scholarly journals Effect of Virgin Coconut Oil on Skin Integrity in The Elderly with Incontinence

2020 ◽  
Vol 4 (2) ◽  
pp. 105
Author(s):  
Sukhri Herianto Ritonga ◽  
Nanda Masraini Daulay
Keyword(s):  
Coconut Oil ◽  
The Elderly ◽  
Wilcoxon Test ◽  
Control Group ◽  
Incontinence Episode ◽  
P Value ◽  
Virgin Coconut Oil ◽  
Significant Difference ◽  
Skin Integrity ◽  
Before And After

Intorduction:Incontinence was a problem that often occurs in the elderly and this condition can worsen the elderly situation with the appearance of severe damage to the integrity of the skin,Virgin Coconut Oil (VCO) contains medium chain saturated fat that easily enters deep skin layers and maintains skin elasticity and suppleness. The aim of this study was to determine the effect of virgin coconut oil on skin integrity in the elderly with incontinence.Methods: The design of  research was a quasi-experimental with non equivalent control group design. The population in this study were all elderly who experience incontinence. The sampling technique used was consecutive sampling with a total of 10 people in the experimental group and 10 people in the control group. To assess skin integrity before and after treatment is used was The Ghent Global IAD (GLOBIAD) tool. The using of virgin coconut oil is done every time after the stool incontinence episode and after bathing. Virgin coconut oil has been applied to the damaged skin and also to other vulnerable skin. Results: Based on the Wilcoxon test results obtained p value smaller than 0.05 which is 0.010 so that there was a significant difference in the value of skin integrity before and after the treatment. Conclusions:There was a significant effect on the use of virgin coconut oil on skin integrity in the elderly with incontinence.

scholarly journals PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO

2019 ◽  
Vol 7 (2) ◽  
pp. 104-113
Author(s):  
Dwi Novitasari ◽  
Ikit Netra Wirakhmi
Keyword(s):  
The Elderly ◽  
Wilcoxon Test ◽  
Relaxation Technique ◽  
P Value ◽  
Common Symptom ◽  
Parasympathetic System ◽  
Significant Difference ◽  
Before And After ◽  
Autogenic Relaxation ◽  
The Mean

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache. Keywords: Autogenic relaxation, headache, hypertension.

scholarly journals Manfaat Relaksasi Otot Progresif Bagi Klien DM Tipe II Untuk Mengurangi Gejala Fatigue

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati
Keyword(s):  
Muscle Relaxation ◽  
Intervention Group ◽  
Progressive Muscle Relaxation ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Diabetic Patients ◽  
Significant Difference ◽  
Before And After

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.

scholarly journals Efektifitas Pendidikan Kesehatan Dengan Media Audiovisual Dan Leaflet Terhadap Sikap Remaja Putri Menghadapi Menarche

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Veronica Silalahi
Keyword(s):  
Health Education ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Audiovisual Media ◽  
Teenage Girls ◽  
Significant Difference ◽  
Before And After

Objective: to identify the effectiveness of health education about menarche using audiovisual media and leaflets on the attitudes of teenage girls Methods: This article used a quasi-experimental non-equivalent control group design. This study divided the subjects into two groups, the intervention group and the control group with 31 respondents each, that is class III and IV in Sawunggaling 1 primary school, Surabaya. This article used a simple random sampling. Data processing was carried out by pretest and posttest and health education interventions using audiovisuals and leaflets for the intervention group, and for the control group using leaflet. Data analysis used the Mann Whitney test to assess the mean increase in attitudes in both groups, and the Wilcoxon test to see an increase in attitudes after the intervention in both groups.Results: The results showed p-value = 0.000 (p <0.05) in the intervention groups. This means that there is a significant increase in the attitude of teenage girls before and after being given health education which shows the effectiveness of health education about menarche using audiovisual media and leaflets. Whereas in the control group data obtained that 0.754 (p> 0.005), this means that there is no significant difference from the attitudes of teenage girls before and after being given health education about menarche with media leafletsConclusion : health education using audiovisuals and leaflets that are effective in improving the attitudes of teenage girls in facing menarche 

PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO

2018 ◽  
Vol 7 (2) ◽  
pp. 104-113
Author(s):  
Dwi Novitasari ◽  
Ikit Netra Wirakhmi
Keyword(s):  
The Elderly ◽  
Wilcoxon Test ◽  
Relaxation Technique ◽  
P Value ◽  
Common Symptom ◽  
Parasympathetic System ◽  
Significant Difference ◽  
Before And After ◽  
Autogenic Relaxation ◽  
The Mean

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache.

THE EFFECT OF CUPPING THERAPY ON THE SCALE OF PAIN IN ADVANCED AGE WHO EXPERIENCED JOINT PAIN IN JEMBER

2020 ◽  
Vol 1 (1) ◽  
pp. 21-29
Author(s):  
Istiadhatul Magfiroh ◽  
Wahyudi Widada ◽  
Sofia Rhosma Dewi
Keyword(s):  
Pain Intensity ◽  
Joint Pain ◽  
Cupping Therapy ◽  
The Body ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Significant Difference ◽  
Before And After

ABSTRACT   Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Bangsalsari Jember. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P-value 0.001 means there are significant differences before and after the wet cupping therapy. While Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.

scholarly journals Pengaruh Terapi Komplementer Massage Punggung Terhadap Tekanan Darah pada Lansia dengan Hipertensi

2021 ◽  
Vol 8 (1) ◽  
pp. 40
Author(s):  
IGA Ari Rasdini ◽  
Ni Made Wedri ◽  
VM Endang SP Rahayu ◽  
IDP Putrayasa
Keyword(s):  
Blood Pressure ◽  
Treatment Group ◽  
Massage Therapy ◽  
The Elderly ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Significant Difference ◽  
Back Massage

Sekitar 90% usia dewasa dengan tekanan darah normal akan berkembang menjadi hipertensi pada usia lanjut.  Hipertensi pada usia lanjut mempunyai beberapa kekhususan, umumnya disertai dengan faktor resiko yang lebih berat. Masage punggung  bermanfaat melancarkan peredaran darah dan memberikan efek tenang sehingga tekanan darah menjadi stabil. Penelitian ini bertujuan untuk mengetahui pengaruh  terapi  masase punggung terhadap tekanan darah  pada lansia dengan hipertensi. Rancangan penelitian menggunakan quasy experiment dengan desain pretest-posttest control group design, jumlah sampel 20 orang tiap kelompok, dengan  tehnik random sampling. Hasil penelitian menunjukkan rata rata  kelompok perlakuan berusia 73 tahun dan kontrol berusia 75 tahun, jenis kelamin tiap kelompok 10 orang laki laki dan 10 orang perempuan. Pada kelompok perlakuan nilai systole pre-post (164-148.5 mmHg), diastole pre-post (85-80 mmHg).  Kelompok control rata rata nilai systole pre-post  (167,7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). Uji Wilcoxon test didapatkan ada perbedaan yang signifikan tekanan darah pada kelompok perlakuan dengan p value systole adalah 0.000, p value diastole 0.025. Tidak ada perbedaan yang signifikan tekanan darah pada kelompok kontrol baik systole dengan p value 0.086 dan p value diastole 0.140. Ada pengaruh yang signifikan terapi komplementer massage punggung  terhadap tekanan darah systole dengan p value 0.000 dan  p value diastole adalah 0,028. Direkomendasikan terapi massage punggung sebagai terapi non farmakologi untuk menstabilkan tekanan darah guna mencegah komplikasi kardiovaskuler Kata Kunci : massage punggung; tekanan darah; hipertensi; lansia. THE INFLUENCE OF COMPLEMENTER THERAPY ON BLOOD PRESSURE IN ELDERLY WITH HYPERTENSION AT GIANYAR SUKAWATI II HEALTH CENTRE ABSTRACT  Approximately 90% of adults with normal blood pressure will develop hypertension in old age. Hypertension in the elderly has several characteristics, generally accompanied by more severe risk factors. Back massage is useful for blood circulation and provides a calming effect so that blood pressure becomes stable. This study was aimed to determine the effect of back massage therapy on blood pressure in the elderly with hypertension. The research design used a quasi-experimental design with a pretest-posttest control group design, the number of samples were 20 people per group, with random sampling technique. The results showed that the average age of the treatment group was 73 years old and the control group was 75 years old, the sexes of each group were 10 men and 10 women. In the treatment group the value of pre-post systole (164-148.5 mmHg), pre-post diastole (85-80 mmHg). The control group averaged pre-post systole values (167.7 - 151.2 mmHg), diastole (87.5-77.5 mmHg). The Wilcoxon test showed that there was a significant difference in blood pressure in the treatment group with p-value of systole being 0.000, p-value of diastolic 0.025. There is no significant difference in blood pressure in the control group, both systole with p value 0.086 and p value diastole 0.140. There is a significant effect of complementary back massage therapy on systolic blood pressure with a p value of 0.000 and a diastolic p value of 0.028. Back massage therapy is recommended as a non-pharmacological therapy to stabilize blood pressure to prevent cardiovascular complications Key Ward ; back massage; blood pressure; hypertension; elderly

scholarly journals The Effects of Occupational Modality Therapy on the Independence Level of the Elderly

2021 ◽  
Vol 15 (2) ◽  
pp. 83
Author(s):  
Miftah Apriani ◽  
Ria Wulandari
Keyword(s):  
Everyday Life ◽  
Well Being ◽  
The Elderly ◽  
Daily Activities ◽  
Control Group ◽  
P Value ◽  
Not Given ◽  
Control Group Design ◽  
Significant Difference ◽  
Before And After

Background: Independence in elderlies is the ability to carry out daily activities. The Activity of Daily Living (ADL) is a form of measuring a person's ability to perform ADL independently so that information on elderly morbidity can be analyzed. Occupational therapy is the art and science of supporting interactions in everyday life through work (occupation) that enables people to do work that promotes health and well-being and enables a just and inclusive society, encouraging everyone to optimize their potential in the workplace from everyday life. This study aims to identify the independence level of elderlies before and after occupational modality therapy. Methods: The method employed in this study was a quasi-experimental technique design using a pretest-posttest control group design. Results: The results of the study showed a p-value of 0.00, indicating that occupational modality therapy affected the level of independence of the elderlies who were given treatment with a change of independence level from 13.50 to 16.95. Meanwhile, in the control group where the respondents were not given occupational modality therapy, there was no significant difference before and after the final observation. Conclusion: The elderlies who were given treatment became more independent in carrying out their daily activities compared to those who were not given treatment in the control group.

scholarly journals Educational Model for Overcoming Stunting Toddlers with Bio Acupressure Massage Using Pure Coconut Oil

2021 ◽  
Vol 54 (2) ◽  
pp. 390
Author(s):  
Nyoman Ribek ◽  
I Gusti Ketut Gede Ngurah ◽  
Ketut Labir ◽  
Ketut Wardani
Keyword(s):  
Sleep Quality ◽  
Negative Impact ◽  
Coconut Oil ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Educational Model ◽  
Educational Models ◽  
Significant Difference ◽  
Before And After

Educational models to overcome stunting are needed because stunting has a negative impact on the health and function of the body as well as increasing child morbidity. The prevalence of stunting under five in Indonesia in 2019 was 27.67%, in Bali 21.9% and Karangasem 26.23% above WHO 20%. This data is the reason for conducting research in 2020. The aim is to find out whether the educational model of bio acupressure massage using virgin coconut oil can increase appetite, sleep quality and immune power so that stunting toddlers increase height. The research method is quasi-experimental; the research design is nonequivalent control group design. The sample is 50 people with purposive sampling technique. The analysis before and after treatment was carried out by paired sample t-test, the results were that all variables had significant differences (P value> 0.05). Variable differences between groups using t-two independent test with an alpha of 0.05 resulted in a significant difference in appetite (P value = 0.01) and a significant difference in height (p value = 0.020). There was no significant difference between sleep quality and endurance (P value > 0.05). It was concluded that there was a significant difference before and after education on stunting, while between the bio acupressure and conventional groups there was a significant difference in the variables of appetite and height. It is recommended that in overcoming stunting, bio acupressure massage education is the right education.

scholarly journals Pengaruh Pemberian Obat Kumur Daun Sirih (Piperis betle L) terhadap kesehatan Mulut Lansia di Panti Werda Trisno Mukti

2021 ◽  
Vol 3 (2) ◽  
pp. 99-109
Author(s):  
Ellyvina Setya Dhini ◽  
◽  
Ganes L Tentipratiwi ◽  
Keyword(s):  
Oral Health ◽  
Systemic Disease ◽  
Oral Health Status ◽  
Wilcoxon Test ◽  
Health Study ◽  
Control Group ◽  
P Value ◽  
Betel Leaf ◽  
Significant Difference ◽  
Before And After

Elderly is someone who has age of 60 yearsor over and the final stage of their life phase. Complexity of oral health status, systemic disease, cognitive impairment and took medicationseveral drugs causeselderly more susceptible to dental and oral problems. Purpose of this study was to determine effect of using betel leaf mouthwash (Piperis betle L.)forelderly’soral health. Study was designed byquasi experimental method with one group pre post design technique, interventionto thesubject without control group, sample studied in31 people. Effectiveness of Betel Leaf Mouthwash (OKDS) was tested by statistical analysis of the comparative Wilcoxon test. The results of the analysis showeda significant difference between before and after the intervention with p-value 0.019 which means OKDS effective to improving the subject's oral health

PENINGKATAN KEMAMPUAN TIMBANG TERIMA PASIEN DENGAN BUDAYA KOMUNIKASI SBAR DI RUMAH SAKIT “X”BEKASI

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Dian Anggraini
Keyword(s):  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Managerial Support ◽  
Significant Difference ◽  
Communication Method ◽  
Before And After ◽  
Training Research ◽  
Communication Needs ◽  
Structured Communication

ABSTRAKKomunikasi tidak efektif dalam timbang terima pasien dapat meningkatkan kejadian medication error, membahayakan pasien, memperpanjang proses perawatan, menurunkan kepuasan pasien, memperpanjang hari rawat pasien, yang akan berdampak pada kurangnya mutu asuhan keperawatan yang diberikan pada pasien. Komunikasi dengan alur Situation, Background, Assessment, Recommendation (SBAR) adalah salah satu metode komunikasi efektif yang jelas, fokus, dan terstruktur. Tujuan penelitian adalah untuk mengidentifikasi perbedaan pengetahuan dan kemampuan perawat setelah pelatihan, desain penelitian dengan pre-eksperiment dengan pre-post tanpa kelompok kontrol, sampel penelitian seluruh Perawat Primer dan Penanggung Jawab shift  (n= 17), analisis data dengan uji t berpasangan dan uji Wilcoxon. Ada perbedaan yang bermakna rerata pengetahuan sebelum dan sesudah pelatihan (p value < 0,001), ada perbedaan yang  bermakna rerata kemampuan perawat sebelum dan sesudah pelatihan komunikasi SBAR dalam timbang terima pasien antar shift (p value < 0,001). Efektifitas pelaksanaan komunikasi SBAR perlu menjadi sebuah budaya, dan pelaksanaannya perlu ada dukungan dari pihak manajerial dan komitment perawat, dengan adanya pedoman komunikasi efektif dengan metode SBAR, motivasi, mentoring, dan supervisi, serta pengembangan pendidikan yang berkelanjutan.Kata kunci: Kemampuan, komunikasi, pengetahuan, SBAR, timbang terima  ABSTRACTIneffective communication in hand over patients can increase the incidence of medication errors, endanger patients, extend the treatment process, reduce patient satisfaction, extend patient care days, which will have an impact of the lack on quality nursing care given to patients. Communication with the groove Situation, Background, Assessment, Recommendation (SBAR) is one of the effective clear, focused and structured communication method. The objective of this  research is to identify differences in the knowledge and ability of nurses after training, research design with pre-experiment with pre-post without a control group, the study sample whole Nurses Primary and responsible shift (n = 17), data analysis with paired t test and Wilcoxon test. There is a significant difference in the average nurse's knowledge before and after training (p value <0.001), and there is a significant difference  means the ability of nurses before and after training SBAR communication in shifts handover (p value <0.001). Effective implementation of the SBAR communication needs of the managerial support and commitment of nurses, with the guidance effective methods SBAR communication, motivation, mentoring, and supervision, as well as the development of continuing education.Keywords: Abilities, Communication, handover, knowledge, SBAR

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