scholarly journals PENGARUH TEKNIK BACK MASSAGE (MASASE PUNGGUNG) TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN POST OPERASI APPENDIKSITIS DI RSU ROYAL PRIMA MEDAN 2018

2019 ◽  
Vol 2 (2) ◽  
pp. 25
Author(s):  
Tiarnida Nababan ◽  
Karmila Kaban

Pain is an unpleasant sensory and emotional experience due to actual and potential tissue damage. One of the non-pharmacological therapies to deal with pain is the back massage technique. The technique can reduce the intensity of pain in postoperative appendicitis patients so that the therapy can provide comfort for the patient. This study aims to explore the effect of back massage technique on reducing pain intensity in patients with postoperative appendicitis. This type of research is pre-experimental using a one-group pre-post design test. The research population included 13 patients postoperative appendicitis at Royal Prima Hospital Medan in 2018. The research samples were drawn by using the Accidental Sampling technique. The research was conducted on March 2018 at Royal Prima hospital Medan. The research data were analyzed using Wilcoxon Test with a significant value of α = 0.05. The patient experienced pain before back massage was provided and after the administration of back massage technique, patient experiencing mild pain was 60% and 40% experienced moderate pain. The results of bivariate analysis showed that p-value = 0.034. This showed that there was a difference between the intensity of pain before and after the back massage technique was performed in patients with postoperative appendicitis. From the results of the above research, it is suggested that the implementation of back massage techniques has an effect on the decrease in pain intensity in patients with postoperative appendicitis. This back massage technique can be applied at hospitals as a measure of pain management which is an independent action of the nurse to handle the patient's pain.

MEDISAINS ◽  
2019 ◽  
Vol 17 (1) ◽  
pp. 12
Author(s):  
Ema Wahyu Ningrum ◽  
Dwi Novitasari ◽  
Murniati Murniati

Background: Labor with sectio caesarea may result to an impact after surgery, namely pain. The pain reduction technique that can be done is cutaneous stimulation of Slow Stroke Back Massage.Objective: This study aims to determine cutaneous stimulation  of Slow Stroke Back Massage towards pain in post sectio caesarean patientsMethods: This study used Pre Experimental Design with the One-Group Pretest-Posttest Design approach. The samples studied were 20 patients of post SC surgery by consecutive sampling technique. The instrument used a VAS scale observation sheet. The research data were analyzed through Wilcoxon test.Results: The results showed that the average pain intensity before the intervention was 6.10, the average intensity of pain after the intervention implemented reached 3.90, there was a difference of pain intensity in post sectio caesarean patients before and after cutaneous stimulation technique of Slow Stroke Back Massage (p-value = 0.001)Conclusion: there is an effect of cutaneous stimulation of Slow Stroke Back Massage on pain in post sectio caesarean patients.


2021 ◽  
Vol 10 (2) ◽  
pp. 79-83
Author(s):  
Ni Wayan Noviani

This study aims to know the effect of pregnancy exercise on the depression level of the third trimester of pregnant woman in the Kecamatan Sukawati. This type of research is analytic with a one group pre-test post-test design without control, the number of samples is 50 pregnant women who meet the inclusion criteria by using purposive sampling technique. The instrument data collection using depression anxiety and stress scale (DASS) questionnaire. Bivariate analysis using Wilcoxon test. The result of the data shows p value of depression level of pregnant women before and after the implementation of pregnancy exercise is 0.102 (>0.05), it can be concluded that there is an no effect of the implementation of pregnancy exercise on the depression level of pregnant women in the third trimester. From the result of research conducted, the effect of the implementation of pregnancy exercise on the depression level of pregnant women before and after of pregnant women in the third trimester.


2020 ◽  
Vol 8 (1) ◽  
pp. 62
Author(s):  
Indah Jayani ◽  
Fatma Sayekti Ruffaida

Approach to PLWHA by providing interpersonal counseling is the right thing to do to overcome psychological problems including social, emotional and spiritual aspects of PLWHA. This study aims to look at the effect of interpersonal counseling on social, emotional and spiritual responses in HIV/ AIDS patients. This research is a type of non-experimental research with a cross-sectional approach. The sample is post-test people and tested positive for HIV in the Kediri region, which is 32 with purpossive sampling technique. Data on social, emotional and spiritual responses were obtained based on the results of data recapitulation from the instrument in the form of a questionnaire. The results of the study with the non-parametric Wilcoxon test showed there were differences between social responses of HIV/AIDS patients before and after given interpersonal counseling with p value = 0,000, there were differences between the emotional responses of HIV/AIDS patients before being given interpersonal counseling and after being given counseling with p value = 0,000, and there is a difference between spiritual responses in HIV/AIDS patients before being given interpersonal counseling and after being given interpersonal counseling with p value = 0,000. It can be concluded that interpersonal counseling influences social, emotional and spiritual responses of HIV/AIDS patients. It is recommended that the mentoring of HIV/AIDS patients through interpersonal counseling can continue so as to enhance physiological responses that will have an impact on disease prognosis, prevention of opportunistic infections and reduce mortality rates for HIV patients/ AIDS.


Author(s):  
Riska Putri Meiyana ◽  
Cornelia Dede Yoshima Nekada ◽  
Adi Sucipto

Abstrak Terapi komplementer merupakan salah satu alternatif untuk mengatasi masalah kesehatan. Hidroterapi dan relaksasi Benson merupakan terapi komplementer yang efektif terhadap tekanan darah dan nadi, namun masih jarang masyarakat yang memanfaatkannya. Diketahui ada pengaruh kombinasi hidroterapi dan relaksasi Benson (disebut hidroson) terhadap tekanan darah dan nadi. Metode penelitian pra-eksperimen, pre- and post- design dengan teknik purposive sampel pada 32 responden usia 26-65 tahun. Penelitian dilakukan dari tanggal 1-18 Maret 2019 di RT 19 dan 20, Sungapan V Desa Wahyuharjo, Kecamatan Lendah, Kabupaten Kulon Progo dengan tiap responden diberikan intervensi selama 3 hari berturut-turut. Instrumen yang digunakan adalah sphygmomanometer digital untuk mengukur tekanan darah dan nadi 5 menit sebelum dan sesudah pemberian terapi. Tekanan darah dianalisis dengan wilcoxon test dan paired t-test untuk nadi. Hasil analisis menunjukkan tekanan darah sistolik sebelum terapi sebesar 118,25 mmHg dan setelah terapi sebesar 111,00 mmHg, sehingga disimpulkan terjadi penurunan sebesar 7,25 mmHg dengan ρ Value 0,0001. Tekanan darah diastolik sebelum terapi sebesar 81,25 mmHg dan setelah terapi sebesar 78,75 mmHg, sehingga disimpulkan terjadi penurunan sebesar 2,50 mmHg dengan ρ value 0,002. Nadi sebelum terapi sebesar 82,30 x/menit dan setelah terapi sebesar 80,64 x/menit, sehingga disimpulkan terjadi penurunan sebesar 1,66 x/menit dengan ρ value 0,003. Ada pengaruh yang signifikan terhadap pemberian kombinasi hidroterapi dan relaksasi Benson (hidroson) terhadap penurunan tekanan darah dan nadi di RT 19 dan 20, Sungapan V. Kata kunci: hidroterapi, Relaksasi Benson, tekanan darah, nadi Abstract Complementary therapy is one alternative to solving health problems. Hydrotherapy and Benson's relaxation are effective complementary therapies for blood pressure and pulse, but still few patients utilize it. There is a known effect of hydrotherapy and Benson relaxation combination (called hydrosol) on blood pressure and pulse. The study method was pre-experimental with pre and post design with a purposive sampling technique on 32 respondents aged 26-65 years. The study was conducted from 1-18 March 2019 in neighborhood 19 and 20, Sungapan V, Wahyuharjo Village, Lendah District, Kulon Progo. Regency Each respondent was given intervention with hydrosol therapy for 3 consecutive days. The instrument used was a digital sphygmomanometer to measure blood pressure and pulse 5 minutes before and after the administration of therapy. Blood pressure was analyzed by the Wilcoxon test while pulsing by paired t-test. The analysis showed that systolic blood pressure before therapy was 118.25 mmHg and after therapy became 111,00 mmHg, so there was a decrease of 7,25 mmHg with a p-value of 0,0001. The diastolic blood pressure before treatment was 81,25 mmHg and after therapy became 78,75 mmHg, so there was a decrease of 2,50 mmHg with a p-value of 0,002 mm. The pulse before therapy was 82,30 x / min and after therapy became 80,64 x / min, so there was a decrease of 1,66 x / min with ρ-value 0,003. There is a significant effect of giving a combination of hydrotherapy and Benson relaxation (hydrosol) on reducing blood pressure and pulse among 32 subjects in neighborhood 19 and 20, Sungapan V. Keywords: hydrotherapy, Benson Relaxation, blood pressure, pulse


2021 ◽  
Vol 2 (1) ◽  
pp. 92-96
Author(s):  
Elsa Situmorang ◽  
Deswita E.K.C Gulo ◽  
Herfan Feronika Bago ◽  
Nelfian Laia ◽  
Nelfian Laia ◽  
...  

Pain in childbirth is a physiological process caused by myometrial contractions with different intensities for each mother and is a signal to inform the mother that she has entered the labor process stage. Pain in childbirth has the highest degree of pain among other pain, so that many women are not ready to have children because they imagine the pain that will be presented at the time of labor later. The general objective of this study was to determine whether there was an effect of birth ball therapy on pain intensity in labor at the Pratama Hanna Kasih clinic, Medan 2020. Univariate and bivariate analysis using Wilcoxon test analysis. Bivariate analysis is used to see the effect of the independent variable (independent) on the dependent variable using the Wilxocon test analysis. Of the 30 respondent mothers who carried out the variable therapy pre-test birth ball who were very painful and 19 respondents had pain (63%), and a minority of respondents had little pain, 11 people (37%). And on the post-test respondents the least pain was increased by 22 respondents (73%), while the minority of pain was quite severe as many as 8 respondents (27%). A significant effect on the effect of birth ball therapy on labor pain where the p value is 0.00 <0.05. The results are expected to have an effect on birth therapy on labor pain. The results of the Wilcoxon test analysis with a degree of significance (α) = 0.05 and a P value of 0.00 were obtained (α <0.05) which can be seen from the value which means that Ho is rejected and Ha is accepted. The conclusion is that there is an effect of birth ball therapy on labor pain


2020 ◽  
Vol 1 (2) ◽  
pp. 51-58
Author(s):  
Idris Idris ◽  
Enggar Enggar

Breastfeeding is a physiological process to provide optimal nutrition for babies and one of the first steps for humans to have a healthy and prosperous life. The low coverage of exclusive breastfeeding is still a big problem for the State of Indonesia. There are several ways that can be done to increase exclusive breastfeeding, one of which is health education. The use of video as a means of education is now starting to be developed in line with current technological advances. The purpose of this study was to determine the effect of exclusive breastfeeding counseling with audio visual on the knowledge and attitudes of pregnant women in the work area of Singgani Health Center. This research is a pre-experimental study with the design of one group pretest-posttest. The number of samples is 33 respondents. The sampling technique uses purposive sampling. The analysis used in this study was the Wilcoxon test. The results of the univariate analysis of data on pretest knowledge with good categories were 24 people (72.7%) and the poor categories were 9 people (27.3%) Knowledge of posttest with good categories as many as 21 people (63.6%) were less than 12 people (36.4%). The pretest attitude in the good category was 16 people (48.4%), the poor category was 17 people (51.6%). The posttest attitude in the good category was 21 people (63.6%) in the poor category of 12 people (36.4%). The results of the bivariate analysis of the knowledge of the pretest posttest knowledge (p-value 0.002). The posttest pretest attitude (p-value 0.363. The conclusion shows that there is the influence of exclusive breastfeeding counseling with video media on the knowledge of pregnant women in the Singgani Health. There is no effect of exclusive breastfeeding counseling with audio visual on the attitudes of pregnant women in the Singgani Health Center. The suggestion is that midwives are expected to further increase the use of increasingly developing technology, one of which is the use of audio visual to provide counseling


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 4 (1) ◽  
pp. 15
Author(s):  
William Lie ◽  
Ika Febianti Buntoro ◽  
Rahel Rara Woda ◽  
Christina Olly Lada

Background: Indonesia is a country with the third highest tuberculosis incident in the world. Nutritional status is very important to patients with tuberculosis, an optimal nutritional status created an optimal immune system. Lack of adequate nutritional intake, prolonged the anti-tuberculosis drug treatment and caused them to get a slower recovery. Therefore, the writer found the need of knowing the relation of intensive phase treatment of anti-tuberculosis drugs with nutritional status of patients with tuberculosis in Kupang City.Objectives: To know the relation between intensive phase treatment of anti tuberculosis drugs with nutritional status of patients with tuberculosis in Kupang City.Methods: This study was an observational analytic study with a nested cohort design conducted by 11 public health centers in Kupang City by taking secondary data from medical records. The sampling technique used consecutive sampling with 84 respondents who met the inclusion and exclusion criteria. The study was analyzed univariately, and bivariately using Mc Nemar.Results: From 84 respondents, before intensive phase tuberculosis treatment 61 respondents (72.6%) had abnormal nutrition status, and 23 respondents (27.4%) had normal nutritional status, while after intensive phase tuberculosis treatment from 84 respondents it was found that 50 respondents (59.5%) had abnormal nutrition status, and 34 respondents (40.5%) had normal nutritional status. The result of the bivariate analysis test shows a significant different in nutritional status before and after tuberculosis treatment with p value = 0.001.Conclusions: There was a significant different in nutritional status before and after tuberculosis treatment indicating that anti-tuberculosis drug treatment can affect the nutritional status of patients with tuberculosis.Cl


2019 ◽  
Vol 6 (1) ◽  
pp. 42-50
Author(s):  
Rolly Rondonuwu ◽  
Maykel A. Kiling ◽  
Christine Siwi

Background: According to WHO it is estimated that 70% of traffic accidents are experienced by students. Based on data from the Asian Development Bank, traffic accidents in Indonesia claimed 37,000 lives in 2005 and 48,000 in 2010. The types of injuries or injuries sustained as a result of traffic accidents are 49% or bruising injuries, 65.9% abrasions, open injuries 26.7, burns 1.9%, sprained 21%, broken bones 8.5 and broken 1.0% limb (WHO, 2007), Injury due to traffic accidents will increase in 2020 and will be the third leading cause of death in the world after coronary heart disease and depression (Hutapea, 2012). Objective: This study aims to determine the Effect of Bandage, Nursing and Evacuation Training on Student Knowledge in Emergency Management in Adventahan High School. Method: This type of research is a pre-experimental design study using one group pre-post design test design to compare knowledge before and after training in splint and evacuation. The study population was 45 students. The sampling technique used is the sample used is simple random sampling, which is as many as 30 students. Results: Analysis by Wilcoxon test. The results of the test have a significant effect on the training of bandaging, aids and evacuation (α ≤ 0.05 ie p-value = 0.000). The conclusion of this study is that there is a significant influence on the training of wrapping, aids and evacuation of students' knowledge in emergency management in Advent Ratahan High School. Suggestions to broaden students' knowledge about first aid dressing and evacuation, it is better for Adventahan High School to be an extracurricular school act. Keywords: Bandage training; aids and evacuation disaster


2021 ◽  
Vol 7 (2) ◽  
pp. 279-286
Author(s):  
Syahroni Damanik ◽  
Rauda Rauda

GIVING Turmeric Ointment MAY REDUCE STRIAE GRAVIDARUM IN THE PUPERATIVE MOTHER Background:Striaegravidarum is a sign or stretch that occurs on the skin of 50% to 90% of women during the second half of pregnancy. Nearly half of women experience stretching of the skin, especially in the abdomen, as a result of increasing gestational age.The presence of striae gravidarum causes a lack of self-confidence in the post-partum mother, so this makes the postpartum mother have to undergo medication and even surgery to restore her skin to the state before she was pregnant.The purpose: of this study was to determine the effect of turmeric ointment in reducing Striaegravidarum in postpartum mothers at the Hj. DewiSesmeraS.Tr.Keb Aluminum IV TanjungMulia Medan in 2020.Methods: This study used a Quasy Experiment Design (Quasi-Experimental Design) using a One Group Pretest-Postest Design. The population and sample in this study were all postpartum mothers with 15 people. This study used Porposive sampling technique with univariate and bivariate analysis with T Test.Results: the research obtained from data analysis with the Wilcoxon test showed that post-partum mothers could conclude pre-test and post-test giving turmeric ointment. The results in the table show that the P-Value (0.001) <α 0.05 then Ho is rejected and Ha is accepted, which means that there is an effect of pre-test and post-test on the administration of turmeric ointment in reducing striaegravidarum.Conclusion: This study shows that there is an effect of turmeric ointment in reducing striaegravidarum. Suggestions for the clinic mother Hj. Dewi Sesmera so that mothers can advise postpartum mothers to make their own products with ingredients derived from traditional turmeric in reducing striaegravivarum. Keywords: Key words: Turmeric ointment, Striae gravidarum, postpartum mother


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