scholarly journals Perbedaan Mobilisasi Dini 6 Jam dan 8 Jam Terhadap Peristaltik Usus Pada Pasien Post Operasi Dengan anastesi Umum di RS. dr. R. Soeprapto Cepu

2020 ◽  
Vol 1 (1) ◽  
pp. 9-12
Author(s):  
Heru Purnomo ◽  
Mu'awanah Mu'awanah ◽  
Mohammad Nur Mudhofar

ABSTRACTBackground : Early mobilization is some effort to defend autonomy as early as possible by guiding the victim for defending fisiologis function (Carpenito, 2001).  According Smeltzer Bare (2002) in patient with colon inflammation disturbance, explained that change position encourage doing passive and active exercise to depend muscle and prevent tromboembolic.  Activity limitation changed suitable with daily necessary.  General anesthesia can cause decreasing colon movement with stimuli parasympatic obstruction in colon muscle.  Client with local anesthesia will experience same case.  Direction surgery which involved intestinal can cause stopping intestinal while movement. Surgery action with general anesthesia in RS.DR.R.Soeprapto Cepuoften was being done in juny – December 2012 period reported 166 cases.Objective : This study to determine the difference of early mobilization 6 hours and 8 hours toward intestine peristaltic on post operation patient with general anesthesia at RSUD dr. R. Soeprapto Cepu. Methods : Method of this research  used quasi eksperimental design and taking sampling method was stratified random sampling, research was done into 20 respondences.  Collecting data technique using observation technique.  Statistic analysis used Independent t-test exam, organize and data analysis with computer program assist SPSS for windows 16.Result : The result analysis was shown with independent t-test exam was be found t hitung 0,662, t table 2,101, p value 0,641.  Where is t hitung t table (0,662 2,101) and p value alpha (0,641 0,05) above can be conclude Ho was accepted.  Its mean its’nt difference early mobilization 6 hours and 8 hours about peristaltic of intestine for post operation patient with general anesthesia in dr.R.Soeprapto Cepu Hospitals.Conclusion : Advice we recommend early mobilization of patients immediately after surgery with general anesthesia, according to the results of this study was able to mobilize patients early in the post anesthesia 6 hours. Keywords: mobilisation, peristaltic of intestine, post operation, general anesthesia.

2021 ◽  
Vol 6 (1) ◽  
pp. 36-45
Author(s):  
Hidayat Hidayat ◽  
Tusy Triwahyuni ◽  
Zulfian Zulfian ◽  
Vita Lestari Ayuningsih

Demam berdarah dengue termasuk penyakit endemik yang disebabkan oleh virus dengue. Manifestasi klinis ditandai oleh trombositopenia. Trombositopenia terjadi melalui mekanisme supresi sumsum tulang, destruksi dan pemendekan masa hidup trombosit. Selain jumlah trombosit, terdapat indeks trombosit yang diketahui sebagai aktivasi trombosit yaitu PDW, MPV, P-LCR dan PCT. Tujuan penelitian untuk mengetahui perbedaan indeks trombosit (PDW, MPV, P-LCR, PCT) dan jumlah trombosit pada pasien  infeksi dengue primer dan sekunder di RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Penelitian ini menggunakan metode analitik cross-sectional. Populasi yaitu pasien infeksi dengue primer dan sekunder menggunakan metode total sampling dengan jumlah sampel sebanyak 35 pasien. Data diperoleh dari rekam medis di RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Analisis data dengan uji independent T test dan uji Mann Whitney. Dari 35 data didapatkan hasil yang terinfeksi dengue primer sebanyak 13 orang (37,1%) dan 22 orang (62,9%) terinfeksi dengue sekunder. Median PDW infeksi dengue primer 9,7±1,24% dan sekunder 10,75±1,87%. Median MPV infeksi dengue primer 9,7±2,25fL dan sekunder 10,087±0,84fL. Rerata P-LCR infeksi dengue primer 20,58±7,93% dan sekunder 25,33±6,84%. Median PCT infeksi dengue primer 0,17±1,07% dan sekunder 0,18±0,07%. Rerata jumlah trombosit infeksi dengue primer 169.523,08±57.590,713/µL dan sekunder 179.318,18±75.082,422/µL. Hasil uji statistik didapatkan nilai p; PDW nilai p=0,068, MPV nilai p=0,538, P-LCR nilai p=0,101,  PCT nilai p=0,973 dan jumlah trombosit nilai p=0,393. Tidak terdapat perbedaan bermakna antara indeks trombosit (PDW, MPV, P-LCR, PCT) dan jumlah trombosit untuk infeksi dengue primer dengan sekunder. Dengue hemorrhagic fever is endemic disease caused by dengue virus.. Clinical symptomp marked by trombositopenia. Trombositopenia occurs through in mechanism of bone marrow suppresion, destruction and shortening of platelet life span. Morever platelet count, there are platelet index who known as platelet activator are PDW, MPV, P-LCR and PCT. This research to determine the difference platelet index (PDW, MPV, P-LCR, PCT) and platelet count between primary and secondary dengue infection patient at Regional General Hospital Dr. H. Abdul Moeloek Lampung Province. The research use analytic observational method with cross-sectional research design. Population are patient who diagnosed with primary and secondary dengue infection and using total sampling method for sampling with 35 patient. Data obtained from Regional General Hospital Dr. H. Abdul Moeloek Lampung Province. Data were analyzed by independent T test and Mann Whitney test. Based on 35 data from medical records, the patient who diagnosed as primary dengue infection are 13 people (37,1%) and 22 people (62,9%) who diagnosed as secondary dengue infection. Median of PDW primary dengue infection was  9,7±1,24% and secondary dengue infection was 10,75±1,87%. Median of MPV primary dengue infection was 9,7±2,25fL and secondary dengue infection was 10,087±0,84fL. Mean of P-LCR primary dengue infection was 20,58±7,93% and secondary dengue infection was 25,33±6,84%. Median of PCT primary dengue infection was 0,17±1,07% and secondary dengue infection was 0,18±0,07%. Mean of platelet count primary dengue infection was 169.523,08±57.590,713/µL and secondary dengue infection was 179.318,18±75.082,422/µL. Based on the result of statistical analyisis data, PDW p value =0,068, MPV p value=0,538, P-LCR p value=0,101,  PCT p value=0,973 and platelet count p value=0,393.There are no significant differences platelet index (PDW, MPV, P-LCR, PCT) and platelet count in primary with secondary dengue infection.


2019 ◽  
Vol 4 (1) ◽  
pp. 17-29
Author(s):  
Nurlina ◽  
Nursyamsi

Postoperative surgery and trauma are stressors that can cause physiological and psychological reactions to the patient. Psychological reactions in the form of anxiety usually arise in the preoperative stage when the patient anticipates surgery and at the postoperative stage because of pain and discomfort, changes in body image and bodily functions. Handling anxiety with spiritual aspects in the form of dzikir therapy is an effort to reduce anxiety levels in patients pre and post surgery. This study used a pre-experimental research design with a one group pre and posttest design study design. The sample of this study was 15 respondents in the experimental group taken by consecutive sampling method. The experimental group received a dzikir therapy 1 time treatment with a duration of 12 minutes. Data collection is done using a questionnaire sheet. Analysis of the data used in this study is univariate and bivariate by using a paired sample t test. The results of the analysis used a statistical test paired sample t test with a level of confidence (α = 0.05). Based on the results of this test, the p value is 0,000, thus p <α (0,000 <0,05). The conclusion of this study is that there is an effect of giving dzikir therapy to the level of anxiety in patients pre and post surgery. Researchers suggest that the results of this study can be used as a reference for application in the scope of nursing services, especially handling anxiety.


2019 ◽  
Vol 7 (1) ◽  
pp. 39-47
Author(s):  
Indah Nur Imamah ◽  
Alfi Ari Fakhrur Rizal ◽  
Milkhatun Kalimantan Milkhatun

Traffic accidents are one of the public health problems that affect all sectors of life. The phenomenon of traffic accidents so far has not received much public attention as a cause of death. The increase in mortality rates that occur on the highway is very high and quite a concern and vigilance for the community. This usually happens one of them because the Indonesian people do not know how to help victims who are good and right when finding victims. As a result most of actions is wrong, so  it can add to injury and  death. This study aims to determine the effect of basic life support (BLS) training on the motivation and demeanour of class XI students in rescuing  traffic accidents in SMA Negeri 2 Tenggarong. This study uses a quasy experimental method of pre and post design with a control group. Proportional stratified random sampling technique with a sample of 78 students and data collection using a questionnaire sheet. Data that was analyzed by paired t test in each group showed a p-value of 0,000 <0.05, meaning that there was a statistically change in motivation and attitude between before and after treatment in the form of BLS training for class XI students at SMAN 2 Tenggarong.  The result is not much different from the independent t test which showed p-value 0,000 <0.05, which means there is a statistically different demeanour between the difference before and after treatment in the form of BLS training in the control and intervention groups. The results showed that there was a statistically significant change in motivation and demeanour between before and after the BLS training was given to the motivation and demeanour of class XI students at SMAN 2 Tenggarong with a p-value of 0,000 <0.05.


2021 ◽  
Vol 15 (1) ◽  
pp. 48-55
Author(s):  
Djunizar Djamaludin ◽  
Eka Yudha Chrisanto

Xylitol gum chewing to achieve early postoperative restoration of bowel motility after surgery under general anesthesiaBackground: The problem that is often encountered in the use of general anesthesia in major surgery is the Post-Operative Ileus (POI). POI is a temporary loss of gastrointestinal propulsion activity characterized by no sounding of bowel sounds and abdominal discomfort and distension. Providing nutrition oral or enteral  when bowel sounds begin to sound has a weakness where it was reported that in this intervention the incidence of bloating, nausea and vomiting was mostly experienced by patients who were intolerant of the presence of food in their stomach.Purpose: Knowing the effect of Xylitol gum chewing to achieve early postoperative restoration of bowel motility after surgery under general anesthesiaMethod: A quasi-experimental method with pre-test and post-test in two groups of 20 patients as participants at A. Dadi Tjokro Dipo Hospital Bandar Lampung City recruited and taken by purposive sampling technique, 10 participants as intervention group (treat by chewing xylitol gum) and other of 10 participants as control group.Results: Finding that by a treat of Xylitol gum chewing in postoperative restoration of bowel motility after surgery under general anesthesia took after 2.3 hours while the patients who did not chew xylitol gum occurred 6.8 hours. T-Test showed that p-value was 0.00 that indicated the p-value < 0.05.Conclusion: There was a difference in the occurring time of the intestine motility between control and experiment groups. It is gained that difference is 4.39 hours with p-value = 0.00 which indicated p < 0.05, that there was an effect of chewing gum containing xylitol on the occurrence of post-operative intestine motility after general anesthesia surgery at A Dadi Tjokor Dipo Hospital of Bandar Lampung City. The present study suggests chewing gum is an alternative method to stimulate intestine motility for early post-operation feeding as a low-cost, safe, and tolerable treatment when without contra indication.Keywords:  Xylitol gum chewing; Postoperative restoration; Bowel motility; Surgery; General anesthesiaPendahuluan: Masalah yang sering dijumpai dalam penggunaan general anestesi pada pembedahan mayor yaitu Post-Operative Ileus (POI). POI adalah hilangnya aktivitas daya dorong saluran cerna untuk sementara yang ditandai dengan tidak terdengarnya bising usus dan rasa tidak nyaman serta distensi abdomen. Memberikan nutrisi secara oral maupun enteral pada saat bising usus mulai terdengar merupakan memiliki kelemahan dimana dilaporkan bahwa pada intervensi ini kejadian kembung, mual dan muntah paling banyak dialami oleh pasien yang tidak toleran terhadap adanya makanan dalam lambungnyaTujuan: Diketahuinya pengaruh mengunyah permen yang mengandung xylitol terhadap timbulnya motilitas usus pada pasien pasca operasi dengan general anestesi.Metode: Penelitian eksperimen semu dengan pre-test dan post-test group. Jumlah pasien yang akan menjalani operasi elektif dengan menggunakan anestesi umum sebanyak 20 pasien di RSUD A. Dadi Tjokro Dipo Kota Bandar Lampung. Sampel diambil dengan teknik purposive sampling, 10 pasien pasca operasi mengunyah permen karet xylitol dan 10 pasien pasca operasi tidak mengunyah permen karet xylitol.Hasil: Didapatkan motilitas usus timbul 2,3 jam setelah mengunyah permen karet dan 6,8 jam bila tidak mengunyah. Hasil uji t-test  didapatkan bahwa p value=0,00 yang berarti nilai p<0,05.Simpulan: Terdapat perbedaan waktu timbulnya motilitas usus pada kelompok kontrol dan kelompok eskperimen sebesar 4,39 jam dan didapatkan nilai p=0,00 yang berarti nilai p<0,05 sehingga Ho ditolak. Oleh karena itu dapat disimpulkan bahwa ada pengaruh pemberian permen karet yang mengandung xylitol terhadap timbulnya motilitas usus pasca operasi dengan general anestesi di RSUD A. Dadi Tjokro Dipo Kota Bandar Lampung. Penelitian ini menunjukkan bahwa mengunyah permen karet adalah metode alternatif untuk merangsang motilitas usus untuk pemberian makan pasca operasi awal sebagai pengobatan yang berbiaya rendah, aman, dan dapat ditoleransi..


Author(s):  
I MADE PRASADA ARY WIRAWAN ◽  
I DEWA PUTU OKA SUARDI ◽  
I MADE SARJANA

Farmers Perception Of Options To Sell Rice Penebas Or Perpadi(especially in Subak Benel, Kaliakah Village, Negara districts,Jembrana Regency) Various efforts have been implemented by the Provincial Food Crops Agency of Balito stabilize the price of grain, this is done by giving Funds of Rural EconomicEmpowerment Capital to the government for the purchase of rice. Although it hasbeen done from 2003, farmers are still selling it to Penebas with a bondage system.The purpose of this study to determine the perception of farmers to the choice ofselling rice to Perpadi or Penebas seen and differences in farmers' perceptions of thechoice of selling rice to Penebas or Perpadi. The research location is located in SubakBenel, Kaliakah Village, State District, Jembrana District. The analytical methodused is qualitative descriptive that aided with score, to answer the purpose ofresearch by using questionnaire. The results of this study indicate that the perceptionof farmers to the choice of selling rice to Perpadi better than to Penebas. This is seenin the achievement of the farmers' choice of selling paddy to Perpadi is very goodand to Penebas is good. The difference of Perpadi with Penebas is measured throughDifferent Test with SPSS Independent Sample T test program which the result of Sigvalue. Or p value of 0.004 where <0.05 then there is a statistically significantdifference in probability 0.05, the mean difference or mean of both groups is shownin Mean Difference ie .29559.


PERFORMA ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. 30-36
Author(s):  
Dewo Adhi Guminto ◽  
Maria Assumpta Evi Marlina

This research is an event study that aims to determine the difference in the average Abnormal return (AR) before, during and after the Mako Brimob riots. The subject of this study is the LQ45 index company that has fulfilled the criteria, namely the company does not conduct corporate actions such as the announcement of stock split, right issue, merger & acquisition and devidend in the observation period, which is five days before the riot, one day during the riot (May 9, 2018) and five days after the riots. The results of the data normality test found that the data in this study were normally distributed. p-value shows the number 0.412. The results of the different tests using independent Sample T-Test (H1) showed no difference in the average abnormal return before and during the Mako Brimob riots (ρ = 0.050). The results of different tests using independent Sample T-Test (H2) showed no difference in the average abnormal return during and after the incident of the Mako Brimob riots (ρ = 0.117). The results of different tests using Paired Sample T-Test (H3) showed no difference in the average abnormal return before and after the incident of the Mako Brimob riots (ρ = 0.77).


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Vivie Indahwati ◽  
Max F. J. Mantik ◽  
Paulina N. Gunawan

Abstract: Special need children is children with disability mental, physical, and emotion which different with the normal children, thus their more needed parents help in keeping hygene especially oral hygene. Every disability they have influenced the behaviour of special need children in keeping their oral hygiene. This study aimed to obtain the difference of oral hygiene between special needs children in SLB-B and SLB-C in Tomohon.This was a descriptive analytical study. Samples were obtained by total sampling method. This study was conducted at SLB-B GMIM Damai Tomohon and SLB-C Katolik Santa Anna Tomohon. There were 101 children in this study. The results of independent t test showed that there were significant differences between the mean value of OHI-S status at SLB-B (1.86) and the mean value OHI-S status at SLB-B ( 2.50) with a P value of <0,05. Conclusion: Oral hygiene of SLB-B children was significantly better than of SLB-C children.Keywords: oral hygiene, special need childrenAbstrak: Anak berkebutuhan khusus merupakan anak yang memiliki keterbatasan mental, fisik dan emosi yang berbeda dengan anak normal, sehingga mereka memerlukan bantuan dalam menjaga kebersihan diri khusunya kebersihan gigi dan mulut. Perbedaan keterbatasan yang mereka miliki, memengaruhi perilaku anak berkebutuhan khusus dalam menjaga kebersihan gigi dan mulut. Penelitian ini bertujuan untuk melihat bagaimana perbedaan status kebersihan gigi dan mulut pada anak berkebutuhan khusus di SLB-B dan SLB-C kota Tomohon, Jenis penelitian yang digunakan adalah deskriptif analitik. Pengambilan sampel penelitian ini secara total sampling. Pengambilan data dilaksanakan di SLB-B GMIM Damai Tomohon dan SLB-C Katolik Santa Anna Tomohon. Jumlah anak dalam penelitian sebanyak 101 anak. Hasil penelitian diolah dengan uji statistik t tidak berpasangan (independent t test).Dari uji statistik diperoleh bahwa terdapat perbedaan rerata yang bermakna, antara status OHI-S SLB-B dengan nilai rata-rata 1,86 dibandingkan status OHI-S SLB-C dengan nilai rata-rata 2,50 dan nilai p<0,05. Simpulan: Rerata status kebersihan gigi dan mulut SLB-B lebih baik secara bermakna dibandingkan dengan SLB-C.Kata kunci: kebersihan gigi dan mulut, anak berkebutuhan khusus


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Wayan Erawan ◽  
H. Opod ◽  
Cicilia Pali

Abstrak: Kecemasan adalah suatu sinyal yang menyadarkan, ia memperingatkan bahaya yang mengancam dan memungkinkan seseorang mengambil tindakan untuk mengatasi ancaman. Angka kejadian dari kecemasan perioperative diketahui 11% - 80% diantara pasien dewasa. Tujuan penelitian untuk mengetahui perbedaan proporsi pasien laki-laki dan perempuan pre operasi laparatomi yang mengalami kecemasan, dan mengetahui perbedaan tingkat kecemasan pasien laki-laki dan perempuan pre operasi laparatomi. Jenis penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Pengambilan sampel dengan teknik non probability sampling yaitu consecutive sampling. Metode pengumpulan data dengan menggunakan kuesioner  Hamilton Anxiety Scale (HARS). Penelitian dilakukan pada 32 responden di RSUP Prof.dr.R.D.Kandou Manado pada bulan november sampai desember 2012. Analisis data menggunakan uji statistik yaitu independent sampel T-Test. Hasil penelitian didapatkan responden laki-laki, tidak cemas (40%), cemas ringan (26,67%), cemas sedang (33,33%), sedangkan pada responden perempuan diperoleh hasil, tidak cemas (23,53%), cemas ringan (17,65%), cemas sedang (35,29%), cemas berat (23,53%). Berdasarkan uji statistik nilai P-value sebesar 0,024, berarti H0 ditolak dan Ha diterima, artinya ada perbedaan tingkat kecemasan antara pasien laki-laki dan perempuan pre operasi laparatomi. Kata kunci: Kecemasan, laparatomi, laki-laki, perempuan.     Abstract: Anxiety is a signal that disenchants; warns threatening dangers and gives someone the chance to take action in order to overcome the incoming threats. The incidence of perioperative anxiety has been reported with range 11% to 80% among adult patients. The study objective is to determine the difference in proportion between male and female pre-laparotomy surgery patients who experience anxiety, and know the difference in the level of anxiety of male and female pre-laparotomy surgery patients. This observation is an analytic study with cross sectional approach. The sampling technique is by using non probability sampling; which is consecutive sampling. The data colletion method is by using questionnaire, Hamilton Anxiety Scale (HARS). The observation was done toward 32 respondents in Prof.dr.R.D.Kandou General Hospital from November to December 2012. The data analysis is by using statistical test; independent sample T-test. The observation among male respondents  results in without anxiety (40,%), with mild anxiety (26,67%), with moderate anxiety (33.33%), while among female respondents results in without anxiety (23.53%), with mild anxiety (17.65%), with moderate anxiety (35.29%), and with severe anxiety (23.53%). According to the statistical test, resulting in P-value of 0.024, that H0 is rejected and Ha is accepted. In conclusion, there are differences in the level of anxiety between male and female pre-laparotomy surgery patient. Keyword: anxiety, laparotomy, male, female.


2021 ◽  
Vol 13 (3) ◽  
pp. 241-249
Author(s):  
Windy Kartika ◽  
◽  
Asrial Asrial ◽  
Muhammad Haris Effendi-Hasibuan ◽  
◽  
...  

One of the learning models that can train students in developing argumentation skills is the jigsaw learning and its modified forms. This study aimed to see the effectiveness of the four-step jigsaw learning and the Jigsaw learning in improving students' argumentation skills about the concept of salt hydrolysis. This study was conducted with 2 classes of 11 grade students of SMAN 7 Kerinci Jambi. Some 53 students in total were purposively recruited and participated in this experiment. Concurrent embedded mixed method with two-group pretest-posttest control group design was used in this study. The results of independent t-test showed that 4SJ was more effective than the Jigsaw class (t= 2.668; p-value = 0.01 < 0.05). It was supported by the n-Gain of 4SJ which was 0.71 and the n-Gain of jigsaw was 0.67. Two factors that influenced the differences in students' argumentation skills were observed; these included the difference in learning duration and the intensiveness in conducting the argumentation debate.


2019 ◽  
Vol 1 (1) ◽  
pp. 39-44
Author(s):  
Endang Nurul Syafitri ◽  
Sang Ayu Nyoman Sri Ratmini ◽  
Wahyu Rochdiat Murdiono

Health students have been shown to have more stress than the general public. Student stress if left untreated can lead to health problems. previous studies have never measured a combination of meditation and lavender aromatherapy to reduce stress. This study aims to determine the decrease in stress of health students after being given a combination of meditation and lavender aromatherapy. Quasy Experiment pre test and post test of non equivalent control group. The sampling technique uses Quota sampling. The number of respondents was 40 people divided into two groups, namely 20 treatment groups and 20 controls. The bivariate test used is paired t-test with 95% CI value. Average stress score in the treatment group was 12.50 (normal stress) and in the control group of 14.60 (mild stress). The results of paired t-test in the treatment group obtained p value of 0.001 which means the difference in stress score before and after therapy with an average decrease of 3.20 points. In the control group there was a difference in stress score (p value = 0,000) with an average increase of 1.15 points. The combination of meditation and lavender aromatherapy effectively decreases the stress score of healthcare students. The combination of meditation and lavender aromatherapy can be a new standard for mental health nurses to manage stress on students.


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