scholarly journals Peningkatan Pengetahuan, Kepuasan dan Penurunan Sisa Makanan Pasien Hipertensi Akibat Konseling Gizi

2020 ◽  
Vol 3 (2) ◽  
pp. 50
Author(s):  
Dewi Ima Fatmawati ◽  
Arindra Nirbaya ◽  
Yahmi Ira Setyaningrum

Hipertensi sering diderita oleh orang Indonesia. Prevalensi hipertensi harus diatas, karena menimbulkan komplikasi yang membahayakan jiwa. Alternatif solusi melalui konseling gizi. Penelitian ini bertujuan untuk menganalisis pengaruh konseling gizi terhadap pengetahuan, kepuasan dan sisa makanan pasien hipertensi di RSU Mitra Delima Bululawang Malang. Desain penelitian one group pre-post-test yang mengukur tingkat pengetahuan, tingkat kepuasan dan sisa makanan pasien  sebelum konseling gizi dan setelah konseling gizi. Sampel berjumlah 16 pasien yang diukur tingkat pengetahuan dan kepuasan dengan menggunakan kuesioner. Sisa makanan diukur dengan metode comstock, Analisis bivariat yang digunakan untuk variabel tingkat pengetahuan dan kepuasan yaitu uji paired t-test, sedangkan sisa makanan adalah uji Willcoxon signed rank test. Konseling gizi mampu meningkatkan pengetahuan sebesar 37,5%, dengan nilai pre tes 48,7% dan post tes 86,2%. Tingkat kepuasan aroma, bumbu, tekstur dan kematangan juga meningkat setelah konseling gizi. Sisa makanan lauk hewani, lauk nabati, sayuran meningkat setelah konseling gizi. Persentase sisa makanan sayuran rata – rata sebelum konseling gizi sebesar 53,8% dan setelah konseling gizi sebesar 19,3%. Berdasarkan hasil penelitian dapat disimpulkan bahwa konseling gizi mampu meningkatkan pengetahuan, kepuasan, dan menurunkan makanan sisa di piring pasien RSU Mitra Delima.

2020 ◽  
Vol 14 (1) ◽  
pp. 65-75
Author(s):  
Abubakr Hassan ◽  
Dingfa Huang ◽  
Elhadi K. Mustafa ◽  
Yahaya Mahama ◽  
Mohamed A. Damos ◽  
...  

AbstractThe evaluation of geoscience data is a far-reaching topic which cannot be systematically covered. The purpose of inferential statistics is to harness useful information from data for making decisions. This paper conducts in-depth statistical study for the Bursa-Wolf and Molodensky Badekas models of the three-dimensional transformation parameters. We also considered the combined and observation equations scenarios of these methods for the comparative study. Four key indicators are conducted to evaluate the performance of the two transformation models according to the residual results. These include root mean square error (RMSE), paired t-test, Wilcoxon signed-rank test and the Cohen’s d effect size measure. RMSE evaluation is based on the mean difference between model estimates and observed values. The correlations in the model results is investigated based on paired t-test. Wilcoxon signed-rank test assesses the statistical significance of the model’s paired differences. To estimate the effect size of the performance differences, Cohen’s d measures are computed. Further, the residuals of the estimated parameters are plotted according to their respective control points. The inference results of these tests generally show that Badekas transformation approach is more precise than Bursa-Wolf. Specifically, Badekas combined case is the most precise, followed by its observation case, then Bursa-Wolf combined and finally its observation case is the least performing model. The application of various data analysis and statistical verifications make the task of data interpretation and best model selection easier.


2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 208-208
Author(s):  
Mary Elizabeth Megan ◽  
John Scott Maul ◽  
Lauren Ashley Olson ◽  
Jennifer Lynn Pogodzinski ◽  
Maharaj Singh

208 Background: A majority of (80–100%) of patients with cancer report cancer-related fatigue. Physical activity has shown to be an effective intervention for cancer-related fatigue. The cancer rehabilitation team at Aurora Health Care’s Aurora Medical Center Grafton initiated the Exercise for Cancer Recovery Program (ECRP) in order to have a greater impact on the quality of life of their patients. ECRP was an individualized exercise program taking place in a group setting with other cancer survivors under the supervision of healthcare professionals. The program was open to patients with all types and stages of cancer, including patients in active treatment as well as those who completed treatment. The aim of the study was to determine if participation in ECRP reduces cancer-related fatigue. Methods: Upon referral and/or clearance from the patient’s oncologist/advanced practitioner, the patient was evaluated by a physical therapist and placed on an individualized exercise program. ECRP ran twice per week for an hour. Patients followed and filled out an exercise log. During each session, the supervising health care professionals circulated throughout the class, providing individual guidance as appropriate to ensure safe participation and motivation. Baseline data on fatigue was obtained for each patient upon the initial session and monthly thereafter using the Brief Fatigue Inventory Outcome Measurement tool (BFI) over a 12-month period dating from January to December 2017. Twenty-seven patients participated in ECRP. Not all patients attended all exercise sessions or completed BFI every month. The minimum fatigue score was determined and compared with the initial score utilizing a paired t-test and signed rank test. Results: Data was obtained and analyzed utilizing a paired t-test and a signed rank test to evaluate the significance of BFI scores obtained between the initial and minimum score. There was a significant reduction in the Total Brief Fatigue score (P-value < 0.001). Conclusions: An exercise program resulted in a significant reduction in cancer-related fatigue with improved patient outcomes and patient satisfaction.


2020 ◽  
Vol 3 (2) ◽  
pp. 105
Author(s):  
Retna Eka Dewi ◽  
Sulistyo Emantoko Dwi Putra ◽  
Lisa Aditama ◽  
Heru Wijono

Prevalensi diabetes melitus yang semakin meningkat setiap tahunnya cenderung meningkatkan risiko komplikasi dan kematian akibat diabetes melitus itu sendiri. Tujuan penelitian ini adalah untuk mengetahui pengaruh edukasi perubahan gaya hidup sehat terhadap clinical outcome (parameter klinis) pada pasien di Rumah Diabetes Universitas Surabaya. Rancangan penelitian menggunakan one group pretest-posttest yang diikuti oleh 27 subjek diabetes melitus di Rumah Diabetes Universitas Surabaya. Seluruh subjek diberikan edukasi (intervensi) dengan perangkat piring sehat dengan durasi 4 minggu. Pengukuran clinical outcome dilakukan terhadap gula darah puasa, indeks massa tubuh (IMT), lingkar perut, dan tekanan darah. Uji statistika yang digunakan adalah Wilcoxon signed rank test dan paired t-test. Hasil penelitian menunjukkan bahwa edukasi perubahan gaya hidup sehat berpengaruh signifikan terhadap penurunan gula darah puasa (p<0,001), indeks massa tubuh (p=0,005), lingkar perut (p=0,005), tekanan darah sistolik (p=0,013), namun tidak signifikan terhadap tekanan darah diastolik (p=0,247). Dapat disimpulkan bahwa edukasi perubahan gaya hidup sehat berpengaruh terhadap gula darah puasa, indeks massa tubuh, lingkar perut, dan tekanan darah sistolik. Keterbatasan dalam penelitian ini adalah keikutsertaan penderita diabetes melitus yang sedikit serta tidak adanya kelompok kontrol sebagai pembanding.


2019 ◽  
Vol 1 (1) ◽  
pp. 19-26
Author(s):  
Laura M. Czerkies ◽  
Kristen L. Finn ◽  
Brian D. Kineman ◽  
Heidi A. Reichert ◽  
Sarah S. Cohen ◽  
...  

This study evaluated the impact of switching exclusively formula-fed infants with caregiver-perceived formula intolerance to a reduced lactose, partially hydrolyzed 100% whey-based formula (PHF-W) with Lactobacillus reuteri and 2-fucosyllactose. Infants identified as ‘very’ or ‘extremely’ fussy by caregivers were eligible for this single-arm, single-blind study. Subjects switched their current formula to study formula for three weeks. Gastrointestinal tolerance was assessed by the Infant Gastrointestinal Symptom Questionnaire (IGSQ) at baseline and end of the study. Caregivers ranked their infants’ fussiness (not at all, slightly, moderately, very, extremely) after the first three feedings of study formula and 24 hours after enrollment. A paired t-test was used to compare the change in IGSQ score, and a paired t-test and Wilcoxon signed rank test were used to compare post-feeding fussiness scores to baseline. Fifty infants (mean±std age 28.9±14.5 days) were enrolled; 41 completed the study per protocol. Mean (±std) baseline IGSQ score was 34.9±10.0, dropping to 22.1±7.5 after three weeks (p < 0.001). 48/50 (96%) caregivers stated their infants’ fussiness improved after 24 hours, and 2 (4%) remained the same. 42/46 (91%) caregivers stated their infants’ fussiness improved after the first feeding, and 4 (9%) remained the same. Caregiver-ranked fussiness significantly improved after the first, second, and third feedings and after 24 hours as compared to baseline (p < 0.001 for all). IGSQ scores significantly improved after three weeks of feeding with PHF-W containing Lactobacillus reuteri and 2-fucosyllactose in infants with caregiver-perceived intolerance, and improvements in fussiness were noted as quickly as after the first feeding.


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Muhammad Iskandar

Latar Belakang. Rokok mengandung bermacam-macam zat kimia yang sebagian besar dari  zat tersebut adalah zat beracun. Beberapa diantaranya adalah nikotin dan CO, Nikotin dan CO mampu memengaruhi berbagai aktivitas didalam tubuh seperti aktivitas saraf simpatis, memengaruhi jumlah Nitrit Oksida, hingga bersaing dengan Oksigen dalam berpasangan dengan Haemoglobin didalam tubuh. Penelitian ini bertujuan untuk mengetahui pengaruh dari merokok terhadap perubahan akut tekanan darah seseorang. Objektif. Mengetahui perbedaan tekanan darah sebelum dan setelah merokok Metode. Penelitian ini merupakan penelitian eksperimental dengan desain one group pre test-post test. Sampel pada penelitian ini adalah mahasiswa laki-laki jurusan teknik mesin Universitas Andalas yang sudah merupakan perokok aktif sejak sebelum penelitian ini dilakukan.  Pengambilan sampel dilakukan dengan metode consecutive sampling, dan didapatkan jumlah sampel sebanyak 25 orang. Analisis data dilakukan menggunakan analisis univariat untuk mengetahui karakteristik sampel dan analisis bivariat dilakukan dengan tujuan untuk mengetahui ada atau tidaknya pengaruh akut dari merokok terhadap tekanan darah. Analisis bivariat dilakukan menggunakan Paired Sample T Test dan Wilcoxon Signed Rank Test. Hasil analisis bivariat ini dikatakan bermakna jika nilai p yang diperoleh < 0,05. Hasil. Hasil dari penelitian ini didapatkan perbedaan yang bermakna pada tekanan darah sebelum merokok dengan tekanan darah setelah merokok, ini ditunjukkan oleh perolehan nilai p yang <0,05 yaitu sebesar 0,001 pada tekanan darah sistolik dan 0,040 pada tekanan darah diastolik. Kesimpulan. Kesimpulan dari penelitian ini adalah terdapatnya pengaruh dari merokok terhadap perubahan akut tekanan darah. Kata kunci:  merokok, tekanan darah


2002 ◽  
Vol 36 (3) ◽  
pp. 416-422 ◽  
Author(s):  
Michael B Kays ◽  
Melissa A Graff

OBJECTIVE: To compare broth microdilution and E-test minimum inhibitory concentrations (MICs) of 4 fluoroquinolones against Streptococcus pneumoniae and to determine the effect of these in vitro MIC methods on the calculation of AUC0–24/MIC ratios. METHODS: Levofloxacin, gatifloxacin, moxifloxacin, and gemifloxacin MICs were determined by broth microdilution (incubated in air) and E-test (incubated in CO2) for 100 clinical isolates of S. pneumoniae. MIC50, MIC90, and geometric mean MIC were calculated. Steady-state serum concentration—time profiles were simulated for once-daily, oral dosing of levofloxacin 500 mg, gatifloxacin 400 mg, moxifloxacin 400 mg, and gemifloxacin 320 mg. After correcting for protein binding, AUC0–24 of unbound drug was calculated for each regimen, and AUC0–24/MIC ratios were calculated using MIC data from both in vitro methods. Differences in MICs between methods were determined for each agent using the paired t-test (after logarithmic transformation of MICs) and the Wilcoxon signed-rank test. Differences in AUC0–24/MIC ratios were also determined using the paired t-test and the Wilcoxon signed-rank test. The level of significance for all analyses was p < 0.05. RESULTS: Broth microdilution and E-test MICs were within ± 1 log2 dilution for 94%, 93%, 61%, and 35% of the isolates for levofloxacin, gatifloxacin, moxifloxacin, and gemifloxacin, respectively. Broth microdilution MICs were significantly lower than E-test MICs for all 4 agents (p < 0.001). However, a categorical change in susceptibility was seen for only 1 isolate with gatifloxacin and moxifloxacin (intermediate by broth microdilution, resistant by E-test). AUC0–24/MIC ratios were significantly higher for each regimen when MICs were determined by broth microdilution compared with E-test (p < 0.001). CONCLUSIONS: There is a significant difference in the activity of the newer fluoroquinolones against S. pneumoniae when MICs are determined by broth microdilution and E-test. When evaluating fluoroquinolone activity and pharmacodynamics against this organism, clinicians must be aware that MIC testing methodology may have a significant impact on the results.


2015 ◽  
Vol 5 (2) ◽  
Author(s):  
Wiwik Afridah

Mother’s knowledge has great affect to the nutritional status of the infants, because mother has a big role in providing the food in the family. That Knowledge was heavily influenced by social circumstances of the family's such as lack of family income that may affect the mother's in providing the food in the family. The research objective is to examine the effect of nutrition education intervention on body weight of malnutrition infants in RW 07 Wonokromo, Surabaya. This study uses a pre-experimental study design with pre-post test type approach. The subjects were children aged six months to five years who are malnutrition and poor nutrition, with indexes BW/U is less than Z score, located in Wonokromo Village, Surabaya. Sampling techniques in a study conducted by simple random sampling. Analysis of differences nutritional status of children before and after giving of nutrition education were tested by paired t test (paired t test) and differences of mother’s knowledge before and after giving of nutrition education were tested by Wilcoxon signed rank test. Results of statistically tests by using a paired t-test obtained P Value (0.108) > α (0.05) means there is no different on giving of nutrition education intervention on weight infants in the RW. 07 Wonokromo Village, Surabaya. Results of statistically tests by using the Wilcoxon signed rank test obtained P Value (0.157) > α (0.05) means there is no different on giving of nutrition education intervention on parent’s knowledge level of a toddler in the RW. 07 Wonokromo Village Surabaya. Required planning and strategies to change behavior and awareness of nutrition and health. Using 4P concept for viewpoint of trainers/educators and 4C for viewpoint of participants or trained, and performed by ABC approach (Advocacy, Situation control and the Movement Atmosphere/mobilization).


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Ferawato Ferawati

ABSTRAKReumatoid Artritis (RA) merupakan penyakit muscoloskelektal yang sering terjadi pada usia lanjut. Gangguan pada system muscoloskelektal yang ditandai dengan munculnya nyeri sendi dan kekakuan yang mengakibatkan penurunan kemampuan fisiologis atau kualitas hidup lansia. Dampak dari Reumatoid Artritis dapat menimbulkan beberapa keluhan dan dapat menyebabkan kelumpuhan. Untuk menganalisis efektifitas kompres jahe merah hangat dan kompres serai hangat terhadap penurunan intensitas nyeri artitris remauthoid pada lanjut usia.Metode Penelitian: Jenis penelitian adalah quasy experimental dengan two group pre – post test design. Subjek adalah sebagian lansia yang penderita Arthritis Remathoid di Desa Sumberagung Kecamatan Dander Kabupaten Bojonegoro. Subjek dibagi menjadi dua kelompok yaitu kelompok I (n=15) diberi perlakuan kompres jahe hangat dan II (n=15) diberi perlakuan kompres serai hangat. Analisis yang digunakan uji Mann Whitney U Test dan Wilcoxon Signed Ranks Test dengan ingkat kemaknaan α = 0,05.Hasil uji Wilcoxon Signed Rank Test, didapat keduanya mempunyai nilai kemaknaan yaitu ρ value = 0,000. Nilai ρ = 0,031 pada kelompok kompres serai hangat dan kelompok kompres jahe merah ρ value = 0,165. Hasil uji Mann Withney U Test pada Post perlakuan kedua terapi diperoleh selisih nilai nyeri pada kompres jahe ρ= 0,003 dan selisih nilai nyeri kompres serai ρ value = 0,001.Penggunaan kompres jahe merah lebih efektif dibandingkan dengan kompres serai terhadap penurunan intensitas nyeri arthritis remathoid. Kata Kunci: usia lanjut, Reumatoid Artritis (RA), jahe merah, serai, perbedaan efektifitas.    ABSTRACTReumatoid Artritis (RA) is a musculoskeletal which frequently occurs in the elderly. The disorders in the musculoskeletal system are noted by the occurrence of pain in the joints and stiffness which reduces the physiological abilities or life quality of the elderly. The disease causes many such complaints and  consequences of the disease rheumatoid arthritis may experience paralysis. The aims of this study is to analyze the effect of warm red ginger compress therapy and warm lemongrass compress therapy against of  Decreased pain intensity in  the elderly  with  artitris remauthoid. The study was Queasy experimental with two group pre – post test design. Subjects were some elderly people with Arthritis Remathoid in Sumberagung Village, Dander Sub District, Bojonegoro District. Subjects were divided into two groups: group I (n-15) with warm ginger compress therapy, and II (n=15) with warm lemongrass compress therapy. The analyses used in this study were the Mann Whitney U Test and Wilcoxon Signed Ranks Test with α of 0.05. Results of Wilcoxon Signed Rank Test obtained Both have meaning p value of  0.000. ρ value = 0,031 in a warm lemongrass compress therapy group and obtained of warm ginger compress therapy group ρ value = 0,165. The results of Mann Withney U Test on Post treatment second therapy, obtained difference of warm ginger compress therapy with ρ value= 0,003 and difference of warm lemongrass compress therapy with ρ value = 0,001.The use of warm ginger compresses therapy are more effective than a warm lemongrass compress therapy against decreased pain intensity in  the elderly  with  artitris remauthoid.  Keywords: elderly, artitris remauthoid, red ginger, lemongrass, differences in effectiveness


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