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                <text>Prosiding Seminar Nasional Keperawatan Universitas Muhammadiyah Surakarta Profesi Ners XXIV Angkatan 2 2022&#13;
Front Matter</text>
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Evidence Based Nursing : Pengaruh Range of Motion Terhadap Kelelahan Pasien Hemodialisa di PMI Surakarta</text>
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                <text>Latar belakang: Pasien yang menjalani hemodialisis rutin dapat mengalami gejala berupa fatigue (kelelahan, letih dan lesu). Fatigue dialami karena lama berbaring di tempat tidur sewaktu menjalani hemodialisis. Penelitian ini dilakukan untuk mengetahui pengaruh latihan range of motion (ROM) terhadap tingkat fatigue pada pasien hemodialisis.&#13;
Metode: Penelitian ini menggunakan metode desain pretest-posttest. Sampel penelitian berjumlah 2 responden. Penelitian dilakukan pada bulan Juni 2022 di unit Hemodialisa PMI Surakarta.&#13;
Hasil: Hasil penelitian menunjukkan adanya pengaruh latihan range of&#13;
motion (ROM) terhadap tingkat fatigue pada pasien hemodialysis. Setelah dilakukan terapi ROM dalam waktu 20 menit selama 2 kali dalam 1 minggu dan dilaksanakan sewaktu sesi hemodialisa didapatkan data pada latihan pertama menunjukkan skor FAS masih dalam kategori berat dan setelah dilakukan terapi yang kedua menunjukkan skor FAS dalam kategori ringan pada kedua responden.&#13;
Kesimpulan: Menurut hasil penelitian dapat disimpulkan bahwa pemberian terapi range of motion yang dilakukan dalam dua kali pertemuan dalam satu minggu berpengaruh terhadap penurunan kelelahan pasien hemodialisa di PMI Kota Surakarta.</text>
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Hubungan Tingkat Keteraturan Berolahraga Dengan Nilai Tekanan Darah Dan Nadi Pada Penderita Hipertensi</text>
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                <text>Latar Belakang: Faktor resiko minor pada penderita hipertensi salah&#13;
satunya adalah kebiasaan olahraga. Kurangnya aktivitas fisik dapat&#13;
meningkatkan resiko penderita hipertensi karena meningkatkan resiko&#13;
obesitas. Orang yang tidak aktif cenderung memiliki frekuensi denyut jantung yang lebih tinggi sehingga pada saat berkontraksi jantung akan bekerja lebih keras. Demikian juga pada denyut nadi seseorang akan terus meningkat apabila suhu tubuh meningkat. Saat berolahraga secara otomatis suhu tubuh akan meningkat.&#13;
Tujuan: Penelitian ini bertujuan untuk mengetahui adanya hubungan antara tingkat keteraturan berolahraga terhadap nilai tekanan darah dan nadi pada Pasien hipertensi di Puskesmas Purwosari Surakarta.&#13;
Metode Penelitian: Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan metode survei analitik. Teknik pengambilan subyek menggunakan sampel jenuh dengan jumlah 63 orang. Tingkat keteraturan berolahraga diperoleh dari kuesioner yang ditanyakan langsung pada subyek. Tekanan darah dan nadi diperoleh dari pengukuran langsung dengan sphygmomanometer. Uji hubungan yang digunakan pada penelitian ini adalah Uji Rank Spearman.&#13;
Hasil penelitian: Responden sebanyak 36 orang (57,1%) kurang teratur&#13;
berolahraga. Responden dengan hipertensi derajat 1 sebanyak 26 orang&#13;
(41,3%). Responden dengan denyut nadi normal sebanyak 56 orang (88,8%). Tidak ada hubungan antara tingkat keteraturan berolahraga dengan tekanan darah (p value=0,161) dan denyut nadi (p value=0,563) pada pasien hipertensi di Puskesmas Purwosari Surakarta.&#13;
Kesimpulan: Dapat ditarik kesimpulan tidak ada hubungan antara tingkat keteraturan berolahraga dengan tekanan darah dan denyut nadi pada pasien hipertensi di Puskesmas Purwosari Surakarta.</text>
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Efektivitas Mobilisasi Progresif Dalam Mempengaruhi Saturasi Oksigen Pada Pasien Yang Di Rawat Intensive Care Unit (Icu) : Literature Review</text>
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                <text>ABSTRAK&#13;
Latar belakang: Pasien yang dirawat di ruang ICU membutuhkan&#13;
perawatan dan penanganan yang lebih, dikarenakan dari segi penyakit yang mengalami komplikasi dan kondisi yang mengancam nyawa seseorang. Sebagian besar di Unit Perawatan Intensif (ICU) dengan saturasi rendah dan terlebih pasien dengan terpasang ventilasi mekanik sangat diperhatikan sekali, dan penagananya yang lebih untuk meningkatkan saturasi oksigen pasien tersebut. Mobilisasi progresif salah satu pendekatan komplementer yang dapat mempengaruhi saturasi oksigen hal ini dikarenakan setelah diberikan mobilisasi progresif level 1 pada posisi Head of Bed, gravitasi akan menarik diafragma kebawah sehingga terjad ekspansi paru (menyebarnya&#13;
oksigen dalam paru-paru) yang lebih baik sehingga oksigen yang diikat oleh hemoglobin meningkat maka terjadi peningkatan nilai saturasi oksigen.&#13;
Metode: Metode yang digunakan pada penelitian ini yaitu literature review.&#13;
Hasil: Berdasarkan analisa, artikel yang sesuai dengan kriteria insklusi dan eksklusi sebayak 12 artikel, dari 12 artikel tersebut memenuhi kriteria, pada table 1 terdapat 12 artikel yang telah diringkas tahun terbit, judul, variabel, metodologi, hasil dan kesimpulan.&#13;
Kesimpulan: Kesimpulan hasil penulisan meriview sumber literature&#13;
penelitian ini adalah mobilisasi progresive tindakan nonfarmakologi yang efektif untuk meningkatkan saturasi oksigen meskipun dalam peningkatan saturasi oksigen tidak terlalu besar tetapi mobilisasi sangatlah mudah dilakukan dan sederhana, selain itu mobilisasi memiliki tingkat efek samping yang relative kecil pada pasien yang dirawat di ruang ICU. </text>
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                <text>Sri Wahyuni</text>
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Hemodinamik Pada Pasien Post PCI (Percutaneous Coronary Intervention) Di Ruang ICCU </text>
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                <text>Latar Belakang: Penyakit kardiovaskuler adalah penyakit yang disebabkan gangguan fungsi jantung dan pembuluh darah. Salah satu penyakit jantung yang sering terjadi adalah ACS (Acute Coronary Syndrome). Parameter yang digunakan untuk menilai pemantauan hemodinamik yang ada bed side monitor dan berlangsung secara continus diantaranya adalah pengukuran tanda – tanda vital, monitoring suhu tubuh, tekanandarah, respirasi dan saturasi oksigen. Percutaneous Coronary Intervention (PCI) adalah prosedur intervensi non bedah yang dilakukan pada pasien dengan menggunakan kateter untuk melebarkan atau membuka pembuluh darah koroner yang menyempit dengan balon atau stent.&#13;
Tujuan: Penelitian ini adalah untuk mengetahui perubahan hemodinamik&#13;
pada pasien post PCI (Percutaneous Coronary Intervention) di ruang ICCU &#13;
Metode: Jenis penelitian ini yaitu deskriptif yang menggunakan desain&#13;
penelitian case study : pre dan post PCI dengan menggunakan sampel 3&#13;
pasienn. Pada penelitian ini dinilai dari status hemodinamik yaitu: tekanan darah, heart rate, respirasi dan saturasi oksigen.&#13;
Hasil: Penelitian ini menunjukan bahwa pemantauan status hemodinamik pada pasien ACS dengan post PCI mempengaruhi hemodinamik tekanan darah, respirasi, heart rate dan saturasi oksigen menjadi rata – rata batas rentan normal.&#13;
Kesimpulan: Pada ketiga sampel didapatkan adanya perubahan&#13;
hemodinamik post PCI, hemodinamik pre PCI cenderung tinggi dan setelah dilakukan tindakan PCI hemodinamik pada ketiga sampel status&#13;
hemodinamik dalam rata – rata batas normal. </text>
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                <text>Pendahuluan : Perawatan diri memegang peranan penting dalam&#13;
menangani masalah kesehatan kronis termasuk gagal jantung, karena gagal jantung akan diderita pasien seumur hidupnya. Perawatan diri yang dilakukan dalam jangka waktu yang lama mengakibatkan pasien gagal jantung tidak dapat melakukan perawatan diri secara optimal.&#13;
Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh pemberian&#13;
edukasi melalui e-health berbasis website terhadap self care pasien gagal jantung di Rumah Sakit Universitas Sebelas Maret (UNS) Surakarta.&#13;
MetodePenelitian : Jenis penelitian ini menggunakanpenelitian kuantitatif dengan desain penelitian eksperimen semu. Jenis desain yang digunakan adalah kelompok pra perlakuan dan kelompok pasca perlakuan tanpa kelompok kontrol. Sampel dalam penelitian ini adalah pasien gagal jantung di unit rawat jalan penyakit jantung RS UNS sebanyak 68 responden. Teknik pengambilan sampel yang digunakan adalah purposive sampling. Instrumen penelitian menggunakan Self Care Heart Failure Index (SCHFI). &#13;
Hasil penelitian : menunjukkan bahwa mayoritas pasien gagal jantung&#13;
adalah laki-laki, termasuk dalam kategori NYHA II, dan berusia di atas 65&#13;
tahun. Dari hasil uji analisis data diketahui bahwa nilai rata-rata pre-test&#13;
adalah 57,68 dan nilai rata-rata post-test adalah 78,35 dengan nilai&#13;
signifikansi 0,001.&#13;
Kesimpulan : Penderita gagal jantung terbanyak di RS UNS adalah pasien&#13;
berjenis kelamin laki-laki yang berusia &gt;65 tahun, memiliki tingkat&#13;
pendidikan jenjang SMA/SMK, mayoritas kelas NYHA II, dirawat oleh&#13;
keluarganya, dan pernah mendapatkan edukasi mengenai perawatan mandiri. Hasil dari analisa data memperlihatkan adanya pengaruh antara sebelum dan sesudah diberikan melalui e-health sebagai upaya&#13;
peningkatan perawatan mandiri pada pasien gagal jantung. </text>
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Evidence Based Nursing : Pengaruh Foot Massage Terhadap Kelelahan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis</text>
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                <text>Latar Belakang: Gagal ginjal kronis membutuhkan pengobatan yang bisa&#13;
mengambil alih fungsi ginjalnya, salah satunya yaitu hemodialisa.&#13;
Hemodialisa merupakan terapi pengganti ginjal yang bertujuan untuk&#13;
mengatasi penurunan fungsi ginjal dengan menggunakan membran dialisis dengan teknologi dialisis atau filtrasi, sehingga mengatur cairan yang disebabkan oleh penurunan laju filtrasi glomerulus. Pasien gagal ginjal yang menjalani hemodialisa akan mengalami kelelahan karena harus rutin menjalani terapi hemodialisa. Kelelahan dapat diatasi dengan terapi non farmakologi seperti melakukan foot massage atau pijat kaki.&#13;
Tujuan: Penelitian ini adalah untuk mengetahui Pengaruh Foot Massage&#13;
Terhadap Kelelahan Pasien Gagal Ginjal Kronik yang Menjalani&#13;
Hemodialisis.&#13;
Metode: Metode yang digunakan pada penelitian ini yaitu pre-post design &#13;
Hasil: Berdasarkan hasil penelitian terdapat perubahan skor VASFF yang&#13;
signifikan pada kedua pasien. Sebelum dilakukan foot massage skor VASFF pada sampel termasuk dalam kategori kelelahan berat. Namun setelah dilakukan foot massage 2 kali dalam 1 minggu selama 20 menit skor VASFF pada sampel termasuk kategori kelelahan ringan.&#13;
Kesimpulan: Berdasarkan hasil dan pembahasan yang telah diulas, maka&#13;
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                <text>Latar Belakang: Pasien kritis adalah pasien yang secara fisiologis tidak&#13;
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Fowler terhadap saturasi oksigen.&#13;
Metode: Penerapan evidence based nursing pada 10 responden yang&#13;
kemudian diberikan posisi semi fowler selama ± 30 menit dan diamati&#13;
saturasi oksigennya.&#13;
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kelamin laki-laki dengan jumlah 7 responden. Usia rata-rata berkisar antara 60 hingga 69 tahun, rata-rata saturasi oksigen sebelum dan sesudah intervensi adalah 93,50 dan 97,50.&#13;
Kesimpulan: Terdapat peningkatan nilai saturasi oksigen yang signifikan&#13;
sebelum dan sesudah intervensi posisi semi fowler (p-value = &lt; 0,003). </text>
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Metode: Intervensi foot massage diberikan pada dua pasien dan dilakukan selama dua hari dan diberikan perlakuan masing-masing selama 20 menit, tekanan darah dicatat sebelum dan sesudah diberikan intervensi foot massage dilaporkan dalam bentuk case report. Studi ini dilakukan di ruang ICU. &#13;
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