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Perpustalcaan Nasional Katalog Dalam Terbitan (KDT)
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Proceeding: Challenges, Strategy and Health Treatment Approach to Nutrition and Molecular Epidemiology / Editor: Bhisma Murti [et.al.] - Medan: USU Press, 2015.
xix, 370 p.: ilus.; 29 cm ISBN: 979-458-793-l
l.Strategy
I. Title
-
Health Treatment
b
F r
t I
i
i i
i t I
t L
Diserak di Medan, Indonesia
2. Nutrition
3. Molecular Epidemiology
,i
Challenges, Strategy and Health Treatment Approach to Nutrition and Molecular Epidemiology i
RELATIONSHIP BETWEEN ANXIETY LEVEL TO SLEEP FULL FILLMENT OF INGUINAL HERNIA PREOPERATIVE PATIENTS AT DR.PIRNGADI HOSPITAL MEDAN Suriani br Gintingl, Agustina Boru Gultoml, wiwik Dwi Arianti2 r'2 Nursing Department of poltekkes Kemenkes Medan
Abstrak Anxiety is a condition that can be experienced by everyone in daily life. Usually we experience a state of anxiety when we deal with things out of the ordinary everyday activities ( Sylvia , 200g) . This effect is caused by anxiety disorders and sleep patterns of rest. According to Potter (2005 that the ), patients often experience preoperative anxiety. Pre operation is when the decision foi surgical intervention will be done and it will cause complaints for patients who live with anxiety and cause sleep disorders. The purpose of this study was to determine the relationship between the level of anxiety on the fulfillment of the patient's sleep in pre inguinal hernia operation with the type of descriptive correlational cross-sectional study design with a total sampl e of 37 respondents were acquired in July 2014by accidental sampling technique. Statistical analysis using chi square test . The results showed that the p value 0.00 ( p < 0.05 ) which shows the relationship between the level of anxiety on the sleep fulfillment of inguinal hernia preoperative in patients. It is recommended that improving preoperative nursing care to deal with cases of anxiety before undergoing surgery.
Keywords: Anxiety, Sleep Fulfillment, Pre Operative BACKGROUND
preoperative anxiety is an anticipation
A
patient's experience that can be considered as a threat to its role in the life, integrity in the body, or even life itself . It is known that the
hernia is a protrusion outside the organ or other tissue due to an increase in intraabdominal pressure that cause abnormal body openings ( Garcini , 2010). Inguinal hernia is a condition of the release of an organ or
structure from its normal organ through a defect in the inguinal area that can not be returned to its original place manually and would have implications invasive surgery by
restoring
the structure of the organ is
surgically ( Muttaqin
&
Sari ,2009),
Inguinal hernia is one of the cases digestive surgery in the world. It is still a challenge in improving the health status of the communify because of the costs required in the handling and loss of labor due to the slow pace of recovery and recurrence rate. The overall number of operations in France hernia surgery as much as 17.2 Yo and 24.1 % in the United States (Albiner,2003)
In
Indonesia hernia ranks eighth with a of 291.145 cases. Inguinal hernia was found 25 times more in men than women (Albiner ,2004) .
number
The surgical procedure will provide afi emotional reaction to the patient. For example,
28
&
of
a
troubled mind will directly affect the functioning of the body (Muttaqin & Sari , 200e).
The impact is often caused by a state of anxiety that can be manifested by all systems of the human body both physiologically, psychologically and spiritually. One impact is disturbance of rest and sleep patterns commonly from someone entering a hospital or health facility. Sleep is part of the healing of an illness Achieving good quality sleep is important for health . Similarly to recover from illness , clients who are ill often need more sleep and rest than healthy clients. However , the disease usually prevent some clients to get adequate sleep and rest ( Potter ,. 201 0) . According to research of Triningsih ( 2012) about the relationship between the level of anxiety to meet needs of the patient's sleep pafferns preoperative in Jasmine ward of Panembahan Senopati Hospital Bantul, Yogyakarta, indicates that respondents who are at the level of anxiety being there as much
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Challenges, Strategy and Health Tieatment Approach to Nutrition and Molecular Epidemiology
, and as much x 54.28 %;o of pattern respondents need less sleep And based on the results of the study showed a significant relationship between the level of anxiety with the fulfillment sleep patterns of 0,313 or 31.3 % with a significance of 0.020 ( sig.p<0.05).
Patients Inguinal hernia surgery is planned after the hospitalization 1-3 days in hospital, 2) Willing to be a respondent, 3) undergo the
Based on preliminary studies conducted in hospitals Dr.Pimgadi Medan, found that the number of surgery patients in2013 were 3169 patients. Inguinal hernia surgery patient data in 2013 were 372 people, in December 2013 there were 39 people .Based on interviews at 3
chi-square formula.
as 62.86 Yo
preoperative patients in hospitals of dr.Pirngadi Medan , where two patients undergoing surgery for the first time said patients feel anxious and disturbed sleep fulfillment , whereas the third patient to undergo a second surgery to say a little bit anxious but the fulfillment of sleep is not
first surgery, 4) Adult patients with age >
analyzed using univariate analysis with frequency distribution, bivariate analysis with
RESULTS AND DISCUSSION RESULTS Table I Respondents Frequency Distribution According To Anxiety Level To Face Hemia Inguinalis Pre Operative At Dr.Pimgadi
Hospital
No
Category F 12 21 Mid 4 Severe Total 37
I
Moderate
2
disturbed. Problems
of the problem in this is how relationship between anxiety level to sleep fullfillment of inguinal hernia
The formulation research
preoperative patients
at dr.Pirngadi
hospital
Medan.
Table2 Respondents Frequency Distribution According To Sleep Fullfillment To Face Hernia Inguinalis Pre Operative At
Medan.
Dr.Pirngadi Hospital
Hypothesis There is a relationship between anxiety level
to
sleep fullfillment
preoperative patients
% 32,4 52.8 10.8 100
Table 1 shows the level of anxiefy of patients facing surgery inguinal hernia is a mild anxiety are 12 person( 32.4 % , Mid anxiety was 21 person ( 52.8 Yo ) and severe anxiety there are 4 people ( 10.8 % ) .
Research Objectives
To describe the relationship between anxiety level to sleep fullfillment of inguinal hernia preoperative patients at dr.Pirngadi hospital
17
years. Data collection technique was done by interview using a questionnaire. Data were
of
No
inguinal hernia
at dr.Pirngadi
hospital
Medan 2014.
RESEARCH METHODS The type of research is descriptive correlative with cross sectional design with the aim to determine the relationship of the level of anxiety on the sleep fulfillment of inguinal hernia irreoperative patient at Dr.Pirngadi Hospital Medan. Data were collected in June 2014. The population of this study were all patients who undergo inguinal hernia surgery, amounting to 372 people in 2013. Samples numbered 37 people, taken as many as lOoh of the population with accidental sampling technique with the inclusion criteria: 1)
Category
Untullfilled Fullfilled
25
Total
37
t2
% 67,6 32,4 100
Table 2 shows the fulfillment of the sleeping
patient
in the face of an inguinal hernia
operation are not
( 67.6 Yo ) (32.4%).
and
fullfill
fullfilled
as many as 25 people as many as 12 people
29
Suriani Ginting, Wiwik Dwi Arianti
Hubungan Perilaku-.
KESIMPULAI\ DAN SARAII
pelaksanaan asuhan keperawatan khususnya dalam rneningkatkan perilaku kesehatan pasien Diabetes Melitus atau mengubah perilaku negatif pasien
Kesimpulan l Dari hasil penelitian berdasarkan analisis univariat
Medan Tahun 2015
diharapkan memberikan dukungan pada pasien
H. Adam Malik
memiliki pengetahuan yang cukup
tentang perawatan Diabetes Melitus (42,4%). Dari hasil penelitian berdasarkan analisis univariat didapatkan bahwa mayoritas pasien Diabetes
{9ng*
2.
Al dan A2 RSUP H. Adam Malik Medan Tahun 2015 memiliki sikap yang positif dalam perawatan Melitus yang dirawat di Ruang Rindu
3.
Diabetes Melitus (57,6%). Dari hasil penelitian berdasarkan analisis univariat didapatkan bahwa mayoritas pasien Diabetes
Melitus (51,5%). Dari hasil penelitian berdasarkan analisis univariat
didapatkan bahwa mayoritas pasien Diabetes Melitus yang dirawat di Ruang Rindu Al dan A2
5.
RSUP H. Adam Malik Medan Tahun 2015 tidak mengalami ulkus diabetikm (54,5yo). Dari hasil penelitian berdasarkan analisis bivariat
uji Chi Square dapat disimpulkan bahwa ada hubungan antara pengetahuan dengan Ulkus Diabetikum pada pasien Diabetes Melitus yang dirawat di Ruang Rindu .{1 dan M RSUP H. Adam Malik Medan Tahun 2015 Qt value : 0,040 < o: 0,05). dengan menggunakan
6.
7.
Dari hasil penelitian berdasarkan analisis bivariat dengan menggunakan uji Chi Square dapat disimpulkan bahwa ada hubungan antara sikap dengan Ulkus Diabetikum pada pasien Diabetes Melitus yang dkawat di Ruang Rindu Al dan A2 RSUP H. Adam Malik Medan Tahun 2015 (p value :0,027 <
o:
0,05).
Dari hasil penelitian berdasarkan analisis bivariat
9*g*
menggunakan
uji Chi
Square dapat
disimpulkan bahwa ada hubungan antara tindakan dengan Ulkus Diabetikum pada pasien Diabetes Melitus yang dirawat di Ruang Rindu dan M RSUP H. Adam Malik Medan Tahun 2015 (p value:0,024 < a:0,05).
Al
8. Dari hasil penelitian
berdasarkan analisis multivariat dengan menggunakan uji Regresi Logistik Ganda dapat disimpulkan bahwa domain
pelilku yang paling dominan
berhubungan
terhadap kejadian Ulkus Diabetikum pada pusi"., Diabetes Melitus yang dirawat di Ruang Rindu Al dan M RSUP H. Adam Malik Medan Tahun 2015 adalah tindakan dengan nilai OR sebesar 6.024. Saran
1.
Kepada pihak RSUP H. Adam Malik Medan khususnya di Rumg Rindu Al dan M agar lebih
meningkatkm pelayanan keperawatan
dan
keluarga sebagai pendamping pasien yang
dalam perawatan penyakit Diabetes Melitus.
Kepada institusi pendidikan khususnya Jurusan
Keperawatan agtr menjadi masukan dalam menerapkan pengetahuan dan mendalami penelitian selanjutnya tentang hubungan antara perilaku pasien dalam perawatan Diabetes Melitus dengan Ulkus Diabetikum pada pasien Diabetes Melitus.
3. Kepada
pasien
diharapkan supaya yang mendukung
mempertahankan perilaku
Melitus yang dirawat di Ruang Rindu A1 dan,\2 RSUP H. Adam Malik Medan Tahun 2015 memiliki tindakan yang baik perawatan Diabetes
4.
positif dalam hal
perawatan Diabetes Melitus melalui kerjasama
RSUP
2.
Diabetes Melitus menjadi
didapatkan bahwa mayoritas pasien Diabetes Melitus yang dirawat di Ruang Rindu At dan A2
perawatan Diabetes Melitus sehingga kejadian Ulkus Diabetikum dapat dicegah karena penyakit Diabetes Melitus sangat tergantung dari perilaku
4.
kesehatan penderitanya.
Kepada peneliti lain agar meneliti lebih lanjut mengenai faktor lain yang mempengaruhi kejadian
Ulkus Diabetikum pada pasien Diabetes Melitus atau melakukan tindak lanjut dari hasil penelitian yang telah ada sehingga hasil penelitian ini dapat bermanfaat khususnya bagi penderita Diabetes Melitus
DAFTARPUSTAKA
{--'
Badawi, Hasan, 2009, Melawan dan Mencegah Diabetes, Araska Printik4 Yogyakarta.
Notoatrnodjo, Soekidjo, 2005, Metodologi penelitian Kesehatan, Rineka Cipta, Jakarta.
---*--------,2010, Ilmu Perilaku Kesehatan, Rineka Cipt4 Jakarta
Nurhasarl 20A, Kiat Melcrwan penyakit, pustaka pelajar, Jogjakarta
Nusalam, 2009, Konsep dan penerapan Metodologi Penelitian llmu Kepercnvatan Edisi 2, Salemba Medika, Jakarta Soegondo, Sidartawan, 2008, Hidup Secara Mandiri dmgan Diabetes Melitw, Kencing Manis, Sabit
Gula, Balai penerbit Fakultas Kedokteran Universitas lndonesi4 J akarta. Sudoyo, Aru W, 2007, Buku Ajar llmu penyakit Dalam, Balai Penerbit Fakultas Kedokteran Universitas Indonesi4 Jakarta Tandr4 Hans, 2008, Segala Sesuatu yang Hanu Anda Ketahui Tentang Diabetes, pT Gramedia pustaka Utama, Jakarta.
ljahdadi, Vicynthia, 2010, Mengenal, Mencegah, Mengatasi Silent Killer Diabetes, pustaka Widyamara, Semarang. Vitahealth, 2006, Diabetes, pT Gramedia pustaka
Jakarta.
Utm*, d
fia estions & d PT Elex Media Komputindo, Frr*'
Waluyo, Srikandi, 2009, Diqbetes,
Itl
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