AbstrakTerdapat anggota keluarga yang dirawat di ruang perawatan intensif merupakan situasi yang dapat memicu stres pada keluarga. Faktor yang dapat memicu stres pada keluarga meliputi, perubahan lingkungan, aturan ruangan perawatan, perubahan status emosi keluarga, perubahan peran keluarga, perubahan kehidupan sehari-hari, perubahan finansial, serta sikap petugas kesehatan dalam pemberian informasi tentang kondisi kesehatan pasien. Penelitian ini menggunakan rancangan potong lintang. Subjek penelitian sebanyak 60 orang yang mewakili keluarga saat anggota keluarganya sedang dirawat di General Intensive Care Unit (GICU) Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung periode Maret−Mei 2012. Teknik sampling yang digunakan pada penelitian ini yaitu purposive sampling. Instrumen untuk mengukur prediktor stres disusun berdasarkan kajian teori dan modifikasi instrumen baku family inventory live events, sedangkan instrumen untuk mengukur stres keluarga menggunakan Depression Anxiety Stress Scale 42. Data dianalisis menggunakan uji chi-kuadrat dan analisis regresi logistik. Hasil penelitian menunjukkan faktor perubahan lingkungan, aturan di ruang perawatan, perubahan status emosi, dan perubahan kehidupan sehari-hari memiliki hubungan yang bermakna dengan terjadinya stres (nilai p berturutturut sebesar 0,01; 0,04; dan 0,03). Simpulan, tidak ada satu pun prediktor yang paling dominan di antara enam prediktor stres keluarga yang dapat memprediksi terjadinya stres. Diharapkan perawat mampu mendeteksi dini masalah psikologis keluarga di ruang intensif dan lebih mengoptimalkan tindakan supportive-educative dalam bentuk pemberian konseling kepada keluarga. [MKB. 2014;46(3):150-4] Kata kunci: Keluarga, prediktor, stres Predictors of Stress in the Family whose Family Member was Treated in General Intensive Care Unit AbstractHospitalization of family member in intensive care can be a trigger of stress in the family. Several factors which could create a stressful situation in a family are changes of environment, rules in the ward, changes of family emotional status, changes of family member roles, changes of daily activities, changes in financial situation and health care workers' attitude when giving information on patient's health status. This study was a cross-sectional study. The number of subjects included in this study were 60 representing families whose member was hospitalized in the General Intensive Care Unit (GICU) of Dr. Hasan Sadikin General Hospital (RSHS) Bandung during the period of March to May 2012. The sampling technique used was purposive sampling. The instrument used to measure the stress predictors was developed based on theoretical review and modification of family inventory live events standard instrument. Meanwhile, the instrument used for measuring the family stress was the Depression Anxiety Stress Scale 42. Data were analyzed using chi-square test and logistic regression. The results of this study showed environmental changes, rules in the ward, emotional status changes and daily activity changes signifi...

Abstract. Stroke infarction occurs due to disturbances in neurological system such as loss of motor function, sensibility and loss of consciousness due to tissue death due to oxygen supply to the brain is disrupted. Manifestations are impaired ability to swallow. One of the interventions to address the impaired ability to swallow, namely vokal exercises. This study aimed to influence vokal exercises to changes in swallow ability stroke infarction in room Cempaka dr. Slamet Garut Hospital. This study was conducted in May - June 2015 in room Cempak dr. Slamet Garut Hospital using a quasi experimental design. The sampling technique used purposive sample of 10 respondent. Date collection used observation checklist sheet and direct observations of researchers. The hypothesis test usedis Mann-Whitney. Hypothesis test results showed there are significant (p 0.004) vokal exercises to changes in the patient's ability to swallow infarction stroke at Cempaka Room dr. Slamet Garut Hospital with a meanof the ability to swallow priorto the vokal exercises of 3.00 and after the vokal exercises of 5.50.The results could be used as reference material and consideration for physicians and nurses in dealing with stroke patients with impaired myocardial swallow function by doing vokal exercises. Keywords : Stroke Infarction, Vokal Exercise, Ability Swallow Abstrak. Stroke infak terjadi karena gangguan pada sistem neurologi berupa kehilangan fungsi motorik, sensibilitas dan kehilangan kesadaran karena kematian jaringan akibat suplai oksigen ke otak terganggu. Berdasarkan data dari rekam medik RSUD dr.Slamet Garut tahun 2014, jumlah penderita stroke infark sebanyak 1.254 orang. Manifestasi yang sering terjadi adalah gangguan kemampuan menelan. Salah satu intervensi untuk mengatasi gangguan kemampuan menelan yaitu latihan vokal. Tujuan penelitian mengetahui pengaruh latihan vokal terhadap perubahan kemampuan menelan stroke infark di ruang Cempaka RSUD dr. Slamet Garut. Penelitian ini dilakukan pada bulan Mei-Juni 2015 di ruang Cempaka RSUD dr. Slamet Garut dengan menggunakan desain kuasi eksperimen. Teknik pengambilan sampel menggunakan purposive samplingsebanyak 10 responden.Pengumpulan data menggunakan lembar ceklis observasi dan pengamatan langsung peneliti. Uji hipotesis dengan menggunakan Wilcoxon. Hasil uji hipotesis terdapat pengaruh (p0,004) latihan vokal terhadap perubahan kemampuan menelan pada pasien stroke infark di Ruang Cempaka RSUD dr. Slamet Garut dengan nilai rerata kemampuan menelansebelum dilakukan latihan vokal sebesar 3,00 dan setelah dilakukan latihan vokal sebesar 5,50. Hasil penelitian ini dapat dijadikan sebagai bahan referensi dan pertimbangan bagi dokter dan perawat dalam menangani pasien stroke infark yang mengalami gangguan fungsi menelan dengan cara melakukan latihan vokal. Kata Kunci : Stroke Infark, Latihan Vokal, Kemampuan Menelan

Diabetic ulcers are one of the most common complications of type 2 diabetes mellitus. Diabetic ulcers are infected sores that develop in the lower extremities. Proper diabetic foot wound care methods will improve wound healing. One of the efforts to treat the complement to prevent infection is wound care with palm sugar. Palm sugar contains antibiotic-like substances such as vitamin C, riboflavin, vitamin A, and ascorbic acid. Dr. Slamet Garut's study aims to determine the effectiveness of wound care with palm sugar media against the repair of diabetic ulcers in patients with type 2 diabetes mellitus after hospitalization in 2021. The study used a quasi experimental research design with one group pretest and posttest design (Pre-action) and one group of subjects receiving palm sugar therapy on diabetic ulcer wounds (Post-action). The researcher used consecutive sampling techniques, samples that met the inclusion criteria could have 8 people. The wounds were treated with palm sugar for two weeks. The findings revealed that wound care with palm sugar had an effect on the repair of diabetic ulcers in patients with type 2 diabetes mellitus, with a Pvalue = 0.000. Then it is possible to conclude that treating wounds with palm sugar affects the improvement of diabetic ulcers.

Latar Belakang :  Perawatan ulkus diabetik dengan lidah buaya dan gula aren merupakan salah satu upaya tindakan perawatan untuk mencegah infeksi pada ulkus diabetik. Lidah buaya mengandung auksin, gibber-relin, antrakuinon, vitamin A, C, E sebagai antiinflamasi, antipiretik, antioksidan, antiseptik, antimikroba, serta  antivirus.  Lidah  buaya  mampu  berdifusi  secara  baik dan mampu menahan hilangnya cairan tubuh dari permukaan  kulit sehingga terjaga kelembabannya, sedangkan gula aren mengandung vitamin C, Riboflavin, vitamin A, dan ascorbic acid sebagai antibiotik dan meningkatkan sistem kerja jaringan yang dapat melemahkan dan membunuh bakteri penyebab terjadinya infeksi pada ulkus diabetik. Tujuan : Tujuan penelitian ini mengetahui pengaruh kombinasi lidah buaya dan gula aren terhadap perbaikan ulkus diabetik pada pasien diabetes melitus tipe 2. Metode : Desain penelitian one group pretest and postest design pada satu kelompok subjek dengan jumlah sampel 8 orang, teknik pengambilan sampel menggunakan consecutive sampling, penelitian dilaksanakan selama bulan Agustus 2022 di puskesmas Wanaraja Kabupaten Garut Hasil : . Hasil penelitian menunjukan, nilai rata-rata ulkus diabetikum pre-post treatment perawatan ulkus diabetik dengan kombinasi lidah buaya dan gula aren adalah 24,875 dengan standar deviasi 6,034. Hasil uji  t-test dependent didapatkan p value 0,000 yang mempunyai makna media kombinasi lidah buaya dan gula aren berpengaruh terhadap perbaikan ulkus diabetik pada pasien diabetes melitus tipe 2. Adanya proses perbaikan ulkus diabetik disebabkan oleh peningkatan proses osmosis antara eksudat pada daerah ulkus diabetik dengan kombinasi media kedua bahan perawatan ulkus yang diberikan, sehingga meningkatkan penyerapan eksudat pada ulkus diabetik ke media perawatan luka tersebut. Selain itu, kombinasi dari lidah buaya dan gula aren mampu menahan hilangnya cairan tubuh dari permukaan kulit yang memudahkan epitel dari tepi luka bermigrasi ketempat luka bersamaan dengan kontraksi miofibroblast yang akan menutup luka. Kesimpulan: Simpulan penelitian, kombinasi lidah buaya dan gula aren berpengaruh terhadap perbaikan ulkus diabetik pada pasien diabetes melitus tipe 2.

Garut Regency is one of the areas that have the highest potential for disasters in West Java with the most frequent types of natural disasters, namely earthquakes, landslides, flash floods, and tsunamis. The impact of those disasters inflicts many casualties, infrastructure damage, loss of property, paralyzed life activities, and the emergence of various diseases. However, this does not affect the community to remain in high-risk areas due to several factors underlying the community to remain in the region such as; social factors, environmental factors, economic factors, and cultural factors. This study's aim was to find out the most dominant factors that motivate the community to remain in high-risk disaster areas in Garut Regency This study was used as a cross-sectional method with a sample of 120 families. The sampling technique was purposive sampling with logistic regression analysis. Spearman rank test results showed that social and economic factors were factors that have a community relationship still living in high-risk areas of disaster ( p values = 0.02 and 0.01, respectively), The logistic regression test results indicate that environmental factors were the most dominant factor for the community to remain living in a high-risk disaster area in Cibatu Sub-District, Garut Regency with a 2.265 Wald at a 95% significance level. Social factors were not proven to be the most dominant factors among the 4 other factors in the background of the community still living in high-risk areas of disaster in the District of Cibatu, Garut Regency.