scholarly journals Position of Fowler and Semi-fowler to Reduce of Shortness of Breath (Dyspnea) Level While Undergoing Nebulizer Therapy

2019 ◽  
Vol 1 (1) ◽  
pp. 14
Author(s):  
Chanif Chanif ◽  
Dewi Prastika
Keyword(s):  
Risk Factor ◽  
High Risk ◽  
Total Sample ◽  
P Value ◽  
Test Design ◽  
Shortness Of Breath ◽  
Copd Patients ◽  
Standard Operating ◽  
Post Test ◽  
High Risk Factor

Chronic obstruction pulmonary disease (COPD) is a lung disease that is caused due to an obstruction in a channel the airflow that much happening in Indonesia due to the high-risk factor exposure causes the onset of COPD as the habit of smoking and an unhealthy environment. Blockage in the airway that occurs in patients of COPD is usually characterized by shortness of breath. The various ways that can be done to overcome the shortness of breath are with nebulizer therapy. Nebulizer therapy action is undertaken in accordance with standard operating procedures (SPO) already determined, in the SPO mention the position at the time of the nebulizer therapy position fowler or semi fowler. This study aims to know the effectiveness of the grant the position of Fowler and semi fowler against the scale of the COPD patient shortness of breath while undergoing therapy nebulizer. Methode of this study is a quasy experiment in two groups using pre-test and post-test design. The study was conducted in General Hospital K.R.M. T Wongsonegoro Semarang with the total sample as many as 32 patients. The analysis using Mann Whitney with p-value 0.000 (p < 0.05) so that it can be concluded that there is a difference in the average scale of shortness of breath between fowler and semi fowler while undergoing group therapy nebulizer. The analysis showed that the position of semi fowler is more effective in lowering shortness of breath when compared to the position of fowler while undergoing therapy nebulizer. This study recommended giving the semi-fowler position to reduce dyspnea in COPD patients while undergoing Nebulizervtherapy.

scholarly journals Teknik Clapping dan Vibrasi Meningkatkan Saturasi Oksigen Pasien PPOK

2020 ◽  
Vol 4 (1) ◽  
pp. 248-256
Author(s):  
Ni Made Dwi Yunica Astriani ◽  
Kadek Yudi Aryawan ◽  
Mochamad Heri
Keyword(s):  
Oxygen Saturation ◽  
Research Design ◽  
P Value ◽  
Average Weight ◽  
Test Design ◽  
Copd Patients ◽  
Post Test ◽  
The Impact

This study aims to determine the effect of clapping and vibration on oxygen saturation in COPD patients. The research design used a one-group pre-post test design. The research respondents' results in 26 COPD show the average oxygen saturation values before the intervention was 90.42 into the category of moderate hypoxemia, after a given intervention for two times a day gained an average weight of 95.00 SaO2 SaO2 into the type of standard p-value 0.000. In conclusion, most of them are male, with the lowest age of 31 years, while the respondents' highest period is 60 years. There is an effect of this value, indicating the impact of clapping and vibration on the oxygen saturation of COPD patients.   Keywords: Clapping, COPD, Oxygen Saturation, Vibration

scholarly journals PENDEKATAN PARTISIPATIF DALAM PENINGKATAN PEMAHAMAN IBU MENGENAI NEONATUS RISIKO TINGGI

2021 ◽  
Vol 7 (3) ◽  
pp. 533-543
Author(s):  
Holidah Holidah ◽  
Fenita Purnama Sari Indah
Keyword(s):  
High Risk ◽  
Health Education ◽  
Infant Mortality Rate ◽  
Control Group ◽  
P Value ◽  
Test Design ◽  
Control Group Design ◽  
Group Design ◽  
Post Test ◽  
Equivalent Control

Background: The total infant mortality rate (IMR) in Indonesia shows that the infant mortality rate in Indonesia is still relatively high when compared to ASEAN member countries, which is 4.6 times higher than Malaysia, 1.3 times more. Purpose: Analyzing the causative factors and indications for high-risk events and to analyze the increased understanding of mothers about high-risk neonates. Methods: The research was conducted in 2 stages, with quantitative research methods. In the first phase, a survey was conducted of 100 mothers who have babies and toddlers in the Pamulang Puskesmas working area. In the second phase of research, with a participatory approach, namely the provision of health education about High Risk neonates. The research design was a quasi experiment with non-equivalent control group design with pre test and post test design. A total of 27 samples were taken using purposive sampling technique. The data were processed using the Willcoxon test. Results: In this study, the results obtained were p value 0.011 (<0.05), which means that there is a difference in understanding between the pretest and posttest, there has been an increase in the average value of respondents' knowledge about high-risk neonates after health education. The mean value of maternal knowledge increased from 25.8 when the pre-test was conducted to 27.4 at the post-test. Conclusion: There are changes when after health education is carried out, the community can understand well the material providedSuggestion: health institution to increase understanding of pregnant women and mothers who have babies and toddlers in a more innovative and participatory way about the factors that cause high risk neonates and indications of high risk neonates in mothers. For the community, it can increase knowledge and insight as a reference in order to prevent the occurrence of high risk neonates in pregnant women and mothers who have babies and toddlers. Keywords: Participatory Approaches, High-Risk Neonates, Mother's Understanding ABSTRAK                                                                                                                                                        Latar Belakang: Jumlah Angka Kematian Bayi (AKB) di Indonesia menunjukan bahwa tingkat kematian bayi di Indonesia masih tergolong tinggi jika dibandingkan dengan negara-negara anggota ASEAN, yaitu 4,6 kali lebih tinggi dari Malaysia, 1,3 kali lebih.Tujuan: Penelitian bertujuan untuk menganalisis faktor penyebab serta indikasi kejadian berisiko tinggi serta menganalisis peningkatan pemahaman ibu mengenai neonatus berisiko tinggi.Metode: Penelitian dilakukan dengan 2 tahap, dengan metode penelitian kuantitatif. Pada tahap pertama dilakukan survey terhadap ibu yang memiliki bayi dan balita di wilayah kerja Puskesmas Pamulang, berjumlah 100 ibu. Pada penelitian tahap kedua, dengan pendekatan partisipatif yaitu pemberian pendidikan kesehatan mengenai neonatus Risiko Tinggi. Rancangan penelitian adalah quasi experiment dengan desain Non-equivalent Control Group Design with pre test dan post test design. Sampel diambil sebanyak 27 sampel dengan menggunakan teknik purposive sampling data diolah menggunakan Uji Willcoxon. Hasil: Pada penelitian ini diperoleh hasil bahwa diperoleh p value 0,011 (<0,05) yang berarti bahwa terdapat perbedaan pemahaman antara pretest dan posttest, telah terjadi peningkatan nilai rata-rata pengetahuan responden mengenai neonatal risiko tinggi setelah dilakukan pendidikan kesehatan. Nilai rata-rata pengetahuan ibu mengalami kenaikan dari 25,8 saat pre-test dilakukan menjadi 27,4 saat post-test.Kesimpulan:Terdapat perubahan pada saat setelah dilakukan pendidikan kesehatan, masyarakat dapat memahami dengan baik dari materi yang diberikan.Saran : bagi instansi kesehatan agar dapat meningkatkan pemahaman ibu hamil serta ibu yang memiliki bayi dan balita dengan cara yang lebih inovatif dan partisipatif tentang faktor penyebab kejadian neonatus risiko tinggi maupun indikasi kejadian neonatus risiko tinggi pada ibu. Bagi Masyarakat dapat meningkatkan pengetahuan dan wawasan sebagai acuan agar dapat mencegah terjadinya kejadian neonatus risiko tinggi pada ibu hamil serta ibu yang memiliki bayi dan balita. Kata Kunci : Pendekatan Partisipatif, Pemahaman Ibu, Neonatus Risiko Tinggi 

scholarly journals Pengaruh Pengetahuan dan Motivasi Ibu Rumah Tangga Tentang Gerakan Masyarakat Hidup Sehat (GERMAS) di Kelurahan Talang Bakung Kota Jambi

2019 ◽  
Vol 19 (3) ◽  
pp. 532
Author(s):  
Nurfitriani Nurfitriani ◽  
Ersa Anggraini
Keyword(s):  
Group Intervention ◽  
Health Workers ◽  
Sampling Technique ◽  
Total Sample ◽  
P Value ◽  
Test Design ◽  
Healthy Living ◽  
Post Test ◽  
The Government ◽  
Quantitative Descriptive

Lifesty and unhealthy  behavior can cause health problems such as hypertension, stroke and coronary heart disease. This is the background of the government launching the Movement for Healthy Living Society (Germas) which focuses on doing physical activities, consumption of vegetables and fruit, and regular health checks. The purpose of this study was to determine the effect of housewife knowledge about the Healthy Living Ccomunity Movement (GERMAS) in the prevention hypertension in Talang Bakung sub-district year 2018. This research was a quantitative descriptive study with only. pre-test and post-test design experiment test design with one group intervention only. The population of 2,210 KK, with total  sample as 20 IRT, age 21-59 years using purposive sampling technique. This research was carried out in August 2018 in Talang Bakung sub-District. study used a questionnaire, analyzed by paired t-test.The results showed the value of average knowledge before a given health education (pre test) dansetelah penkes 4.3 (post test) to 7.6. The value of average motivation before penkes (pre test) 23.55 and after penkes be 29.05. There is asignificant effect towards the knowledge and motivation of housewives about healthy living Society Movement (Germas) in hypertension prevention efforts with a p-value of 0.000. Expected role of health workers and cadres constantly improved again in providing counselling, information and education (KIE) in the form of a poster, or with leafleat outreach directly at housewives around the region binaanya with civic activities follow such as meng arisan, recitation and others so that the knowledge and motivation of housewives can be increased and conscious of the importance of maintaining healthy life patterns by living healthy Communities movement activities on a regular basis.

scholarly journals PENGARUH STRATEGI PELAKSANAAN KOMUNIKASI TERAPEUTIK TERHADAP RESIKO PERILAKU KEKERASAN PADA PASIEN GANGGUAN JIWA DI RUMAH SAKIT JIWA PROVINSI JAMBI

2018 ◽  
Vol 7 (2) ◽  
pp. 138
Author(s):  
Vevi Suryenti Putri ◽  
Restia Mella N ◽  
Salvita Fitrianti
Keyword(s):  
Violent Behavior ◽  
Sampling Technique ◽  
Total Sample ◽  
P Value ◽  
Test Design ◽  
Therapeutic Communication ◽  
Inpatient Ward ◽  
Post Test ◽  
Patients At Risk ◽  
Schizophrenic Patients

Schizophrenic patients such as violent behavior violent behavior is a form of behavior that aims to injure a person physically and psychologically. To overcome violent behavior in schizophrenic patients it is necessary to take anticipatory strategies, in the form of therapeutic communication. The purpose of this study is to see whether there is an effect of therapeutic communication therapy on patients at risk of violent behavior in the Inpatient Room of Jambi Provincial Hospital. The study was conducted on 12-19 July 2018. The research design used was pre-experimental design with one group pre-test and post-test design. Respondents in this study were all schizophrenic patients with a risk of violent behavior in the inpatient ward of the Regional Psychiatric Hospital of Jambi Province as many as 98 people with a total sample of 20 respondents. Data collection was done by proportional random sampling technique. The results showed that before therapeutic communication therapy was known, most respondents had poor behavior (maladaptive) with a mean of 40.50, and therapeutic communication therapy was known to increase the score of behavior better (adaptive) with mean 43.90. The results showed that there was a significant effect of therapeutic communication therapy in addressing the problem of violent behavior in schizophrenic patients with a p-value of 0.013 (p-value <0.05).

scholarly journals Relaksasi Pernafasan dengan Teknik Ballon Blowing terhadap Peningkatan Saturasi Oksigen pada Pasien PPOK

2020 ◽  
Vol 3 (2) ◽  
pp. 426-435
Author(s):  
Ni Made Dwi Yunica Astriani ◽  
Putu Indah Sintya Dewi ◽  
Kadek Hendri Yanti
Keyword(s):  
Oxygen Saturation ◽  
Study Design ◽  
P Value ◽  
Test Design ◽  
Copd Patients ◽  
Post Test ◽  
The Mean ◽  
Age Range

The purpose of this study was to determine the effect of respiratory relaxation with the ballon blowing technique on increasing oxygen saturation in COPD patients. The study design used a one group pre-post test design. The results of the 30 COPD respondents showed the gender prevalence of the majority of male respondents 73.3% with an average age of 61.87 with an age range of 45-80 years, the mean (pre-test) was 89, 27 and the post-test mean is 94.53 with a p-value of 0,000. Conclusions, there Is An Influence of breathing relaxation with ballon blowing technique on increasing oxygen saturation in COPD patients in RSUD Buleleng Regency.   Keywords: Increased Oxygen Saturation, COPD, Ballon Blowing Technique

scholarly journals Pengaruh Intervensi Strategi Pelaksanaan Keluarga terhadap Pengetahuan dan Kemampuan Keluarga dalam Merawat Klien Skizofrenia dengan Halusinasi

2019 ◽  
Vol 3 (1) ◽  
pp. 405-415
Author(s):  
Susilawati Susilawati ◽  
Larra Fredrika
Keyword(s):  
Experimental Method ◽  
Implementation Strategy ◽  
Total Sample ◽  
P Value ◽  
Test Design ◽  
The Family ◽  
Post Test ◽  
Quasi Experimental

This study aims to determine the effect of family implementation strategy interventions on family knowledge and ability to care for Schizophrenia clients with hallucinations in RSKJ Soeprapto Bengkulu. This study uses a quasi-experimental method with a one-group pre-test and post-test design, with a total sample of 15 respondents. The results of the analysis proved that there was an influence of implementation strategy interventions on family knowledge and abilities (p value = 0,000). Conclusion, family implementation strategy interventions are very important to note and must be implemented as a form of intervention to improve family knowledge and abilities in caring for Schizophrenia clients, so clients who have returned home can be cared for properly and correctly by the family, and the family can immediately decide for clients to get treatment again if there is a recurrence. Keywords: Family, Schizophrenia, Hallucinations, Implementation Strategy

scholarly journals The Influence of Personal Hygiene Education in Elderly At Banjar Pemalukan Desa Peguyangan

2017 ◽  
Vol 4 (2) ◽  
pp. 101-114
Author(s):  
Desi Nopitasari ◽  
AA Istri Putra Kusumawati ◽  
Ika Setya Purwanti
Keyword(s):  
Total Sample ◽  
Personal Hygiene ◽  
Rank Test ◽  
P Value ◽  
Test Design ◽  
Research Use ◽  
Signed Rank ◽  
Post Test ◽  
Signed Rank Test ◽  
Hygiene Education

Personal Hygiene is  very important for prevention  diseases,  Personal Hygiene in Elderly, including hair, mouth and teeth, and genetalia. To get a good and right Personal Hygiene, needs good knowledge. The purpose of this research is to know The Influence of Education to Personal Hygiene elderly at Banjar Pemalukan Desa Peguyangan in 2017. Method :This research use One Group Pre-Post test Design. Total sample is about 43 elderly at Banjar Pemalukan Desa Peguyangan . Result : The result of the research shows that before researcher give the Personal Hygiene Education, gets 7 elderly that less knowledge about the Personal Hygiene, and 36 elderly that has enough knowledge about the Personal Hygiene. After researcher give the Personal Hygiene Education, gets 7 elderly that still enough knowledge about the Personal Hygiene and 27 elderly that has better knowledge about the Personal Hygiene. The result of the behavior after researcher give the education, 16 elderly shows good behavior personal hygiene. Discussion : Based on Wilcoxon Signed Rank Test gets p-value=0.000 means that there are an influence of Personal Hygiene Education in elderly At Banjar Pemalukan Desa Peguyangan .

scholarly journals AKUPRESUR TERHADAP PRODUKSI ASI PADA IBU POST PARTUM

1930 ◽  
Vol 8 (01) ◽  
pp. 73-77 ◽  
Author(s):  
Nur Djanah ◽  
Wafi Nur Muslihatun
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Post Partum ◽  
Total Sample ◽  
P Value ◽  
Test Design ◽  
Average Birth Weight ◽  
Post Test ◽  
Independent Variable ◽  
The Difference

Background: Breast feeding is one important pillars for babies because breast milk is the best nutrition for newborn up to 6 months old. Riskesdas data in 2013 showed that only 34.5% baby in Indonesia who are breastfeed exclusively, the meaning that there are stil about 2/3 of babies in Indonesia who less likely to get breast milk. The lack of production of breast milk is one of the obstacles in breast feeding exclusively. Acupressure is one of the non-pharmacologicalapproach, to improve the production of breast milk. Purpose: To describes the effect of acupressure to improve the production of breast milk with the indicators were baby weigh and the frequency of urinary. Methods: The design used was quasy experiment with pre and post test design. Total sample is 30. The sampling techniques with accidental sampling. Data was analyzed with Friedman test and followed by Willcoxon test. The independent variable waspostpartum mother and dependent variablle was the production of milk with the indicators were baby weight and the frequency of urinary. Instrument was using questionaire and observation sheet Results: The average birth weight was 3195 gram and the average of urinary was 6 times on the first day of newborn. Both indicators above was increased during the 2 and 4 weeks of born. The result of bivariat analysis showed there are the difference of weight with p value: 0,001 and the difference of frequency of urinary with p value: 0,001. Summary: That accupresure affects on breats milk production with the indicator of the baby wight and frequency of urinary.

NILAI ANKLE BRACHIAL INDEX PADA PENDERITA DIABETES MELITUS TIPE 2 SESUDAH MELAKUKAN BUERGER ALLEN EXERCISE DI PUSKESMAS WILAYAH KECAMATAN NGANJUK

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Supriyadi . ◽  
Nurul Makiyah ◽  
Novita Kurnia Sari
Keyword(s):  
Ankle Brachial Index ◽  
Control Group ◽  
P Value ◽  
Test Design ◽  
Purposive Sampling ◽  
Paired Samples ◽  
Post Test ◽  
Diabetes Melitus

<p><em>Buerger Allen Exercise</em> mampu meningkatkan pemakaian glukosa oleh otot yang aktif sehingga glukosa dalam darah dapat menurun, dapat membantu mencegah terjadinya penyakit arteri perifer, serta meningkatkan aliran darah ke arteri dan berefek positif pada metabolisme glukosa. Penelitian ini bertujuan untuk mengetahui nilai <em>ankle brachial index</em>pada penderita diabetes melitus tipe 2setelah melakukan <em>Buerger Allen exercise</em>. Jenis penelitian ini adalah <em>quasy-experiment </em>dengan<em> pre-post test design with control group</em><em>.</em> Jumlah sampel 60 penderita diabetes melitus tipe 2 dengan <em>purposive sampling</em>, dibagi menjadi 2 kelompok yaitu kelompok perlakuan dan kelompok kontrol. Responden kelompok perlakuan diberikan intervensi <em>Buerger Allen exercise</em> sebanyak 12 kali  selama 15 hari.Penelitian dilakukan di wilayah Puskesmas Kecamatan Nganjuk.Data hasilpengukuran nilai <em>ankle brachial index</em>berupa ratio dan diuji statistik dengan <em>Paired Samples Test</em>. Didapatkan <em>p value</em> 0.001 untuk kelompok perlakuan (<em>p value</em>&lt; 0.05) yang menunjukkan bahwa adanya perubahan bermakna secara statistik nilai <em>ankle brachial index</em> sesudah melakukan <em>Buerger Allen exercise</em>. Dapat disimpulkan bahwa nilai <em>ankle brachial index</em>pada penderita diabetes melitus tipe 2 meningkat sesudah melakukan <em>Buerger Allen exercise</em>.</p><p> </p><p> <strong>Kata kunci :penderita diabetes melitus tipe2, <em>Buerger Allen Exercise, Ankle brachial index</em></strong></p><p> </p>

Foot Massage Menurunkan Nyeri Post Operasi Sectio Caesarea Pada Post Partum

2020 ◽  
Vol 6 (2) ◽  
pp. 164-170
Author(s):  
Dewi Nurlaela Sari ◽  
Aay Rumhaeni
Keyword(s):  
Daily Living ◽  
Rating Scale ◽  
Post Partum ◽  
Numeric Rating Scale ◽  
Sectio Caesarea ◽  
P Value ◽  
Test Design ◽  
Purposive Sampling ◽  
Post Test ◽  
Numeric Rating

ABSTRAK Sectio caesarea merupakan tindakan alternatif dalam proses persalinan untuk menyelamatkan ibu dan janin. Ibu Bersalin dengan operasi sectio caesarea dilakukan pembedahan pada dinding abdomen dan dinding rahim. Dampak yang paling sering muncul dirasakan oleh postpartum dengan post operasi sectio caesarea adalah  nyeri. Nyeri akan berdampak pada bounding attachment terganggu, mobilisasi terbatas, Activity Daily Living (ADL) terganggu serta berpengaruh  terhadap Inisiasi Menyusui Dini (IMD). Asuhan yang diberikan terbatas pada terapi farmakologi dibandingkan  non farmakologi. Foot massage adalah salah satu terapi non farmakologi yang dapat membantu menutup gerbang di posterior horns dari sumsum tulang belakang dan memblokir bagian dari nyeri ke sistem saraf pusat. Tujuan penelitian ini untuk mengetahui pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea di RS AMC. Penelitian ini merupakan penelitian pre eksperimen dengan pendekatan one group pre test post test design. Jumlah sampel yang digunakan berjumlah 27 orang dengan menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Numeric Rating Scale (NRS) dan prosedur kerja foot massage. Responden dilakukan foot massage selama 20 menit selama 2 hari. Data di analisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan lebih dari setengah klien post operasi sectio caesarea berada di skala nyeri 6 sebelum dilakukan foot massage dan hampir setengah memiliki skala nyeri 3 sesudah dilakukan foot massage dan didapatkan nilai p value = 0.000, sehingga disimpulkan ada pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea. Diharapkan rumah sakit dapat menjadikan foot massage sebagai salah satu alternatif manajemen non farmakologi dalam penanganan nyeri.   Kata kunci: Foot Massage; Post Partum; Nyeri; Sectio Caesarea      

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