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"Halusinasi merupakan pengalaman persepsi atau sensori yang salah terhadap sumber yang tidak nyata. Halusinasi bersifat menyulitkan dan melemahkan, sehingga berdampak pada penurunan kualitas hidup dan kesejahteraan akibat gangguan pada aktivitas sehari-hari. Studi kasus ini bertujuan untuk menganalisis efektivitas penerapan asuhan keperawatan jiwa generalis dengan teknik distraksi aktivitas terjadwal menjahit pada klien dengan masalah keperawatan halusinasi. Klien Tn. T (32 tahun) dibawa ke RSMM dengan diagnosis medis skizofrenia paranoid dan masalah keperawatan halusinasi pendengaran. Implementasi diberikan selama 11 hari dengan memberikan asuhan keperawatan jiwa generalis yang dikombinasikan dengan kegiatan menjahit sebagai strategi koping yang pilih klien ke dalam jadwal kegiatan klien. Perkembangan kondisi klien dievaluasi menggunakan tiga instrumen; Auditory Vocal Hallucination Rating ScaleQuestionnaire, evaluasi tanda gejala, dan evaluasi kemampuan mengontrol halusinasi. Hasil studi menujukkan terdapat penurunan tingkat keparahan dan tanda gejala setelah intervensi diberikan. Rekomendasi bagi perawat untuk memberikan teknik distraksi berdasarkan kemampuan dan minat klien. Rekomendasi untuk penelitian selanjutnya membandingkan keefektifan hasil antara klien yang diberikan intervensi keperawatan jiwa generalis dengan teknik distraksi aktivitas terjadwal menjahit dengan klien yang hanya diberi intervensi keperawatan jiwa generalis.

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Hallucinations are perceptual or sensory experiences that are false to sources that are not real. Hallucinations are burdensome and debilitating, which can decrease quality of life and wellbeing due to disruption in daily activities. This case study aims to analyse the effectiveness of applying generalist psychiatric nursing care with distraction technique using sewing as scheduled activity on patients with hallucinations. Mr. T (32 years old) was admitted to RSMM with a medical diagnosis of schizophrenia paranoid and nursing diagnosis of auditory hallucination. Intervention was carried out for 11 days by providing generalist psychiatric nursing care combined with adding sewing as coping strategy chosen by the client into scheduled activity. The progress of client’s condition was evaluated using three instruments; Auditory Vocal Hallucination Rating Scale-Questionnaire (AVHRS-Q), evaluation of sign and symptoms, and evaluation of client’s ability to control hallucination. Result showed a decrease in the severity and sign of hallucination after intervention was given. Recommendations for nurses to provide distraction techniques based on client's abilities and preferences. Recommendations for future research is to compare the effectiveness of the results between clients who are given generalist psychiatric nursing interventions with sewing scheduled activity distraction techniques with clients who are only given generalist mental nursing interventions."

"ABSTRAKOccupational skin diseases are the most common work related diseases in many countries. Shoe industry workers are potential to be affected by work related skin diseases (WRSDs). This study aimed to analyze the risk factors associated with WRSDs among workers in the sewing section at a shoe company in West Java. A total of 477 workers were examined and interviewed using the modified Nordic Occupational Skin Questionnaire 2002/LONG from May 2016 to July 2016. Chi square test and logistic regression were used to analyze the risk factors related to WRSDs. The results showed that 57.7% of the workers suffered from WRSDs. Most of the workers (71.7%) did not wear gloves while working: however, they washed their hands adequately at work (67.1%). Multivariate analysis indicated that a term of work, allergy records, organic dust exposure and duration of exposure per day, handwashing habits, and use of gloves whileworking were significant to WRSDs. Having allergy records and not wearing gloves were the two dominant factors associated with WRSDs (odds ratio: 6.743 and 6.224, respectively). Understanding the importance of using chemical protective gloves while working and washing hands with running water are essential for the proper implementation of protective measures to ensure workers safety and health."

"Telah dilakukan penelitian terhadap pekerja pabrik sepatu Tangerang. Tujuan penelitian adalah untuk mengetahui prevalensi tinea kru is pada pekerja bagian hot press dan sewing di pabrik sepatu S - Tangerang, dan mengetahui hubungan. panas dan kelembaban dengan prevalensi tines kruris. Metode penelitian ini menggunakan kros seksional dengan uji statistik chi kuadrat (bivariat) dan analisa multivariat dengan logistik regresi_ Parameter yang digunakan untuk mengukur tingkat pajanan adalah Indeks Suhu Bola Basah (WBG7). Penelitian dilakukan terhadap 130 responden yang bekerja di lingkungan yang berbeda, yang terdiri dari 66 responden terpajan panas dan 64 responden tidak terpajan panas. Untuk melihat pengaruh tekanan panas dan kelembaban terhadap tenaga kerja yang terpajan dengan melakukan wawancara, pengamatan, pemeriksaan fisik dan pemeriksaan laboratorium._ Hasil penelitian menunjukkan tekanan panas dan kelembaban di lingkungan kerja bagian hot press melebihi batas yang diperkenankan untuk kerja yaitu 31,3 °C ISBB ( NAB 25 °C ISBB ).Hasil pemeriksaan pada semua responden (130 prang ) menunjukkan 26 % (34 orang ) responden mengalami tinea kruris. Disamping itu hasil penelitian menunjukkan bahwa pekerja yang bekerja di lingkungan panas dan lembab (Hot press ), prevalensi tinea kruris lebih tinggi (40,9 %) dibandingkan dengan pekerja yang bekerja dengan lingkungan yang tidak panas (Sewing) (10,9 %).

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The Relation Between Exposure To Heat And Humidity In Hot Press And Sewing Environment With Prevalence Of Tinea Cruris In Workers At Sport Shoe Factory At "S" Factory ? TangerangThe objectives of this study are to know the prevalence of tinea cruris in workers at hot press and sewing 2 floor at "S" factory a sport shoe factory in Cikupa Tangerang and to know the relationship with exposure to heat stress and humidity in the work environment. The design used in this study is cross sectional method. Chi square (bivaried) were used for statistical analysis. Heat exposure level in the working environment was measured by using The Wet Bulb Globe temperature Index. This study examined 130 workers were exposed to heat stress ; 66 workers who were exposed to higher heat stress another 64 workers who were exposed to a lower heat stress. Questionnare, physical and laboratory examinations.

This study shows that heat exposure and humidity of working environment at press line 9 and sewing 2 floor sections is above the recommended limits. The results of the examinations prevalence of all worker (130 sampel) shows 26 % (34 sampel) were tinea cruris_ It also shows that workers who were exposed to higher heat stress (hot press ) have a higher prevalence of tines cruris (40,9 %) significantly compared to workers who were exposed to lower heat stress (sewing 2 floor) (10,9 %)."