scholarly journals Efektivitas Exercise Intradialisis Menggunakan Barbell dan Range of Motion (ROM) terhadap Adekuasi Hemodialisa pada Pasien Penyakit Ginjal Kronik

2019 ◽  
Vol 2 (2) ◽  
pp. 189-200
Author(s):  
Yestiani Norita Joni ◽  
Busjra M Nur ◽  
Fitrian Rayasari
Keyword(s):  
Chronic Kidney Disease ◽  
Standard Deviation ◽  
Range Of Motion ◽  
Intervention Group ◽  
Control Design ◽  
P Value ◽  
Significant Difference ◽  
Post Test ◽  
The Difference ◽  
Keywords Hemodialysis

The purpose of this study is to know the effectiveness of intradialysis exercise using barbells and Range of Motion (ROM) on the adequacy of hemodialysis in patients with chronic kidney disease in the hemodialysis room of RSIJ Sukapura in 2018. The design of this study uses a design with non-probability pre and post test two groups without control design . The result of the difference in the effectiveness of the adequacy values between the two intervention groups after the intervention was given was the barbell intervention obtained 1,33 with a standard deviation of 0.485, an error standard of 0.114. Whereas in the ROM intervention group 1.67 the standard deviation was 0.485, the standard error was 0.114 and the p-value was 0.047 (> 0.05). Conclusion, there was no significant difference in the value of hemodialysis adequacy between the barbellROM intervention groups after the intervention.   Keywords: Hemodialysis Adequacy, Barbell, Exercise Effectiveness, Intradialysis, Range Of Motion (ROM)

scholarly journals PENGARUH SIT STRETCHING TERHADAP PERUBAHAN SKALA NYERI PUNGGUNG BAWAH PADA KARYAWAN DI PT. RIFAN FINANCINDO BERJANGKA CABANG SEMARANG

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Gamalia Anggriya Dwi Putra ◽  
Asti Nuraeni ◽  
Mamat Supriyono
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Intervention Group ◽  
P Value ◽  
Research Subjects ◽  
Lower Back ◽  
Group Research ◽  
Significant Difference ◽  
Post Test ◽  
Female Employees

Lower back pain is one of musculoskeletal disorder in the shape of pain in the back bone, to be exact is in the forth lumbar to the first sacrum. It is caused by the not appropriate posture (not ergonomic) while working or doing the activities, such as very long standing or sitting. This complaint can be reduced by sit stretching regularly. The aim of this study is to find out impact of sit stretching towards the changes of scale of lower back pain on employees at PT. Rifan Financindo Berjangka Branch Semarang. The method of research is quasy experiment designed in pre test and post test with compare group. Research subjects are 30 male and female employees. Sample taking uses total sampling. Statisitic test utilizes Mann Whitney with level of meaning (α=0,05). The result of pre test statisitc test is p-value = 0,467 (> 0,05), it means that  there is no significant difference scale of lower back pain between intervention group and compare group  before performing sit stretching to intervention  group. The post test statisitic the result is p-value = 0,001 (> 0,05), it means there is a significant difference scale of lower back pain at intervention group with compare group after performing sit stretching on the intervention group. Based on result of p-value on post test can be concluded that there is an impact of sit stretching towards the changes in scale of lower back pain on the employees at PT. Rifan Financindo Berjangka Branch Semarang.

scholarly journals Pengaruh latihan range of motion (ROM) ankle terhadap pencegahan terjadinya neuropati dan angiopati pada klien diabetes melitus

2019 ◽  
Vol 13 (3) ◽  
pp. 263-269
Author(s):  
Djunizar Djamaludin ◽  
Setiawati Setiawati ◽  
Rika Yulendasari
Keyword(s):  
Range Of Motion ◽  
Intervention Group ◽  
Exercise Program ◽  
Home Exercise ◽  
Control Group ◽  
P Value ◽  
Purposive Sampling ◽  
Foot Injury ◽  
Post Test ◽  
And Control

The effect of range motion (ROM) ankle exercise on prevention of neuropathy and angiopathy in patient with diabetes mellitusBackground: Based on data from Basic Health Research (2013) conducted by the Indonesian Ministry of Health in a way to obtain the proportion of DM at the age of 15 years and over, confirmed / checked whether or not they suffer from DM or not.It was found that Lampung Province was ranked as the 8th largest DM person from 33 provinces throughout Indonesia, with DM patients with 38,923 lives and 5,560 people. One complication that needs attention is diabetes foot injury and it can cause amputation. The most common cause of diabetes foot injury is peripheral neuropathy which includes damage to sensory, autonomic and motor nerves.Purpose: The purpose of this study was to determine the effect of Range of Motion (ROM) ankle exercise on prevention of neuropathy and angiopathy on diabetes patients.Methods: A quasi experimental pre and post- test with control group study design was employed. The purposive sampling with 26 participants (13 respondents intervention group and 13 respondents control group) were recruited. The interventions groups performed ROM ankle exercise in their own respective training programs for 4 weeks, whereas no training was done in the control group. Both groups intervention and control, before and after the exercise program were measured with monofilament test for neuropathy and Venous Doppler for angiopathy. The data analysis was using t-test.Results: In the intervention group there were a significant improvements after ROM ankle exercise on prevention of neuropathy with p Value 0.000 and for angiopathy with p Value 0.000. There were significant different between intervention group and control group for neuropathy (p: .004) and angiopathy (p: .031).Conclusion: To prevent neuropathy and angiopathy on diabetes patients a home exercise program with Range of Motion (ROM) ankle could be implementedKeywords: Range of Motion; Neuropathy; Angiopathy; Diabetes MellitusPendahuluan: Berdasarkan Riskesdas tahun 2013 oleh Kemenkes RI dengan melakukan wawan cara untuk mendapatkan proporsi DM pada usia 15 tahun keatas yaitu proporsi penduduk yang terdiagnosis menderita DM dan penduduk yang belum pernah didiagnosis menderita DM. Provinsi Lampung menduduki peringkat ke – 8 penyandang DM terbesar dari 33 Provinsi diseluruh Indonesia, 38.923 jiwa dan 5.560 jiwa . Salah satu komplikasi yang harus mendapat perhatian yaitu luka kaki diabetes karena dapat mengakibarkan amputasi. Penyebab terbanyak dari luka kaki diabetes yaitu neuropati perifer yang meliputi kerusakan syaraf sensorik, otonom dan motorik.Tujuan: Diketahui pengaruh Range Of Motion (ROM) Ankle terhadap pencegahan terjadinya Neuropati dan Angiopati pada pasien Diabetes Melitus.Metode: Penelitian ini mengunakan desain quasi eksperimen pre post test dengan kelompok control dan intervensi..Sampel diambil dengan menggunakan tehnik Purposive Sampling dengan jumlah sampel yaitu 26 responden. Instrument penelitian ini  menggunakan 10 gr semmens weinstein monofilament untuk  mendeteksi  Neuropati dan  Venous Doppler  Ultrasound untuk  mendeteksi angiopati. Hasil: Menunjukkan adanya pengaruh latihan Range of Motion (ROM) Ankle terhadap pencegahan neuropati dengan p Value 0.000 dan angiopati dengan p Value 0.000. Terdapat perbedaan bermakna antara kelompok intervensi dan control untuk neuropati (p: .004) dan  angiopati  (p: .031).Simpulan: Untuk mencegah terjadinya neuropati dan angiopati pada penderita DM untuk dapat melakukan latihan Range of Motion (ROM) Ankle  dirumah

scholarly journals Effect of Problem Solving Cycle (PSC) on Nursing Student’s Leadership Competencies

2019 ◽  
Author(s):  
Suci Noor Hayati ◽  
Eva Supriatin ◽  
Putri Tri Antika Rizki Kusuma
Keyword(s):  
Problem Solving ◽  
Student Leadership ◽  
Leadership Competencies ◽  
Bivariate Analysis ◽  
P Value ◽  
Learning Method ◽  
Nursing Management ◽  
Significant Difference ◽  
Post Test ◽  
The Difference

Background: Problem Solving Circle (PSC) is a learning method used to build up a leadership characteristic to meet the clinical practice outcome especially in nursing management subject. The characteristic includes 3 aspects, there are knowledge/intelligence, personality, and ability. The way of thinking critically, systematically, and creative are basic characters in facing a competitive future ahead. Objective: This studyaimed toidentify the effect of PSC to student’s leadership competencies on nursing management subject. Method: One group pre-post test designwasusedinthisstudywithtotal35nursingstudentassamples.Datacollecting have done accord to questioner as an instrument in this study which divided the competencies as 3 domains, intelligence, personality, and ability. Univariate and bivariate analysis have conducted used paired T-Test. It used to find out the difference betweenleadershipcompetenciesbeforeandafterimplementation.Result:therewasa significant difference in leadership competencies after using PSC method with p-value 0.000(α:0.005). Conclusion: Nursingeducationespecially inclinicalpracticeareanot only to increased students skill competencies but also the leadership competencies to make them ready at their future job as nurse professional. This study showed that PSC can be an alternative learning method for improving student leadership competencies. Another study should conduct in PSC implementation with larger samples.

scholarly journals Impact of integration through peer instructed lectures

2017 ◽  
Vol 6 (6) ◽  
pp. 1293 ◽  
Author(s):  
Prapthi Persis Bathini ◽  
Sumana Sen
Keyword(s):  
Standard Deviation ◽  
P Value ◽  
Knowledge Gain ◽  
Peer Assisted Learning ◽  
Public Health Importance ◽  
Critical Reasoning ◽  
Significant Difference ◽  
Post Test ◽  
The Mean ◽  
Case Based

Background: Integrated case based lectures are widely used as an effective method of teaching and learning. This method not only integrates all the disciplines in a particular year but also presents them in an effective case based format. Over the years, the students were less enthusiastic about this method. In order to make it more student centred and to actively involve them we have introduced peer case based integrated lectures. Peer assisted learning is a strong educational strategy known to benefit peer tutors and learners. This study evaluates the Knowledge gain of both the methods to see if there is any significant difference.Methods: Students in their 2nd year MBBS who agreed to participate were included in the study. After a series of discussions with the curriculum committee, the basic and clinical faculty, topics of public health importance were selected and written case scenarios with a set of relevant questions were formulated. In case based integrated lectures for tuberculosis, lectures were taken by faculty of the pertaining disciplines. In the peer case based integrated lectures on HIV, the same were taken by the students. A pre-test and post test was conducted after each session to know if there is a significant difference in knowledge gain in the two formats.Results: For the case based and peer led case based lectures, the mean student attendance was 90% and 86%. In the pre-test of integrated group on tuberculosis the mean score was 9.96 with standard deviation of 2.38. The post-test of the same group, the mean knowledge score was 13.63 with standard deviation of 2.20. There was significant improvement in knowledge with the case based integrated lectures of 3.67. The p value (0.0001) for this intervention is extremely significant. The post-test marks obtained for integrated and peer integrated group were 13.63±2.20 and 15.86±2.39 respectively. The mean increase in knowledge after peer case based integrated group was 6.1 when compared to increase in knowledge after case based integrated group which was 3.67.Conclusions: Integrated case base lectures is an effective teaching learning tool which can be further made student centric by involving students as peer teachers. Peer teaching is a valuable methodology to engage learners as teachers to improve their knowledge and communication skills as well creating an environment in which the peer audience will likely actively discuss and exchange ideas. Peer assisted learning is need of time to increase critical reasoning skills of medical students.

scholarly journals Perbedaan Kadar Hemoglobin dan Hematokrit Bayi Baru Lahir Akibat Perbedaan Waktu Penjepitan Tali Pusat

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Nuriah Arma ◽  
Yanwirasti Ariadi ◽  
Lisma Evareny
Keyword(s):  
Control Group ◽  
P Value ◽  
Hematocrit Level ◽  
Control Group Design ◽  
Group Design ◽  
Cord Clamping ◽  
Significant Difference ◽  
Post Test ◽  
The Difference ◽  
First Year Of Life

AbstrakBayi baru lahir memiliki 80 ml darah dari plasenta pada 1 menit setelah kelahiran dan 100 ml pada 3 menit setelah lahir, volume ini akan memasok 40-50 mg/kg ekstra besi untuk memiliki 75 mg/kg besi tubuh bayi yang cukup bulan yang dapat mencegah kekurangan zat besi pada tahun pertama kehidupan. Oleh karena itu pemotongan tali pusat yang terlalu cepat setelah persalinan akan mengurangi kandungan besi sekitar 15-30%, sedangkan bila ditunda 3 menit dapat menambah volume sel darah merah sekitar 58%. Tujuan penelitian ini adalah untuk membuktikan adanya perbedaan kadar Hb (hemoglobin) dan Ht (hematokrit) akibat perbedaan waktu penjepitan tali pusat. Penelitian ini dilakukan di tempat Bidan Praktek Mandiri Kota Padang. Jenis penelitian eksperimental dengan post-test only controll group design. Pengambilan sampel secara consecutive sampling sampai tercapai jumlah 36 bayi yang terbagi atas 18 bayi baru lahir pada tiap kelompok. Data dianalisis dengan uji t. Hasil penelitian didapatkan rerata kadar Hb dan Ht pada kelompok penjepitan 3 menit setelah lahir lebih tinggi daripada penjepitan 1 menit. Terdapat perbedaan kadar Hb yang bermakna antara kelompok penjepitan 3 menit setelah lahir daripada 1 menit dengan nilai P=0,004.  Ada terdapat perbedaan Ht yang bermakna antara kelompok penjepitan 3 menit dan 1 menit dengan nilai P=0,001. Kesimpulan penelitian ini ialah kadar Hb dan Ht lebih baik pada penjepitan tali pusat ditunda 3 menit setelah lahir dibandingkan dengan penjepitan 1 menit setelah lahir.Kata kunci: hemoglobin, hematokrit, penjepitan tali pusat AbstractThe newborns contain 80 ml of blood from the placenta in 1 minute after birth and 100 ml in 3 minute after birth. This volume supply 40 to 50 mg/kg of extra iron to have 75 mg/kg of body iron baby full-term that can prevent iron deficiency in the first year of life. Therefore, cutting the umbilical cord too soon after birth will reduce the iron of content about 15 to 30%, whereas when delayed 3 minute its can increase the volume red blood cells about 58%. The objective of this study was to prove the difference of hemoglobin and hematocrit level between 3 minutes and 1 minute cord clamping.  Experimental research was conducted with post-test only control group design of 36 newborns. Data were analyzed by t-test. The result of this study showed that the mean of hemoglobin and hematocrit level in 3 minutes of clamp are higher  than 1 minute of clamp.There was a significant difference of hemoglobin level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.004. There was also a significant difference of hematocrit level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.001. The conclusion is the hemoglobin and hematocrit level are better in cord clamping delayed in 3 minutes after birth than clamping in 1 minute after birth. Keywords: hemoglobin, hematocrit, cord clamping

scholarly journals Meditasi dengan suara alam dapat menurunkan stres pada mahasiswa keperawatan

2019 ◽  
Vol 7 (2) ◽  
pp. 145
Author(s):  
Wahyu Rochdiat Murdhiono ◽  
Santi Damayanti ◽  
Ni Luh Komang Sri Ayunia
Keyword(s):  
Nursing Students ◽  
Test Score ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Consecutive Sampling ◽  
Post Test ◽  
Stress Score ◽  
The Difference ◽  
Quasi Experiment

Mahasiswa keperawatan memiliki risiko yang lebih tinggi untuk mengalami stres dibandingkan  mahasiswa kesehatan lainnya. Belum pernah ada peneltian yang menggabungkan terapi meditasi dengan terapi musik suara alam untuk menurunkan stres pada mahasiswa keperawatan di Yogyakarta. Tujuan penelitian ntuk mengetahui pengaruh meditasi dengan suara alam pada mahasiswa keperawatan. Penelitian ini merupakan penelitian quasi-experiment dengan pendekatan pre dan post-test nonequivalent control group. Sampel dipilih menggunakan teknik consecutive sampling dan dibagi menjadi dua kelompok, masing-masing berjumlah 30 orang. Instrumen penelitian menggunakan DASS-42. Median skor stres pada kelompok perlakuan sebesar 11,00 pada pre-test sedangkan post-test sebesar 7,00. Di kelompok kontrol, median skor stres pre-test sebesar 10,00 dan median skor stres post-test sebesar 9,50. Uji Wilcoxon untuk menganalisis perbedaan skor stres pre dan post-test menghasilkan nilai p 0,000 di kelompok perlakuan dan pada kelompok kontrol menunjukkan nilai p 0,137. Meditasi menggunakan musik suara alam dapat menurunkan stres dan dapat menjadi terapi komplementer alternatif yang dapat dilakukan perawat. Kata kunci: meditasi, musik suara alam, stres, mahasiswa keperawatan MEDITATION WITH SOUND OF NATURE CAN REDUCE STRESS IN NURSING STUDENTSABSTRACTNursing students have a higher risk to experience stress than other medical students. Previously, there has never been any research regarding meditation using the sound of nature to reduce stress in nursing students in Yogyakarta.Research objective to determine the influence of meditation with the sound of nature to reduce stress in nursing students. This is quasi-experiment research with a pre and post-test nonequivalent control group design. The samples were selected using consecutive sampling and divided into two groups, each was 30 respondents. The research instrument used was DASS 42. The pre-test median stress score in the intervention group was 11.00, and the post-test score was 7.00. In the control group, the pre-test median score was 10.00, and the post-test score of 9.50. Wilcoxon test used to analyze the difference of stress score in the intervention group (p-value = 0.000), and the difference in stress score in the control group (p-value = 0.137). Meditation using the sound of nature can reduce stress in nursing students and can be an alternative complementary therapy for nurses. Keywords: meditation, the sound of nature, stress, nursing students

scholarly journals Range Of Motion (ROM) Spherical Grip dapat Meningkatkan Kekuatan Otot Ekstremitas Atas Pasien Stroke

2018 ◽  
Vol 6 (1) ◽  
pp. 38-48
Author(s):  
Gina Dwi Anggraini ◽  
Septiyanti Septiyanti ◽  
Dahrizal Dahrizal
Keyword(s):  
Range Of Motion ◽  
Intervention Group ◽  
Clinical Manifestations ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Muscle Testing ◽  
The Difference ◽  
The Brain

Stroke is lost brain function caused by stop his blood supply to the brain. As a result of the disruption of oxygen to the brain needs can occur the clinical manifestations included the weakness of some or all of the body limbs, one of over ekstremities so that the patient could not doing the activity because of the limbs weakness and they needs exercise for preveting disability. Objective is Know the effect of Range Of Motion (ROM) Spherical Grip on muscle strenght of upper extremity on stroke patients. The research used quasi-experimental with pretest and posttest with control group. The population in this study is all stroke patients in the neurological specialist RSUD dr. M. Yunus of Bengkulu City. The Sampling technique used is Cluster Sampling. The number of sample is 32. Instruments used for manual muscle testing. Test for normality using the Kolmogorov-Smirnov and analysis techniques using Wilcoxon Signed Ranks Test  and Mann-Whitney with 95% confidence level (  = 0,05). Muscle strenght of the finger mean in the control group 2,44 increase to 2,63 with the difference 0,1875. In the intervention group mean 2,44 increase to 3,13 with the difference 0,6875. Muscle strenght of the wrist mean in the control group 2,38 increase to 2,56 with the difference 0,1875. In the intervention group mean 2,25 increase to 3,00 with the difference 0,75. The result obtained p-value 0,011 finger hand and p-value 0,027 wrist. Exercise Range Of Motion (ROM) Spherical Grip is effective in increase muscle strenght of over extremities on stroke patients.

scholarly journals Effectiveness of Distraction Therapy on Pain Relief among Children Undergoing Vein-Puncture in a Selected Hospital, Bhubaneswar

2020 ◽  
Vol 07 (02) ◽  
pp. 15-21
Author(s):  
Soumika Debnath ◽  
Keyword(s):  
Intervention Group ◽  
Sampling Technique ◽  
Pain Scale ◽  
Control Group ◽  
P Value ◽  
Double Blind ◽  
Significant Difference ◽  
Post Test ◽  
And Control ◽  
Experimental Group

Aim: The present study is aimed to assess the effect of distraction therapy during venipuncture in reducing pain among 6-12 years children in the selected hospital at Bhubaneswar. Methods: The study was a double blind; Randomized control trial design was used and the formal consent was obtained from Pradyumna Bal Memorial Hospital and the investigator selected 182 samples using consecutive sampling technique and then randomized into experimental and control groups. The intervention group and the control were having 91 samples each. Measurement of pain experienced by the school going children was assessed with the help of Wong-Baker Faces Pain Scale. Descriptive and inferential statistics were used to analyze the data. Result: The mean pain score of children in experimental group was 2.571 and the standard deviation was 2.006. The p value in comparing the pain level of children in control and experimental group was <0.01, which was statistically significant at p<0.05 (confidence interval 95%) level indicating that there was significant difference in the post test level of pain between the experimental and control group. Conclusion: Hence the distraction therapy was responsive in reducing the vein-puncture pain among school going children.

scholarly journals Penyembuhan Luka Grade 2 pada Pasien Diabetes Mellitus dengan Modern Dressing Wound Care

2020 ◽  
Vol 4 (1) ◽  
pp. 222-230
Author(s):  
I Dewa Ayu Rismayanti ◽  
I Made Sundayana ◽  
Putu Eka Pratama
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Standard Deviation ◽  
Wound Care ◽  
Statistical Tests ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Post Test ◽  
Experimental Group

This study aims to determine the effect of modern dressings on wound healing of grade 2 diabetes mellitus at Griya Utami Care Bali. The design used in the study was a real experiment with a one-group pre-post test approach. The results showed that the experimental group's average post value was 8.67, with a standard deviation of 2.024. In the control group, the average post value was 10.60, with a standard deviation of 2.874. Based on the results of statistical tests, it was found that the p-value was 0.042, meaning that there was a significant difference in the average post value between the experimental group and the control group. In conclusion, there is an effect of modern dressings on wound healing for grade 2 diabetes mellitus at Griya Utami care Bali. Keywords: Diabetes Mellitus, Grade 2 Diabetes Wounds, Modern Dressing

scholarly journals Distribution of Pre and Post Test Score and the Level of Errors in Answering Questions in the Participants of Education and Nutrition Counseling Training in Non-communicable Diseases

2020 ◽  
Vol 2 (1) ◽  
pp. 27-38
Author(s):  
Supriyono Supriyono
Keyword(s):  
Standard Deviation ◽  
Test Scores ◽  
Knowledge Score ◽  
Communicable Diseases ◽  
P Value ◽  
Nutrition Counseling ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Significant Difference ◽  
Post Test

This study aims to evaluate the results of pre-test and post-test scores as well as the level of error in participants in education training and nutrition counseling in non-communicable diseases at the Batam health training center in 2016. This study was observational with a cross sectional approach. The population in this study used a saturated sample, where the sample used was the pre-test and post-test scores of all participants who attended the training, which were 30 respondents. To determine the relationship between variables using the Wilcoxon Signed Ranks Test. The results of the analysis using the Wilcoxon Signed Ranks Test between the pre-test and post-test values, obtained a Z value of -4.582 with a p value of .000 <0.05, so there is a significant difference between the pre-test and post-test values. The average pre-test with 30 questions given to participants was 53.56 with a standard deviation of 11.04. While the post-test average of 30 questions given to participants was 67.33 with a standard deviation of 9.45. There was a change of 13.78% of the participant's knowledge score before and after the training. From 30 questions, from pre-test to post-test there was a change in error rate as follows, 70% had an increase, 6.67% remained and 23.33% had a decrease.

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