SOCIAL SUPPORT OF FAMILY RELATIONS PATIENT SELF-ESTEEM ON MENTAL DISORDERS POLY OUTPATIENT UNIT IN MENTAL RSJD. Dr. RM. SOEDJARWADI REGENCY OF KLATEN

Background: High self-esteem will raise self-esteem, self-esteem, sense of self-confident, feeling good and feeling that his presence is necessary. Family social support are also defined as the attitudes, actions and acceptance of people with a sick family. Social support in the form of attitudes and acceptance from parents or family will have a big impact in the process of establishing a positive self-esteem.

Target of Research: Known relationship of family support with dignity Mental Disorder Patients in the outpatient unit of poly Mental RSJD.Dr.RM.Soedjarwadi Regency of Klaten.

Research method: The method used in this analytic descriptive study design was cross-sectional. Samples from the study were 86 mental patients who perform outpatient Mental in the outpatient unit of poly Mental RSJD.Dr.RM.Soedjarwadi Regency of Klaten. The statistical analysis used was Spearman Rank correlation test with a significance of 5%.

Result of research: The majority of outpatient unit of poly Mental RSJD.Dr.RM.Soedjarwadi Regency of Klaten have social support in general is in the moderate category (67.4%). Most sources of social support received from the respondent's mother. The majority of self-owned outpatient unit of poly Mental RSJD.Dr.RM.Soedjarwadi Regency of Klaten are in middle category (76.5%).

Conclusion: There is a relationship between social support with self owned outpatient unit of poly Mental RSJD.Dr.RM.Soedjarwadi Regency of Klaten (Score = 0.253, p value = 0.019).

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SOCIO-DEMOGRAPHIC CHARACTERISTICS RELATIONSHIP WITH NURSE PERCEIVED CARING BEHAVIOR BY PATIENTS IN WARD IV JASMINE ROOM DR. SOERADJI HOSPITAL AT DISTRIC OF KLATEN

Background: Every nurse can apply the behavior of "caring" in its application in treating clients. Many factors wich related to behavior of "caring" nurse is a nurse's own demographic characteristics. Demographic characteristics including age, sex, marital stastue, education and years of service.

Target of Research: To know the relationship between socio-demographic characteristics with the behavior of Caring nurse nurses perceived by patients in Ward IV Jasmine Room Dr. Soeradji Tirtonegoro Hospital at Distric of Klaten.

Research method: The method used in this analytic descriptive study design was cross-sectional. Samples from the study were all nurses in Ward IV Jasmine Room Dr. Soeradji Tirtonegoro Hospital at Distric of Klaten. The statistical analysis used was Spearman Rank correlation test with a significance of 5%..

Result of research: The majority of nurses aged 20-40 years (78.9%), female (68.4%), educated Diploma of Nursing (94.7%) and have worked less than five years (94.7%). The majority of nurse caring behaviors perceived by patients in Ward IV Jasmine Room Dr. Soeradji Tirtonegoro Hospital at Distric of Klaten in 2010 are in both categories (42.1%).

Conclusion: There is a long relationship with nurse working lives of nurses caring behavior at Melati Room Inpatient Dr IV. Soeradji Tirtonegoro Hospital in 2010 (p value = 0.001).


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VILLAGE MIDWIVES IN RELATIONS WITH THE VILLAGE OF ALERT TOTAL NUMBER OF DEATH OF MOTHER AND INFANT DEATH IN THE DISTRICT SLEMAN

Background: Village midwives in Indonesia is able to reduce infant and maternal mortality. Decline in infant and maternal mortality rates could be felt in rural areas because the midwife is able to improve the environmental condition that supports the process of birth. The presence of village midwives can improve prenatal care, better birth, early detection of possible complications during pregnancy and childbirth.

Target of Research: Knowing the relationship between village midwives in the village of standby with the number of maternal mortality and infant in Sleman District.

Research method: This study is a descriptive analytic cross sectional study design using secondary data. The subject of this research is that there are 86 prepared village in Sleman district. Statistical analysis was used in the form of descriptive univariate analisis in the form of percentages and bivariate analysis using Pearson Product Moment correlation at α = 0.05.

Result of research: Of the 86 villages located on standby in Sleman regency Year 2009 showed a majority of villages have a midwife on standby as many as 82 villages (93.5%). The majority of standby villages in Sleman regency have lower maternal mortality in the target districts of Sleman (≤ 150 mother/100.000 live births) that as many as 80 villages (93.0%) and the majority of prepared villages in Sleman regency have infant mortality below the target of Sleman Regency (≤ 58 child/1000 live births) is consist of 85 villages (98.8%).

Conclusion: There is a relationship between maternal mortality by village midwives (p value = 0.001) and there is a relationship between infant mortality in village midwives (p value = 0.001).


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THE RELATION BETWEEN RATE OF LIPID WITH OBESITY IN PRODUCTIVE AGE (45-59 YEARS) AT NUTRITION POLYCLINIC HOSPITAL PROF. DR. MARGONO SOEKARJO PURWOKERTO

Background: Overweight or obesity due to consumption of foods that exceed the needs of Nutrient Adequacy Score (NAS) per day. The situation over nutrition can also increase the risk of increased cholesterol in the blood. This indicates that the problem of overweight and obesity need to get attention, given the issue is also a risk factor for degenerative diseases.

Target of Research: To know the relationship between rate of lipid with obesity in patient productive age (45-59 years) and has nutritional counseling in 2009 at Nutrition Polyclinic Hospital Prof. Dr. Margono Soekarjo Purwokerto.

Research method: The method used in this analytic descriptive study design was retrospectif. Samples from the study were 33 patients nutritional consultation ever in 2009 at the Polyclinic Hospital Nutrition Prof. Dr. Margono Soekarjo Purwokerto.. The statistical analysis used was Chi Square test with a significance of 5%.

Result of research: The majority of over weight patients at the Polyclinic Hospital Nutrition Prof. Dr. Margono Soekarjo Purwokerto male sex (51.5%), and aged 45-50 years (42.4%). Majority of patients have cholesterol levels ≥ 200 mg / dl (93.9%), and patients had triglyceride levels ≥ 150 mg / dl (97.0%). Value cohort relationship between nutrition status cholesterol levels obtained by RR 0.867 (95% CI. 0.711 to 0.1057). Value cohort relationship of nutritional status with higher levels of triglycerides obtained by RR 0.933 (95% CI. 0.815 to 0.1069)

Conclusion: There was no relationship between nutrition status with rate of cholesterol levels (p value = 0.199). There was no relationship between nutrition status wit rate of triglyceride samples (p value = 0.455).


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RECIPES coverage OUTPATIENT EVALUATION WITH PATIENT SATISFACTION IN ANALYZING Bethesda Hospital Yogyakarta

Background
Pharmacy services have been implemented along with the medical service provided by the Bethesda hospital, the efforts for a smooth service and evaluations that have been carried out continuously. Pharmacy longer need to seek further in showing the role and process of therapy, with the understanding of consumer behavior and meet the needs and desires of consumers in the process to heal
Goal
The common objective to meet the level of patient satisfaction of Bethesda hospital services and patient characteristics have a relationship with patient satisfaction being a special purpose to analyze the level of patient satisfaction and analyze the different characteristics of patients with levels of satisfaction.
Method:
The research is analytical descriptive research, using cross sectional design, which is a type of research that measured the variables in study subjects were measured simultaneously or at the same time.
Results and Discussion
The higher levels of education will be better satisfaction rate compared with lower educated respondents. The higher level of education the higher the level of satisfaction they feel!
The factors that need attention and is the drug of management diprioritasikan by approximately one hour immediately accepted (since the recipe handed), pharmaceutical officers membiarkanpasien not wait too long, the certainty of time when the drug is received, usually understood and accepted patients, pharmacy officer immediately requested menangggapi needspatients, pharmacy staff services are not slow and convoluted, information on prescription drugs delivered immediately, and there does not exist or be selected for and the information provided does not make the patient's hesitation.
Based servqual analysis showed that the service improvement priorities need to be considered and should be improved in the outpatient pharmacy services at Bethesda Hospital is approximately one hour of drug services, officers should respond to patient care, determine when the drug received, and the patient's drug information does not create doubt, with employee training, improved systems of outpatient pharmacy services.


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COMPARISON OF HEMODYNAMIC CHANGES WITH SEVOFLURANE 8% + 50% N2O AND PROPOFOL 2 mg/BB IN GENERAL HOSPITAL DR. SOERADJI TIRTONEGORO DISTRICT KLATEN

Background: Hemodynamic stability is an important indicator of an ideal anesthetic induction. Blood pressure and heart frequency has become a basic part of monitoring and research of hemodynamic stability. Many factors affect the hemodynamic status, among others: physical status, age, sex, weight, anxiety, pain, history of previous drug use, hydration status, body temperature, choice of drug premedication and induction of anesthesia.

Target of Research: To know are the differences of hemodynamic changes with sevoflurane 8% + 50% N2O and propofol in the Induction of Anesthesia in at Regional Hospital Dr. Soeradji Tirtonegoro Klaten.

Research method: The method of nursing research with observational analytic observational comparative approach to the patient a general anesthetic action with hemodynamic changes in the use of sevoflurane 8% + 50% N2O in the Induction of Anesthesia with Propofol. Data analysis using statistical t test at level siqnifikasi 0.05.

Result of research: There was no significant difference (significant) between systolic pressure and saturation with the induction of sevoflurane 8% + 50% N2O before and after induction. There was a significant difference (significant) diastolic pressure, pulse with the induction of sevoflurane 8% + 50% N2O before and after induction are different. There was no significant difference (significant) siastolik pressure and saturation with propofol induction before and after induction does not exist. There was a significant difference (significant) and diastolic blood pressure pulse with propofol induction before and after different induction

Conclusion: There was a significant difference (significant) siastolik pressure, diastolic, and saturation with the induction of propofol and sevoflurane 8% + 50% N2O. There was no significant difference (significant) that the pulse groups of sevoflurane 8% + 50% N2O and propofol did not differed


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COMPARISON OF HEMODYNAMIC CHANGES WITH SEVOFLURANE 8% + 50% N2O AND PROPOFOL 2 mg/BB IN GENERAL HOSPITAL DR. SOERADJI TIRTONEGORO DISTRICT KLATEN

Background: Hemodynamic stability is an important indicator of an ideal anesthetic induction. Blood pressure and heart frequency has become a basic part of monitoring and research of hemodynamic stability. Many factors affect the hemodynamic status, among others: physical status, age, sex, weight, anxiety, pain, history of previous drug use, hydration status, body temperature, choice of drug premedication and induction of anesthesia.

Target of Research: To know are the differences of hemodynamic changes with sevoflurane 8% + 50% N2O and propofol in the Induction of Anesthesia in at Regional Hospital Dr. Soeradji Tirtonegoro Klaten.

Research method: The method of nursing research with observational analytic observational comparative approach to the patient a general anesthetic action with hemodynamic changes in the use of sevoflurane 8% + 50% N2O in the Induction of Anesthesia with Propofol. Data analysis using statistical t test at level siqnifikasi 0.05.

Result of research: There was no significant difference (significant) between systolic pressure and saturation with the induction of sevoflurane 8% + 50% N2O before and after induction. There was a significant difference (significant) diastolic pressure, pulse with the induction of sevoflurane 8% + 50% N2O before and after induction are different. There was no significant difference (significant) siastolik pressure and saturation with propofol induction before and after induction does not exist. There was a significant difference (significant) and diastolic blood pressure pulse with propofol induction before and after different induction

Conclusion: There was a significant difference (significant) siastolik pressure, diastolic, and saturation with the induction of propofol and sevoflurane 8% + 50% N2O. There was no significant difference (significant) that the pulse groups of sevoflurane 8% + 50% N2O and propofol did not differed

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EVALUASI PERSIAPAN PRA ANESTESI DI RUMAH SAKIT UMUM DAERAH WATES KABUPATEN KULON PROGO

Latar Belakang: Persiapan pra anestesi perlu dilakukan karena terjadinya beberapa kasus salah identitas dan salah operasi bukan cerita untuk menakuti atau dibuat-buat, karena memang pernah terjadi di Indonesia. Identitas setiap pasien harus lengkap dan harus dicocokan dengan gelang identitas yang dikenakan pasien. Persiapan pra anestesi memuat kegiatan seperti menanyakan pasien mengenai hari dan bagian tubuh yang dioperasi. Hasil observasi dapat dilihat bahwa petugas anestesiologi belum melakukan kunjungan/visite ke ruang perawatan pasien dengan baik sehingga kegiatan penyuluhan anestesi sering terjadi di ruang operasi yang menyebabkan petugas anestesi kurang mengetahui informasi tentang diri pasien.

Tujuan Penelitian: Mengetahui tahapan pelaksanaan persiapan pra anestesi pada instalasi bedah di Rumah Sakit Umum Daerah Wates Kabupaten Kulon Progo.

Metode Penelitian: Metode yang digunakan dalam penelitian ini adalah penelitian kuantitatif dengan metode survei. Penelitian ini termasuk dalam jenis penelitian deskriptif persiapan pra anestesi di Rumah Sakit Umum Daerah Wates Kabupaten Kulon Progo. Analisis data menggunakan teknik deskriptif, sedangkan penghitungannya menggunakan persentase.

Hasil Penelitian: Persiapan Pra Anestesi pada tahap Persiapan Pasien berada dalam kategori sedang dengan rata-rata persentase kegiatan dalam setiap proses sebesar 83,8%, sedangkan Persiapan Pra Anestesi pada tahap Persiapan Ruangan, Persiapan Fungsi Alat dan Persiapan Obat-obatan anestesi berada dalam kategori baik dengan rata-rata persentase kegiatan dalam setiap proses sebesar 100%.

Kesimpulan: Persiapan pra anestesi di RSUD Wates Kabupaten Kulon Progo berada dalam kategori baik dengan rata-rata persentase kegiatan dalam setiap proses sebesar 96,0%.


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PERBEDAAN PENILAIAN ALDRETE SCORE PADA GENERAL ANESTESI TIVA DENGAN KURETASE BERDASARKAN KARAKTERISTIK RESPONDEN DI RSUD LANGSA

Latar Belakang: Kuretase adalah sebuah tindakan medis untuk mengeluarkan jaringan atau sisa jaringan dari dalam rahim. Jaringan bisa berupa janin yang mengalami abortus, endometriosis, atau sisa plasenta yang tertinggal seusai persalinan. Pemeriksaan karakteristik pasien merupakan faktor penting dalam mengumpulkan data tambahan tentang riwayat pasien yang dapat menjadi penyulit / faktor risiko tindakan anestesi.

Tujuan Penelitian: Mengetahui apakah ada perbedaan karakteristik responden (usia ibu, riwayat obstetri/ginekologi, berat badan dan riwayat kuretase berdasarkan penilaian Aldrete Score Pasca General Anestesi TIVA di RSUD Langsa.

Metode Penelitian: Metode yang digunakan dalam penelitian ini adalah deskriptif observasional dengan rancangan penelitian adalah cross-sectional. Sampel dari penelitian adalah 36 pasien menjalani operasi elektif di Instalasi Bedah Sentral RSUD Kota Langsa Daerah Istimewa Aceh dengan kuretase. Analisis statistik yang digunakan adalah Kolmogorov–Smirnov test dan Uji t test dengan signifikasi sebesar 5%.

Hasil Penelitian: Pada 10 menit pasca kuretase, pasien dengan usia 20-35 tahun dan pasien dengan usia < 20 tahun atau > 35 tahun, pasien yang tidak memilliki riwayat obstetri/ginekologi dan memiliki riwayat riwayat obstetri/ginekologi; pasien dengan berat badan ≥ 50 kg dan< 50 kg; pasien tanpa riwayat kuretase dan memiliki riwayat kuretase seluruhnya memiliki nilai aldrete score < 9 atau tidak dapat dipindahkan. Pada 20 dan 30 menit pasca kuretase, pasien dengan usia 20-35 tahun dan pasien dengan usia < 20 tahun atau > 35 tahun memiliki responden lebih bayak dengan jumlah nilai aldrete score ≥ 9 atau dapat dipindahkan, pasien yang tidak memilliki riwayat obstetri/ginekologi dan memiliki riwayat riwayat obstetri/ginekologi memiliki responden lebih bayak dengan jumlah nilai aldrete score ≥ 9 atau dapat dipindahkan; pasien dengan berat badan ≥ 50 kg dan< 50 kg memiliki responden lebih bayak dengan jumlah nilai aldrete score ≥ 9 atau dapat dipindahkan; pasien tanpa riwayat kuretase dan memiliki riwayat kuretase memiliki responden lebih bayak dengan jumlah nilai aldrete score ≥ 9 atau dapat dipindahkan.

Kesimpulan: Tidak ada beda nilai Aldrete Score yang signifikan menurut kelompok umur ibu pada 1-10 menit dan 20-30 menit tetapi ada perbedaan nilai pada 11-20 menit. Tidak ada perbedaan nilai Aldrete Score pada 1-10 menit, 11-20 menit dan 21-30 menit berdasarkan riwayat obstetri. Tidak ada perbedaan nilai Aldrete Score pada 1-10 menit, 11-20 menit dan 21-30 menit menurut berat badan ibu. Ada beda perbedaan nilai Aldrete Score antara ada riwayat kuretase dengan tidak ada riwayat kuretase pada waktu 1-10 menit dan 11-20 menit tetapi tidak ada beda yang signifikan (bermakna) pada waktu 21-30 menit.


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KOMPARASI PERUBAHAN HEMODINAMIKA PEMAKAIAN SEVOFLURANE 8% + N2O 50% DENGAN PROPOFOL DI RSUP DR. SOERADJI TIRTONEGORO KLATEN

Latar Belakang: Stabilitas hemodinamik merupakan suatu indikator penting dari suatu induksi anestesi yang ideal. Tekanan darah dan frekuensi jantung telah menjadi bagian dasar monitoring dan penelitian stabilitas hemodinamik. Banyak faktor yang mempengaruhi status hemodinamik antara lain: status fisik, umur, jenis kelamin, berat badan, kecemasan, nyeri, riwayat pemakaian obat sebelumnya, status hidrasi, suhu tubuh, pilihan obat premedikasi dan induksi anestesi.

Tujuan Penelitian: Mengetahui apakah ada perbedaan perubahan hemodinamik pada penggunaan Sevoflurane 8% + N2O 50% dengan Propofol dalam Induksi Anestesi di RSUP Dr. Soeradji Tirtonegoro Klaten.

Metode Penelitian: Metode riset keperawatan observasional dengan observasional analitik pendekatan komparasi terhadap pasien dilakukan tindakan anestesi umum dengan perubahan hemodinamik pada penggunaan Sevoflurane 8% + N2O 50% dengan Propofol dalam Induksi Anestesi. Analisis data mengunakan statistic uji t pada siqnifikasi level 0,05.

Hasil Penelitian: Tidak ada beda yang signifikan (bermakna) antara tekanan sistolik dan saturasi dengan induksi Sevoflurane 8% + N2O 50% sebelum dan sesudah induksi. Ada beda yang signifikan (bermakna) tekanan diastolik, nadi dengan induksi Sevoflurane 8% + N2O 50% sebelum dan sesudah induksi berbeda. Tidak ada beda yang signifikan (bermakna) tekanan siastolik dan saturasi dengan induksi Propofol sebelum dan sesudah induksi tidak ada. Ada beda yang signifikan (bermakna) tekanan diastolik dan nadi dengan induksi Propofol sebelum dan sesudah induksi berbeda.

Kesimpulan: Ada beda yang signifikan (bermakna) tekanan siastolik, diastolik dan saturasi dengan induksi Propofol dan Sevoflurane 8% + N2O 50%. Tidak ada beda yang signifikan (bermakna) bahwa nadi kelompok Sevoflurane 8% + N2O 50% dan Propofol tidak berbeda.


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