scholarly journals Effect of swallowing therapy to avoid aspiration in patients with post-stroke dysphagia at the stroke unit of Harjono hospital, Indonesia

Author(s):  
Bayu Fandhi Achmad ◽  
Muhammad Zafrullah Arifin ◽  
Aan Nuraeni

Background: Aspiration is common complication of dysphagia stroke due to cranial nerve damage, especially cranial nerves V, VII, IX, X and XII. Existing therapies to prevent aspiration is the compensation strategy therapy and semisolid nutritional therapy, but each of these therapies is still have a weakness, so it needs a new therapeutic method namely swallowing therapy which combine the advantages and reduce the weaknesses of each of the therapy. Aim of the study is to determine the effect of swallowing therapy on aspiration prevention in patients with dysphagia stroke.Methods: This research was a quasi-experimental research involving 16 respondents in the intervention group and 16 respondents in the control group who obtained through consecutive sampling techniques. Data was collected from February-March 2016 at the Stroke Unit RSUD Dr. Harjono Ponorogo through observations using Gugging Swallowing Screen (GUSS) instruments. Data analysis used in this research was wilcoxon test to determine the difference of swallowing therapy effect before and after intervention. Mann-Whitney test was also used to determine the difference of swallowing therapy effect between intervention group and control group after intervention.Results: There was a differences of swallowing therapy effect between pre-test and post-test in the intervention group (p = 0.002). In addition, there was no differences between pre-test and post-test in the control group (p = 0.157).Conclusions: Swallowing therapy have a positive effect against aspiration prevention in patients with dysphagia stroke, so it can be recommended as an acute care intervention in stroke patients at stroke unit.

2018 ◽  
Vol 7 (2) ◽  
pp. 60-65
Author(s):  
Ichtiarfi Waryanuarita ◽  
Induniasih Induniasih ◽  
Yustiana Olfah

Pre operative anxiety occur in patients that undergoing anesthesia procedure and elective surgery. Music therapy is one of distraction technique , because music can reduce physiological pain, stress, and anxiety. Music therapy pushed down sympathy nerve system that reduce body stress respons. Music cause the brain release endorphine, increase dopamine level, and help rise up safety feeling. Find out the effect of music therapy to anxiety in pre general anesthesia patients in PKU Muhammadiyah Yogyakarta Hospital. This study uses a quasy experimental which aims to see the difference in pre anesthesia anxiety before and after given music therapy in intervention and control group. This study uses quasy experimental design here takes group pre test and post test with control sort design. Patients is given pre test and post test with APAIS scale, in intervention group with treatment. Samples in this study amounted to 20 respondents of control group and 20 respondents of intervension group. Data collection is done on May to June 2017. The result of collected data were processed using Wilcoxon test with significant α = 0,05. There is a difference of anxiety before and after in the intervention group using music therapy. Wilcoxon test results obtained Sig. 0,000 (<0.05) so that H1 is accepted or rejected H0. There is a significant effect of music therapy to anxiety on pre general anesthesia patients in PKU Muhammadiyah Yogyakarta Hospital.


2021 ◽  
Vol 1 (2) ◽  
pp. 55-67
Author(s):  
Werna Nontji ◽  
Dwi Kartika Sari ◽  
Sitti Maria Ulfa ◽  
Syafruddin Syarif ◽  
Inez Vravty Lestari ◽  
...  

Background: Educating mothers during their postpartum period could potentially help them to overcome some important phases after giving birth. The process of education is evaluated based on the mothers’ knowledge about their independent self-care. Independency is an activity that is started individually and is done based on self-capability. The independency in the postpartum care is not only important to decrease the mother’s mortality and morbidity rate, but it is also crucial to strengthen and improve the post-partum mother’s healthy behavior during the perineal care. Providing education using Android-based application called BUBI Care could be potential to facilitate a more dynamic transfer of knowledge to the postpartum mothers.Aims: To analyze the knowledge, skills, and independence of primipara postpartum mothers in independent perineal care before and after accessing BUBI Care app. Research Method: employing quasi experimental research with pre-test and post-test design with control group design. The sample for this research were 19 pregnant mothers TM III (pregnancy age of ? 38 weeks) on each group. The treatment group was educated using BUBI Care Android app that was conducted at one of Public Health Center. The control group was educated without BUBI Care that was conducted at a Midwife Practice Clinic. The research was conducted on September to October 2020. Study Result: According to the Wilcoxon test, there was a difference in the pre-test knowledge of the treatment and control groups with the similar median of 53 and p-value of 0.666, the treatment group showed their scores improved to 80 on the post-test while the control group stayed at 53 with the p-value of 0.000. It means that BUBI Care app education influences the post-test. On the other hand, the perineal care skill saw a difference between the intervention and control groups. The intervention group had a mean of 70.05 and 56.68 for the control group with the p-value of 0.002 which means that there was an influence from the BUBI Care app education. Additionally, Mann Whitney test showed that the intervention group had a mean score of 78.95, but the control group only had 49.26, the total difference between the two are 29.69 with the p-value of 0.000. It can be concluded that there is a significance in difference in the independency rate from the provision of BUBI Care Android app education.Conclusion:  there is a significance effect on the intervention group in terms of Android based usage.


2021 ◽  
Vol 15 (4) ◽  
pp. 183
Author(s):  
Hidayatul Hasni ◽  
Mayetti Mayetti ◽  
Dwi Novrianda

Background: Mucositis is one of the side effects of chemotherapy, which can be a severe problem for children with cancer. Cryotherapy can cause vasoconstriction and decrease blood flow to the oral mucosa, resulting in lower concentrations of chemotherapy agents to prevent mucositis. This study aims at determining the effectiveness of oral cryotherapy as prophylaxis mucositis in children with cancer undergoing chemotherapy.Methods: This quasi-experiment study with a pretest-posttest control-group design involved 45 respondents (22 in the intervention group and 23 in the control group) selected using consecutive sampling. The data collection instrument was the WHO mucositis scale. Results: Of the 45 children undergoing chemotherapy, 24 (53.3%) were of school age, 25 (55.6%) were male, 33 (73.3%) had good nutritional status, and 17 (37.8%) had mild neutropenia before undergoing chemotherapy. All respondents (100%) did not experience mucositis, but after chemotherapy, 9 children (40.9%) in the intervention group had mucositis, and 19 children (82.6%) experienced mucositis in the control group. The data were analyzed using the Wilcoxon test to see the difference between the intervention group and the control group and the Chi-Square test with Yates’s correction to see the effect of cryotherapy on the prevention of mucositis. The results showed that there was a difference in the incidence of mucositis between before and after intervention in the intervention group (p = 0.003) and the control group (p = 0.000), and cryotherapy was effective in preventing mucositis (p = 0.01).Conclusions: Cryotherapy is effective against the prevention of mucositis. Nurses and families need to be able to apply oral cryotherapy and other evidence-based treatment as a method to prevent mucositis 


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Henik Istikhomah ◽  
Murwati Murwati

Abstract: Deep Relaxation Therapy, Level Anxiety And Prolong Duration Labor Stage. Patients who will give birth had experienced psychological problems that cause form the emotional reaction as the manifestation of psychological symptoms, the actions to be carried out either surgery or childbirth aid measures constitute a potential or actual threat to the integrity of someone who can evoke physiological and psychological stress. This emotional reaction usually is generally a negative reaction, such as refuse, fear, anger, sadness, and anxiety. Giving deep breathing relaxation techniques in patients will be a decrease in tension, feeling amazingly beautiful in controlling body functions so that labor becomes smooth. Purpose of this study was to determine the effect of therapy on the breath in anxiety level and duration of labor. The design of this study using the pre and post-test only one group. analysis techniques with Wilcoxon test. using purposive sampling technique with 25 respondents. Univariate analysis results mean pre-test anxiety at 43.16 and the average post-test by 31. The mean duration of the first labor stage of the intervention group is 504 minutes and 564 minutes at control group. The Mean duration of second labor stage of the intervention group is 140 minutes and the control group was 57 minutes. Bivariate test results there is the influence between deep breathing relaxation therapy interventions with anxiety with a p value= 0.001, there is the influence of deep breathing relaxation techniques with the duration of first labor stage with p-value = 0.001, no effect of deep breathing relaxation with the duration of second labor stage with p = 0:59. In conclusion, there is the influence of deep breathing relaxation therapy to anxiety and the duration of the first stage of labor time, there is no influence therapy relaxation with the duration of the second labor stage.


2019 ◽  
Vol 4 (2) ◽  
pp. 81-88
Author(s):  
Akhmad Rifai ◽  
Sugiyarto Sugiyarto

Background: Airway management is the most important thing in resuscitation and requires special skills in the management of emergencies, therefore the first thing that must be assessed is the smoothness of the airway, which includes airway examinations that can be caused by foreign bodies. The lack of oxygen is a cause of rapid death. Research Objectives The general objective of this research is to improve the ability of airway management skills ordinary people in Kateguhan, Sawit, Boyolali. Methods: This research is an experimental study with a Pre-Test-Post Test one Group control design approach. through testing research hypotheses. The population of this research is the cloud community of 50 respondents which are divided into two groups,  25 respondents in the intervention group and 25 respondents as a control group. Statistical test in the paired group uses the nonparametric Wilcoxon test and the non-paired uses Mann-Whitney. Results: Based on the results of the Wilcoxon analysis test it can be concluded that the 25 respondents who conducted training in simulation measures by way of air way management training specifically airway obstruction can be drawn the conclusion that the majority of ordinary people have good knowledge in terms of emergency handling abilities, especially in air way management measures p value 0.001 which means that there are significant differences between before and after training. In the control group there were also significant differences with a P value of 0.001. Based on the Mann-Whitney test analysis, there were significant differences between the intervention and control groups with a p value of 0.001. Conclusion: Airway management education and training courses for lay people continue to be held to improve the ability of the action skills.


2019 ◽  
Vol 47 (2) ◽  
pp. 35-37
Author(s):  
Kusbaryanto ◽  
Ekorini Listiyowati

Nosocomial infection is a major problem in hospitals around the world. To minimize the risk of infection in hospitals and other healthcare facilities, cough etiquette has to be applied. Thus, good situation awareness and the understanding why cough etiquette is important are necessary. The purpose of this study was to find out the effective education on cough etiquette on hospital security personnel’s and janitors’ situation awareness on cough etiquette. This research study followed quasy experimental design with pretest and post test control group design. The sampling technique was purposive sampling involving 24 respondents for experimental group and 27 respondents for the control group. The analysis of the data employed Wilcoxon test and it employed Mann Whitney test to find out the difference of independent variable medians. Questionnaires were used to gather data collection. The result of the analysis presented a mean of 97.7 on the post-test of control group and a mean of 116.3 on the post-test of treatment group. Wilcoxon and Mann Whitney tests resulted   p = 0.001 ( < 0.05 ), which meant there were significant differences. Education on cough etiquette is effective to raise hospital security personnel and the janitors’ awareness on cough etiquette situation. Bangladesh Med J. 2018 May; 47 (2): 35-37


2019 ◽  
Vol 18 (4) ◽  
pp. 814-817
Author(s):  
Kusbaryanto ◽  
Ekorini Listiowati

Background: Nosocomial infection is a major problem in hospitals around the world. To minimize the risk of infection in hospitals and other healthcare facilities, cough etiquette has to be applied. Thus, good situation awareness and the understanding why cough etiquette is important are necessary. The purpose of this study was to find out the effective education on cough etiquette on hospital security personnel’s and janitors’ situation awareness on cough etiquette. Methodology: This research study followed quasy experimental design with pretest and post test control group design. The sampling technique was purposive sampling involving 24 respondents for experimental group and 27 respondents for the control group. The analysis of the data employed Wilcoxon test and it employed Mann Whitney test to find out the difference of independent variable medians. Questionnaires were used to gather data collection. Results: The result of the analysis presented a mean of 97,7 on the post-test of control group and a mean of 116,3 on the post-test of treatment group. Wilcoxon and Mann Whitney tests resulted p = 0,001 (< 0,05), which meant there were significant differences. Conclusion: Education on cough etiquette is effective to raise hospital security personnel and the janitors’ awareness on cough etiquette. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.814-817


2021 ◽  
Vol 16 (1) ◽  
pp. 72-81
Author(s):  
Siti Husaidah

The period of menarche in Indonesia has reached 60-70% who experience dysmenorrhea and cause women to be unable to carry out activities and reduce women's quality of life. This study aims to describe the effect of acupressure therapy on the intensity of menstrual pain. This type of quantitative research is a quasi-experimental design with a one group pretest-posttest approach with sampling using a purposive sampling technique using 100 respondents from April 20 to June 21 2020. The data was obtained from a questionnaire and processed using the Wilcoxon test. The results showed the overall data of the variable dysmenorrhea pre test - post test in the intervention group Asymp value. The significance is 0.000 <0.05, while the control group has Asymp value. The significance is 1,000 > 0.05, so it can be concluded that the results of the analysis of changes in the pain scale pre-test - post-test in the intervention group showed a significant change between the pre-test and post-test pain scales. It can be seen from the measurement results of the Mean Rank pain scale before therapy is 0.00 and Mean Rank after therapy is 25.50 which means there is a decrease in the intensity of menstrual pain. Based on the results of the research above, adolescents need to add information and understanding through various mass media to equip themselves in dealing with complementary menstrual pain


2019 ◽  
Vol 7 (2) ◽  
pp. 145
Author(s):  
Wahyu Rochdiat Murdhiono ◽  
Santi Damayanti ◽  
Ni Luh Komang Sri Ayunia

Mahasiswa keperawatan memiliki risiko yang lebih tinggi untuk mengalami stres dibandingkan  mahasiswa kesehatan lainnya. Belum pernah ada peneltian yang menggabungkan terapi meditasi dengan terapi musik suara alam untuk menurunkan stres pada mahasiswa keperawatan di Yogyakarta. Tujuan penelitian ntuk mengetahui pengaruh meditasi dengan suara alam pada mahasiswa keperawatan. Penelitian ini merupakan penelitian quasi-experiment dengan pendekatan pre dan post-test nonequivalent control group. Sampel dipilih menggunakan teknik consecutive sampling dan dibagi menjadi dua kelompok, masing-masing berjumlah 30 orang. Instrumen penelitian menggunakan DASS-42. Median skor stres pada kelompok perlakuan sebesar 11,00 pada pre-test sedangkan post-test sebesar 7,00. Di kelompok kontrol, median skor stres pre-test sebesar 10,00 dan median skor stres post-test sebesar 9,50. Uji Wilcoxon untuk menganalisis perbedaan skor stres pre dan post-test menghasilkan nilai p 0,000 di kelompok perlakuan dan pada kelompok kontrol menunjukkan nilai p 0,137. Meditasi menggunakan musik suara alam dapat menurunkan stres dan dapat menjadi terapi komplementer alternatif yang dapat dilakukan perawat. Kata kunci: meditasi, musik suara alam, stres, mahasiswa keperawatan MEDITATION WITH SOUND OF NATURE CAN REDUCE STRESS IN NURSING STUDENTSABSTRACTNursing students have a higher risk to experience stress than other medical students. Previously, there has never been any research regarding meditation using the sound of nature to reduce stress in nursing students in Yogyakarta.Research objective to determine the influence of meditation with the sound of nature to reduce stress in nursing students. This is quasi-experiment research with a pre and post-test nonequivalent control group design. The samples were selected using consecutive sampling and divided into two groups, each was 30 respondents. The research instrument used was DASS 42. The pre-test median stress score in the intervention group was 11.00, and the post-test score was 7.00. In the control group, the pre-test median score was 10.00, and the post-test score of 9.50. Wilcoxon test used to analyze the difference of stress score in the intervention group (p-value = 0.000), and the difference in stress score in the control group (p-value = 0.137). Meditation using the sound of nature can reduce stress in nursing students and can be an alternative complementary therapy for nurses. Keywords: meditation, the sound of nature, stress, nursing students


2019 ◽  
Vol 10 (3) ◽  
pp. 438
Author(s):  
Tumiur Sormin ◽  
Anita Puri

<p><span>The pregnancy gymnastics is useful to decrease the difficulties of normal childbirth for mothers, which means the mortalities will be decreased. The pre-survey in Negara RatuVillage, Natar District results in 6 from 10 pregnant women (60%) who don't know what the pregnancy gymnastics use to be, and 100% never do. Lack of knowledge and attitude are the reason pregnant women never do the pregnancy gymnastics. The research goals are knowing the difference between knowledge and attitude of pregnant women who get counseling by android applications and who get from the pregnancy gymnastic booklet in District Natar, South Lampung. This research is a Quasi Experiment type with a pre-test post-test control group design. With 129 population, 2nd and 3rd trimester and 90 samples obtained by probability sampling, divided into 3rd groups, 30th respondents are android application users, 30th respondents used booklet and 30th is controller respondent. Wilcoxon test result: the knowledge of pregnant women before counsel by android average is 10,57, after counsel is 15,67, and p-value=0,000; the attitude of pregnant women before getting counsel average is 46,27 after counsel is 45,03, and p-value=0,56. The knowledge before counsel by booklet average is 12,36, after counsel is 15,33, and p-value=0,000; the attitude before counsel average is 46,50, and after counsel is 48,63, and p-value=0,08. Result test by Mann-Whitney obtained: the difference of average between pregnant women who get knowledge counsel by android application, and of the booklet is 2,13 and p-value=0,68; the difference average attitude is 0,89 and p-value=0,563. The conclusions are no difference between knowledge and attitude the pregnant women who get counsel by android applications and booklets. </span></p>


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