ABSTRAKTingkat kejadian meninggalnya pasien STEMI dalam waktu 24 jam diikuti oleh faktor risiko akan mempengaruhi prognosis, maka perlu untuk mengetahui faktor risiko apa saja yang ikut berperan pada STEMI sebagai pencegahan untuk menurunkan angka kejadian mortalitas.Tujuan penelitian ini untuk mengidentifikasi gambaran faktor risiko pada kejadian mortalitas pasien STEMI di RSUD Ulin Banjarmasin.Metode penelitian ini cross sectional dengan  accidental sampling yang dianalisis univariat. Data diambil dari lembar EKG, anamnesa pasien dan keluarga, pernyataan perawat dan dokter dituliskan dalam rekam medik yang diisi langsung oleh peneliti di lembar observasi di RSUD UlinBanjarmasin pada November - Desember 2015. Hasilmenunjukkan17 pasien mengalami STEMI dengan angka mortalitas (11,8%), rata-rata usia pasien STEMI 57 tahun, didominasi laki-laki (88,2%) dengan faktor risiko riwayat penyakit jantung (35,5%), hipertensi (29,4%), merokok (29,4%), stroke (5,9%) dan tidak memiliki riwayat penyakit (17,6%).Kesimpulan penelitianini adalah pasien STEMI di RSUD Ulin Banjarmasin rata-rata berusia 57 tahun dan lebih sering terjadi pada laki-laki dengan faktor risiko riwayat penyakit jantung, hipertensi, merokok, stroke dan tidak memiliki riwayat penyakit.Kata-kata kunci: faktor risiko, STEMI, mortalitas.ABSTRACTThis incidence rate of STEMI patients followed by risk factors that affect prognosis of STEMI patients, there’s a need to acknowledge what risk factors that role in STEMI as prevention to decrease mortality incidence.The objectives was to describe risk factors of mortality incidence in STEMI patients in RSUD Ulin Banjarmasin. This study used cross sectional with accidental sampling method that showed through univariate analysis. The data taken from ECG sheet, patient and family interviewed, nurse and doctor declaration written on medical record that being record directly by researcher on observational sheet in RSUD Ulin Banjarmasin since November - December 2015. The results17 patients having STEMIwith mortality rate (11,8%) average age STEMI patients is 57 years old, dominated bymales (88,2%)withrisk factors are history of prior heart (35,5%), hypertension (29,4%), smoking (29,4%), stroke (5,9%), no medical history (17,6%). The result of this studywasavaregeage of STEMI patients in RSUD Ulin Banjarmasin was 57 years old and the most common in males with risk factors werehistory of prior heart, hypertension, smoking, stroke and no medical history.Keywords: risk factor, STEMI, mortality.

Introduction: Diabetes mellitus is a chronic disease, and type 2 DM accounts for 90-95% of total diabetes. Adherence to implementation of physical exercise is very necessary for patients with DM. Self efficacy in diabetic patients can improve the adherence for medications and success to control the sugar levels.Methods: We aimed to analyze the correlation between self efficacy and adherence to physical exercises in type 2 diabetes patients. This is a descriptive cross-sectional study with purposive sampling method. In total, we recruit 60 respondents during December 2018. We used two types of questionnires: self efficacy and adherence to physical exercises to measure the variable of interest.Result: We found that there was a correlation between self efficacy and adherence to physical exercises in type 2 diabetic patients (p<0.001).Conclusion: Appropriate self efficacy could improve patients’ adherence to manage the advised physical examination.

No abstract

Introduction: Critical and life-threatening patients cause anxiety in the family, which may be caused by many factors such as age, education, experience, knowledge, attitudes, and so on. Objective: The purpose of this study was factors assosiated patient’s family anxiety in the ICU. Method: Correlation research with cross sectional approach. Samples amounted to 30 people with consecutive sampling technique. The instrument used questionnaires respondent characteristics, knowledge, health services, and HARS anxiety. Data analysis using the Spearman rank test. Result: There was a relationship of age (p = 0,000), level of education (p = 0,000), experience (p = 0,000), knowledge (p = 0,000), with the patient's family anxiety and no gender relationship (p = 0.163) and health services ( p = 0.334) with patient’s family anxiety in the ICU. Age, level of education, experience, and knowledge influence the patient's family anxiety. Discussion: It is recommended to hospitals to provide regular counseling between families and health professionals in the ICU, as well as provide leaflets about care in the ICU.

Proses keperawatan dari pengkajian, diagnosa, rencana, implementasi dan evaluasi memiliki kendala dalam pelaksanaan termasuk di IGD dengan beban kerja tinggi. Falsafah keperawatan memandang individu secara holistik sebagai kesatuan yang utuh memiliki dimensi biologis, psikologis, sosial, budaya dan spiritual. Penelitian ini bertujuan mengetahui deskripsi pelaksanaan pengkajian keperawatan holistik oleh perawat di IGD RSUD Ulin Banjarmasin. Penelitian ini menggunakan metode deskriptif dengan membagikan kuesioner pada 34 orang perawat di ruang IGD RSUD Ulin Banjarmasin yang diambil secara total sampling. Penelitian dilaksanakan pada tanggal 20-27 November 2017. Hasil penelitian didapatkan gambaran pengkajian keperawatan holistik menunjukkan hasil aspek biologis kategori aplikatif 76%, aspek psikologis kategori aplikatif 91%, aspek sosial kategori aplikatif 76%, aspek spiritual kategori tidak aplikatif 59% dan aspek budaya kategori aplikatif dan tidak aplikatif dengan persentase 50%. Perawat sebagai tenaga kesehatan profesional dalam pelayanan kesehatan khususnya asuhan keperawatan harus secara komprehensif. Perawat perlu meningkatkan kemampuan pada pengkajian keperawatan holistik terutama pada aspek spiritual.