scholarly journals Reduction of Constipating Scoring System Among Women Aged 18-25 Years Old as A Result of Decocted Trengguli (Cassia fistula L.)

2017 ◽  
Vol 1 (2) ◽  
pp. 58
Author(s):  
Isnaini Nur Jannah ◽  
Arifa Mustika ◽  
Edith Frederika Puruhito

Background: Constipation is a condition when someone has difficulty to defecate. Constipation is indicated by hard and large size stool as well as a decrease frequency of bowel movement. Commonly, constipation is indicated by anxiety during bowel movement due to disruption defecation. Constipation can cause severe stress resulting from discomforts for patient. The severity of the constipation can be measured using the Constipation Scoring System (CSS). CSS is a scoring system for patient, which based on the answers about the symptoms being asked in the questionnaire. One of the herbs to handle the problem of constipation that have a laxative effect is Trengguli (Cassia fistula L.) originate from the family Fabaceae. The part that can be used for a laxative is a Trengguli fruit. A decocta method to Trengguli flesh of the fruit for a laxative, since decocta method generates the highest total anthraquinone glycosides for the use of laxatives. Purpose: The purpose of this study was to prove the effectiveness of decocta pulp of trengguli for the reduction of constipation scoring system among women aged 18- 25 years old with constipation problem. Methods: The method used is quasi-experimental design using a design of one group pre-post test. The study was conducted in December at the clinic Battra Airlangga University School of Medicine with 26 responded. Data were analyzed using SPSS with the Wilcoxon test. Result: The results of this study showed that the decocta pulp of trengguli(Cassia fistula L.) has significant effectiveness with p = 0.000 with p <0.05 on a decrease in constipation scoring sytem for constipation treatment among women aged 18-25 years.

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 397
Author(s):  
Ignacio Manuel Guerrero-Martínez ◽  
Francisco Javier Portero-Prados ◽  
Rocío Cándida Romero-González ◽  
Rocío Romero-Castillo ◽  
Manuel Pabón-Carrasco ◽  
...  

(1) Background: Simulation is a part of the day-to-day of the learning method in health sciences. The objective is to determine if the clinical simulation is useful for learning in the emergency setting, from the point of view of the nursing students. (2) Methods: A pre- and post-test exploratory study with an analytical and quasi-experimental design was used. The population is made up of nursing students from the Seville Red Cross Nursing Centre, who conducted a simulation exercise in the form of a drill for the care of multiple victims. A specific questionnaire was employed as a tool to analyse the dimensions of satisfaction, confidence and motivation, clinical experience, and decision making and technical abilities. (3) Results: There were favourable significant differences in the set of global responses, with p < 0.0001 for the “satisfaction” dimension and d = 1.25 for the “large” size of the effect, and p < 0.0069 for the “confidence and motivation” dimension and d = 0.58 for the “moderate–large” size of the effect. (4) Conclusions: The results are similar to those obtained in other studies in the scope of the 4 dimensions studied, thus coming to the conclusion that the perception of the nursing students on learning through clinical simulation is positive and favourable.


2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.


2021 ◽  
Vol 21 (1) ◽  
pp. 215
Author(s):  
Indah Dewi Sari ◽  
Utary Dwi Listiarini

Half of the women in Indonesia experience menstrual pain / dysmenorrhoea, 54.89%, experience various disorders including abdominal pain, cramps and back pain. The purpose of this study was to determine the effectiveness of acupressure, ginger drink and the difference in giving acupressure and ginger drink to reducing the intensity of menstrual pain / dysmenorrhea in young women at SMK Swasta PAB 5 Klambir Lima 2020. The design of this study used a quasi-experimental pre and post test with a sample of 30 students who were divided into two groups. Each group was given acupressure and ginger drink in the morning and evening during menstruation from day one to day two. Respondents were assessed for pain before and after the intervention was given. The results of the Shapiro-Wilk normality test contained Sig data (p <0.05). The Wilcoxon test has a p-value of 0.002 (p <0.05), which means that acupressure is effective in reducing the intensity of menstrual pain / dysmenorrhea, there is a p-value of 0.001 (p <0.05) which means that ginger is effective against reducing pain intensity. menstruation / dysmenorrhea, there is a p-value of 0.034 (p <0.05), which means that there is a difference in the effectiveness of acupressure and ginger drink in reducing the intensity of menstrual pain / dysmenorrhea. There is an effectiveness of giving acupressure, ginger drink, and there is a difference in giving acupressure and ginger drink on the intensity of menstrual pain / dysmenorrhea on young women. It is hoped that the school will provide ginger drinks and acupressure measures to young women who experience menstrual pain / dysmenorrhea so that they can participate in learning activities at school.


Author(s):  
Norisca Aliza Putriana ◽  
Keri Lestari ◽  
Melisa Intan Barliana ◽  
Sri Hartini

Objective:Warfarin is a derivate of coumarin, which is usually prescribed as an oral anti-coagulant for treatment and prevention of thromboembolic disorders. The aim of presents research is analysis the influence of pharmacist counseling on complience and INR score recovery on warfarin management.Methods:Design in this research used mixed method, combination ofqualitative and quantitative method. Qualitative data were used for completingquantitative data. Qualitative method used a content analysis with interview.Quantitative method used a quasi experimental method with control groups, pre test, and post test design. Data were analysed by wilcoxon test and mann whitney test at significance levelP ≤ 0,05 and multivariate analysis covariate.Results:Data were collected from 80 patients with Rheumatic Heart Disease (42.5 %), Atrial Fibrilation (17.5 %), Deep Vein Thrombosis (10%), Rheumatic Mitral Valve Disease (10%), Prosthetic Heart (7.5%), other (22.5%). The numbers of patients whose International Normalized Ratio (INR) was in the therapeutic range for each indication were not statistically different between before and after receiving counseling (P >0.05), Patients' behavior compliance of warfarin therapy had increased after receiving the counseling service (P <0.05). The result of presents research is pharmacist counseling affected  behavior compliance before and after counseling(P <0.05), but not for INR (P >0.05).Conclusion:Pharmacist counseling can improve behavior compliance, but not improve INR target. The effect of warfarin to every individual not only affected by behavior compliance, but several factors could influence effect of warfarin is clinical factors, non clinical factors, and genetic factors. Clinical factors that wereinfluenced were age, gender, pharmacokinetic and pharmacodynamic variability in patiens. 


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
B Buzgan ◽  
B Mete ◽  
E Pehlivan

Abstract Background Chronic diseases are a major cause of morbidity and mortality due to late diagnosis and insufficient treatment. This study deals with the training on chronic diseases organized by the Ministry of Health in the provinces. The aim of this study was to measure the effectiveness of training programs for family physicians in a province. Methods This semi experimental study was carried out during the training held in Bingöl that is eastern city of Turkey, on 22-26 October 2018 and 19-20 December 2018. The universe of the study consisted of family physicians working in the province. Of the 90 family physicians working in the province, 75 participated in the study. The training was conducted by the researchers and (before-after) 16-question test to the participants were used. The trainings cover the sub-heading Cardiovascular Risk Assessment and Diagnosis and Treatment of Hypertension. The family physicians were divided into 7 groups and were given 7-hour training. SPSS 25 program was used to analyze the data. In the analysis of data, Wilcoxon test, Cochran’s Q test and Bayesian approach samples t test were used. Results The average number of correct before training was 7.33 (min: 2 - max: 13), after training 12.64 (min: 7- max: 16; p &lt; 0.001). After the training, participants’ correct answers to 15 questions increased (p &lt; 0.001). Increase rate is 71%. Bayesian factor was found to be &lt; 0.001 according to the results of Bayesian approach t test. There is definite evidence against the H0 hypothesis. According to the results of this quasi-experimental study, training is very effective. Conclusions In this study, it was shown that the education of the family physicians about the chronic diseases of the Ministry of Health is effective in increasing the knowledge level of family physicians. Key messages The training of the family physicians in charge of the primary health care is important. This study showed that education is very effective accorging to the pre-training.


PSYCHE 165 ◽  
2021 ◽  
pp. 296-302
Author(s):  
Fahrunnisa Lanjarto ◽  
Raras Indah Fitriana

Pregnancy is time when a person experiences many changes, both physically and psychologically, making them more vulnerable to stress. This case happens because pregnant women experience hormonal changes that affect psychological and physical conditions during the pregnancy process. This study aims to determine the effect of group therapy using supportive techniques coupled with the provision of information needed to reduce anxiety in pregnant women. The data collection methods used in this study were observation, interviews, Focused Group Discussion (FGD), as well as pre-test and post-test using the Beck Anxiety Inventory (BAI). The research design using quasi-experimental with pre-test and post-test without control, the sample in the study consisted of 7 pregnant women who had mild to severe anxiety levels. The results of data analysis using non-parametric test with the Wilcoxon test showed a value of z = 2.731 and a value of p = 0.018 (p <0.05). The results showed a significant decrease in anxiety scores before and after following the group therapy process. Based on the results of the study, it can be concluded that there is an effect of supportive group therapy on pregnant women at the Srandakan Public Health Center.


2021 ◽  
Vol 4 (1) ◽  
pp. 77-81
Author(s):  
Abdi Lestari Sitepu ◽  
Pratiwi Christa Simarmata ◽  
Sari Desi Esta Ulina Sitepu ◽  
Amelia Sarma ◽  
Elfrida Simanjuntak

Hypertension is one of the deadliest diseases in the world, hypertension is an increase in systolic blood pressure above the normal limit of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg, factors that cause increased blood pressure are physical activity, emotion, age, gender , nutritional status, drinking alcohol, smoking, stress. Data from the Grandmed Lubuk Pakam Hospital in 2018 the number of hypertension patients there were 178 cases of hypertension, the number of men was 82 people and women 96 people. One of the non-pharmacological therapies offered to reduce hypertension is massage therapy. The massage technique can remove blockages in the blood vessels so that blood and energy flow in the body returns smoothly. This research was conducted using a quasi-experimental design with the type of design to be used, namely the static group comparison method, the sampling technique used was non-probability sampling with purposive sampling technique, where the sample of this study was 20 people. The results showed that the pre-test sample in the treatment group was known to have the highest value of 160/100 mmHg and the lowest value of 130/90 and post-test mmHg with an average pre-test blood pressure value of 142.00 on systolic and 93.00 on diastolic, and 110.00 post-test. in systole and 79.00 in diastole. Based on the results above, it can be concluded that there is a relationship between  reflexology neck massage with a decrease in blood pressure in patients with hypertension where the Wilcoxon Test results obtained p = 0.004 (systolic blood pressure) and p = 0.005 (diastolic blood pressure).


2020 ◽  
Vol 8 (4) ◽  
Author(s):  
Hidayatul Rahmi ◽  
Hema Malini ◽  
Emil Huriani

AbstrakPenderita Diabetes Mellitus (DM) sering mengalami masalah psikologis yang berhubungan langsung dengan beban dan kekhawatiran karena tuntutan penyakit. Diabetes distress merupakan kekhawatiran pasien tentang manajemen diri, dukungan keluarga, beban emosional dan akses keperawatan. Dukungan keluarga diperlukan dalam mengatasi kekhawatiran dan beban emosional pasien diabetes mellitus. Tujuan: Menganalisis peran dukungan keluarga terhadap penurunan tingkat diabetes distress pada pasien diabetes mellitus tipe 2 di Puskesmas Kota Padang tahun 2019. Metode: Desain penelitian ini adalah quasi experimental dengan pre dan post test control group. Pengambilan sampel secara simple random sampling untuk mendapatkan 64 orang (32 orang tiap kelompok). Data dikumpulkan menggunakan Diabetes Distress Scale (DDS-17). Hasil: Analisis data menggunakan Wilcoxon test menunjukan terdapat pengaruh dukungan keluarga terhadap Diabetes Distress (p=0,000). Simpulan: Dukungan keluarga berupa dukungan emosional/rasa empati dan dukungan penghargaan membuat pasien merasa lebih baik, diperhatikan dan dimengerti, merasa dimiliki dan dicintai sehingga pasien memiliki motivasi dan memperoleh kembali keyakinannya dalam menghadapi kekhawatiran karena penyakitnya. 


2020 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Oktavia Bryan Trianita ◽  
Wiwn Renny Rahmawati ◽  
Susi Tentrem Talib

Latar Belakang : Rasa nyeri pada persalinan disebabkan oleh kombinasi peregangan segmen bawah rahim (selanjutnya serviks) dan iskemia (hipoksia) otot-otot rahim. Reaksi terhadap nyeri merupakan respons yang sifatnya sangat individual. Reaksi ini tergantung pada kepribadian, kondisi emosional serta tingkat pemahaman pasien, latar belakang kultural, keluarga serta pendidikannya, dan pengalaman sebelumnya. Penanganan secara non-farmakologis yaitu pijat dan relaksasi nafas dalam.Tujuan : Mengetahui perbedaan pijat counterpressure dan relaksasi nafas dalam terhadap adaptasi nyeri ibu bersalin.Metode Penelitian : Penelitian ini menggunakan rancangan quasi-eksperiment dengan desain metode penelitian 2 group pre and post-test design, yang mana penelitian ini melibatkan 2 kelompok 1 (kelompok pijat counterpressure) dan kelompok 2 (kelompok relaksasi nafas dalam). Teknik sampling yang digunakan adalah accidental sampling.Hasil : Hasil analisis penerapan pada kelompok pijat counterpressure terhadap penurunan nyeri ibu bersalin dengan uji Wilcoxon didapatkan hasil p = 0,001 (p < 0,05) dan pada kelompok relaksasi nafas dalam dengan uji Wilcoxon didapatkan hasil p = 0,083 (p > 0,005). Sehingga pada kelompok pijat counterpressure (p < 0,05) Ha diterima yang mengartikan bahwa ada perbedaan yang bermakna pada perlakuan pijat counterpressure dan relaksasi nafas dalam.Kesimpulan : pijat counterpressure lebih efektif dalam adaptasi nyeri ibu bersalin. Background: pain in labor is caused by a combination of stretching of the lower uterine segment (hereinafter the cervix) and ischemia (hypoxia) muscles of the uterus. Reaction to pain is a response that is very individual. This reaction depends on the personality, emotional state and the level of patient understanding, cultural background, family and education, and previous experience. Handling of non-pharmacological namely relaxation massage and deep breathing.Objective: To determine differences in massage counterpressure relaxation and deep breathing against maternal adaptation pain.Methods: This study used adesign quasi-experimental with the design of research method 2 group pre and post-test design,which this study involved two groups 1  massage (counterpressure group)and group 2 (deep breathing relaxation group). The sampling technique used was accidental sampling.Results: Analysis of the application of the massage group counterpressure against maternal pain reduction with the Wilcoxon test showed p = 0.001 (p <0.05) and the deep breathing relaxation group with the Wilcoxon test showed p = 0.083 (p> 0.005). So that the massage group counterpressure (p <0.05) Ha accepted which means that there are significant differences in treatment counterpressure massage and relaxation massage deep breath.Conclusion: counterpressure be more effective in pain adaptation birth mothers.


2020 ◽  
Vol 9 (2) ◽  
pp. 183-191
Author(s):  
Brigitta Ayu Dwi Susanti ◽  
Eva Nurlina Aprilia

Background: The family as the smallest unit in society has a share in disaster preparedness, especially for families with disabilities, this is due to the lack of disaster management for families with disabilities. According to a 2013 UN global survey, worldwide 20% of people with disabilities can save themselves and 31% of people say they need someone who can help during a disaster. Imogiri Bantul District is the red zone that suffered the worst damage and from the results of preliminary studies disaster prepared families have not been formed in real terms. Aims of this study is to analize effect pamily disaster planning to improve knowledge and ability disability person in disaster. Methods: Quasi eksperiment pre and post test without control. Research instrument with preparedness instrument. There are 31 subjects in this research. Results: Knowledge and attitude to prepare disaster in disabilities can improve significantly p<0.005 (Wilcoxon test). Conclusion:  With family disaster planning the knowledge and attitude can improve significantly to prepare disaster in disabilities and their family.


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