Faktor-faktor yang Mempengaruhi Pelaksanaan Inisiasi Menyusu Dini di Instalasi Kamar Bedah Rumah Sakit Panti Rapih Yogyakarta

ABSTRACT Background: The success of breastfeeding is a team work with proper information and big support to create environment enabled the mothers to give breastfeeding optimally to their baby (Kemenkes, 2019). Keeping in mind that the OT achievement is far below 100% , the researcher is interested in take up factors influence the application of Early Initiation of Breastfeedingin Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Objective: Unveil factors wish interfere the practice of Early Initiation of Breastfeeding in Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Methods: The design of the study is observational analytic method with cross sectional approach. The population of the study is every mother who gives birth with sectio caesarea in Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Sampling technique in the study is accidental sampling. This study had 33 respondents. Study instrument in the study is questionnairefilled out by respondents on the first day after sectio caesarea was performed in the inpatient room. The research was conducted from September 2020 to February 2021. Results: There is no significant correlation between knowledge and IMD practice (p value 0.772), there is no significant correlation between attitudes and IMD practice ( p value 0.500), there is no significant correlation between parity and IMD practice (p value 0.500), there is a significant correlation , strong and unidirectional between health personnel support and IMD practice (p value 0.000) . Conclusion: Significant factors interfere with the success of Early Initiation of breastfeeding in the Operating Theater Unit of Panti Rapih Hospital Yogyakarta is health personnel supportwhile the insignificant factors consists of knowledge, attitude and parity.

Hubungan Antara Perilaku Caring Perawat Terhadap Kepuasan Pasien Saat Pandemi Covid-19 di Ruang Perawatan Salah Satu Rumah Sakit Swasta di Yogyakarta

ABSTRCT Background: Patient satisfaction is one of the factors used to evaluate the quality of service in the hospital, and is one of the factors determining the image of a health service institution. Nursing service satisfaction is obtained from consumer assessments regarding the quality and performance of the benefits received from products or services. Quality nursing services can be realized through the provision of nursing care based on the caring behavior of nurses. Caring behavior must always be carried out by nurses in all conditions, even during the current COVID-19 pandemic situation. In the preliminary study conducted, Elisabeth 4's inpatient room was the room that experienced the lowest decrease in customer satisfaction. Purpose: The purpose of this study was to determine the relationship between nurse caring behavior and patient satisfaction during the COVID-19 pandemic in Elisabeth 4 Hospital's inpatient room. Panti Rapih, Yogyakarta. Methods: This type of research is a descriptive correlation. This research is a quantitative study with a cross sectional design. Using non probability sample techniques, purposive sample. The sample used was 37 respondents. Data collection techniques using a questionnaire that is given directly to the respondent in Januari 2021 sampai Februari 2021. Results: The highest nurse caring behavior was in the good category, 83.8% of the total respondents. The highest level of satisfaction is "Satisfied" 54.1% of the total respondents and "Very Satisfied" as much as 43.2% of the total respondents. Based on the results of the Spearman rho test, P value 0.007 is, this means that there is a significant relationship between nurse caring behavior and the level of patient satisfaction. The Correlation Coefficient value is positive, which indicates that there is a strong relationship between nurse caring behavior and the level of patient satisfaction. Conclusion: There is a significant relationship between nurse caring behavior and patient satisfaction. The direction of the positive correlation shows that the higher the nurse's caring behavior, the higher the patient's satisfaction in nursing services. Suggestion: It is necessary for nurses to increase knowledge, attitudes and skills especially when carrying out their role as executor of professional nursing actions. Panti Rapih Hospital management should continue to encourage the spirit of caring behaviour during the COVID-19 pandemic, by improving the physical, mental and spiritual health of nurses so that nurses can provide professional nursing services.

Analisa Faktor Yang Berhubungan Dengan Kecemasan Ibu di Ruang Nicu dan Nhcudi di Rumah Sakit Panti Rapih Yogyakarta

ABSTRACT Background: Hospitalization is the entry of individuals into the hospital as a patient to get help in medical care or treatment. Intensive care for neonates who are treated in the NICU or NHCU will cause anxiety and worry for the baby's mother. Anxiety is a vague fear accompanied by feelings of uncertainty and discomfort. Anxiety response is the most common thing experienced by mothers when there are health problems in their babies. Objective: The purpose of this study was to determine the factors associated with maternal anxiety in the NICU and NHCU rooms at Panti Rapih Hospital, Yogyakarta. Methods: This study uses a quantitative, analytic survey design with a cross sectional approach. The population in this study were all mothers who had babies who were treated in the NICU and NHCU rooms at Panti Rapih Hospital, Yogyakarta. Sample of 35 respondents was obtained by accidental sampling technique. The research instrument used is a questionnaire. Results: There was a significant relationship between age (p-value: 0.039), education (p-value: 0.028), occupation (p-value: 0.010), economic status (p-value: 0.003), length of stay (p-value : 0.015), and there is no significant relationship between the environment and maternal anxiety (p-value: 0.551). Conclusion: The factors that were related to the anxiety of mothers in the NICU and NHCU rooms at Panti Rapih Hospital Yogyakarta were age, education, occupation, economic status and length of stay. The unrelated factor is the environment. Suggestions for NICU and NHCU nurses are expected to increase education about the condition of the baby to the baby's mother and teach the mother in caring for her baby.

Perbedaan Tekanan Darah Sebelum dan Sesudah Exercise Intradialysis Pada Pasien Hemodialisis di Unit Hemodialisis Rumah Sakit Panti Rahayu Gunung Kidul

ABSTRACT Background:Hemodialysis defines as a process of cleaning the blood from waste substances through a filtering process outside the body. Patients with chronic renal failure undergoing hemodialysis often experience complications including hypotension. Several references state an alternative intervention to prevent complications of hypotension in hemodialysis patients with an Intradialytic exercise. Intradialytic exercise is a planned and gradual form of exercise that includes various stages of flexibility exercise, strengthening exercise and cardiovascular exercise performed during hemodialysis. Intradialytic exercise is aimed to improve the work of the heart, respiration and improve hemodialysis regulation for the better. Objective:This study was aimed to determine the difference in blood pressure before and after intradialytic exercise in patients undergoing hemodialysis. Methods:This research design used a quasi-experimental design with pre-test and post-test with control design. The samples were 38 respondents who taken by total sampling at the Hemodialysis Unit of Panti Rahayu Hospital. The samples were divided into the intervention group who undertook intradialytic exercise for 4 weeks, each respondent experiences twice a week, while the control group who did routine hemodialysis and independent exercise. Results:The results showed that the distribution of the characteristics of the respondents was 51-54 years old (18.41%) the sex was mostly male (63.2%) Most of them (55.3%) underwent hemodialysis for less than 2 years. Statistically, it was known that there was no significant difference in blood pressure before and after intradialytic exercise inside patient’s body of the control and intervention groups. There was no significant difference in blood pressure between the intervention group compared to the control group, but there was a dynamic difference in blood pressure in patients who did intradialytic exercise. Conclusion:There was dynamics of differences in blood pressure in patients undergoing intradialytic exercise, it is recommended that hemodialysis nurses at Panti Rahayu Hospital take care patients during hemodialysis so that these interventions are routinely carried out.

Hubungan Antara Karakteristik, Jenis Stroke, Dukungan Keluarga dan Kualitas Hidup Pasien Stroke di Rumah Sakit Univeritas Kristen Indonesia Jakarta

Background: Stroke often results in the burden and thus may affect the patient's quality of life. Objective: This study aims to determine the relationship between characteristics, type of stroke, family support, towards quality of life of stroke patients at UKI Hospital Jakarta. Methods: This study used correlative descriptive research method with cross sectional approach. There were 81 stroke patients choosen using purposive sampling technique. This study conducted from June to July 2020. This study used a questionnaire as a measuring tool. Result: The results revealed that most of the respondents were 25-65 years old (76,5%), male (67,9%), graduated from high school (71,8%), unemployee (63,0%), developed ischemic stroke (76,5%), good family support (79,0%) and good quality of life (86,4%). Chi-Square statistical test showed a significant relationship between work (p value 0.039), type of stroke (p value 0.000) to quality of life for stroke patients; however, there was no significant relationship between age (p value 0.777), gender (p value 0.307), education (p value 0.177), and family support (p value 0.582) to quality of life for stroke patients. Conclusion: A significant relationship between work, type of stroke to quality of life for stroke patients. There was no significant relationship between age, gender, education, and family support to quality of life for stroke patients. It is suggested that Hospital should provide health workers with counseling to the families of stroke patients in outpatient department such as reminding families through posters or leaflets about family support for stroke patients.

Faktor yang Berhubungan dengan Perilaku Perawat dalam Pemakaian APD di Ruang Rawat Inap Salah Satu Rumah Sakit Swasta di Yogyakarta

ABSTRACT Backround: Nurses' behavior in using PPE is considered very important in improvingthe quality of health services as well as the occupational safety and health of nurses inhospitals Objective: To determine the factors related to the behavior of nurses in nusing personal protective equipment in the inpatient unit Private Hospital at Yogyakarta. Methods: This study used a quantitative descriptive research design with a cross sectional approach, with a total sample of 30 respondents. The sample obtained by the total population technique. The data collection methods used were questionnaires and observations. Results: The study showed that most of the nurses had good enough behavior, 63,3%, almost half of them had good behavior, 33,3% and a small proportion of bad behaviorwas 3,3%. As much as 70% have good knowledge, a small proportion of knowledge isgood enough, 13,3% and a small proportion of knowledge is not good 16,7%. Most ofthe attitudes are quite positive 53,3%, almost half are positive attitudes are 40% and a small have negative attitudes 6,7%. Conclusion: It is hoped that the hospital will provide socialization and practice of usingPPI by PPI to inpatient room nurses once every 3 months and raise awareness and remind fellow nurses to wear PPE according to the SPO.

Faktor-Faktor yang Berhubungan dengan Pengetahuan Perawat Tentang Penyapihan Ventilasi Mekanik Di Ruang Perawatan Intensif Rumah Sakit Panti Rapih Yogyakarta

Background: Mechanical ventilation weaningis a collaborative action of multidisciplines. The nurse's knowledge plays an important role in assessing the readiness of the patient and observing it during the weaning process to support the success of the patient escaping from mechanical ventilation. Objective: The purpose of this study was to determine the factors related to the knowledge of nurses about mechanical ventilation weaning in the Intensive Care Room at Panti Rapih Hospital. Methods:This research is adescriptive analytic study with a cross sectional approach. The population of this study were all nurses who worked in the Intensive Care Room at Panti Rapih Hospital, Yogyakarta. The sample in this study was the total population, namely nurses in the Intensive Care Room, amounting to 48 respondents. The research instrument was avalid and reliable questionnaire on the level of knpwledge and influencing factors with a calculated r value of morethan 0.482 and cronbach alpha 0.75. Analysis using independent T-test and Spearman Results: The mean level of knowledge of respondents about mechanical ventilation weaning averaged 31.52 with CI7.458. Factors related to mechanical ventilation weaning knowledgein this studywereage (p-value:0.024), education (p-value:0.000), experience (p-value: 0.003), social and cultural (p-value: 0.009).), and sources of information (p-value:0.001). Meanwhile, the factors that were not related to knowledge of mechanical ventilation in this study were environment (p-value:0.115) and economy (p-value:0.231).

Perbedaan Tekanan Darah Sebelum dan Sesudah Exercise Intradialysis Pada Pasien Hemodialisis di Unit Hemodialisis Rumah Sakit Panti Rahayu Gunung Kidul

ABSTRACT Background: Hemodialysis defines as a process of cleaning the blood from waste substances through a filtering process outside the body. Patients with chronic renal failure undergoing hemodialysis often experience complications including hypotension. Several references state an alternative intervention to prevent complications of hypotension in hemodialysis patients with an Intradialytic exercise. Intradialytic exercise is a planned and gradual form of exercise that includes various stages of flexibility exercise, strengthening exercise and cardiovascular exercise performed during hemodialysis. Intradialytic exercise is aimed to improve the work of the heart, respiration and improve hemodialysis regulation for the better. Objective: This study was aimed to determine the difference in blood pressure before and after intradialytic exercise in patients undergoing hemodialysis. Methods: This research design used a quasi-experimental design with pre-test and post-test with control design. The samples were 38 respondents who taken by total sampling at the Hemodialysis Unit of Panti Rahayu Hospital. The samples were divided into the intervention group who undertook intradialytic exercise for 4 weeks, each respondent experiences twice a week, while the control group who did routine hemodialysis and independent exercise. Results: The results showed that the distribution of the characteristics of the respondents was 51-54 years old (18.41%) the sex was mostly male (63.2%) Most of them (55.3%) underwent hemodialysis for less than 2 years. Statistically, it was known that there was no significant difference in blood pressure before and after intradialytic exercise inside patient’s body of the control and intervention groups. There was no significant difference in blood pressure between the intervention group compared to the control group, but there was a dynamic difference in blood pressure in patients who did intradialytic exercise. Conclusion: There was dynamics of differences in blood pressure in patients undergoing intradialytic exercise, it is recommended that hemodialysis nurses at Panti Rahayu Hospital take care patients during hemodialysis so that these interventions are routinely carried out.

Faktor – factor yang Berhubungan dengan Kepuasan Keluarga Pasien di Instalasi Gawat Darurat Rumah Sakit Panti Rapih Yogyakarta

ABSTRACT Background : Patient satisfaction is a feeling of pleasure or satisfaction that the services received have met or exceeded the patient's expectations (Nursalam, 2016). Emergency Room (ER) is a part that serves patients with emergency conditions, the action must be effective and efficient according to the quality of service. Satisfaction of patients and their families needs to be measured to improve the quality of services in the Emergency Room Purpose : This study aims to find out relations between the factors related to family satisfaction of patients in the Emergency Room at Panti Rapih Hospital, Yogyakarta. Methods : This research is a quantitative study with a correlational descriptive method using a cross sectional approach. The instrument used was the Patient satisfaction questionnaire format 10 compiled by the previous researcher and the questionnaire about factors related to satisfaction compiled by the researcher. The sample in this study used a non probability sampling with accidental sampling method. The number of respondents is 75 people. The study was conducted on January 13, 2021 to January 28, 2021, Univariate analysis using percentage analysis and bivariate analysis using Spearman correlation to determine the factors associated with satisfaction. Result :There is a significant positive relationship between performance factors and patient family satisfaction (p value = 0.000) rho value = 0.533, there is a significant positive relationship between the facility factor and patient family satisfaction (p value = 0.000) rho value = 0.474, there is a significant positive relationship between service factors and patient family satisfaction (p value = 0.000) rho value = 0.550, there is a significant positive relationship between communication factors and patient family satisfaction (p value = 0.000) rho value = 0.471, there is a significant positive relationship between the atmosphere factor and patient's family satisfaction (p value = 0.000) rho value = 0.513, there is a significant positive relationship between the location factor and patient's family satisfaction (p value = 0.000) rho value = 0474, there is a significant positive relationship between visual design and patient family satisfaction ( p value = 0.000) rho value = 0.435. Conclusion : There is a significant, positive relationship between performance factors, facilities, services, communication, atmosphere, location and visual design on the patient's family satisfaction. This research can be used as a reference in an effort to increase patient and family satisfaction in the hospital.

Gambaran Self-Management Pada Penderita DM Tipe 2 di Salah Satu Rumah Swasta di Klaten

Latar belakang: Diabetes melitus tipe 2 merupakan suatu penyakit metabolik dengan karakteristik atau ciri khusus hiperglikemia. Diabetes Melitus dapat mempengaruhi kualitas hidup pasien hingga membutuhkan perawatan medis berkelanjutan. Oleh karena itu, penderita harus mampu menjalankan self-management atau manajemen diri yang baik. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran self-management pasien dengan diabetes melitus tipe 2 di salah satu rumah sakit swasta di Klaten. Metode: Penelitian ini menggunakan desain penelitiaan deskriptif kuantitatif, dengan menggunakan instrumen The Diabetes Self-management Questionnaire (DSMQ) untuk mengukur self-management diabetes. Jumlah sampel dalam penelitian ini adalah 40 pasien DM yang datang di poliklinik Rumah Sakit. Hasil: Hasil penelitian didapatkan bahwa sebagian besar responden memiliki self-management baik (85%) dengan skor rata – rata masing – masing domain diet (7,12), management glukosa (7,93), aktivitas fisik (8,13), penggunaan layanan kesehatan (7,25). Dari keempat domain self-management, domain aktivitas fisik paling baik diantara keempat domain yang ada, sedangkan untuk domain diet paling buruk diantara keempat domain yang ada. Simpulan: Berdasarkan hasil penelitian ini dapat disimpulkan bahwa sebagian besar pasien dengan diabetes mellitus tipe 2 memiliki self-management yang baik.