New Coagulation Assays Reference Ranges for Healthy Adults Using the Modern Sysmex CA-1500 Coagulometer.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 4025-4025
Author(s):  
Lisa Wakeman ◽  
Roger Munro ◽  
Nick Dorward ◽  
Ann Benton ◽  
Andy Gibb ◽  
...  
Keyword(s):  
Normal Distribution ◽  
Protein C ◽  
Healthy Adults ◽  
T Test ◽  
P Value ◽  
Reference Ranges ◽  
Distributed Parameters ◽  
Wide Range ◽  
Anderson Darling ◽  
Normally Distributed

Abstract Reference ranges (RRs) in coagulation are applicable only to specific analyser and reagent combinations and frequently need to be re-established if any of these are changed. In no other sphere of clinical laboratory practice are RRs more affected by such a wide range of multiple demographic and pre-analytical variables. For most routine clinical laboratories therefore, the collection of multiple, separate RRs is not feasible so a representative group of healthy adults such as laboratory staff frequently constitute the reference population from which these limits are calculated. Early morning venous samples were collected into glass B-D Vacutainers (Ref: 367691) from 221 healthy laboratory personnel (F= 159; M = 62) aged 20–63 yrs for both gender. Age groups were equally represented. Samples were processed on a Sysmex CA-1500 analyser within 1 hour of collection. Appropriate NCCLS guidelines were followed throughout. Reagents employed were - Actin FSL (APTT); Innovin (PT); Dade-Behring reference, calibration and deficient plasmas (factor assays); Dade-Behring kit ref: OWWR15 (ATIII); Chromogenix kit ref: 82209863 (Protein C). Outliers were excluded, data examined for normal distribution from histograms and significance levels calculated from the Anderson - Darling test of normality. RRs for normally distributed parameters were calculated using means ± 2SDs. RRs for non-normally distributed parameters were calculated using the log natural transformation and the antilog of 2.5- and 97.5- percentiles. Italicised parameters shown below are non-normally distributed. Parameter Reference Range Anderson Darling P-Value P-value for normal distribution Mann Whitney U-test (M versus F) *=significant difference PT sec 10.0 – 11.8 <0.005 0.003* APTT sec 24.7 – 31.7 0.006 0.232 TCT sec 13.8 – 17.4 0.035 0.198 Fib g/L Clauss 1.6 – 4.2 0.190 t-test not significant Fib g/L Derived 2.1 – 4.9 0.200 t-test not significant II % 82 – 133 <0.005 0.019* V% 70 – 150 0.021 0.303 VII % 60 – 164 0.008 0.037* X% 75 – 147 0.539 t-test not significant VIII % 48 – 204 <0.005 0.520 IX % 65 – 142 <0.005 0.275 XI % 61 – 142 <0.005 0.394 XII % 59 – 133 0.088 t-test not significant Protein C % 75 – 160 0.036 0.024* ATIII % 86 – 128 0.329 t-test not significant Kruskal Wallis tests on our data indicate that all coagulation factors are positively associated with age except factors IX and XII. Significant differences (p=0.014) in factor VIIIc was found between those of blood group O and non group O. Significant correlation was found between declining APTTs and associated increasing factor VIIIc when measured in individual volunteers.

New Reference Ranges in Haematology for Healthy Adults Using the Modern Sysmex XE-2100 Automated Analyser.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 3740-3740 ◽  
Author(s):  
Lisa Wakeman ◽  
Roger Munro ◽  
Chris Russell ◽  
Ann Benton ◽  
Sally Hartnell ◽  
...  
Keyword(s):  
Normal Distribution ◽  
Age Groups ◽  
Early Morning ◽  
Healthy Adults ◽  
P Value ◽  
Published Data ◽  
Reference Ranges ◽  
Distributed Parameters ◽  
Significance Levels ◽  
Normally Distributed

Abstract Establishing clearly defined, accurate reference ranges facilitates good interpretation and effective discrimination between health and disease. These can be used to obviate the need for unnecessary follow-up medical examinations thereby reducing costs. Our data represent findings from one of the most comprehensive studies ever undertaken with the XE-2100 to establish reference ranges (RRs) in healthy adults. Early morning venous samples were collected into Greiner EDTA Vacuettes (Ref: 454286) from 221 healthy laboratory personnel (F= 159;M = 62) aged 20–63 yrs for both gender. Age groups were equally represented. Samples were processed on a Sysmex XE-2100 analyser within 1 hour of collection. NCCLS guidelines (C28-A and H3-A4) were followed throughout. Outliers were excluded, data examined for normal distribution from histograms, Q-Q normality plots, skewness and kurtosis and significance levels calculated from the Kolmogorov-Smirnov and Shapiro-Wilk tests of normality. RRs for near normally distributed parameters were calculated using means ± 2SDs. RRs for non-normally distributed parameters were calculated using the log natural transformation and the antilog of the 2.5- and 97.5- percentiles. Bold parameters shown below have near-normal distribution. Non emboldened values are non-normally distributed. P values are derived from Mann-Whitney U test for differences between males and females. New Limits Historical Limits Test of M&F diff. (P value) *=sig. diff. Haemoglobin (g/dL) M 13.7–17.2 13.0–17.5 <0.05* F 12.0–15.2 11.7–15.7 RBC (x1012/L) M 4.5–5.6 4.5–5.9 <0.05* F 3.9–5.1 3.8–5.9 Hct (L/L) M 0.40–0.50 0.40–0.52 <0.05* F 0.37–0.46 0.37–0.47 MCV (fL) M 83–98 80–100 0.090 F 85–98 80–100 MCH (pg) M 28–33 27–32 0.391 F 28–33 26–31 MCHC (g/dL) M 32–36 30–36 <0.05* F 32–35 30–36 RDW (%) M 11.6–14.1 11.0–15.0 0.067 F 12.0–14.7 11.0–15.0 Reticulocytes (x109/L) M 27–93 25–85 0.138 F 22–76 25–85 Platelets ( (x109/L) M 140–320 140–450 <0.05* F 180–380 140–450 MPV (fL) M 9.4–12.2 6.3–10.1 0.426 F 9.2–12.9 6.3–10.1 Leucocytes (x109/L) 3.6–9.2 4.0–11.0 0.854 Neutrophils (x109/L) 1.7–6.2 2.0–7.5 0.760 Lymphoctes (x109/L) 1.0–3.4 1.0–4.0 0.854 Monocytes(x109/L) 0.2–0.8 0.2–0.8 0.073 Eosinophils(x109/L) 0.00–0.4 0.04–0.4 0.847 Basophils(x109/L) 0.00–0.1 0.00–0.1 0.279 Reference limits determined for total leucocytes and neutrophils are significantly lower than historical ranges. However, leucocyte counts are at their lowest in the early morning. Our findings are in general agreement with previously published data from more limited trials undertaken in other countries.

scholarly journals PENGARUH KONSUMSI KULIT MANGGIS TERHADAP PENURUNAN KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS DI DESA METESEH BOJA KENDAL TAHUN 2013

2015 ◽  
Vol 2 (1) ◽  
Author(s):  
Budi Herminto ◽  
Diyono ◽  
Shinta Dewi Kusuma
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
T Test ◽  
P Value ◽  
Average Value ◽  
Mangosteen Peel ◽  
Wide Range ◽  
Before And After ◽  
Sugar Levels ◽  
The Village

Abstract Background. Prevalensidiabetes mellitus in Indonesia potentially increased dramatically from 8.4 million people in 2000 to 21.3 million people in 2030. Diabetes mellitus may develop so bad with various complicated, diabetus mellitus of year to year growing a wide range of treatment options including non- medicinal chemistry ( Hebal ) . One type of therapy is continuously studied using mangosteen peel efectivitness. Research Objectives. Knowing the effect of the consumption of mangosteen rind to decrease blood sugar in the Village District of Boja Meteseh Kendal This is a research Methods. Quasi experiment with pre- post design eksperimental.Responden study are all patients with diabetes mellitus in the village of Boja Meteseh many as 17 people , as many as 16 samples taken. Sampling technic used was simple random sampling . Data obtained by the method of observation of assessing the results of measurements of blood sugar levels before and after taking of mangosteen skin . The data were processed with pairet t - test ( p = 0.05 ) using SPSS 18 . Results : ( 1 ) blood sugar levels before taking mangosteen peel at the most in the range of 301-400 mg / dL with a percentage of 43.75 % , the lowest blood sugar levels in the category of 501-600 mg / dL , with a percentage of 12.5 % , with an average value of 392.63 . ( 2 ) Blood sugar levels after consumption of mangosteen peel at the most in the range of 200-300 mg / dL , the percentage of blood sugar levels are the lowest in the category of 501-600 mg / dL , with a percentage of 12.5 % , with an average value of 371.31 mg / dL ( 3 ) There are significant differences in blood sugar levels before and after consuming mangosteen peel with a value of 0.001 t - Test Conclusion : Consumption of mangosteen peel significant effect on lowering blood sugar levels by t - test results of 5 % ( 0.05), obtained P value of 0.001. Keywords: Blood Sugar Levels, Skin Mangosteen, Diabetes Mellitus

scholarly journals Uji Bakteri Coliform dan (Escherichia coli) pada Air Tercemar Dengan Penggunaan Susunan Filter

2021 ◽  
Vol 7 (1) ◽  
pp. 26-32
Author(s):  
Linda Purwanti ◽  
Ahmad Syauqi ◽  
Saimul Laili
Keyword(s):  
Escherichia Coli ◽  
Drinking Water ◽  
Water Samples ◽  
T Test ◽  
P Value ◽  
Well Water ◽  
Clean Water ◽  
Paired Samples ◽  
Normally Distributed

Clean water is a serious problem in Indonesia, the availability of clean water has shrunk drastically due to deteriorating environment and pollution. Drinking water that meets safety standards is increasingly scarce. More than 100 million people need safe water sources. Filter media is able to remove chemicals in water such as turbid, odor, oily, yellowish, rusty and muddy making it unfit for consumption. In addition, the purpose of the clarification results must also be considered whether to drink household needs or other needs. This study uses Lauryl Tryptose Broth (LTB) media and petrifilm media. Petrifilm results show that it is very easy to count the bacteria Colifrom and Escerichia coli using petrifilm media. From the analysis of calculations using the Paired Samples T-Test on the sample before filtering and after filtering it was obtained the Tcount value of 2.28 with a P value 0.015 which showed very successful or significant results between the samples before and after the filter. In this analysis have normally distributed data with a significant value of P = 0.015 (<0.05). In this case the Paired Samples T-Test was tested for normality (Shapiro-Wilk) and the results were obtained in the form of a P value of <.001 which would indicate that the data was normally distributed, indicated by a P value <0.05. The filter on this filter is very useful for filtering on Escerichia coli bacteria because this filter removes the bacteria, but Colifrom bacteria can still escape the use of the filter, because it depends on environmental conditions. Colifrom and Escerichia coli bacteria occur is seen from the relationship between sources of pollution such as, for example, such as septic tanks, distance of wells with waste, trash, and livestock pollution. The quality of drinking water is very close to the presence of Colifrom and Escerichia coli bacteria which are likely to have pathogenic bacteria that are harmful to health in the quality of well water. Water samples to be observed using well water using 2 treatments as many as 12 repetitions. Thus the total sample obtained as many as 24 water samples will be observed. While the test making of Lauryl Triptose Broth medium was observed by incubating 48 hours at 35oC + gas. Before making the test tube medium must be sterilized first. Subsequent tests were observed with a petrifilm medium to determine the presence or absence of Colifrom and Escherichia coli bacteria by looking at the color of the battery being sought. Keywords: Drinking Water, Coliform Bacteria and Escherichia coli    

New and Robust Reference Ranges for Haematinics Measured on the Beckman-Coulter Access Analyser.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 3708-3708
Author(s):  
Lisa Wakeman ◽  
Roger Munro ◽  
John Lewis ◽  
Andrew Beddall ◽  
Ann Benton ◽  
...  
Keyword(s):  
Vitamin B12 ◽  
Normal Distribution ◽  
Serum Ferritin ◽  
Normal Population ◽  
Serum Vitamin ◽  
Serum Folate ◽  
P Value ◽  
Published Data ◽  
Reference Ranges ◽  
Square Root

Abstract Reference ranges (RRs) for haematinics need to be independently verified by individual laboratories since it has been shown that those quoted by some manufacturers may be inappropriate. The measurement of serum folate, ferritin and B12 remains a first-line investigation in the assessment of several pathologies. Establishing clearly defined, accurate reference ranges facilitates good interpretation and effective discrimination between health and disease thereby avoiding expensive and needless follow-up. Early morning venous samples were collected into Greiner Vacuette serum tubes (Ref: 456018) from 221 healthy laboratory personnel (F= 159;M = 62) aged 20–63 years for both gender. Age groups were equally represented. Serum vitamin B12, folate and ferritin were measured on all samples on a Beckman-Coulter Access analyser on the same day of collection. NCCLS guidelines (C28-A and H3-A4) were followed throughout. Outliers were excluded and data examined for normal distribution. The following normality checks were applied - Kurtosis, Kolmogorov-Smirnov and Shapiro-Wilk tests of normality, T-values (Skewness/SE Skewness), %diff from mean-median, histogram and normal curve, normal Q-Q probability plot and Box plot. Because all three parameters showed non-normal distribution, RRs were calculated using (1) the 2.5-and 97.5- percentiles, (2) the 2.5- and 97.5- percentiles on the transformed scale. The transformations, log natural, log10 and square root were applied to the variables and tested for normality. The transformation giving the best normal distribution was then selected. The non-parametric Mann-Whitney test was used to examine significant differences between males and females. Significant differences (p values shown below) are indicated by an asterisk. New Limits Historical Limits Manufacturers quoted RR Mann-Whitney U test (p value) (a) = Log natural; (b) = Log 10; (c) = square root RR (1) RR (2) Folate ng/mL M 2.1 – 14.7 2.1 (a) – 14.6 2.7–14.0 >3.0 0.016* F 2.7 – 18.1 2.7 (b) – 18.1 2.7–14.0 >3.0 Ferritin ng/mL M 11 – 215 11 (c) – 215 20.0–350 24–336 <0.05* F 5 – 119 5 (b) – 119 10.0–300 11–307 Vit B12 pg/mL M 113 – 567 113 (c) – 567 180–900 180–914 0.933 F 136 – 600 136 (b) – 600 180–900 180–914 It is vital that investigators use method-specific RRs in their own laboratories since those quoted by some manufacturers are inappropriate. Although our lower limits for serum ferritin appear to be low, they are in keeping with previously published data. A proportion of the normal population have low serum ferritin but are not anaemic nor symptomatic. This confusion between normality and iron deficiency continues to cause difficulties in interpretation. The range of vitamin B12 and folate concentrations in some healthy individuals overlap with those in symptomatic patients. It is useful therefore to quote “indeterminate” ranges. Our data indicates that such a range for vitamin B12 should be 130 – 160 since our distribution histogram (not shown) shows a clearly defined “flattened shoulder” between these values.

scholarly journals The distribution of the logarithm of survival times when the true law is exponential

1942 ◽  
Vol 42 (3) ◽  
pp. 328-333 ◽  
Author(s):  
J. O. Irwin
Keyword(s):  
Normal Distribution ◽  
Exponential Function ◽  
Constant Force ◽  
Survival Times ◽  
Exponential Law ◽  
Force Of Mortality ◽  
Wide Range ◽  
The Mean ◽  
Normally Distributed

In a recent paper Withell (1942) has shown that for a wide range of microorganisms and disinfectants or poisons the logarithms of the survival times are approximately normally distributed. Even when the number of survivors is adequately represented by an exponential function of the time (e−kt) say, the former hypothesis still gives approximately correct results. This suggests that in many cases the data are not good enough to distinguish between the two hypotheses (1) of a constant force of mortality k and (2) of a normal distribution of the logarithms of survival times. It is worth while, therefore, to examine the form of the distribution of the logarithms of survival times when the exponential law is true, and to see how nearly normal it is. We shall show that except for the position of the mean, this distribution is independent of k.

scholarly journals The Differences Of Parents Patterns Permisive and Authorities Towards Free Sex Events

2021 ◽  
Vol 2 (1) ◽  
pp. 14-18
Author(s):  
Evin Noviana Sari
Keyword(s):  
Parenting Styles ◽  
T Test ◽  
Self Control ◽  
Bivariate Analysis ◽  
P Value ◽  
Authoritarian Parenting ◽  
Permissive Parenting ◽  
Role Of Parents ◽  
Bivariate Test ◽  
Normally Distributed

Background: Permissive parenting is a parenting style in which parents are not involved in their child's life, especially lack of self-control. Usually permissive parenting does not guide children to social behavior patterns and does not use punishment, while authoritarian parenting is one in which parents are central in speech. The purpose of this study was to determine the differences in permissive and oratory parenting patterns on the incidence of free sex in adolescents.Methods: Sampling using a minimum sample, when the study was conducted on June 21, 2020 at SMA Unggul Dharmasraya Regency. The design in this study is an independent sample T Test, the sample taken in this study was 20 people divided into two groups, namely the permissive parenting group and authoritarian parenting. In the bivariate analysis, the normality test uses the Shapiro Wilk, if the data is normally distributed, the bivariate test using the independent test uses the independent T test sample, but the data is not normally distributed, using the Mann Whitney U Test bivariate test using theprogram SPSS.Results of the study / discussion: From the results of the analysis of permissive parenting styles, 8 (80%) respondents were cared for with permissive parenting and authoritarian parenting 6 (60%) of respondents who were cared for by authoritarian parenting, to the incidence of free sex12 (60%) respondents who occur free sex, and the results of differences in permissive parenting and authoritarian parenting on the incidence of free sex, which shows a sig or p-value of 0.144> 0.05, meaning that there is no difference in permissive parenting and authoritarian parenting on the incidence of free sex. Conclusion: So the role of parents for children is to guide and teach children on good things, in accordance with the values ​​and norms that apply in society

Efektivitas Aroma Terapi Lemon untuk Menangani Emesis Gravidarum

2019 ◽  
Vol 11 (4) ◽  
pp. 277-284
Author(s):  
Vitrianingsih Vitrianingsih ◽  
Sitti Khadijah
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
T Test ◽  
The Body ◽  
Nausea And Vomiting ◽  
P Value ◽  
Purposive Sampling ◽  
Body Tissues ◽  
Quasi Experimental ◽  
Paired T Test

Studi memperkirakan emesis gravidarum terjadi pada 50-90% kehamilan. Mual muntah pada kehamilan memberikan dampak yang signifikan bagi tubuh dimana ibu menjadi lemah, pucat dan cairan tubuh berkurang sehingga darah menjadi kental (hemokonsentrasi). Keadaan ini dapat memperlambat peredaran darah dan berakibat pada kurangnya suplay oksigen serta makanan ke jaringan sehingga dapat membahayakan kesehatan ibu dan janin. Salah satu terapi yang aman dan dapat dilakukan untuk mengurangi keluahan mual muntah pada ibu hamil adalah pemberian aromaterapi lemon. Penelitian bertujuan untuk mengetahui efektifitas aroma terapi lemon untuk menangani emesis gravidarum. Penelitian ini menggunakan rancangan Quasi experiment  dengan  one group pre-post test design. Populasi penelitian adalah ibu hamil yang mengalami emesis gravidarum di Kecamatan Berbah, Sleman. Jumlah sampel 20 ibu hamil trimester pertama yang diambil dengan teknik purposive sampling. Pengukuran mual muntah dilakukan debelum dan setelah  pemberian aromaterapi lemon menggunakan Indeks Rhodes. Analisa data menggunakan uji Paired t-test. Hasil penelitian didapatkan rata-rata skor mual muntah sebelum pemberian aromaterapi lemon berdasarkan Indeks Rhodes pada Ibu Hamil dengan emesis gravidarum yaitu 22,1 dan terjadi penurunan skor setelah pemberian aromaterapi lemon menjadi 19,8. Ada pengaruh pemberian aromaterapi lemon dengan pengurangan mual muntah pada ibu hamil (p-value = 0.017). Berdasarkan hasil penelitian dapat disimpulkan pemberian aromaterapi lemon efektif untuk mengurangi emesis gravidarum pada ibu hamil trimester pertama.  Kata kunci: aromaterapi lemon, emesis gravidarum THE EFFECTIVENESS OF LEMON AROMATHERAPY FOR HANDLING EMESIS GRAVIDARUM   ABSTRACT Studies estimate that nausea and vomiting (emesis gravidarum) occur in 50 – 90% of pregnancies. Nausea and vomiting of pregnancy have a significant impact on the body in which it makes a mother becomes weak, pale, and decreasing body fluid so that the blood becomes thick (hemoconcentration). This situation can slow down blood circulation and inflict the lack of oxygen and food supplies to the body tissues so that it can endanger the health of the mother and fetus. One of the therapies that is safe and can be conducted to reduce nausea and vomiting of pregnancy is by giving the lemon aromatherapy treatment. The research aims to determine the effectiveness of the aroma of lemon therapy to deal with emesis gravidarum. This study applied quasi-experimental research with one group pretest-posttest design. The population of this study was pregnant women who experienced emesis gravidarum. Furthermore, samples were 20 mothers from Berbah, Sleman taken by using a purposive sampling technique. Nausea and vomiting were assessed between before and after giving lemon aromatherapy using the Rhodes Index. The data were analyzed using the paired t-test. The mean score of nausea and vomiting before giving lemon aromatherapy on mother with emesis gravidarum based on the Rhodes Index was 22.1. However, it decreased after given lemon aromatherapy treatment to 19.8. Therefore, there was an effect on giving lemon aromatherapy treatment toward the decrease of nausea and vomiting for pregnant women (p-value = 0.017). Lemon aromatherapy is effective to reduce emesis gravidarum.  Keywords: lemon aromatherapy, emesis gravidarum

PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Test Group ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Number Of Patients ◽  
Post Test ◽  
The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

SUPPORTIVE EDUCATIVE SYSTEM DALAM MENINGKATKAN KEMANDIRIAN MERAWAT KAKI PADA PASIEN DIABETES MELLITUS TIPE II

2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina
Keyword(s):  
Diabetes Mellitus ◽  
Health Center ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Type Ii ◽  
Foot Care ◽  
Control Group Design ◽  
Patients With Diabetes

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care

Mahasiswa Program Studi Kebidanan DIV Universitas Malahay

2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Ledy Octaviani Iqmy
Keyword(s):  
T Test ◽  
P Value ◽  
Purposive Sampling ◽  
Static Group

Program kelas ibu hamil adalah salah satu bentuk pendidikan prenatal yang dapat meningkatkan pengetahuan ibu hamil, terjadi perubahan perilaku positif sehingga ibu memeriksakan kehamilan dan melahirkan ke tenaga kesehatan. Hasil prasurvey pada bulan maret terhadap 10 lbu hamil di Puskesmas Madukuro Kecamatan Kotabumi Utara Kabupaten Lampung Utara didapatkan data sebanyak 70% tidak mengetahui manfaat senam hamil dan 100% tidak pemah melakukan senam hamil, dari pengakuan responden didapatkan bahwa aktifitas yang dilakukan hanya sebatas jalan pagi. Sebanyak 100% tidak mengetahui cara senam hamil. Tujuan penelitian diketahui pengaruh demonstrasi senam hamil terhadap pengetahuan ibu hamil trimester III di Puskesmas Madukuro Kecamatan Kotabumi Utara Kabupaten Lampung Utara Tahun 2018 Jenis penelitian kuantitatif dengan rancangan penelitian pra-eksperimen dengan design static group comprison. Populasi penelitian seluruh ibu hamil dengan usia kehamilan > 36 minggu di BPS Desi Apri Sanopa Amd.Keb Kalianda Lampung Selatan, Dengan  sampel sebanyak 30 orang teknik sampling purposive sampling. Analisa data univariat dan bivariat uji t (t-test). Hasil penelitian rata-rata ruptur perineum ibu yang melakukan senam kegel  adalah 0,67 dengan standar deviasi 0,617. Rata-rata ruptur perineum ibu yang tidak dilakukan senam kegel  adalah 1,20 dengan standar deviasi 0,676. Hasil analisis uji bivariat pada tabel 4.4 diatas, hasil uji statistik didapatkan p-value = 0,032 (p-value < α = 0,05) yang berarti ada Pengaruh Senam Kegel Dengan Ruptur Perineum di BPS Desi Apri Sanopa Amd.Keb Kalianda Lampung Selatan Tahun 2018. Dapat menambah informasi tentang manfaat senam hamil dalam penurunan angka kematian ibu akibat perdarahan dengan penurunan robekan perineum saat persalinan.

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