scholarly journals PENGARUH ISLAMIC PROGRESSIVE MUSCLE RELAXATION (IPMR) TERHADAP PENURUNAN KADAR KORTISOL PASIEN PRE OPERASI DI RUANG AZZAHRA 2 RSI JEMURSARI SURABAYA

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Chilyatiz Zahroh ◽  
Khamida Khamida ◽  
Nanang Rokhman Saleh

Surgery is a medical action can cause stress on the patient. Stress patient who will undergo surgery must be well managed in order not to harm patients. The purpose of this study was to analyze the influence of Islamic progressive muscle relaxation (IPMR) against the patient's decrease cortisol levels. This research was experimental research with approach of pre-post test design. The population were all patients treated in Azzahra during September 2017, with research samples of 30 respondents obtained via simple random sampling techniques. Independent variables was Islamic progressive muscle relaxation, whereas cortisol levels was dependent variables. The data of Cortisol levels was collected through the patient's blood sample. Data were analyzed with a Wilcoxon signed rank test. Results of the study indicate that there are significant levels of cortisol after patient's IPMR. Cortisol levels in the normal range can modulate the immune system so as to strengthen the body's immune. Nurses can make the effort an effective, easy and cheap to reduce stress to patients who will undergo surgery with technique IPMR. Keywords: Islamic, Progressive, Muscle, Relaxation, Cortisol, Stress

2021 ◽  
Vol 12 (2) ◽  
pp. 411
Author(s):  
Rusnoto Rusnoto ◽  
Nur Laily Prasetyawati

Latar Belakang : Diabetes Melitus merupakan salah satu penyakit degenerative. Terdapat lebih dari 220 juta DM diseluruh dunia pada tahun 2011 dan 80% lebih penderita berada di negara berkembang termasuk Indonesia (Soegondo, 2009). Kurang lebih 5-10% pasien diabetes menderita DMT1, selebihnya sekitar 90-95% pasien diabetes menderita DMT2 (Smeltzer & Bare, 2002). Beberapa faktor yang dapat meningkatkan kejadian DM adalah umur, keturunan, pola makan yang salah, aktivitas fisik kurang gerak, obesitas, stres, dan pemakaian obat-obatan. Salah satu factor yang dapat meningkatkan kejadian DM yaitu stres. Stres yang menetap menimbulkan respon stres berupa aktivasi sistem saraf simpatis dan peningkatan kortisol. Kortisol ini akan meningkatkan konversi asam amino, laktat, dan piruvat di hati menjadi glukosa melalui proses glukoneogenesis, dengan demikian stres akan meningkatkan kadar glukosa darah.                                                                                                        Tujuan : Mengetahui pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Jepara Tahun 2021.                                                   Metode : Metode dalam penelitian ini adalah kuasi eksperimen dengan rancangan control group pre-test and post-test. Sampel 50 responden yang terdiri dari kelompok intervensi dan kelompok kontrol. Alat ukur yang digunakan glukometer digital, lembar observasi latihan PMR. Analisis data menggunakan uji wilcoxon.                                                                                                                   Hasil Penelitian : Hasil analisis uji wilcoxon signed rank test didapatkan bahwa p value = 0,001 (p value < α) maka dapat disimpulkan Ho ditolak dan Ha diterima yang berarti ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu  pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021.                                                                                                                                 Kesimpulan : Ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah  sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021. Dengan penelitian ini diharapkan ada kelanjutan penelitian ini dengan metode lebih baik.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Fauziah Fauziah ◽  
Sri Lestari

Masa remaja akan diwarnai dengan perubahan fisik salah satunya adalah payudara   membesar.  Payudara   ini   memiliki   kemungkinan   akan   timbulnya penyakit salah satunya adalah kanker payudara. Namun kurangnya minat remaja dalam  mencari  informasi  mengenai  deteksi  dini  kanker payudara,  menjadikan remaja tidak paham akan penyakit kanker payudara. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan melalui peer group terhadap pengetahuan dan sikap remaja putri tentang SADARI. Jenis penelitian ini menggunakan desain quasi experiment dengan pendekatan pre and post test without control group. Dengan jumlah populasi 1028 remaja putri, sehingga jumlah sampel didapatkan sebanyak 91 responden. Teknik pengambilan sampel yang digunakan dalam penelitian ini menggunakan simple random sampling. Data diperoleh dengan cara wawancara, alat pengumpulan data menggunakan kuesioner dan dianalisis secara statistik menggunakan uji Wilcoxon Signed Rank Test. Hasil pengujian hipotesis menggunakan uji Wilcoxon signed ranktest diperoleh   nilai   probabilitas  (p-value)  sebesar 0,000  (p<   0,05)   sehingga kesimpulan uji adalah terdapat pengaruh pendidikan kesehatan melalui peer group terhadap pengetahuan dan sikap remaja putri tentang SADARI.Kata kunci : Pengetahuan, Sikap, Peer Group, Remaja   ABSTRACT Adolescence will be colored by physical changes, one of which is enlarged breasts. This breast has the possibility of disease, one of which is breast cancer. But the lack of interest in adolescents in seeking information about early detection of breast cancer, makes teenagers do not understand breast cancer.The purpose of this study was to determine the effect of health education through peer groups on the knowledge and attitudes of young women about their awareness. This type of research uses a quasi experiment design with a pre and post test without control group approach. With a population of 1028 young women, so the number of samples was 91 respondents. The sampling technique used in this study used simple random sampling. Data obtained by interview, data collection tools using questionnaires and statistically analyzed using the Wilcoxon Signed Rank Test. The results of hypothesis testing using the Wilcoxon signed ranktest test obtained a probability value (p-value) of 0,000 (p <0.05) so that the conclusion of the test was that there was an effect of health education through peer groups on the knowledge and attitudes of young women.Keywords : Knowledge, Attitude,Peer Group, Adoloscence


2015 ◽  
Vol 2 (1) ◽  
pp. 25
Author(s):  
Syarifah Nur Laili Siyam ◽  
Arlina Nurhapsari ◽  
Benni Benyamin

Background: Health education was an attempt to increase the knowledge of children to health problems. The provision of health education can be done through stimulation using Educational Educative Equipment (APE) form snakes and ladders game . One of the health problems that was unfamiliar to the child that is gingivitis. Purpose: This study was conducted to determine the effect of stimulation of gingivitis snakes and ladders game against the knowledge of children ages 8-11 years. Method: This research method using descriptive analytic with pre and post test design. Samples were collected using simple random sampling method comprising 102 respondents based on inclusion criteria of the SD N Kuningan 04. The independent variable is the stimulation of snakes and ladders game. The dependent variable is the child's knowledge about gingivitis. Data were collected using a questionnaire and analyzed the Wilcoxon Signed Rank test. Result: Based on the Wilcoxon Signed Rank test showed significance value 0.00 (p <0.05), so it can be concluded that health education using stimulation of snakes and ladders game has the effect to increase the knowledge of gingivitis in children. Conclusion: From these results it can be concluded that education using the stimulation of snakes and ladders game effect to increase children's knowledge about gingivitis.


2021 ◽  
Vol 1 (2) ◽  
pp. 43
Author(s):  
Jaoharo Feralisa ◽  
Widiharti Widiharti

Gejala insomnia sering terjadi pada lansia, bahkan hampir setengah dari jumlah lansia mengalami kesulitan memulai tidur dalam mempertahankan tidurnya. Tujuan penelitian ini untuk Menganalisis Perbedaan Kejadian Insomnia Pada Lansia Sebelum dan Sesudah Dilakukan Terapi Air Hangat Pada Kaki Di Dusun Bukabu Sumenep. penelitian yang digunakan adalah Pra Eksperimen, dengan jenis penelitian One Grup Pre-Post Test Design. Populasinya adalah semua lansia yang mengalami insomnia. Teknik pengambilan sampel menggunakan simple random sampling dan pengumpulan data menggunakan kuesioner. Hasil penelitian kemudian dianalisis menggunakan Uji Wilcoxon Signed Rank Test. Hasil penelitian analisis menunjukkan bahwa hampir setengahnya tingkat insomnia sebelum diberikan terapi air hangat adalah sedang sebanyak 38 lansia (48%), sebagian besar tingkat insomnia lansia sesudah dilakukan terapi air hangat adalah ringan 42 lansia (53%). Hasil analisis perbedaan tingkat insomnia sebelum dan sesudah dilakukan terapi air hangat diperoleh nilai p value (0,000) < (0,05) yang berarti Ho ditolak Ha diterima. Terapi air hangat dapat digunakan sebagai alternativ untuk mengurangi insomnia lansia.


2019 ◽  
Vol 8 (2) ◽  
pp. 165-171
Author(s):  
Desi Natalia Trijayanti Idris ◽  
Kili Astarani

Elderly experiencing problems sleeping disorders one of which is insomnia. One of the efforts to overcome insomnia is progressive muscle relaxation therapy. This study aims to analyze the effect of progressive muscle relaxation therapy on insomnia in the elderly. This research was designed using Pre Experimental, one group pre-test - post-test design. Data collected through observation and interviews before. It is analyzed using the Wilcoxon Signed Rank Test. The independent variable of this study was progressive muscle relaxation therapy and the dependent variable was insomnia. The results showed there was an effect of progressive muscle relaxation therapy with insomnia based on the Wilcoxon test (p = 0.004), and z score = 2.850. This study states that non-pharmacological therapy of progressive muscle relaxation therapy can be a nurse's independent action in providing nursing care to patients, especially in elderly patients who experience insomnia


2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Yuliati Yuliati ◽  
Nur Hidaayah ◽  
Nur Hidaayah

Decline in cognitive function in the elderly is not considered reasonable, and can be inhibited with brain gym activity.The purpose of this study is to investigate the influence of brain exercise on cognitive function in the elderly in RT 03 RW 01 Tandes Village. Design of this study Pre-Experiment with one grop pre post test,the population are from ten of elderly aged 60-74 years. Sampling by simple random sampling, gained 6 people. The independent variable is the gymnastics of the brain and the dependent variable is a function cognitive. The data colledted by using the MMSE tabulation of data editing, coding, processing, celaning, tabulating and analyzed by Wilcoxon Sign Rank with α = 0.05. The results showed that prior to the brain gym majority (66.7%) had moderate cognitive impairment after brain gym majority (66.7%) are not impaired cognitive function. After the Wilcoxon signed rank test obtained value ρ = 0.014 <α = 0.05 so that H0 is rejected, it means that there is the influence of brain exercise on cognitive function in the elderly. Conclusions from this research is the brain exercises can improve cognitive function in the elderly in RT 03 RW 01 Tandes village. Brain gym should be applied in Posyandu every 3 times a week as more routine brain exercise in the elderly, then cognitive function will be increased, then can make the decline in function cognitive slowly.


2021 ◽  
Vol 12 (2) ◽  
pp. 87-91
Author(s):  
Erna Melastuti ◽  
Rika Viyanti ◽  
Suyanto Suyanto

Background: Cancer pain is caused by the growth of cancer mass that is getting bigger so that it suppresses bones, tissues and other organs around it. Cancer pain is a common complaint of post-treatment patients. Pain that is not further identified will have an impact on the patient's activity. Pain management can be done by pharmacological and nonpharmacological measures. Nonpharmacological therapies include progressive muscle relaxation and lemon aromatherapy. Aim : This study aimed to determine the effect of progressive muscle relaxation and lemon aromatherapy of cancer’s patient. Method : Pre Experiment used One Group With Pretest — Posttest Design. The sample consisted of 9 respondents using nonprobability sampling technique with purposive sampling method. Result : The results of this research is Wilcoxon Signed Rank Test with a maximum level of 95%, obtained p value of 0.006 less than the significant value of 0.05. Conclusion : There is an effect of progressive muscle relaxation and aromatherapy lemon on pain in cancer patients with a p value of 0.006. Keywords : Progressive muscle relaxation, lemon aromatherapy, pain, cancer


2019 ◽  
Vol 6 (2) ◽  
pp. 163-171
Author(s):  
Ika Purwanti ◽  
M Andre Marantika ◽  
A.A Sri Agung Adilatri

Selama proses penyusunan skripsi mahasiswa ditantang dan dilatih untuk melakukan serangkaian kegiatan yang bersifat ilmiah yang menguji suatu teori dan memecahkan suatu permasalahan dengan pola pikir yang kritis ( critical thinking).Stres mahasiswa dalam menyusun skripsi, disebabkan karena susahnya mencari referensi dan tekanan tugas yang deadline. Salah satu terapi untuk menurunkan stres adalah terapi senam otak (Brain Gym). Tujuan penelitian ini untuk mengetahui pengaruh terapi senam otak (Brain Gym) terhadap tingkat stres mahasiswa. Penelitian ini menggunakan metode pra-eksperimen dengan rancangan one group pre test-post test. Sampel dalam penelitian ini didapatkan 66 orang dengan tehnik simple random sampling. Penelitian dilaksanakan di Stikes Wira Medika Bali. Tingkat stres diukur dengan kuesioner DASS 42. Hasil penelitian didapatkan tingkat stres mahasiswa sebelum diberikan senam otak (Brain Gym) sebanyak 43 orang dengan kategori tingkat stres sedang, dan tingkat stres mahasiswa setelah diberikan terapi senam otak (Brain Gym) 50 orang dengan kategori tingkat stres ringan. Hasil uji statistic Wilcoxon Signed Rank Test dengan tingkat kemaknaan 0,05 menunjukan nilai p = 0,000 < 0,05. Kesimpulan penelitian, ada pengaruh senam otak (Brain Gym) terhadap tingkat stres mahasiswa. Berdasarkan hasil penelitian tersebut disarankan bagi yang mengalami stres dalam mengerjakan tugas akhir dapat menggunakan terapi senam otak (Brain Gym) tersebut untuk mengurangi tingkat stres.


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

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


2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level


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