scholarly journals Pengaruh Latihan Fisik Terhadap Penurunan Fatigue Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodalisa Di RSUD Dr. H. Abdul Moeloek Provinsi Lampung

2020 ◽  
Vol 2 (4) ◽  
pp. 667-676
Author(s):  
Djunizar Djamaludin ◽  
Eka Yuhda Chrisanto ◽  
Mimin Septi Wahyuni

THE EFFECT OF PHYSICAL EXERCISE ON FATIGUE DECREASING IN CHRONIC CALCULATION FAILURE PATIENTS THAT HAVE HEMODALISA IN DR. H. ABDUL MOELOEKLAMPUNG PROVINCE  Introduction: Based on the Bandar Lampung branch BPJS Health data, which covers several areas such as: Bandar Lampung, South Lampung (Lamsel), Pesawaran, Pringsewu, and Tanggamus, the number of dialysis medical measures in 2015 reached 52,721 cases (BPJS, 2015). As for the incidence of chronic kidney failure in Dr. H. Abdul Moeloek Lampung Province alone as many as 120 people, and 89 people underwent hemodialysis, in 2018, this data has increased compared to 2017, namely as many as 98 people who had CRF and underwent hemidialysis.Objective: To analyze the effect of physical exercise on fatigue reduction in patients with chronic renal failure undergoing hemodalysis in Dr. Hospital H. Abdul Moeloek Lampung Province.Method: This type of research is quantitative. The design of the Quasi Experimental method with the One group pretest - posttest design approach. The population was 89 respondents, the sample used was 17 respondents, the sampling in the study was purposive sampling Statistical test using the dependent t-test.Results: The average score of fatigue before being given physical training meant that fatigue scores were 34.41, which meant that respondents experienced fatigue, average fatigue scores after being given physical training, mean fatigue scores were 19.12, which meant respondents did not experience fatigue.Conclusion: It means that there is an effect of physical exercise on fatigue reduction in patients with chronic kidney failure patients who undergo hemodalysis in Dr. Hospital. H. Abdul Moeloek Lampung Province, Suggestions for hospitals are expected to be able to make this physical exercise therapy an operational standard of nursing procedures in providing care as long as patients undergo hemodialysis. Keywords          : Physical Exercise, Fatigue, Hemodialysis  INTISARI: PENGARUH LATIHAN FISIK TERHADAP PENURUNAN FATIGUE PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODALISA DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG    Pendahuluan: Berdasarkan data BPJS Kesehatan cabang Bandar Lampung, yang meliputi beberapa daerah seperti : Bandar Lampung, Lampung Selatan (Lamsel), Pesawaran, Pringsewu, dan Tanggamus, menunjukkan jumlah tindakan medis cuci darah pada 2015 mencapai 52.721 kasus (BPJS, 2015). Sedangkan untuk kejadian gagal ginjal kronik di RSUD Dr. H. Abdul Moeloek Provinsi Lampung sendiri sebanyak 120 orang, dan 89 orang menjalani hemodialisa, pada tahun 2018, data ini mengalami peningkatan jika dibandingkan pada tahun 2017 yaitu sebanyak 98 orang yang mengalami GGK dan menjalani hemidialisa (RSUD Dr. H. Abdul Moeloek, 2018)Tujuan: Untuk menganalisa pengaruh latihan fisik terhadap penurunan fatigue pada pasien gagal ginjal kronik yang menjalani hemodalisa di RSUD Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2019Metode: Jenis penelitian ini adalah Kuantitatif. Desain penelitian metode Quasi Eksperimental dengan pendekatan One group pretest – posttest design. Populasi sebanyak 89 responden, sampel yang digunakan adalah 17 responden, pengambilan sampel pada penelitian adalah purposive sampling Uji statistik menggunakan uji t-tes dependen.Hasil : Rata-rata skor fatigue sebelum diberikan latihan fisik mean skor fatigue sebesar 34,41 yang artinya responden mengalami kelelahan, rata-rata skor fatigue sesudah diberikan latihan fisik mean skor fatigue sebesar 19,12 yang artinya responden tidak mengalami kelelahan. Nilai p-value  0.000 < 0,05.Kesimpulan : Artinya terdapat pengaruh latihan fisik terhadap penurunan fatigue pada pasien gagal ginjal kronik yang menjalani hemodalisa di RSUD Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2019, Saran bagi Rumah sakit diharapkan dapat menjadikan terapi latihan fisik ini sebagai standar operasional prosedur keperawatan dalam memberikan asuhan selama pasien menjalani hemodialysis. Kata Kunci             : Latihan Fisik, Fatigue, Hemodialisa

2021 ◽  
Vol 7 (1) ◽  
pp. 139-144
Author(s):  
Widiyanti Sarimunadi ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: SEFT THERAPY (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) FOR ANXIETY IN DEALING WITH LABORBackground: If the concern and anxiety of pregnant women is not handled seriously, it will have an impact and influence on physical and psychological aspects, both on the mother and the fetus. Pregnant women who experience anxiety in the face of labor are afraid of being operated on, afraid of spending a lot of money, fear of not being able to care for their babies properly, fear of their baby dying, fear of pain during delivery. One of the techniques for dealing with anxiety is SEFT therapy.Objective: to determine the effect of Spiritual Emotional Freedom Technique (SEFT) on anxiety in dealing with labor process.Methodology: this research is a quasi-experimental design with pre and post-test with control group design. The sample in this study was 25 trimester III pregnant women. The sampling technique was using purposive sampling technique. The research instrument used the DASS 42 questionnaire. The results of the data normality test were normally distributed so that the data were analyzed using the paired t-test.Results: The results showed that the average score of maternal anxiety before therapy was 13.48 (moderate) while after therapy was 7.88 (normal). The bivariate test results obtained p value 0,000.Conclusions: Spiritual Emotional Freedom Technique (SEFT) can overcome the anxiety of pregnant women in facing labor.Suggestions: It is hoped that this therapy can be applied in the practice of midwifery to care for pregnant women, especially pregnant women who experience trauma or have anxiety in their pregnancy. Keywords: anxiety, pregnant women, spiritual emotional freedom technique. ABSTRAK Latar Belakang: Kekhawatiran dan kecemasan pada ibu hamil apabila tidak ditangani dengan serius akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Ibu hamil yang mengalami kecemasan dalam menghadapi persalinan disebabkan karena ibu takut dioperasi, takut akan mengeluarkan biaya yang banyak, takut tidak bisa merawat bayinya dengan baik, takut bayinya meninggal, takut kesakitan saat persalinan. Salah satu teknik untuk menghadapi kecemasan adalah denga terapi SEFT.Tujuan: Mengetahui pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) terhadap kecemasan dalam menghadapi persalinan.Metodologi penelitian: Penelitian ini merupakan quasi-experimental dengan rancangan pre and post test with control group design. Sampel dalam penelitian ini berjumlah 25 ibu hamil trimester III. Teknik pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner DASS 42. Hasil uji normalitas data berdistribusi normal sehingga dianalisis data menggunakan uji paired t-test.Hasil Penelitian: Hasil penelitian menunjukan bahwa skor rata-rata kecemasan ibu sebelum terapi 13,48 (Sedang) sedangkan sesudah terapi menjadi 7,88 (normal). Hasil uji bivariate didapatkan p value 0,000.Kesimpulan: Terapi Spiritual Emotional Freedom Technique (SEFT) mampu mengatasi kecemasan ibu hamil dalam menghadapi persalinan.Saran: Diharapkan terapi ini dapat diaplikasikan dalam praktik kebidanan perawatan ibu hamil khususnya ibu hamil yang mengalami trauma atau mempunyai kecemasan dalam kehamilannya. Kata kunci: Kecemasan, ibu hamil, Terapi Spiritual Emotional Freedom Technique


2021 ◽  
Vol 3 (1) ◽  
pp. 72-81
Author(s):  
Djunizar Djamaludin ◽  
Rini Safriany ◽  
Rika Yulenda Sari

ABSTRACT: THE EFFECT OF BREATHING EXERCISE ON FATIGUE LEVELS OF HEMODIALISTIC PATIENTS Introduction: Fatigue is one of the problems with a high prevalence among the effects of hemodialysis on patients with late stage kidney disease. Breathing exercise is a non-pharmacological therapy to deal with various complaints such as fatigue. Abdul Moloek Hospital in Lampung Province is one of the largest referral hospitals for hemodialysis therapy for patients with chronic kidney failure. The number of kidney failure patients in 2018 is 220 patients.Objective: the effect of Breathing Exercise on the Fatigue Level of Hemodialysis Patients in Dr. Hi Abdul Moeloek Hospital in Lampung Province in 2019.Method: Quantitative research type, using a quasi-experimental approach. The study population was patients with kidney failure who underwent hemodialysis in February 2019 at Dr Hi Abdul Moeloek Hospital in Lampung Province as many as 300 people. The sample uses a purposive sampling of 30 respondents. Data collection techniques was done by observation. The statistical test used is the dependent t test.Results: The frequency distribution of respondents aged ≥ 50 years was 22 (73.3%), male sex was 19 (63.3%) and had a junior high school education of 10 (33.3%). The average level of fatigue of hemodialysis patients before Breathing Exercise was 37.23, after Breathing Exercise was 33.1.Conclusion: There was the effect of breathing exercise on the level of fatigue of hemodialysis patients (p value 0,000). Breathingexercise is a nursing intervention that can be done to overcome weaknesses. Continuous exercise can improve health, so that the quality of life of hemodialysis patients will improve. Keywords: Breathing Exercise, Fatigue, Hemodialysis  INTISARI : PENGARUH BREATHING EXERCISE TERHADAP LEVEL FATIGUE PASIEN HEMODIALISIS  Pendahuluan: Fatigue atau kelelahan adalah salah satu masalah dengan prevalensi yang cukup tinggi diantara efek tindakan hemodialisis yang diterima pasien dengan penyakit ginjal tahap akhir. Breathing exercise adalah terapi nonfarmakologi untuk mengatasi berbagai keluhan seperti fatigue. RSUD Abdul Moloek provinsi lampung merupakan salah satu rumah sakit rujukan terbesar untuk melakukan terapi hemodialisis bagi pasien gagal ginjal kronis. Jumlah pasien gagal ginjal tahun 2018 sebanyak 220 pasien.Tujuan: diketahui pengaruh Breathing Exercise Terhadap Level Fatigue Pasien Hemodialisis Di RSUD Dr Hi Abdul Moeloek Provinsi Lampung Tahun 2019.Metode: Jenis penelitian kuantitatif, menggunakan pendekatan quasi eksperimen. Populasi penelitian adalah penderita gagal ginjal yang menjalani hemodialisa pada bulan Februari 2019 sejumlah 300 orang. Sampel menggunkan purposive sampling sejumlah 30 responden. Tehnik pengumpulan data dilakukan dengan observasi. Uji statistik yang digunakan adalah uji t dependen. Hasil: distribusi frekuensi responden berusia ≥ 50 tahun (73,3%), berjenis kelamin laki-laki (63,3%) dan berpendidikan akhir SMP (33,3%). Rata-rata Level Fatigue sebelum diberikan Breathing Exercise adalah 37.23. Sesudah diberikan Breathing Exercise adalah 33.1.Kesimpulan: Ada pengaruh breathing exercise terhadap level fatigue pasien hemodialisis (p value 0,000). Breathingexercise merupakan intervensi keperawatan yang dapat dilakukan untuk mengatasi kelemahan. Latihan yang kontinyu dapat meningkatkan kesehatan, sehingga kualitas hidup pasien hemodialisis akan meningkat. Kata Kunci     : Breathing Exercise, Fatigue, Hemodialisis


2020 ◽  
Vol 2 (3) ◽  
pp. 641-648
Author(s):  
Muhammad Thob Dhiya’ul Haq ◽  
Flora Marbun ◽  
Aziva Zahrianis ◽  
Maria Ulfa ◽  
Novita K. Rambe ◽  
...  

ABSTRACT : Background : Hemodialysis is a process in which blood is separated from harmful substances or poisons and excess fluid is then discharged through a dialysis device. Quality of life is a quality that is felt in everyday life one of which is the physical dimension, namely the impact of anemia experienced by patients. Purpose : to identify the relationship between anemia and quality of life in patients with chronic kidney failure who underwent hemodialysis for less than 6 months. Method: quantitative research design with analytic survey through a cross sectional approach. The population in this study were all patients with chronic kidney failure who did hemodialysis at the Rasyida Kidney Hospital in Medan. “The sample in this study amounted to 40 respondents with purposive sampling. Researchers requested laboratory results for the patient's hemoglobin level in the patient's medical record, and then the patient filled out a WHOQOL quality of life questionnaire”. Results: Patients with chronic kidney failure who underwent hemodialysis <6 months, the majority were male 26 people (65.0%), aged> 50 years (50.0%), married 38 people (95.0%), high school education was 17 people (42.5%), and had 14 self-employed jobs (35.0%). The majority experienced not anemia as many as 16 people (40,0%) and the majority experienced poor quality of life as many as 22 people (55,0%). Conclusion : Chi Square bivariate test results there is “a relationship between anemia and quality of life in patients with chronic kidney failure who undergo hemodialysis less than 6 months with a p-value of 0.002”. Keywords: Anemia, Quality Of Life, Chronic Kidney Disease, Hemodialysis INTISARI : HUBUNGAN ANEMIA DENGAN KUALITAS HIDUP PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS DIBAWAH 6 BULAN DI RUMAH SAKIT KHUSUS GINJAL RASYIDA MEDAN Pendahuluan : Hemodialisis merupakan proses dimana darah dipisahkan dari zat atau racun berbahaya dan cairan berlebih kemudian dibuang melalui alat dialysis. Kualitas hidup merupakan kualitas “yang dirasakan dalam kehidupan sehari-hari salah satunya adalah dimensi fisik, yaitu dampak anemia yang dialami pasien”.Tujuan : Penelitian untuk mengidentifikasi hubungan antara anemia dan kualitas hidup pada pasien yang gagal ginjal kronik yang menjalani hemodialisa kurang dari 6 bulan.Metode : Penelitian ini menggunakan kuantitatif dengan survey analitik yang melalui pendekatan cross sectional. Populasi dalam penelitian ini yakni seluruh pasien gagal ginjal kronik yang melakukan hemodialisis di Rumah Sakit Khusus Ginjal Rasyida Medan “Sampel dalam penelitian ini berjumlah 40 responden  dengan purposive sampling”. Peneliti meminta hasil laboratorium kadar hemoglobin pasien pada rekam medis pasien, dan kemudian pasien mengisi kuisioner kualitas hidup WHOQOL. Hasil : Pasien gagal ginjal kronik yang menjalani hemodialisa < 6 bulan mayoritas berjenis kelamin laki-laki 26 orang (65,0%), berusia >50 Tahun (50,0%), berstatus sudah menikah 38 orang (95,0%), pendidikan terakhir SMA 17 orang (42,5 %), dan memiliki pekerjaan wiraswasta 14 orang (35,0%). Mayoritas tidak mengalami anemia 16 orang (40,0%), anemia ringan 13 orang (32,5%), anemia sedang 11 orang (27,5%) dan mayoritas mengalami kualitas hidup buruk sebanyak 22 orang (55,0%). Hasil uji bivariate Chi Square terdapat “hubungan antara anemia dan kualitas hidup pada pasien gagal ginjal kronik yang menjalani hemodialisa kurang dari 6 bulan dengan nilai p-value 0,002”. Kata Kunci : Anemia, Kualitas Hidup, Gagal Ginjal Kronik, Hemodialisa


2019 ◽  
Vol 13 (1) ◽  
pp. 62-68
Author(s):  
Hardono Hardono ◽  
Elisa Oktaviana ◽  
Andoko Andoko

THE EFFECTS OF WARM-WATER FOOTBATH ON  INSOMNIA AMONG ELDERLYBackground: Insomnia is often considered normal when it is allowed to cause disease and even death, especially in the elderly with a percentage of 50% of elderly experiencing insomnia. At the Tresna Werdha Social Home of 10 elderly, there were about 4 elderly who had experienced on mild to severe insomnia.Purpose: This study was to determine the effect of warm-water footbath on insomnia among elderly at the Tresna Werdha Natar Social Home.Methods: The design of the study used a quasi-experimental with the one group pretest-posttest design method. The population of this study was 17 elderly who were experiencing a mild and severe insomnia with a sampling technique by total sampling.Results: Statistical tests using paired t test. Clinical results obtained a mean score before 25.76 meaning mild insomnia and an average score after 17.18 means  with a decrease of 8,588 . The statistical test results obtained a significant value of 0.000 (p-Value <0.05) which means Ha is acceptedConclusion: There is the effect of of warm-water footbath on insomnia among elderly. It is recommended that this study can be a safe therapy for the elderly who has suffered on insomnia, especially in nursing homes.Keywords: Warm-water footbath, insomnia, elderly Pendahuluan: Insomnia sering dianggap hal yang biasa padahal bila dibiarkan dapat menimbulkan penyakit bahkan kematian terutama pada lansia dengan persentasi 50% lansia mengalami insomnia. Di Panti Sosial Tresna Werdha dari 10 lansia terdapat 4 lansia yang mengalami insomnia di usia 65 tahun sampai 74 tahun dari insomnia ringan sampai berat.Tujuan :  Penelitian ini untuk mengetahui pengaruh rendam kaki dengan air hangat terhadap penurunan insomnia lansia di Panti Sosial Tresna Werdha Natar.Metode : Desain penelitian menggunakan quasi eksperimen dengan metode pendekatan one group pretest-posttest design. Populasi penelitian ini adalah 17 lansia yang mengalami insomnia ringan dan berat dengan teknik pengambilan sampel dengan cara total samplingHasil : Uji statistik menggunakan paired t test.Hasil klinis didapat skor rerata sebelum 25.76 artinya insomnia ringan dan skor rerata sesudah 17.18 artinya tidak insomnia dengan penurunan 8.588. Hasil uji statistik didapat nilai signifikan 0.000 (P-Value < 0,05) yang berarti Ha diterimaSimpulan : ada pengaruh rendam kaki dengan air hangat terhadap penurunan insomnia pada lansia. Penurunan dari insomnia ringan menjadi tidak insomnia.Diharapkan penelitian ini dapat menjadi terapi yang aman digunakan oleh penderita insomnia terutama pada lansia di panti werda.


2019 ◽  
Vol 2 (2) ◽  
pp. 115
Author(s):  
Emiliana Tawuru May ◽  
Abdul Wakhid ◽  
Yunita Galih Yudanari

Pendidikan kesehatan pasien atau keluarga merupakan kegiatan dalam perencanaan pulang pasien yang ditujukan untuk meningkatkan pengetahuan keluarga dalam memberikan perawatan selanjutnya dirumah. Tujuan penelitian ini untuk mengetahui perbedaan pengetahuan sebelum dan sesudah pendidikan kesehatan tentang terapi diet cairan dan hemodialisis terhadap keluarga pasien gagal ginjal kronik yang menjalani hemodialisis. Desain penelitian ini pre-experimental designs dengan pendekatanOne-Group-Pretest-Posttest Design. Populasi penelitian ini yaitu pasien gagal ginjal kronik yang menjalani hemodialisis dengan sampel 15 orang diambil menggunakan metode purposive sampling. Alat pengambilan data menggunakan kuesioner. Analisis data menggunakan program komputer. Analisis bivariat menggunakan ujit-Test Dependent. Pengetahuan keluarga pasien gagal ginjal kronik yang menjalani hemodialisis sebelum diberikan pendidikan kesehatan tentang terapi diet cairan dan hemodialisis sebagian besar kategori kurang (53,4%), dan sesudah pendidikan kesehatan sebagian besar kategori baik (86,7%). Ada perbedaan yang bermakna pengetahuan tentang terapi diet cairan dan hemodialisis sebelum dan sesudah pendidikan kesehatan pada keluarga pasien gagal ginjal kronik yang menjalani hemodialisis, dengan p-value = 0,000< 0,05.Ada peningkatan pengetahuan sesudah pendidikan kesehatan tentang terapi diet cairan dan hemodialisis terhadap keluarga pasien gagal ginjal kronik yang menjalani hemodialisis. Keluarga pasien gagal ginjal kronik yang menjalani hemodialisis sebaiknya meningkatkan pengetahuan tentang terapi diet cairan dan hemodialisis dengan aktif menggali informasi dengan aktif berkonsultasi dengan tenaga kesehatan yang berkompeten. Kata kunci: Terapi diet cairan dan hemodialisis, pengetahuan keluarga,gagal ginjal kronik DIFFERENCES OF KNOWLEDGE BEFORE AND AFTER HEALTH EDUCATION ABOUT THERAPIDYET LIQUID AND HEMODIALYSIS OF FAMILY OF CHRONIC KIDNEY PATIENTS WHO HAVE DONE HEMODIALISIS ABSTRACTHealth education of patient or family is an activity in planning a patient's return aimed at increasing family knowledge in providing further care at home.Objective of this study was to determine the knowledge differences before and after health education about fluid diet therapy and haemodialysis on families with patients with chronic renal failure undergoing haemodialysis. The design of this study was pre-experimental designs by using the One-Group-Pretest-Posttest Design approach. The population of this study were chronic kidney failure patients who underwent haemodialysis with sample of 15 people taken by using a purposive sampling method. The data collection tool used a questionnaire. Data analysis used computer program. Bivariate analysis used the t-Test Dependent. The family knowledge of patients with chronic renal failure who underwent haemodialysis before being given health education about fluid diet therapy and haemodialysis is mostly in poor category (53.4%), and after health education is mostly in good category (86.7%). There is significant differences in knowledge about fluid diet therapy and haemodialysis before and after health education in families of patients with chronic renal failure undergoing haemodialysis, with p-value = 0.000 <0.05. There are increased knowledge after health education about dietary fluid therapy and haemodialysis on families of patients with chronic renal failure undergoing haemodialysis. Families of patients with chronic kidney failure who undergo haemodialysis should increase their knowledge of fluid diet therapy and haemodialysis by actively digging up information and consulting with competent health professionals. Keywords: Fluid diet therapy and haemodialysis, family knowledge, chronic kidney failure


2019 ◽  
Vol 11 (4) ◽  
pp. 277-284
Author(s):  
Vitrianingsih Vitrianingsih ◽  
Sitti Khadijah

Studi memperkirakan emesis gravidarum terjadi pada 50-90% kehamilan. Mual muntah pada kehamilan memberikan dampak yang signifikan bagi tubuh dimana ibu menjadi lemah, pucat dan cairan tubuh berkurang sehingga darah menjadi kental (hemokonsentrasi). Keadaan ini dapat memperlambat peredaran darah dan berakibat pada kurangnya suplay oksigen serta makanan ke jaringan sehingga dapat membahayakan kesehatan ibu dan janin. Salah satu terapi yang aman dan dapat dilakukan untuk mengurangi keluahan mual muntah pada ibu hamil adalah pemberian aromaterapi lemon. Penelitian bertujuan untuk mengetahui efektifitas aroma terapi lemon untuk menangani emesis gravidarum. Penelitian ini menggunakan rancangan Quasi experiment  dengan  one group pre-post test design. Populasi penelitian adalah ibu hamil yang mengalami emesis gravidarum di Kecamatan Berbah, Sleman. Jumlah sampel 20 ibu hamil trimester pertama yang diambil dengan teknik purposive sampling. Pengukuran mual muntah dilakukan debelum dan setelah  pemberian aromaterapi lemon menggunakan Indeks Rhodes. Analisa data menggunakan uji Paired t-test. Hasil penelitian didapatkan rata-rata skor mual muntah sebelum pemberian aromaterapi lemon berdasarkan Indeks Rhodes pada Ibu Hamil dengan emesis gravidarum yaitu 22,1 dan terjadi penurunan skor setelah pemberian aromaterapi lemon menjadi 19,8. Ada pengaruh pemberian aromaterapi lemon dengan pengurangan mual muntah pada ibu hamil (p-value = 0.017). Berdasarkan hasil penelitian dapat disimpulkan pemberian aromaterapi lemon efektif untuk mengurangi emesis gravidarum pada ibu hamil trimester pertama.  Kata kunci: aromaterapi lemon, emesis gravidarum THE EFFECTIVENESS OF LEMON AROMATHERAPY FOR HANDLING EMESIS GRAVIDARUM   ABSTRACT Studies estimate that nausea and vomiting (emesis gravidarum) occur in 50 – 90% of pregnancies. Nausea and vomiting of pregnancy have a significant impact on the body in which it makes a mother becomes weak, pale, and decreasing body fluid so that the blood becomes thick (hemoconcentration). This situation can slow down blood circulation and inflict the lack of oxygen and food supplies to the body tissues so that it can endanger the health of the mother and fetus. One of the therapies that is safe and can be conducted to reduce nausea and vomiting of pregnancy is by giving the lemon aromatherapy treatment. The research aims to determine the effectiveness of the aroma of lemon therapy to deal with emesis gravidarum. This study applied quasi-experimental research with one group pretest-posttest design. The population of this study was pregnant women who experienced emesis gravidarum. Furthermore, samples were 20 mothers from Berbah, Sleman taken by using a purposive sampling technique. Nausea and vomiting were assessed between before and after giving lemon aromatherapy using the Rhodes Index. The data were analyzed using the paired t-test. The mean score of nausea and vomiting before giving lemon aromatherapy on mother with emesis gravidarum based on the Rhodes Index was 22.1. However, it decreased after given lemon aromatherapy treatment to 19.8. Therefore, there was an effect on giving lemon aromatherapy treatment toward the decrease of nausea and vomiting for pregnant women (p-value = 0.017). Lemon aromatherapy is effective to reduce emesis gravidarum.  Keywords: lemon aromatherapy, emesis gravidarum


2021 ◽  
Vol 6 (2) ◽  
pp. 894-902
Author(s):  
Bertakalswa Hermawati ◽  
Oktia Woro Kasmini Handayani ◽  
Dyah Sukendra Mahendrasari ◽  
Farah Azizah Mukti ◽  
Aprilia Wijayanti

Kasus Covid-19 semakin meningkat namun praktik mencuci tangan dengan benar belum diterapkan sebagai upaya pencegahan. Tujuan penelitian ini adalah untuk meningkatkan praktik mencuci tangan pada guru anak usia dini. Penelitian ini menggunakan pendekatan kualitatif dan kuantitatif dengan  a quasi‑experimental study dan The One-Group Pretest-Posttest Design. Pengambilan sampel secara purposif (Purposive Sampling) yakni 15 guru di taman kanak-kanak di kelurahan Petompon, kota Semarang, Jawa Tengah, Indonesia. Instrumen penelitian ini adalah observasi dengan check list prosedur mencuci tangan sebelum dan sesudah intervensi. Metode yang digunakan adalah ceramah, diskusi, demonstrasi dan simulasi serta menggunakan media promosi yakni film dan leaflet. Data dianalisa dengan Wilcoxon Rank tests. Hasil penelitian membuktikan ada peningkatan praktik mencuci tangan secara signifikan setelah diberikan intervensi dibandingkan sebelum diberikan intervensi (p=0.001 0.05). Metode dan media promosi kesehatan efektif meningkatkan praktik cuci tangan pada guru anak usia dini


2020 ◽  
Vol 7 (2) ◽  
pp. 27-31
Author(s):  
Bambang Adi Purnomo ◽  
Yani Kamasturyani ◽  
Cecep Wahyudin

Chronic renal failure is a disease that results in a progressive and gradual decline in renal function that requires hemodialysis therapy. In Indonesia, there were 198,575 patients chronic kidney failure in 2018. The number of undergoing hemodialysis therapy is 132,142 patients. The hemodialysis routine causes tension, anxiety, stress and depression in patient. The purpose of this study was to determine the relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy ant Waled Hospital. The method of this research was descriptive correlational with a cross sectional approach. This research used purposive sampling technique amounted to 79 respondents. The instrument of this research was a questionnaire Jaloweic Coping Scale (JCS) and stress adaptation questionnaire. Data analysis used the spearman rank test. Place of research at Waled Hospital, Cirebon Regency during July 2020.  The result showed that most respondents had an adaptive category as many as 55 adaptation showed the results of most respondents had an adaptive category as many as 55 respondents with a percentage (69.6%). The spearman rank test showed p value <α and r<1, which means that there was a moderate an positive relationship between coping mechanisms and stress adaptation (p value=0,000 < α=0.05 and r=0.593). The is a relationship between coping mechanisms and stress adaptation in chronic renal failure patients undergoing hemodialysis therapy. The better coping mechanism is carries out, the adaptive stress that arises will be adaptive so that the patient can adjust and be able to cope with the stress he is experiencing.


Author(s):  
Rismawati Rismawati ◽  
Hany Handayani

Scaffolding is a learning strategy that is used in learning by providing assistance to taste to students based on the difficulties experienced by students. The purpose of this research is to know the influence of scaffolding strategies against the ability of mathematical understanding of grade III SD in Purwakarta. This research uses a quantitative approach with quasi experimental research methods and research designs The Nonequivalent Control Group Design with techniques of sampling Non Probability Sampling the sampling type is saturated. The object of this research is the whole grade 3 SD 2017/2018 school year with a total of 48 students (Male = 23, female = 25). Data collection techniques in the study using this type of test in the form of sheets of matter and types of the non test in the form of observation and documentation. Data analysis in this study uses the construction and validity testing of the validity of the content. The results showed there is the influence of the use of scaffolding strategies against the mathematical understanding of the capabilities of the students. This calculation results obtained from test-t with P-Value calculation results (Sig 2-tailed) for 0.000 which means less than 0.05 significant level. The earnings results of the pretest average score at 29.92 while IE experiment class results average value of experimental class posttest was 73.92. Then for obtaining the value of an average pretest classes control i.e. 30.96 while the average value of posttestnya was 55.17. The use of scaffolding strategies can be used by subsequent researchers to conduct research in the subject matter, having regard to the appropriations used and skills of teachers in the conditioning classes, to obtain maximum results.


2020 ◽  
Vol 7 (1) ◽  
pp. 10-20
Author(s):  
Fatchurozak Himawan ◽  
Suparjo Suparjo ◽  
Cuciati Cuciati

Hemodialysis for patients with chronic kidney failure can cause anxiety that can change at any time and can end up being depressed. Dzikir provides a sense of calm, eliminates sadness and raises motivation for a better life and is able to reduce anxiety and depression. This study aims to determine the effect of morning and evening dhikr on the level of depression in kidney failure patients undergoing hemodialysis at Kardinah Tegal General Hospital. The research method used is quantitative research with a Quasi-experiment with (Non-Equivalent Control Group) Pretest Posttest design. The total sample of 40 respondents consisted of 20 respondents in the control group and 20 respondents in the intervention group. Sampling uses a technique purposive sampling. An Instrument for measuring depression with the Beck Depression Inventory (BDI) II. The results of the study showed a decrease in the level of depression in the intervention group with a Wilcoxon pre-post difference test value of 0.007. with an average score drop of 4.95 points. From 20 respondents there were 15 respondents who experienced a decrease in score with an average decrease in score of 11.83 points and 5 respondents experienced an increase in an average of 5 points. There was no effect of decreasing the level of depression in the control group with a Wilcoxon pre-post difference test value of 0.268. There was an increase in depression scores of 10 respondents and 9 respondents experienced a decrease with an average of 6.75 points. It can be concluded that dhikr therapy in the morning is not the only factor that can reduce the level of depression in hemodialysis respondents with kidney failure. 


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