scholarly journals DIFFERENCE OF BOWEL SOUND RETURN TIME AMONG POST-LAPARATOMY SURGERY PATIENTS AFTER CHEWING GUM

2019 ◽  
Vol 5 (5) ◽  
pp. 204-211
Author(s):  
Warisya Miftah Amanda ◽  
Chandra Isabella Hostanida Purba ◽  
Ristina Mirwanti
Keyword(s):  
Intervention Group ◽  
Return Time ◽  
Chewing Gum ◽  
Control Group ◽  
P Value ◽  
Bowel Sound ◽  
Pharmacological Interventions ◽  
Control Group Design ◽  
Number Of Patients ◽  
And Control

Background: A surgical procedure using general anaesthesia in laparotomy surgery results in reduced bowel sound. A large number of patients who experience a delay in returning bowel sound after laparotomy surgery become the reason to give proper intervention in order to increase bowel sound return time. One of the non-pharmacological interventions that can be used is chewing gum.Objective: The purpose of this study is to identify the difference of bowel sound return time between groups of intervention and control after being given chewing gum intervention among post-laparotomy surgery patients.Methods: This quasi-experimental study used post-test only control group design. Thirty respondents were selected by purposive sampling technique. Data were collected through observation by calculating the bowel sound return time among post laparotomy surgery patients in the intervention group (n=15) and control group (n=15), and were analyzed using the Mann Whitney test.  The intervention group was asked to chew the gum once for 30 minutes, and bowel sound was measured every 30 minutes for 120 minutes.Results: The results showed that bowel sound return time in the intervention group was 90 minutes and the control group was 150 minutes, and p-value was 0.005.Conclusion: There was a difference in the return time of bowel sound between the intervention and control groups. Therefore, the intervention of chewing gum could become one of the non- pharmacological interventions that can be considered in increasing the bowel sound return time among post-laparotomy surgery patients.

scholarly journals OPTIMALISASI POSISI JANIN MELALUI PRENATAL YOGA TERHADAP OUTPUT PERSALINAN DI PUSKESMAS WILAYAH KOTA CIREBON

2020 ◽  
Vol 8 (3) ◽  
pp. 396
Author(s):  
Nurasih Nurasih ◽  
Endang Nurrochmi
Keyword(s):  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Chi Square ◽  
Control Group Design ◽  
Before And After ◽  
Chi Square Test ◽  
And Control

In Indonesia, Yoga is currently one of the most popular sports, not only for the general public but also for pregnant women. Many benefits can be obtained from prenatal yoga including the mother feeling comfortable and relaxed throughout pregnancy and during childbirth, training the pelvic floor muscles and perineum, keeping the body's muscles relaxed, balanced during childbirth, reducing stress, increasing and improving oxygen circulation to the body and fetus. . This study aims to determine the effect of prenatal yoga on optimizing fetal position on third trimester Primigravida maternal delivery output at Puskesmas Cirebon City. This research is a quasi-experimental research pre post control group design and only post control group design with T test and Chi Square test. Paired T Test results of the intervention group (mean difference = 3.111, P value = 0.000, control group (mean difference = 0.833, P value = 0.318). Independent T Test results obtained (average difference = -1.944, P value = 0.024), Chi Square test obtained a value of P = 0.73. There is a difference in the average anxiety before and after the intervention in the intervention group, there is no difference in average anxiety before and after the intervention in the control group. There is a difference in the average anxiety between the intervention and control groups. There is a difference in mean Long I stage between the intervention and control groups There was no effect of prenatal yoga on the type of labor.

scholarly journals Pengaruh kompres hangat terhadap nyeri leher pada penderita hipertensi esensial di wilayah Puskesmas Depok I, Sleman Yogyakarta

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Siti Fadlilah
Keyword(s):  
Essential Hypertension ◽  
Neck Pain ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Before And After ◽  
Post Test ◽  
Headache Pain ◽  
And Control

Hypertension is increased blood pressure in the artery. Signs and indication arise from this disease are a dizzy, headache, pain in the nape of the neck (neck pain), easily angered, and hard to breathe. This neck pain can offend essential hypertension in daily patient activities. One of the non-pharmacological actions to decrease or overcome the neck pain is by a warm compress. The warm compress is giving a sense of warm/heat in a certain area. This research is purposed to find out the influence of warm compress towards neck pain in essential hypertension patients. This research is carried out in Puskesmas Depok I area, Sleman, Yogyakarta. Type of this research is quasi-experiment with pre-test post-test with control group design. Several samples consist of 40 respondents and divided into two groups, which are 20 respondents of the intervention group and 20 respondents of the control group. Statistic test used in this research is Wilcoxon and Mann Whitney tests. Before applying pre-test, 12 respondents (60%) are having moderate pain, and after giving warm compress (post-test), 17 respondents (75%) are having minor pain. There is a significant scale of neck pain before and after the warm compress treatment (p-value = 0,003) as well as contrast scale of neck pain between intervention group and control group (p-value = 0,000). There is the influence of warm compress towards neck pain in essential hypertension patients in Puskesmas Depok I area, Sleman, Yogyakarta.

scholarly journals Pengaruh Relaksasi Religius terhadap Penurunan Tingkat Insomnia pada Lansia Di PSLU Bondowoso

2018 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Trisna Vitaliati
Keyword(s):  
Rating Scale ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Group Design ◽  
Falling Asleep ◽  
Quasi Experimental ◽  
And Control

ABSTRAKTujuan penelitian: Penelitian ini bertujuan untuk mengidenfikasi pengaruh relaksasi religius terhadap penurunan tingkat insomia di PSLU Bondowoso. Metode: Metode penelitian yang digunakan ialah quasi experimental dengan pendekatan pre-post test control group design menggunakan instrumen Insomnia Rating Scale, dilakukan pada kelompok intervensi (n=31) dan kelompok kontrol (n=31). Analisis data dilakukan secara univariat dan bivariat. Hasil: Hasil penelitian menunjukkan skor rerata perubahan tingkat insomnia pada kelompok intervensi maupun kelompok kontrol. Pada hasil uji Mann Whitney didapatkan nilai p-value=0,021 sehingga dapat disimpulkan bahwa terapi relaksasi religius berpengaruh secara signifikan terhadap penurunan tingkat insomnia pada lansia. Diskusi: Relaksasi religius akan membuat seseorang merasa tenang sehingga kemudian menekan kerja saraf simpatis dan mengaktifkan kerja sistem saraf parasimpatis. Perlakuan relaksasi religius cukup efektif untuk memperpendek waktu dari mulai merebahkan tubuh hingga tertidur dan mudah memasuki tidur. Hal ini membuktikan bahwa relaksasi religius yang dilakukan dapat membuat lebih relaks sehingga kesulitan ketika mengawali tidur dapat diatasi dengan perlakuan ini. Kesimpulan: Teknik relaksasi religius efektif menurunkan tingkat insomnia pada lansia sehingga program ini disarankan dapat diterapkan pada lansia sebagai bagian dari program kesehatan lansia.Kata Kunci: insomnia, lansia, relaksasi religius.EFFECT OF RELIGIUS RELAXATION ON DECREASING INSOMNIA LEVEL IN THE ELDERLY AT PSLU BONDOWOSOABSTRACTObjective: This study aims to identify the effect of religious relaxation on decreasing insomnia level at PSLU Bondowoso. Methods: This study was quasi-experimental with pre-posttest control group design using Insomnia Rating Scale and was conducted on intervention group (n=31) and control group (n=31). Data were analyzed using univariate and bivariate. Results: The results of the study indicated the average score of changes in insomnia levels in intervention group and control group. The results ofMann-Whitney test indicated p-value=0.021 so it could be concluded that religious relaxation therapy significantly affected the decrease in insomnia levels in the elderly. Discussion: Religious relaxation will make a person feel calm, which will then press the work of sympathetic nervous and activate the work of the parasympathetic nervous system. The treatment of religious relaxation is effective to shorten the time from lying down to falling asleep and easily entering into sleep. This proves that religious relaxation can make a person more relaxed so that difficulty when initiating sleep can be overcome by this treatment. Conclusion: Religious relaxation technique is effective in decreasing insomnia levels in the elderly so that this program is recommended to be applied in the elderly as a part of elderly health program.Keywords: insomnia, elderly, religious relaxation

scholarly journals PENGARUH MENGUNYAH PERMEN KARET TERHADAP RASA HAUS PADA PASIEN HEMODIALISA

2019 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Andreas Rantepadang ◽  
Gracela Gwendolin Taebenu
Keyword(s):  
Alternative Therapy ◽  
Intervention Group ◽  
Hemodialysis Patients ◽  
Chewing Gum ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Purposive Sampling ◽  
Hospital Design ◽  
Quasi Experimental

  ABSTRAK Pasien hemodialisa mengalami rasa haus yang menyebabkan ketidaknyamanan dan mempengaruhi kualitas hidup, mengunyah permen karet (xylitol) merupakan salah satu intervensi yang dapat digunakan untuk mengurangi rasa haus. Penelitian ini bertujuan untuk mengetahui pengaruh mengunyah permen karet terhadap rasa haus pada pasien hemodialisa di Rumah Sakit Advent Manado. Desain penelitian quasi-eksperimental dengan pendekatan pre and posttest nonequivalent control group design. Metode sampling adalah purposive sampling. Sampel penelitian 30 responden dibagi atas 15 responden kelompok perlakuan dan 15 responden kelompok kontrol. Hasil penelitian: rata-rata rasa haus sebelum mengunyah permen karet pada kelompok intervensi (24,40) berada pada rasa haus berat, setelah diberikan intevensi permen karet selama 2 minggu rasa haus pasien menurun menjadi (11,47) rasa haus ringan. Sedangkan pada kelompok kontrol rasa haus pada hari pertama (23, 20) berada pada rasa haus berat, setelah 2 minggu, tetap berada pada haus berat (23,07). Hasil uji statistik mann whitney u-test didapati nilai p value 0,000<0,05 di mana terdapat pengaruh yang signifikan mengunyah permen karet terhadap rasa haus pada pasien hemodialisa. Rekomendasi: Bagi pasien yang menjalani hemodialisa dapat menggunakan permen karet sebagai terapi alternatif untuk mengurangi rasa haus.     Kata kunci: mengunyah permen karet, rasa haus, hemodialisa ABSTRACT Hemodialysis patients feel thirsty that cause discomfort and affect the quality of life.  One of the methods used to reduce thirsty is to chew gum (xylitol). This study aims to determine the effect of chewing gum on thirst in hemodialysis patients at Manado Adventist Hospital. Design of this research used quasi-experimental with a pre and posttest nonequivalent control group approach. The sampling method used was purposive sampling. The research sample of 30 respondents was divided into 15 respondents for the treatment group and 15 respondents for the control group. Result: The average thirsty before chewing gum in the intervention group (24.40) which indicated being in severe thirsty, after being given an intervention of gum for 2 weeks in the intervention group, the patients’ thirsty decreased to (11.47) being in mild thirsty. Whereas first day control group (23.20) which was in severe thirst, and thirst after 2 weeks the control group (23.07) remained in severe thirst. The result of the mann whitney u-test statistical test found p value 0.000<0.05 where there was a significant effect of chewing gum on thirst in hemodialysis patients. Recommendation: For hemodialysis patients can use gum as an alternative therapy to reduce thirsty. Keywords: chewing gum, thirsty, hemodialysis

scholarly journals Virtual Reality Improves The Knowledge of Midwives in IUD (Intra Uterine Device) Training

2021 ◽  
Vol 15 (1) ◽  
pp. 74
Author(s):  
Intan Gumilang Pratiwi ◽  
Baiq Yuni Fitri Hamidiyanti ◽  
Achmad Arifin ◽  
Farid Husin ◽  
Rai Pandudita ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Research Design ◽  
Group Treatment ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Control Group Design ◽  
Equivalent Control ◽  
And Control

IUD family planning users continue to decline from the 2012 IDHS as much as 4.9%, in 2017 IDHS data of 3.9%. The Total Fertility Rate (TFR) in NTB Province was 2.8 children higher than the national target of 2.36 children. This study aims to analyze the application of virtual reality technology to increase midwives' knowledge in installing IUD. The design of this research design is a quasi-experiment with a pre-post non-equivalent control group design. This research design uses two groups: the case group (the group that is given treatment or intervention using virtual reality) and the control group (the group that is not given treatment or not using virtual reality). The number of samples in this study was 30 respondents for each group (treatment and control). The results of this study that the average knowledge after the intervention group training has a higher average than the average in the control group with a p-value (0.000) <α (0.05).

scholarly journals INFLUENCE OF INFORMATION, MOTIVATION, AND BEHAVIOR OF “TRISNA” TO DRUG COMPLIANCE. NUTRITIONAL STATUS, AND FAMILY SUPPORT IN PATIENTS WITH TUBERCULOSI

2021 ◽  
Vol 21 (3) ◽  
pp. 222-229
Author(s):  
Rita Benya Adriani ◽  
Jenita DT Donsu ◽  
Dwi Sulistyowati
Keyword(s):  
Nutritional Status ◽  
Family Support ◽  
Medication Compliance ◽  
Intervention Group ◽  
Control Group ◽  
Drug Compliance ◽  
Control Group Design ◽  
Number Of Patients ◽  
And Behavior ◽  
And Control

Indonesia is one of the five countries with the highest number of patients with tuberculosis (TB) worldwide, owing to patients being undetected and untreated. This study aims to analyze the effect of the Information, Motivation, and Behavior (IMB) Skill with “Trisna” approach on the management of drug compliance, nutritional status, and family support for patients with TB. This research is a quasi-experiment with pretest-posttest and control group design. Information about tuberculosis, medication adherence, nutritional status, family support and motivation are provided through training. At the end of training, each patient is given an alarm clock that can be used as a reminder to take medication. One form of family support is done by teaching the song “satu-satu” to remind patients to take medicine so as to minimize forgetting to take medicine. “TRISNA” is an attitude that accompanies TB cadres in providing health services to TB patioents. The socialization of the attitude of “TRISNA” was given by researchers to TB cadres before carrying out IMB training for TB patients. Compliance after intervention in the intervention group (mean, 10.80; SD, 0.98) was higher than in the control group (mean, 10.46; SD, 1.12) and effect size (ES) value of 4.16. Body mass index (BMI) in the intervention group (mean, 23.40; SD, 1.08) was higher than in the control group (mean, 21.43; SD, 0.75) and ES value of 1.95. Family support in the intervention group (mean, 106.28; SD, 22.00) was higher than in the control group (mean, 94.00; SD, 8.40) and ES value of 0.69.  In managing patients with TB, the provision of IMB Intervention Skill with “Trisna” approach could improve medication compliance, nutritional status, and family support.

scholarly journals The Effect Of Mixed Juiced Of Young Green Coconut And Date Fruits On The Duration Of Active Phase Of Labor

2021 ◽  
pp. 7-15
Author(s):  
Yuli Astuti
Keyword(s):  
Intervention Group ◽  
Active Phase ◽  
Control Group ◽  
P Value ◽  
Standard Group ◽  
Singleton Pregnancy ◽  
Control Group Design ◽  
Post Test ◽  
And Control ◽  
First Stage Of Labor

Background: The delivery process need a lot of energy from food. Juice preparation is one of the recommended food forms during labor. This study was purposed to analyze the effect of giving mixed juices of young green coconut and dates on the duration of the active phase of the first stage of labor. Methods: A quasi-experiment with a post-test only with control group design include 18 pregnant women (10 intervention and 8 control. Purposive sampling was used, respondents were multigravida (P2-P4) in active phase of labor, without previous section caesarean, no augmentation with oxytocin, estimated birth weight was 2500-4000 gr, singleton pregnancy, aterm labor, and without any other complication during delivery at Alian Public Health Center, Kebumen Regency in October - December 2020. The intervention group given 500 mL of mixed juice of young green coconut and dates during the first stage of labor and control group received standard care. Mann-Whitney test was used to analyze median difference between two groups. Results: There was no difference in the duration of the active phase of the first stage of labor between the intervention and control group (P-value 0,756). There was no difference of the rate of cervix dilatation between the two groups (P-value 0,408). The median of the active phase of the first stage of labor was 197,5 minutes and 147,5 minutes respectively. The median of rate cervix dilatation in the intervention group was 1,96 cm per hour and 1,94 cm per hour respectively. The rate of cervix dilatation in both groups was in normal category. Respondent in standard group was not forbidden eating and drinking, so both groups received enough energy and hydration during labor. Conclusion: Mixed juice of young green coconut and dates can be given during labor to fulfill the energy need during labor.

scholarly journals Life Writing Therapy Decreases Depression in Late Adolescence

Jurnal NERS ◽  
2019 ◽  
Vol 13 (2) ◽  
pp. 207
Author(s):  
Zulaikah Nur Istiqomah ◽  
Erna Erawati ◽  
Suyanta Suyanta
Keyword(s):  
Life Writing ◽  
Intervention Group ◽  
Late Adolescence ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Writing Therapy ◽  
Before And After ◽  
Post Test ◽  
And Control

Introduction: Late adolescence (16-18 years old) usually experiences a crucial period in life which makes teenagers vulnerable to mood disorders such as depression. One of the interventions that can decrease depression is writing a memoir, biography, diary, and life writing. Writing can disclose the feeling and help mind care. The objective of this study was to investigate the influence of life writing therapy to decrease depression in late adolescence.Methods: This study used pretest-post-test control group design with 40 people as samples, divided into intervention and control groups. Before and after the treatment, both groups were measured using the scale of the PHQ-9A to see the depression in late adolescence of high school students.Results: Life writing therapy shows differences in mean between intervention group and control group with a p-value of 0.000 (α <0.05).Conclusion: The life writing therapy has an effect in reducing depression in students. It facilitates subjects to evaluate, analyze, and reassess past, current and future events so that subjects can get an understanding, develop a solution and self-motivation, accept the existing situation, learn from what is experienced, focus thoughts on positive things, and assess positive things from an event.

SUPPORTIVE EDUCATIVE SYSTEM DALAM MENINGKATKAN KEMANDIRIAN MERAWAT KAKI PADA PASIEN DIABETES MELLITUS TIPE II

2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina
Keyword(s):  
Diabetes Mellitus ◽  
Health Center ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Type Ii ◽  
Foot Care ◽  
Control Group Design ◽  
Patients With Diabetes

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care

scholarly journals A Collaborative Deprescribing Intervention in a Subacute Medical Outpatient Clinic: A Pilot Randomized Controlled Trial

Metabolites ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 204
Author(s):  
Anissa Aharaz ◽  
Jens Henning Rasmussen ◽  
Helle Bach Ølgaard McNulty ◽  
Arne Cyron ◽  
Pia Keinicke Fabricius ◽  
...  
Keyword(s):  
Pilot Study ◽  
Controlled Trial ◽  
Inappropriate Medication ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Patient Interviews ◽  
Number Of Patients ◽  
Multimorbid Patients ◽  
And Control

Medication deprescribing is essential to prevent inappropriate medication use in multimorbid patients. However, experience of deprescribing in Danish Subacute Medical Outpatient Clinics (SMOCs) is limited. The objective of our pilot study was to evaluate the feasibility and sustainability of a collaborative deprescribing intervention by a pharmacist and a physician to multimorbid patients in a SMOC. A randomized controlled pilot study was conducted, with phone follow-up at 30 and 365+ days. A senior pharmacist performed a systematic deprescribing intervention using the Screening Tool of Older Persons’ potentially inappropriate Prescriptions (STOPP) criteria, the Danish deprescribing list, and patient interviews. A senior physician received the proposed recommendations and decided which should be implemented. The main outcome was the number of patients having ≥1 medication where deprescribing status was sustained 30 days after inclusion. Out of 76 eligible patients, 72 (95%) were included and 67 (93%) completed the study (57% male; mean age 73 years; mean number of 10 prescribed medications). Nineteen patients (56%) in the intervention group and four (12%) in the control group had ≥1 medication where deprescribing status was sustained 30 days after inclusion (p = 0.015). In total, 37 medications were deprescribed in the intervention group and five in the control group. At 365+ days after inclusion, 97% and 100% of the deprescribed medications were sustained in the intervention and control groups, respectively. The three most frequently deprescribed medication groups were analgesics, cardiovascular, and gastrointestinal medications. In conclusion, a collaborative deprescribing intervention for multimorbid patients was feasible and resulted in sustainable deprescribing of medication in a SMOC.

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