penelitian ini bertujuan untuk memberikan pemaparan berupa gambaran kejadian DBD di Provinsi Bali.Metode: Penelitian ini merupakan penelitian deskriptif dengan rancang bangun caseseries. Sumberdata pada penelitian ini menggunakan data sekunder yaitu Profil Kesehatan provinsi Bali tahun2015 hingga 2017, dan data iklim di Provinsi Bali tahun 2015-2017yang diperoleh dari Badan Pusat Statistik provinsi Bali.Hasil: Hasil penelitian menunjukkan insiden DBD per 100000 penduduk di Provinsi Bali tahun 2012 hingga tahun 2017  berturut turut 65,5: 174,5: 210,2; 259,1; 483; 105. Puncak insiden tertinggi Demam Berdarah Dengue (DBD) ada pada tahun 2016.Pada tahun 2017 ada 4 kabupaten/kota yang insidennya tinggi seperti kabupaten Badung , kota Denpasar , kabupaten Buleleng dan kabupaten Gianyar. Penyebab meningkatnya insiden DBD adalah banyaknya genangan air sebagai tempat perindukan nyamuk Aedes aegypti saat  musim hujan, sehingga populasi nyamuk Aedes aegypti meningkat. Insidens DBD terjadi pada bulan Januari hingga Mei, yang di pengaruhi oleh cuaca lokal, kondisi sosial ekonomi masyarakat, curah hujan, topografi maupun kepadatan,serta mobilitas penduduk.Simpulan: Insiden DBD dipengaruhi oleh pola musim hujan , di bulan Januari, Februari, Maret, April dan Mei  didukung kepadatan dan mobilitas dari penduduk. ABSTRACTTitle: An Overview of Dengue Haemorrhagic Fever Cases in Bali Island 2012-2017Background: Dengue Hemorrhagic Fever (DHF)remains a public health problem in Indonesia, including the island of Bali. Bali province consists of 9 regencies / cities is a dengue endemic area, whereas the island of Bali is a tourist destination both locally and internationally. This study aims to provide an overview of the incidence rates (IR) of DHF in the island of Bali.Methods: This research is a descriptive study with case series design. Data sources in this study use secondary data obtianed from Bali Health Profile 2015 – 2017, and the climate data of Bali Province in 2015-2017 was obtained from the Central Statistics Agency (BPS) of Bali Province.Results: The results showed the Incidence Rates (IR) of Dengue Haemorrhagic Fever (DHF) in the island of Bali in 2012- 2017 were 65.5; 174.5; 210.2; 259.1; 483 and 105.7 respectively. The highest incidence rates (IR) of DHF was notified in 2016. Up to 2017 there were 4 districts that had reported high incidence of DHF, such as Badung Regency, Denpasar City, Buleleng Regency, and Gianyar Regency. Factors contributing to the increasing incidence of DHF in Bali were the existence of water container as the potential breeding places for mosquitos vector of Aedes aegypti, particularly during rainy season. This condition initiated the increased population of Aedes aegypti. The incidence of dengue fever cases intensively occurred during January – May influenced by local weather climate, socio- economic condition, rainfall, topography, as well as population density and mobilityConclusion: The incidence of DHF is significantly associated with weather seasonal patterns whereasthe highest DHF incidence rates are found in each year in January, February, March, April and May. The other significant factors are including of rainfall, population density and mobility.



2010 ◽  
Vol 15 (15) ◽  
Author(s):  
P Gautret ◽  
F Simon ◽  
H Hervius Askling ◽  
O Bouchaud ◽  
I Leparc-Goffart ◽  
...  

In late February-early April 2010, five cases of dengue fever were diagnosed in returning travellers in Europe in EurotravNet sites in Sweden and France in patients with travel history to the Comoros and/or Zanzibar, Tanzania. Four cases were non-complicated dengue fever and one case dengue hemorrhagic fever. Three patients were viraemic at the time of diagnosis and infected with Dengue type 3 virus. An estimated 100 million cases of dengue fever and 250,000 cases of dengue haemorrhagic fever occur annually worldwide [1]. The past 20 years have seen a dramatic geographic expansion of epidemic dengue fever from Southeast Asia to the South Pacific Islands, the Caribbean, and the Americans. An increasing number of reports of dengue fever and associated illness among travellers to dengue virus–infected areas paralleled the changing epidemiology of dengue in local populations [1]. In 2010 (until 14 April), five cases of dengue fever including one case of dengue haemorrhagic fever, have been reported from EurotravNet sites in France and Sweden, in four travellers returning from the Comoros and one traveller returning from Zanzibar, Tanzania. EurotravNet, the Network for travel medicine and tropical diseases of the European Centre for Disease Control consists of 14 core sites in nine European countries and participants monitor travel related infectious diseases in Europe (www.eurotravnet.eu).



2020 ◽  
Vol 9 (1) ◽  
pp. 131
Author(s):  
Yulia M. Nur ◽  
Eliza Eliza ◽  
Windi Elsia Haria

Dengue fever is an infectious disease by a virus that is transmitted through the bite of the Aedes aegypti mosquito. Mild infections only cause patches on the body and mild flu symptoms. Dengue hemorrhagic fever is caused by dengue virus. Dengue hemorrhagic fever is not transmitted through human contact with humans. Predisposing factors encompass public knowledge and attitudes towards health, traditions and community trust in matters relating to health, the value system adopted by the community, education level, socio-economic level, and so on. This type of research is analytic descriptive with cross sectional method. The population in this study were patients who visited the health center totaling 25 people and a sample of 25 people taken by total sampling. Data collection tools using a questionnaire. Data analysis was carried out univariately and bivariately. The results of this study indicate that 64.0% of respondents have low knowledge, 52.0% of respondents have negative attitudes, 56.0% of respondents have bad actions, and 56.0% of respondents have low DHF prevention. There is a significant relationship between knowledge (0.013), attitude (0.003), action (0.010) with the prevention of DHF with p value 0.05. It is expected that respondents will maintain environmental hygiene by increasing their knowledge, attitudes and actions in preventing DHF by participating in DHF prevention activities.



Sign in / Sign up

Export Citation Format

Share Document