scholarly journals Intervention Supportive Educative System Based on Self Care and Family Centered Nursing Model to Family Support in Teaching Cough Ethics and Correct Sputum Disposal of TBC Patients at Sanggau Ledo Health Center, Bengkayang District

2020 ◽  
Vol 2 (3) ◽  
pp. 627-634
Author(s):  
Tri Wahyuni ◽  
Parliani ◽  
Cau Kim Jiu ◽  
Kharisma Pratama ◽  
Tutur Kardiatun ◽  
...  

Tuberculosis is an infectious disease that attacks the lungs characterized by granuloma formation and causes tissue necrosis, a direct infectious disease caused by the TBC germ (mycobacterium tuberculosis). Problems that often arise in tuberculosis sufferers are about knowledge, activities and psychosocial family support. Purpose: this study was to determine a supportive educative system intervention based on self-care and family centered nursing models for family support in teaching cough and sputum disposal properly. Methods: The research design used was quantitative with a Quasi Experimental design pre-test post-test without control group. The sample in this study was 20 samples taken before and after the intervention. Results: based on the bivariate analysis of knowledge, activity, and family support with the Wilcoxon test, it shows that in the intervention group after education, this self-care based system affects people with tuberculosis, the variable knowledge with p value 0,000, activity (behavior) with p value 0,000 and family support p. value 0.050, which means p value <α 0.050, this study shows that there is a difference in scores of supportive educative system interventions based on self-care and family centered nursing models on family support in teaching cough and sputum disposal properly. Suggestion: This study recommends that poly pulmonary health services provide a supportive educative system intervention based on self-care and family centered nursing models for family support in teaching cough and sputum disposal in TBC patients.

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.


2020 ◽  
Vol 3 (2) ◽  
pp. 82-87
Author(s):  
Titik Setiyaningrum ◽  
Titi Sulastri ◽  
Heny Purwanti

The series of medical treatment procedure in children with leukemia need more longer time or period by doing the intensive chemotherapy, so that the children have hospitalization over and over again which takes a risk to irritate their self-growing and causes a distress on healing process. The purpose of this research is to analyze the intervention effect in supportive educative system based on family centered care toward family support to relieve children anxiety with leukimia. This research method is using quasi experimental method with non equivalent control group before after design approach and the number of samples from each group is 24. Taking samples is done by consecutive sampling technique. The result of this research shows the average number of children ages in both of groups are six years old. The parent ages are approximately 35-36 years old and the low basic education happened to the majority of these parents. The research result is got p value 0.000 (> 0.05) which means there is a big difference in family support system between intervention group and control after giving intervention. It can be concluded that giving intervention to the supportive educative system based on family centered care takes effect toward family support in caring for children with leukemia.


Author(s):  
Ramaita Basri

Attachment behaviors are behaviors experienced by children when they would leave their homes and families to join his friends at school he regarded as strangers. This behavior can interfere with the functioning life of the child so that the child can not be independent, and parents should be involved more in the activities of children. The study aimed to determine the effect of economic token therapy for reducing the attachment behavior among Kindergarten Students. The design of this study was quasi experimental with pre and post with control group. By using multistage random sampling and consecutive sampling technique with a total sample of 68 people who experienced attachment behavior. Consisted of 34 peoples as intervention group and 34 peoples as control group. Bivariate analysis using Wilcoxon test and mann-whitney test. The results showed that there were significant differences of attachment behavior before and after entering the token economy intervention in the intervention group compared with those in the control group (p = 0.000). Token economy therapy has positive effect to reduce attachment behavior of kindergarten student at the beginning of learning process in the kindergarten school. The application of economic token is recommended to overcome the attachment behavior of existing preschool children in schools and in the general public health services.   KEY WORDS: Attachment behavior, Token economy, Kindergarten students.


2019 ◽  
Vol 6 (1) ◽  
pp. 35-39
Author(s):  
Sri Setyowati ◽  
Anik Rakhmawati ◽  
Sumarsih Sumarsih ◽  
Maria Indri Wigatiningsih

Pain is one of the main complaints of patients with Cervical cancer patients caused due to tumor growth, infiltrats, the effects of repeated diagnostics and treatment procedures. The types of treatment which are often given to the patients are pharmacological therapies or drugs, which can provide many side effects when used in the long term. This study aimed to know the effects of slow stroke back massage technique combined with  lavender aromaterapy oil to reduce pain in patients with Cervical cancer in Dr. Kariadi Hospital. This study was a quantitative quasi experiment with randomized control group pretest-posttest design. The sampling was purposive sampling. The study involved 15 participants in the intervention group and 15 participants in the control group. The data were analyzed by univariate and bivariate analysis using wilcoxon test. The results showed that there were reduction of pain in the intervention groups with p = 0.000. This study revealed that slow stroke back massage technique combined with  lavender aromaterapy oil techniques as a non-pharmacological therapy provided an effect on the decrease of pain in cervical cancer patients. Based on the study, it is suggested that nurses apply slow stroke back massage technique combined with lavender aromaterapy oil techniques as a non-pharmacological therapy to reduce pain in cervical cancer patients. Keywords: Pain, cervical cancer, slow stroke back massage, lavender aromaterapy oil   Nyeri adalah salah satu keluhan utama pada pasien kanker serviks disebabkan karena pertumbuhan tumor, infiltrat di tempat lain, efek dari prosedur diagnostik dan perawatan yang berulang. Penanganan nyeri yang sering kali diberikan adalah pemberian terapi farmakologi atau obat-obatan yang memberikan banyak efek samping apabila digunakan dalam jangka waktu lama. Penelitian ini bertujuan untuk mengetahui pengaruh teknik slow stroke back massage dengan minyak aromaterapi lavender terhadap penurunan nyeri pada pasien kanker serviks di RSUP Dr Kariadi Semarang. Penelitian ini merupakan penelitian kuantitatif quasy eksperimental dengan metode randomized  control group pre test posttest design. Pengambilan sampel dilakukan dengan teknik purposive sampling yaitu 15 responden sebagai kelompok intervensi dan 15 responden sebagai kelompok kontrol. Analisa data dilakukan secara bivariat dan univariat dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan terdapat perbedaan penurunan nyeri pada kelompok intervensi yang diberikan terapi slow stroke back massage dengan aromaterapi lavender dengan nilai p=0.000. Kesimpulan penelitian ini membuktikan bahwa teknik slow stroke back massage dengan minyak aromaterapi lavender sebagai terapi non farmakologis berpengaruh terhadap penurunan nyeri pada pasien kanker serviks. Saran: perawat diharapkan mengaplikasikan teknik slow stroke back massage dengan minyak aromaterapi lavender sebagai terapi non farmakologis untuk menurunan nyeri pada pasien kanker serviks. Kata kunci: Nyeri, Kanker Serviks, slow stroke back massage, minyak aromaterapi lavender  


2021 ◽  
Vol 1 (2) ◽  
pp. 55-67
Author(s):  
Werna Nontji ◽  
Dwi Kartika Sari ◽  
Sitti Maria Ulfa ◽  
Syafruddin Syarif ◽  
Inez Vravty Lestari ◽  
...  

Background: Educating mothers during their postpartum period could potentially help them to overcome some important phases after giving birth. The process of education is evaluated based on the mothers’ knowledge about their independent self-care. Independency is an activity that is started individually and is done based on self-capability. The independency in the postpartum care is not only important to decrease the mother’s mortality and morbidity rate, but it is also crucial to strengthen and improve the post-partum mother’s healthy behavior during the perineal care. Providing education using Android-based application called BUBI Care could be potential to facilitate a more dynamic transfer of knowledge to the postpartum mothers.Aims: To analyze the knowledge, skills, and independence of primipara postpartum mothers in independent perineal care before and after accessing BUBI Care app. Research Method: employing quasi experimental research with pre-test and post-test design with control group design. The sample for this research were 19 pregnant mothers TM III (pregnancy age of ? 38 weeks) on each group. The treatment group was educated using BUBI Care Android app that was conducted at one of Public Health Center. The control group was educated without BUBI Care that was conducted at a Midwife Practice Clinic. The research was conducted on September to October 2020. Study Result: According to the Wilcoxon test, there was a difference in the pre-test knowledge of the treatment and control groups with the similar median of 53 and p-value of 0.666, the treatment group showed their scores improved to 80 on the post-test while the control group stayed at 53 with the p-value of 0.000. It means that BUBI Care app education influences the post-test. On the other hand, the perineal care skill saw a difference between the intervention and control groups. The intervention group had a mean of 70.05 and 56.68 for the control group with the p-value of 0.002 which means that there was an influence from the BUBI Care app education. Additionally, Mann Whitney test showed that the intervention group had a mean score of 78.95, but the control group only had 49.26, the total difference between the two are 29.69 with the p-value of 0.000. It can be concluded that there is a significance in difference in the independency rate from the provision of BUBI Care Android app education.Conclusion:  there is a significance effect on the intervention group in terms of Android based usage.


2020 ◽  
Vol 2 (2) ◽  
pp. 52-67
Author(s):  
Anggi Vina Hariyati ◽  
Cahyaningrum ◽  
Adil Zulkarnain

Anemia is one of the public health problems that need more attention of the female because they experience menstruation and they are in the growth phase. From the data of Semarang City Health Office  in 2011, it is shown the incidence of anemia in adolescents aged 10-19 years old are 68.24%. The prevention effort of the case is by measuring hemoglobin and prescribing blood supplement. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. This research used pre-experimental design with the two group pretest posttest. The population in this Study were all Merchant Marine Polytechnique Semarang at the 4th semester of female students  amounting to 50 with the total respondents 34 respondents taken with purposive sampling technique. The data were collected by performing Hemoglobin examination. The results of the study show that the average Hemoglobin before being prescribed Fe on the intervention and control group was 11.29 g/dl. After being prescribed Fe to the intervention group, it is found the average increased to 13.69 g/dl, while in the control group it is found averaged 11.72 g/dl. Bivariate Analysis uses an independent t test, the value of t is 6.136 with a p-value of   0.000. It shows that the p-value is 0,000 <((0.05), this indicates that there is a significant difference in the decrease in Hemoglobin levels in the population after being prescribed blood supplement between the intervention and control groups in The Semarang Merchant Marine Politechnique Students. It is suggested that the female adolescents to consume more iron-containing foods or consume Fe supplements such as Fe, during menstruation. ABSTRAK  Anemia merupakan salah satu masalah kesehatan masyarakat yang perlu khusus nya pada remaja  putri yang perlu mendapatkan perhatian khusus karena remaja putri mengalami mestruasi tiap bulan dan dalam masa pertumbuhan . Hasil Data Dinas Kesehatan Kota Semarang tahun 2011.  Kejadian anemia pada remaja usia 10-19 sebanyak 68,24%. Untuk menangani masalah tersebut pencegahan yang dilakukan yaitu dengan cara mengukur hemoglobin dan pemberian suplemen tablet tambah darah . Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Jenis penelitian ini menggunakan  pre-eksperimen design dengan rancangan Two group pretest posttest. Populasi dalam penelitian iniadalah seluruh taruni politeknik ilmu pelayaran semarang semester 4 berjumlah 50 taruni dengan jumlah sempel 34 responden dengan tehnik pengambilan sempel purposive sampling. Pengambilan data dengan melakukan pemeriksaan Hemoglobin.  Penelitian menunjukan bahwa rata-rata Hemoglobin sebelum diberikan pada taruni kelompok intervensi  dan  kontrol sama yaitu  11,29 g/dl.  Dan setelah diberikan pada kelompok intervensi  rata-rata meningkat menjadi 13,69 g/dl, sedangkan  kelompok kontrol rata-rata sebesar 11,72 g/dl. Analisis bivariate Menggunakan uji t independen, didapatkan nilai t hitung 6,136 dengan p-value sebesar 0,000. Terlihat bahwa p-value 0,000 <a (0,05), ini menunjukkan bahwa ada perbedaan secara signifikan penurunan (selisih) kadar Hemoglobin b pada taruni sesudah diberikan tablet penambah darah antara kelompok intervensi dan kontrol pada taruni Politeknik Ilmu Pelayaran Semarang.  Hendaknya bagi remaja putri lebih banyak mengomsumsi makanan yang mengandung zat besi atau mengomsumsi suplemen yang mengandung besi seperti Fe terutama saat mestruasi


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rosliana Dewi ◽  
Fanny Dwi Agustina ◽  
Johan Budhiana ◽  
Syiva Dwi Fatmala

Diabetes mellitus (DM) can cause physical and psychological changes for sufferers. Psychological changes include changes in self-concept and depression. Psychological changes can be treated with nonpharmacological therapies, one of which is five-finger relaxation technique. The research aimed to reveal the effect of five-finger relaxation technique on depression experienced by type 2 DM patients. The five-finger relaxation technique is one of the generalist relaxation techniques by recalling pleasant experiences. This research is a quasi-experiment. Samples of this research were 34 respondents whom were selected using purposive sampling.  The intervention was carried out once a day for 3 consecutive days.  In order to measure depression, a valid and reliable questionnaire of Indonesian version of the Beck Depression Inventory (BDI) was employed.  Data were analyzed using the Wilcoxon Test and the Mann-Whitney Test. The results showed the was a decrease in depression in the control group (p-value of 0.008) and the intervention group (p-value of 0.000) and there were differences in depression in the control group and the intervention group (p-value of 0.000). It can be concluded that there is an effect of five-finger relaxation technique on depression in type 2 DM patients<em>.</em>


2020 ◽  
Vol 7 (1) ◽  
pp. 24
Author(s):  
Hamdiah Hamdiah ◽  
Triyana Etty ◽  
Novi Indarwati

ABSTRAKWorld Health Organization (WHO) memperkirakan setiap harinya 800 perempuan meninggal akibat komplikasi kehamilan dan proses melahirkan. Kematian maternal indikator penting dalam keberhasilan program kesehatan ibu sekaligus salah satu indikator dalam menggambarkan derajat kesehatan masyarakat. Senam hamil merupakan alternatif terapi latihan berupa aktivitas atau gerak yang diberikan pada ibu hamil untuk mempersiapkan diri, baik persiapan fisik maupun psikologis dalam kehamilan dan proses kelahiran. Tujuan penelitian ini adalah mengetahui pengaruh senam hamil terhadap durasi Tidur ibu hamil trimester III di Klinik Etam Tahun 2019. Jenis penelitian yang digunakan adalah Quasi Eksperimen  desain penelitian  non equivalent control group dengan jumlah sampel 20 Responden dengan analisis data menggunakan uji Wilcoxon. Hasil penelitian didapatkan bahwa nilai rata-rata durasi tidur pada kelompok intervensi 9,6 jam/hari dan pada kelompok control memiliki nilai rata-rata 6,4 jam/hari. Kelompok intervensi didapatkan nilai p value 0,005 dan kelompok control 0,157. Ada perbedaan efektifitas senam hamil terhadap durasi tidur pada ibu hamil trimester III.                                                    Kata kunci : durasi tidur; ibu hamil; senam hamil  PREGNANCY EXERCISE TO IMPROVE SLEEP DURATION IN TRIMESTER III PREGNANT MOTHERABSTRACTWorld Health Organization (WHO) estimates that every day, 800 women die due to pregnancy complications and childbirth. Maternal mortality is an important indicator in the success of maternal health programs as well as one indicator in describing the degree of public health. Pregnancy exercise is an alternative exercise therapy in the form of activities or movements given to pregnant women to prepare themselves, both physical and psychological preparation in pregnancy and birth process. The aim of this research was to identify effectiveness pregnant exercises towards sleep duration in pregnant mother trimester III in Etam Clinic in 2019. Type of research was quasi-experimental design with a non equivalent control group with 20 respondents. Data analysis used Wilcoxon test. The results showed that the average value of sleep duration after pregnancy exercise in the intervention group 9.6 and in the control group had an average value of 6.4. The wilcoxon test in the intervention group obtained p value 0.005 and the control group 0.157. This means that Ho is rejected; there is a difference in the effectiveness of pregnancy exercises against sleep duration in third trimester pregnant women at the etam clinic in 2019. Keyword: pregnancy exercise; sleep duration; pregnancy


2019 ◽  
Vol 9 (02) ◽  
pp. 80-87
Author(s):  
Dewi Rury Arindari ◽  
Hendi Rifqi Alhafis

One in ten adults in the world has high blood pressure. World Health Organization (WHO) year (2016) called hypertension as "an epidemic that spreads beyond. Management of hypertension from it all can be prevented through nonpharmacological therapy that is by exercising regularly. According to data obtained from the Alang-Alang Lebar Public Health Center in Palembang it is known that the number of hypertensive sufferers in 2018 is 1,781 people. The purpose of this study was to determine the effect of hypertension exercise on blood pressure reduction in the Alang - Alang Lebar Puskesmas Work Area in 2019. This research method uses Quasy Experiment with a Non-Equivolent Control Group. The population of this study was all hypertension sufferers in the Work Area of Alang-Alang Lebar Health Center in Palembang in January - March 2019 as many as 84 people. The sample used in this study was a portion of the population, namely some patients with hypertension in the Alang-Alang Lebar Puskesmas Work Area in Palembang totaling 30 respondents. Data analysis uses univariate and bivariate analysis. The results showed an average value of blood pressure in the control group before hypertension was 160.56/100.56 mmHg and the intervention group averaged 159.4/96.6 mmHg. After hypertension gymnastics, the mean blood pressure in the control group was 160/99.44 mmHg and in the intervention group the average value was 136.11/93.89 mmHg. The results of the bivariate analysis revealed that there was an effect of hypertension exercise on the reduction of blood pressure in the Work Area of Palembang Alang-Alang Lebar Health Center in 2019 p value = 0,000. The results of this study can be used as one of the considerations in providing alternative non-pharmacological therapies in non-communicable disease (PTM) programs at the Alang-Alang Lebar Health Center in Palembang.


2021 ◽  
Vol 7 (2) ◽  
pp. 161-167
Author(s):  
Ainun Mardhiah ◽  
Riska Maulidanita ◽  
Winda Agustina

THE EFFECTIVENESS OF LACTACTION MASSAGE ON COLOSTRUM EXPENDITURE             IN THE PUBLIC MOTHER Background :Breastfeeding immediately after delivery provides many benefits for mothers and children. Breast milk that comes out for the first time contains colostrum which is highly nutritious and has antibodies that can protect newborns from disease. Based on the Demographic and Health Survey (IDHS), it is stated that more than half of children (57%) received breast milk within 1 hour after birth and 74 percent of children started breastfeeding within 1 day after birth.Purpose :Knowing to analyzing the effectiveness of lactaction massage on colostrum expenditure in postpartum mothersMethods:The research design used a pre-experimental design with a pretest-posttest control group design. Place of fresearch in the Medan City clinic in 2020.The population and sample in this study were all postpartum mothers on the first-third day totaling 24 people using purposive sampling technique. Comparison of 1: 1, where 12 respondents were intervened with lactaction massage and 12 respondents were the control group. The data that has been collected is processed by computer. Then analyzed the data, namely: Univariate and bivariate analysis using the Wilcoxon test with a significance level of 95% (0.05).Results: There is a difference in the average value of colostrum expenditure before and after the lactaction massage from 0.00 to 5.00. Wilcoxon test results obtained p value = 0.007 <0.05.Conclusion: There is the effectiveness of lactaction massage on colostrum expenditure in postpartum mothers.Suggestion: it is advisable to mothers who give birth to know complete information about the importance of giving colosrum to newborns. Keywords : Colostrum Expenditure, Lactaction Massage,Post Partum ABSTRAK Latar belakang: Pemberian ASI segera setelah melahirkan memberikan banyak manfaat bagi ibu dan anak. ASI yang keluar pertama kali mengandung kolostrum yang bergizi tinggi dan memiliki antibodi yang dapat melindungi bayi baru lahir dari penyakit. Berdasarkan Survei Demografi Dan Kesehatan (SDKI) menyatakan bahwa lebih dari separuh anak (57%) mendapatkan ASI dalam periode 1 jam setelah lahir dan 74 persen anak mulai disusui dalam 1 hari setelah lahir.Tujuan penelitian: untuk menganalisis efektifitas lactaction massage terhadap pengeluaran kolostrum pada ibu nifas.Metode: Desain penelitian menggunakan metode pre eksperimental design dengan pretest-posttest control group design. Tempat penelitian di klinik Kota Medan Tahun 2020. Populasi dan sampel seluruh ibu nifas hari pertama-ketiga berjumlah 24 orang dengan menggunakan teknik purposive sampling. Perbandingan 1:1, dimana 12 responden diintervensi lactaction massage dan 12 responden sebagai kelompok kontrol. Data yang telah dikumpulkan, diolah dengan komputer. Kemudian menganalisis data yaitu: Analisis univariat  dan bivariat dengan menggunakan uji t test dengan tingkat kemaknaan 95% (0,05).Hasil: Terdapat perbedaan nilai rata-rata pengeluaran kolostrum sebelum  dan  setelah  tindakan lactaction massage  0,00  menjadi  5,00.  Hasil  uji wilcoxon diperoleh nilai p = 0,007 < 0,05.Kesimpulan: Terdapat efektifitas lactaction massage terhadap pengeluaran kolostrum pada ibu nifas.Saran: Peneliti selanjutnya untuk meneliti variabel lainnya terkait lactaction massage dan pentingnya pemberian kolostrum pada bayi baru lahir. Kata Kunci: Pengeluaran Kolostrum, Lactaction Massage,Nifas


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