scholarly journals Pengaruh Breathing Exercise Terhadap Level Fatigue Pasien Hemodialisis

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

2019 ◽  
Vol 6 (1) ◽  
pp. 019-026
Author(s):  
Muhammad Rosyidul Ibad

Patients undergoing hemodialysis therapy during their lifetime will depend on the dializzer device, the hemodialysis procedure must be carried out routinely and continuously with a frequency of 2-3 times in one week. Profile data shows that chronic kidney failure in Indonesia is slightly more prevalent in men than in women, individuals who experience chronic kidney failure and who are undergoing a hemodialysis process have the potential to experience emotional problems. Anxiety is the main disorder that can arise due to hemodialysis procedures, a person undergoing hemodialysis will have concerns, fears, and uncertainties resulting from negative perceptions. Researchers have identified differences in anxiety among hemodialysis patients based on a gender perspective through the Kruskal wallis test. The results show that the p-value obtained is P = 0.488, this means that there are no differences in anxiety experienced by both male and female respondents. The emergence of anxiety in general in hemodialysis patients is caused by various factors such as financial problems that must be supported by the use of health insurance, the level of understanding of the disease and therapeutic procedures, and a history of undergoing a therapeutic procedure


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 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


2021 ◽  
Vol 1 ◽  
pp. 1383-1392
Author(s):  
Devita Listiani ◽  
Rita Dwi Hartanti

AbstractFatigue is an unpleasant and terrible experience in life. Fatigue often occurs in hemodialysis patients, the cause of fatigue in hemodialysis patients occurs due to several factors, namely physiological and psychological factors of the patient. Foot Reflexology is a non-pharmacological therapy. Foot Reflexology is a massage that is carried out in the foot by applying pressure and massaging movements of the feet that are connected to other organs through the nervous system, foot reflexology creates relaxation, increases blood flow to the feet, brain, kidneys, and intestines. Therefore it is useful for overcoming fatigue. The purpose of this literature review was to determine the effect of foot reflexology on reducing fatigue in chronic kidney failure patients undergoing hemodialysis therapy. The method used in this study was a literature review, by looking for articles related to the theme taken from Pubmed, Science Direct and Google Scholar. The articles were selected according to the research inclusion criteria, then analyzed using the Hawker Checklist critical review instrument. The results of the literature review of the five articles, showed that the average score of fatigue in the intervention group after receiving footreflexology was decreased. The results of the analysis of the five articles proved that there was a significant reduction in fatigue in the intervention group, as evidenced by the bivariate value (p – value) was less than 0.05. Foot Reflexology can reduce fatigue in hemodialysis patients and can be used as an alternative treatment method in nursing because it is safe and non-invasive.Key words : Fatigue, Foot Reflexology,Hemodialysis Patients AbstrakKelelahanmerupakan pengalaman tidak menyenangkan dan menyulitkan dalam kehidupan. Kelelahan sering terjadi pada pasien hemodialisa, penyebab kelelahan pada pasien hemodialisa terjadi karena beberapa faktor, yaitu faktor fisiologi maupun psikologis pasien. Foot Reflexology merupakan terapi non farmakologi. Foot Reflexology merupakan pemijatan yang dilakukan di area kaki, dengan penerapan tekanan dan gerakan memijat kaki yang terhubung dengan organ lain melalui sistem saraf, foot reflexology menciptakan relaksasi, meningkatkan aliran darah ke kaki, otak, ginjal, dan usus sehingga bermanfaat untuk mengatasi kelelahan. Tujuan dari literatur review ini adalah untuk mengetahui pengaruh foot reflexology terhadap penurunan kelelahan pada pasien gagal ginjal kronik yang menjalani terapi hemodialisa. Metode yang digunakan dalam penelitian ini adalah literatur review, dengan mencari artikel yang berkaitan dengan tema yang diambil dari beberapa search engine yaitu Pubmed, Science Direct dan Google Scholar. Artikel dipilih sesuai dengan kriteria inklusi penelitian, kemudian dianalisa menggunakan instrument telaah kritis Hawker Cheklist. Hasil literatur review dari kelima artikel, skor rata – rata kelelahan pada kelompok intervensi setelah mendapat footreflexology mengalami penurunan. Hasil dari analisa dari kelima artikel membuktikan bahwa terdapat penurunan kelelahan yang signifikan pada kelompok intervensi, dibuktikan dengan nilai bivariate ( p – value) p > 0,05. Foot Reflexology dapat menurunkan kelelahan pada pasien hemodialisa dan dapat dijadikan sebagai metode pengobatan alternatif dalam keperawatan karena aman dan non invasif.Kata Kunci : Kelelahan , Pasien Hemodialisa, Pijat Refleksi Kaki


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


1970 ◽  
Vol 3 (2) ◽  
Author(s):  
Oyoh O ◽  
Jenita Sidabutar

Kejadian dismenorea primer di Indonesia sekitar 54,89%, sisanya 45,11% dismenorea sekunder. Dismenorea primer  pada siswi SMP X dari 35 siswi 25 siswi mengalami disminor bila haid. Salah satu pengobatan dismenorea secara non-farmakologis yaitu hipnoterapi. Hipnoterapi merupakan salah satu cara yang mudah, cepat, efektif, dan efisien dalam menjangkau pikiran bawah sadar. Penelitian ini bertujuan untuk mengetahui pengaruh hipnoterapi terhadap dismenorea pada siswi SMP. Metode penelitian yang digunakan adalah Pre Eksperimental dengan rancangan penelitian one group pre-test-post-test. Jumlah populasi yang didapat 117 orang dan jumlah sampel yang diambil 20 orang, dengan teknik purposive sampling. Pengumpulan data diperoleh secara langsung dari responden dengan menggunakan alat ukur Verbal Descriptor Scale (VDS). Analisis data melalui dua tahapan, yaitu univariat dan bivariat dengan menggunakan uji t-dependen. Hasil penelitian didapatkan nilai rata-rata skala dismenorea sebelum diberikan intervensi adalah 6,50 dan nilai rata-rata sesudah diberikan intervensi adalah 1,35, terdapat pengaruh hipnoterapi terhadap dismenorea (t=17,596, p-value= 0,001). Hipnoterapi dapat disarankan untuk diterapkan sebagai tindakan nonfarmakologis untuk mengatasi dismenorea.Kata kunci: Dismenorea primer, hipnoterapi, SMP.Effect of Hypnotherapy on Alleviating Primary Dysmenorrhea in Junior High School StudentsAbstractThe incidence of primary dysmenorrhea in Indonesia amounts to approximately 54.89%, while another 45.11% is secondary dysmenorrhea. 25 out of 35 female students at SMP Patriot Bangsa (Patriot Bangsa Junior High School) experience primary dysmenorrhea when menstruating. One of nonpharmacological treatments for dysmenorrhea is hypnotherapy. Hypnotherapy is an easy, fast, effective, and efficient way to treat dysmenorrhea by reaching the subconcious. This research aimed to identify the effect of hypnotherapy on dysmenorrhea in junior high school students. This research used a pre-experimental method with one group pretest- posttest design. The population of this research was 117 students and 20 students were chosen as sample with purposive sampling technique. Data were collected from respondents using Verbal Descriptor Scale (VDS) instrument. Data were analyzed in two steps, univariate and bivariate with t-dependent test. The results showed that the average value of dysmenorrhea before intervention is 6.5 and after intervention is 1.35. Hypnotherapy was found to have an effect on dysmenorrhea (t=17,596, p-value 0,001). It was suggested to the school that they should conduct nonpharmacological interventions such as hypnotherapy as treatment of dysmennorhea.Key words: Dysmenorrhea primer, hypnotherapy, SMP.


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):  
Pradnja Paramitha Chandra Devi ◽  
Rudi Hamarno ◽  
Roni Yuliwar

Penelitian ini bertujuan untuk mengetahui perbedaan tingkat nyeri dan tekanan darahsebelum dan sesudah dilakukan DBE pada pasien yang mengalami pembedahan laparatomi di RSLavalette Malang. Metode penelitian yang digunakan adalah one group pre-post test design. Subyekpenelitian adalah pasien post laparatomi yang dipilih dengan teknik purposive sampling sebanyak 20responden. Hasil uji statistik paired t-test menunjukkan bahwa terdapat perbedaan signifikan sebelumdan sesudah deep breathing exercise (DBE) dari tingkat nyeri dengan p-value=0,000 (p<0,05). Namuntidak terdapat perbedaan signifikan pada tekanan darah sistole dengan p-value=0,725 dan tekanandarah diastole dengan p-value=0,428 (p>0,05). Saran bagi perawat agar melakukan DBE pada pasienpost laparatomi karena dapat menurunkan tingkat nyeri.


2019 ◽  
Vol 3 (1) ◽  
pp. 72
Author(s):  
Utami Dwi Yusli ◽  
Nurullya Rachma

Kecemasan lansia di panti wreda cenderung meningkat setiap hari.Kondisi ini dapat mengakibatkan ketidakmampuan berlebihan dan gangguan pada kualitas kehidupan lebih lanjut pada lansia. Terapi musik gamelan adalah salah satu alternatif terapi pada lansia dengan kecemasan, terutama kecemasan ringan sampai sedang yang sangat mudah untuk dilakukan dan tanpa efek samping. Penelitian ini bertujuan untuk mengetahui pengaruh terapi Musik Gamelan Jawa terhadap kecemasan pada lansia di Rumah Pelayanan Sosial Lanjut Usia Pucang Gading Semarang. Metode penelitian yang digunakan adalah penelitian kuantitatif dengan quasi experiment design dengan rancangan pretest-postest one group design. Teknik sampling yang digunakan adalah purposive sampling dengan jumlah sampel 40 responden. Pengambilan data menggunakan lembar kuesioner Geriatric Anxiety Scale (GAS). Hasil penelitian menunjukkan bahwa ada pengaruh terapi musik gamelan jawa terhadap tingkat kecemasan Lansia di Rumah Pelayanan Sosial Lanjut Usia Pucang Gading Semarang dengan nilai p value 0,000. Terapi musik gamelan dapat menjadi salah satu alternatif intervensi keperawatan yang dapat dilakukan oleh para caregiver di panti wreda untuk dapat diimplementasikan kepada lansia dengan masalah kecemasan. Kata kunci: Musik gamelan, lansia, kecemasan Abstract The effect of javanese gamelan music therapy intervention on elderly anxiety level. Elderly anxiety level in nursing homes tend increase every day. This condition can lead to excessive incompetence and further interference in quality of life. Gamelan music therapy is an alternative therapy management in the elderly with anxiety. It can control mild to moderate anxiety level which is very easy to do without side effects. The purpose of this study was to determine the effect of javanese gamelan music therapy intervention on elderly anxiety level at Elderly Social Services Home of Pucang Gading Semarang. The method of this study was quantitative used quasi-experimental design with pretest-posttest one group design. Sampling technique used was purposive sampling with 40 respondents as the sample. Retrieving data using a Geriatric Anxiety Scale (GAS) questionnaire sheet . The results show that there was a significant influence of Javanese gamelan music therapy on anxiety level of the Elderly at Elderly Social Services Home of Pucang Gading Semarang with p value of 0.000. Gamelan music therapy can be an alternative nursing intervention and can be done by the care giver in a nursing home for  elderly with anxiety problems.  Keywords: Gamelan music, elderly, anxiety


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