scholarly journals Pengaruh Field Massage sebagai Terapi Adjuvan terhadap Kadar Bilirubin Serum Bayi Hiperbilirubinemia

2018 ◽  
Vol 5 (3) ◽  
Author(s):  
Novi Novianti ◽  
Henny Suzana Mediani ◽  
Ikeu Nurhidayah

Hiperbilirubinemia merupakan komplikasi yang sering terjadi pada masa neonatal. Terapi modalitas dibutuhkan karena fototerapi sebagai prosedur penatalaksanaan hiperbilirubinemia di rumah sakit berpotensi menimbulkan efek samping. Field massage sebagai terapi adjuvan, diduga dapat meningkatkan ekskresi bilirubin selama bayi mendapat fototerapi. Namun, penelitian field massage sebelumnya baru melaporkan penurunan kadar bilirubin diduga seiring meningkatnya frekuensi buang air besar sebagai efek massage. Tujuan penelitian untuk mengetahui pengaruh field massage sebagai adjuvan terhadap kadar bilirubin serum bayi hiperbilirubinemia yang menjalani fototerapi. Desain penelitian menggunakan kuasi eksperimen dengan non equivalen pre test-post test design with control group.Sampel diambil secara consecutive terbagi menjadi kelompok intervensi (16 responden) dan kelompok kontrol (16 responden). Data dianalisis menggunakan Dependen T-Test, Independen T-Test, dan Analysis of Covarians. Hasil menunjukkan rata-rata kadar bilirubin serum setelah intervensi pada kelompok intervensi (8,09+1,21) sedangkan kelompok kontrol (10,05+2,17). Penurunan rata-rata kadar bilirubin serum kelompok intervensi (7,20+1,59), sedangkan kelompok kontrol (4,64+1,25), antara kedua kelompok terdapat perbedaan penurunan yang bermakna (p=0,001). Kontribusi variabel confounding tidak berpengaruh terhadap penurunan rata-rata kadar bilirubin serum, setelah dikontrol variabel confounding pada kelompok intervensi memiliki nilai bersih (7,23+0,37), kelompok kontrol memiliki nilai bersih (4,61+0,37). Kesimpulan didapatkan field massage sebagai terapi adjuvan dapat menurunkan kadar bilirubin serum secara efektif. Berdasarkan hasil penelitian Field massage bisa menjadi salah satu alternatif intervensi keperawatan yang dapat digunakan dalam penatalaksanaan bayi hiperbilirubinemia di rumah sakit.Kata kunci: Field massage, fototerapi, hiperbilirubinemia, neonatal. Effect of Field Massage as Adjuvant Therapy on Serum Bilirubin Levels Neonatal HyperbilirubinemiaAbstract Hyperbilirubinemia is the common complication that occurs in neonatal period. Therapeutic modality is needed since phototherapy as a standard procedure for hiperbilirubinemia in hospital is often give side effects. Field massage is an adjuvant therapy might increases the excretion of infant bilirubin serum in procedure of phototherapy. However, previous research used field massage noticed that decreased levels of bilirubin allegedly increased with the frequency of defecation as massage effect. The purpose of this study was to determine effect of field massage as adjuvant to level of bilirubin serum in neonatal with phototherapy.The research design used quasi experiments with non equivalent pre test-post test design. The sample was recruited by consecutive sampling of 16 respondents in intervention group and 16 respondents in control group. Data were analyzed by using Dependent T-Test, Independent T-Test, and Analysis Covarians. Results showed that the mean serum bilirubin level after intervention in intervention group showed (8.09+1.21), while the control group were about 10.05+2.17. Decreasing mean serum bilirubin level in the intervention group (7.20+1.59) and the control group (4.64+1.25), between two groups showed that there had significant decrease (p=0.001). Contribution of confounding variables did not affect to the decreased mean serum bilirubin level, whereas after controlled confounding variables in the intervention group showed had net value (7.23+0.37), and for the control group (4.61+0.37). It can be concluded that field massage is effective and useful in decreasing bilirubin serum levels. Results of this study can be used as one of alternative nursing interventions in managing neonatal hyperbilirubinemia in hospitals.Keywords: Field massage, hyperbilirubinemia, neonatal, phototherapy.

2019 ◽  
Vol 10 (2) ◽  
pp. 307
Author(s):  
Dwi Astuti ◽  
Dewi Hartinah ◽  
David Reveindra Afif Permana

Abstrak Latar belakang:Di Indonesia dalam Riset Kesehatan Dasar tahun 2013 proporsi persalinan dengan bedah sesar menunjukkan sebesar 9,8% Provinsi Jawa Tengah sendiri untuk metode persalinan Caesar sebesar 10%. Bedah caesar merupakan bedah yang bukan tanpa resiko, risiko dari bedah Caesar ini merupakan potensi stressor yang dapat menyebabkan pasien operasi SC mengalami kecemasan.  Dunia kesehatan Islam, memasukkan dzikir sebagai salah satu upaya untuk mengatasi kecemasan. Tujuan: mengetahui pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pada pasien post SC. Metode: Penelitian ini menggunakan quasy experiment dengan desain pre-post test design with control group. Sampel sebanyak 24 orang yang diambil secara sampel jenuh. Statistik yang digunakan adalah paired t test, wilcoxon test dan independent t test. Hasil uji Paired t Test diperoleh ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan terapi dzikir pada kelompok intervensi nilai p = 0,000 > α = 0,05, terjadi penurunan rata-rata sebesar 9,917.  Hasil uji Wilcoxon diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan komunikasi terapeutik pada kelompok kontrol nilai p = 0,636 > α = 0,05, penurunan yang terjadi yaitu hanya 0,83. Hasil uji Independent t Test diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan perlakuan pada kelompok intervensi dan kelompok kontrol dengan nilai p = 0,211 > α = 0,05. Kesimpulan: ada pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pasien post operasi SC Kata kunci      : Kecemasan, Post SC, Dzikir AbstractBackground: In Indonesia in 2013 Basic Health Research the proportion of deliveries with cesarean section showed 9.8% of Central Java Province alone for the method of caesarean delivery by 10%. Caesarean section is a surgery that is not without risk, the risk of a C-section is a potential stressor that can cause SC surgery patients to experience anxiety. The world of Islamic health, incorporating dzikir as an effort to overcome anxiety. Objective: to determine the effect of dzikir therapy on reducing anxiety levels in post SC patients. Method: This study uses a quasy experiment with a pre-post test design with control group design. A sample of 24 people were taken in a saturated sample. The statistics used were paired t test, Wilcoxon test and independent t test. Results: Paired t Test results obtained there were differences (changes) in the anxiety level of post SC patients before and after given dzikir therapy in the intervention group the value of p = 0,000> α = 0.05, there was an average decrease of 9,917. The results of the Wilcoxon test obtained no difference (change) in the anxiety level of post SC patients before and after therapeutic communication in the control group p = 0.636> α = 0.05, the decrease that occurred was only 0.83. The results of the Independent t Test obtained no difference (change) in the anxiety level of post SC patients before and after treatment in the intervention group and the control group with a value of p = 0.211> α = 0.05. Conclusion: there is an effect of giving dzikir therapy to decrease anxiety level of postoperative SC patients Keywords: Anxiety, Post SC, Dzikir


2019 ◽  
Vol 6 (1) ◽  
pp. 31-36
Author(s):  
Candra Dewi Rahayu ◽  
Ika Purnamasari

Latar Belakang: Setiap anak perlu mendapat stimulasi rutin secara tepat dan terus menerus sesuai usia tumbuh kembangnya. Stimulasi, Deteksi dan Intervensi Dini Tumbuh Kembang (SDIDTK) anak ini masih belum mencapai target yang ditetapkan oleh pemerintah. Salah satu solusi yang dicanangkan oleh pemerintah yaitu dengan mengintegrasikan SDIDTK dengan fasilitas Pendidikan Anak Usia Dini (PAUD) yaitu Kelompok Bermain dan Taman Kanak-Kanak yang diikuti oleh balita sebelum beranjak ke jenjang pendidikan Sekolah Dasar. Tujuan : untuk mengetahui peningkatan pengetahuan guru PAUD dalam melakukan SDIDTK setelah diberikan pelatihan.Metodologi: metode yang digunakan yaitu penelitian kuantitatif dengan pendekatan pre and post test design without control group. Pengambilan sampel dilakukan dengan teknik sampel tanpa peluang (non probability sampling) dengan jumlah sampel 37 guru PAUD.Hasil: Hasil uji dengan one sampel t-test menunjukan setelah dilakukan pelatihan kepada guru PAUD terdapat peningkatan pengetahuan dapat dilihat dari nilai rata-rata pengetahuan guru dari 8,945 menjadi 15,75 dengan nilai p = 0,000.Kesimpulan dan saran: Pelatihan aplikasi SDIDTK menggabungkan metode ceramah dan demonstrasi mampu meningkatkan pengetahuan secara efektif. Saran bagi Kepala Sekolah di PAUD adalah untuk meningkatkan pengetahuan guru (pengasuh) tentang pertumbuhan dan perkembangan anak menggunakan SDIDTK, sehingga guru dapat memonitor tumbuh kembang anak secara optimal.


2016 ◽  
Vol 3 (1) ◽  
pp. 20
Author(s):  
Fatma Siti Fatimah ◽  
Zulkhah Noor

<p>Merapi eruption in 2010 in Yogyakarta caused people losing their homes and triggering traumatic effect. Elderly is one of victims that vulnerable to psychological problem. The common psychological late respons due to disaster is insomnia. The impacts of insomnia are decrease the level of immunity, increase mortality and decrease quality of life, thus it needs to be solved. One of the solution is by listening murotal Al-Qur’an that will give relaxation effect. The study was aimed to know the effectiveness of listening murotal Al-Qur’an to the changing of elderly insomnia level in shelter Dongkelsari, Sleman, Yogyakarta.The design of study was a quasy experimental pre post test with control group. Technique of taking sample was probability sampling and it was found that there were 37 elderly who live in shelter Dongkelsari Sleman Yogyakarta that fulfilled the inclusion criteria. Research instrument which was used to measure insomnia level is KSPBJ questionnaire rating scale and to listen for murotal Al-Qur’an (Ar-Rahmaan) was used laptop and speaker. The duration of listening murotal Al-Qur’an was 8 days with 12 minutes for each day. Data analysis was used paired samples t test and independent samples t test. The level of insomnia for control group pre test and post test is in moderate insomnia by the mean ± SD each of them is 9.3 ± 3.7 and 10.3 ± 3.4 (p&gt;0.05) and for intervention group there was a changing from moderate insomnia to mild insomnia by the mean ± SD each of them is 10.9 ± 3.6 and 8.2 ± 4.2 (p&lt;0.05). There was a significant differences between the intervention group and control group by the mean ± SD each of them is -2.8 ± 3.0 and 0.9 ± 3.5 (p&lt;0.05). In conclusion, listening murotal Al-Qur’an was effective to reduce elderly insomnia level in shelter Dongkelsari Sleman Yogyakarta.</p>


2020 ◽  
Vol 11 (3) ◽  
pp. 197-200
Author(s):  
Rosmaria . ◽  
Sri Yun Utama ◽  
Titik Hindriati ◽  
Diniyati .

Background: The consumption of Fe tablets needs to be the attention of midwives as one of the spearheads in providing antenatal care services. Due to the low level of compliance of pregnant women to consume Fe tablets, it is necessary to provide appropriate counseling as an effort to increase compliance with Fe tablets. Objective: This study aimed to determine the effectiveness of the application model (Sumiferos) for preventing anemia with pregnant women compliance in consuming Fe tablets at Putri Ayu Health Center in Jambi city. Materials and methods: This study used a quasi-experimental research design with a post-test design by involving an intervention group and a control group (post-test), two group designs. With the total of 70 subjects;the intervention group, 35 respondents were given a website application (sumiferos), and a control group 35 respondents were given a leflet. After a month, the number of Fe tablets that have been consumed was monitored. Compliance of pregnant women in consuming Fe tablets required a monitoring or supervisioncarried out by health workers. Therefore, an intervention was given by using a website-based application (sumiferos) for pregnant women as a communication tool that has been created and designed previously by researchers. Results: Posttest statistical analysis showed that pregnant women who were given a website application (sumiferos) in the intervention group showed better compliance than pregnant women in the control group given lefket. Conclusion: Based on the results,a website application (sumiferos) is more effective than leaflets in improving maternal compliance to consume Fe tablets given by health workers.


Author(s):  
Shokoufeh Ahmadipour ◽  
Mahnaz Mardani ◽  
Azam Mohsenzadeh ◽  
Parastoo Baharvand ◽  
Mohammad Nazeri

Objective Various therapeutic treatments have been prescribed for decreasing the bilirubin level. Massage therapy is one of the neonate treatments for jaundice. The aim of this study is to investigate the effects of combined massage therapy and phototherapy on neonatal jaundice. Study Design This study was performed at Shahid Madani Hospital in the city of Khorramabad in 2016, where 83 healthy full-term infants were enrolled. They were selected through convenience sampling and then were randomly assigned to the intervention and control groups. The control group (n = 43) received phototherapy, whereas infants in the intervention group (n = 40) received 4 days of massage and phototherapy. The serum bilirubin level, frequency of stooling and amount of urination, duration of hospitalization, and feeding frequency were analyzed using SPSS by descriptive and analytical statistics (mixed regression models). Results Baseline levels of bilirubin were similar between the two groups (p > 0.05). The bilirubin level was measured as 13.4 ± 0.7 mg/dL in the intervention group on day 1. It stood at 14.4 ± 1.5 mg/dL in the control group, which was not statistically significantly different. However, the mean bilirubin level was decreased on day 4 of hospitalization to 7.4 ± 0.56 mg/dL and 9.0 ± 2.3 mg/dL, showing a significant difference decrease in the intervention and control group (p < 0.05), respectively. Conclusion Intervention had a significant role in decreasing the bilirubin level, amount of urination, and duration of hospitalization of full-term infants suffering from hyperbilirubinemia.


1970 ◽  
Vol 4 (2) ◽  
pp. 71-76
Author(s):  
Nilufa Akhter ◽  
Noorzahan Begum ◽  
Waqar Ahmed Khan

Background: G6PD deficiency is one of the common inherited enzymatic disorder associated with high incidence of severe neonatal hyperbilirubinemia. Objectives: To observe G6PD status in male, term neonates with jaundice and its correlation with serum level of bilirubin. Methods: This cross sectional study was conducted on 90 male, term neonates with jaundice, age ranged from 3 to 12 days (Group B) in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU) between July 2007 to June 2008. On the basis of total serum bilirubin (TSB) level, study group was further divided into B1(TSB <15mg/dl), B2(TSB 15-20mg/dl) and B3 (TSB>20mg/dl). For comparison age and sex matched 30 apparently healthy neonates (Group A) were also included in the study. Erythrocyte G6PD level was measured by Spectrophotometric method by using kit of Randox. Serum bilirubin level was measured by standard laboratory technique. For statistical analysis ANOVA, independent sample "t" test and Pearson's correlation coefficient test were performed as applicable by using SPSS windows version-12. Results: In this study, erythrocyte G6PD levels were significantly lower in moderate (p<0.01) and severe (p<0.001) hyperbilirubinemic group in comparison to that of control group . However, this enzyme level was lower in mild group compared to that of control but the difference was statistically non significant. Again, this enzyme levels were significantly lower in moderate (p<0.05) and severe (p<0.01) group than that of mild group and also between severe and moderate hyperbilirubinemic group (p<0.05). In this study, G6PD enzyme deficient were found in 1(3.33%) and 6(20%) subjects of group B2 and B3 respectively. Though, percentage of the subjects with enzyme deficiency were higher in severe group ( B3 ) compared to that of moderate group( B2 ) but the difference was statistically not significant. However, no enzyme deficient patient were found in control group (A) and mild hyperbilirubinemic group (B1). Serum bilirubin level showed significant (p<0.05) positive (r=+.429) correlation with erythrocyte G6PD level in control group (A). On the other hand, this level was negatively correlated with G6PD enzyme in groups B1 (r= -.127), B2 (r=-.120) and B3 ( r= -.671) but significant negative correlation in group B3 (p<0.01). Conclusion: The results of the study revealed that severity of hyperbilirubinemia depends on degree of G6PD deficiency. Therefore, early detection of this enzymopathy and close surveillance of the affected neonates may be important in reducing the complications of severe hyperbilirubinemia. Key words: Glucose-6-PD, Hyperbilirubinemia, Neonates DOI: 10.3329/jbsp.v4i2.4176 J Bangladesh Soc Physiol. 2009 Dec;4(2): 71-76  


2018 ◽  
Vol 1 (1) ◽  
pp. 37-43
Author(s):  
Fiviyanti Hasim

English Environment Programs is one of method In Improving Speaking Ability At Polytechnic of National Informatics. This research aims at finding out wheather or not the use of English environment Programs improve the speaking ability. This research used Quasy experimental method with two group pre-test and post-test design. The result of the data analysis showed that the degree of freedom (df) was 43 (n1 + n2 – 2) where n1 = 30 and n2 = 15 so 30 + 15 – 2 = 43), the level of significant (α) = 0.05, the t-test value of students’ speaking ability= 3.765, and the t-table value = 2.021. The t-test value is greater than the t-table value (3.765 > 2.021), this showed that there is a significant difference of improvement between the Control group and Experimental Group. It means that the Alternative Hypothesis (H1) is accepted while the Null Hypothesis (H0) rejected. Based on the result above, the researcher concluded that the using of English Environment Programs can improve the speaking ability of the second year students of Polytechnic of National InformaticsKeywords: English Environment, Speaking, Effectiveness


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Fiviyanti Hasim ◽  
Hamzah Machmoed ◽  
Nasmilah Nasmilah

English Environment Programs is one of method In Improving Speaking Ability At Polytechnic of National Informatics. This research aims at finding out wheather or not the use of English environment Programs improve the speaking ability. This research used Quasy experimental method with two group pre-test and post-test design. The result of the data analysis showed that the degree of freedom (df) was 43 (n1 + n2 – 2) where n1 = 30 and n2 = 15 so 30 + 15 – 2 = 43), the level of significant (α) = 0.05, the t-test value of students’ speaking ability= 3.765, and the t-table value = 2.021. The t-test value is greater than the t-table value (3.765 > 2.021), this showed that there is a significant difference of improvement between the Control group and Experimental Group. It means that the Alternative Hypothesis (H1) is accepted while the Null Hypothesis (H0) rejected. Based on the result above, the researcher concluded that the using of English Environment Programs can improve the speaking ability of the second year students of Polytechnic of National Informatics


1970 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Novita Setyowati ◽  
Uswatun Hasanah

Hemiparese is a common problem that can caused disability. Exercise is still considered effective to prevent disability. This study is aimed to increased the muscle strength on hemiparese patient's muscle strength caused by ischemic stroke in RSUD Gambiran Kota Kediri. This study used Quasi Experiment pre and post test research designs. Number of samples were 9 respondents who were divided into intervention group and control group. Evaluation research was done on the first day and eigth day for the two groups. Data were analyzed Paired T test and Independent T Test. Study results showed an increased in muscle strength (p =0.000) in both the intervention groups and there are significant differences between the two groups (p = 0009), which means there is a difference between the control group treatment group. The implication of this research are to use exercise as one of the independent nursing interventions in caring stroke patients with hemiparase and to improve the quality of nursing care, makes healing process faster, prevent complications dan also enrich nursing science.;Keywords: stroke; hemiparese; Spiritual intervention on cognitive; Self acceptance.


2020 ◽  
Vol 4 (3) ◽  
pp. 124
Author(s):  
Jayanti Dwi Puspitasari ◽  
Nani Nurhaeni ◽  
Allenidekania Allenidekania

ABSTRAKLatar Belakang: Kejang demam yang terjadi berulang akan mengakibatkan efek yang buruk bagi anak, terutama untuk kecerdasan dan perkembangan otak. Salah satu cara untuk mencegah kejang demam berulang adalah dengan memberikan edukasi kesehatan kepada ibu. Edukasi kesehatan dapat meningkatkan pengetahuan ibu, sehingga sikap ibu akan berubah kearah positif. Tujuan: untuk mengetahui pengaruh edukasi kesehatan terhadap pengetahuan dan sikap ibu dalam pencegahan kejang demam berulang. Metode: Desain penelitian ini adalah Quasi Experiment dengan teknik pre test and post test nonequevalent control group pada 58 responden (kelompok intervensi=29 dan kelompok kontrol=29). Instrumen yang digunakan dalam penelitian ini adalah kuesioner A, B, C dan media audiovisual. Responden adalah ibu yang memiliki balita pernah mengalami kejang demam dan pernah dirawat di rumah sakit. Kelompok intervensi diberikan edukasi kesehatan tentang pencegahan kejang demam berulang dengan media video, sedangkan kelompok kontrol tidak diberikan intervensi. Analisis yang digunakan dalam penelitian ini adalah analisis bivariat dengan uji paired t-test dan independent t-test dan multivariate dengan MANCOVA. Hasil: ada pengaruh edukasi kesehatan terhadap pengetahuan (p=0,001) dan sikap (p=0,001). Kesimpulan: Edukasi dapat dimasukkan ke dalam rencana asuhan keperawatan ketika anak pertama kali dirawat di rumah sakit karena kejang demam, karena terbukti dapat meningkatkan pengetahuan ibu sehingga ibu dapat mengambil sikap yang positif untuk pencegahan terjadinya kejang demam berulang.Kata kunci: edukasi kesehatan, pengetahuan, sikap, kejang, demamThe Effect of Health Education on Knowledge and Attitude of Mothers in Preventing the Recurrent Febrile Seizures Abstract The Recurrent Febrile Seizures (RFS) could affect the children intelligence and their brain development. Health education is one of the ways in order to prevent the RFS. By providing health education among mothers, it might increase their knowledge and could lead to a positive attitude in preventing the RFS. Aim: This study was aimed at investigating the effect of health education on knowledge and attitude of mothers in preventing the RFS among hospitalized children. Method: This was a quasi-experimental study with pre- and post-test nonequivalent control group with total sample was 58 respondents (intervention group, n=29, and control group, n=29). The instruments used in this study were questionnaire A, B, C and audiovisual media. Respondents in this determination are mothers who have children who have experienced febrile seizures and have been hospitalized. The video guidelines on RFS prevention was performed in the intervention group, while there was no intervention performed in the control group.Data was analysed with univariate (paired t-test and unpaired t-test) and multivariate with MANCOVA. Result: There was a significant effect of health education on knowledge (p=0.001), and attitude (p=0.001). Conclusion: Health education should be included in the nursing care plan when the children with RFS were admitted to the hospital.Keywords: Health education, knowledge, attitude, febrile, seizures


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