HIV/AIDS is a global matter, it threatens the world including Indonesia. Antiretroviral (ARV) is a therapy which patients have to consume medicine for their life, antiretroviral (ARV) therapy is Keywords: nurses participation, obedience, patientAbstrak: Masalah HIV/AIDS merupakan masalah kesehatan global yang mengancam dunia termasuk Indonesia. Terapi antiretroviral (ARV) merupakan terapi yang dijalankan pasien dengan mengkonsumsi obat seumur hidup mereka, adanya terapi antiretroviral (ARV) merupakan payung peneduh bagi ODHA dan keluarga. Peran serta perawat sangat dibutuhkan oleh pasien dalam menjalani terapi. Tujuan penelitian ini adalah untuk mengetahui dan menganalisa hubungan perawat sebagai educator dengan kepatuhan konsumsi obat antiretroviral (ARV) bagi pasien HIV/AIDS di klinik VCT RSUD Dr. Moewardi. Desain penelitian dengan pendekatan cross sectional. Subjek penelitian adalah pasien HIV/AIDS yang melakukan terapi antiretroviral (ARV) di klinik VCT RSUD Dr. Moewardi dengan sampel sebanyak 65 responden. Instrumen penelitian berupa kuisioner dan kartu follow-up. Teknik analisa data menggunakan uji chi square. Hasil analisa univariat diketahui sebagian besar responden mempersepsikan peran perawat sebagai educator dalam kategori baik (58,5%) dan sebagian besar responden patuh dalam mengkonsumsi obat antiretroviral (ARV) (52,3% ). Hasil analisa bivariat diperoleh nilai chi square untuk taraf signifikan 5% sebesar 6,665 dengan value 0,010 dan odd ratio (OR) sebesar 3,846 CI 95% (1.354 -10.922). Kesimpulan; ada hubungan yang signifikan antara peran perawat sebagai educator dengan kepatuhan konsumsi obat antiretroviral (ARV) di klinik VCT RSUD Dr. Moewardi.
One indicator of hospital services is patient satisfaction related to nurses caring behaviour. The caring behaviour of nurses who provide nursing services in the Emergency Department is expected to increase the satisfaction of nursing services. The purpose of this study was to study the relationship between nurses caring behaviour with patient satisfaction receiving nursing services at the Emergency Department of Catholic Hospital of Budi Rahayu Blitar. The research design was cross sectional. Sample sizes were 80 patients who received nursing services at the Emergency Department were selected by purposive sampling. The study variables were nurse caring behaviour and patient satisfaction. Data were collected using a questionnaire. Analysis using the Spearman rank test. The analysis results obtained p = 0.000 and r = 0.618, which means there is a strong positive relationship between nurses caring behaviour with patient satisfaction. Suggestion, nurses maintain and even increase caring behaviour, especially communication skills in the orientation phase.
Many postpartum mothers in Indonesia can not be exclusively breastfed their babies because the breast milk could not be produced smoothly. This is due to postpartum mothers often having experience emotional disturbances which inhibit the release of oxytocin and milk. Breasfeeding father is an active role and involvement of the husband to give moral and emotional support in breastfeeding to release chemical reflexes to produce milk. This research aims to find out the effect of the application of breastfeeding-father to breast milk production. This research was one group time series design. The population of this research was all of normal deliveries of postpartum mothers in puerperal room in Mardi Waluyo Blitar Hospital. The samples selected based on writers for 30 amount people that will be measured their milk production, breastfeeding and the application of breastfeeding Father, then was given counseling about breastfeeding father and asked to implement it. The data was analized using chi-square test to figure out the difference of breastmilk production between groups applying breastfeeding father and the group did not. The results showed there was differences of breast milk production between groups that applying breastfeeding father and the group did not. So the breastfeeding father could apply the breastfeeding postpartum mothers to increase the breast milk production.
Patients with Diabetes Mellitus (DM) have a risk of complications and death. However, management of patients with type II DM has not been implemented optimally and integratedly. Expository health education method consists of three stages, namely the explanation of the material, question and answer and assignment of meal planning can be sought to overcome the case of DM from his diet. This study aims to determine the effect of expository health education about meal planning on dietary patterns of patients with type II diabetes. The research design uses quasy experiments with non equivalent control group design. The population of Type II DM patients is 210 people. The sampling technique used in this study was purposive sampling. Samples were divided into treatment groups and control groups with the number of each of the 20 people. Data collection was done in Boro Public Health Center Kecamatan Selorejo by identifying respondents and giving compliance questionnaires. The data performed using the Wilcoxon signed rank test. The results of the study in the treatment group showed that there was an effect of health education with the expository method of meal planning in Type 2 DM patients with a p-value of 0,000. The results of the Mann Whitney test showed that there was a difference between the treatment group and the control group with a p-value of = 0,000. The expository method of meal planning affects the diet of type II DM patients. Health workers are encouraged to increase expository health education activities for people with type II diabetes to improve their diet.. Keywords: Ekspository, meal planning, Type II DM, eat patternAbstrak: Penderita Diabetes Mellitus (DM) memiliki resiko komplikasi dan terjadi kematian. Namun pengelolaan penderita DM tipe II belum dilaksanakan secara optimal dan terpadu. Pendidikan kesehatan metode ekspositori terdiri dari tiga tahap yaitu penjelasan materi, tanya jawab dan penugasan tentang meal planning dapat diupayakan untuk mengatasi kasus DM dari pola makannya . Penelitian ini bertujuan mengetahui pengaruh pendidikan kesehatan metode ekspositori tentang meal planning terhadap pola makan penderita DM tipe II. Desain penelitian menggunakan quasy experiment dengan non equivalent control group design. Populasi penderita DM Tipe II sejumlah 210 orang. Tehnik sampling yang digunakan dalam penelitian ini adalah purposive sampling. Sampel dibagi menjadi kelompok perlakuan dan kelompok kontrol dengan jumlah masing-masing 20 orang Pengumpulan data dilakukan di wilayah Puskesmas Boro Kecamatan Selorejo dengan mengidentifikasi responden dan memberikan questioner kepatuhan. Data dianalisis dengan menggunakan Wilcoxon signed rank tes. Hasil penelitian pada kelompok perlakuan menunjukkan ada pengaruh pendidikan kesehatan dengan metode ekspositori tentang meal planning pada pasien DM Tipe 2 dengan p- value 0,000. Hasil uji Mann Whitney didapatkan hasil ada perbedaan antara kelompok perlakuan dengan kelompok kontrol dengan p-value sebesar = 0,000. Metode ekspositori tentang meal planning berpengaruh terhadap pola makan penderita DM tipe II. Tenaga kesehatan dianjurkan untuk meningkatkan kegiatan pendidikan kesehatan metode ekspositori kepada penderita DM tipe II untuk memperbaiki pola makannya.Kata kunci : Metode Ekspositori, Meal Planning, DM Tipe II, Pola Makan
Breast milk is an emulsion of fat in the protein solution, laktosa, and inorganic salts secreted by the mamary glands of the mother. The oxytocin hormone is a hormone that affects of lactation process. Oxytocin is up to the alveoli of the mammry myoepithelial cell contraction causes surrounding the mammary alveoli and lactiferous ducts. Back massage on cervical 5-6 until the bottom of the shoulder blade stimulate endorphins and oxytocin secretion and improves blood circulation breast area. The purpose of research to determine the effect of back massage on milk production an mothers post partum in cempaka’s room Ngudi Waluyo Wlingi Hospital November 2014. Design Quasi Experimental research with the design of the Control Group Pre-Test Post-Test Design with Non Random data retrieval with Consecutive Sampling (1 week) with total 24 population and total sample 20 respondents. Analysis data with two different Test Mean (T Test) Independent by using Paired Sample Test with H1 is accepted when the value of p < 0,05 and Independent Sample Test H1 is accepted when the value of p < 0,05. And research result Paired Sample Test the showed significant values (p) of 0,000 smaller than alpha 0,05. And there is influence of back massage on milk production before and after treatment. From the reserch result suggested all post partum mothers to do a back massage.
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