scholarly journals PENGARUH POLA HIDUP TERHADAP PERUBAHAN DENYUT NADI PADA PASIEN HEART FAILURE

2018 ◽  
pp. 78-86
Author(s):  
S Saelan ◽  
Sahuri Teguh

ABSTRAK Gagal jantung merupakan salah satu penyakit utama di bidang kardiologi. Kondisi ini dipengaruhi oleh gaya dan pola hidup yang tidak baik sehingga dapat beresiko terkena penyakit jantung. Keadaan ini sangat penting bahwa pasien perlu memanagemen pola hidup yang baik khususnya pasien yang menjalani pengobatan dan perawatan penyakit jantung. Tujuan penelitian untuk mengetahui pengaruh pola hidup pasien gagal jantung terhadap perubahan denyut nadi pasien gagal jantung di RSUP Dr. Soeradji Tirtonegoro Klaten ”. Jenis penelitian ini adalah kuasi eksperimen, desain penelitian adalah pre dan post tes kontrol grup. Populasi penelitian ini adalah semua pasien gagal jantung yang datang ke Poliklinik Jantung di RSUP Dr. Soeradji Tirtonegoro. Sampel dalam penelitian ini adalah responden dengan riwayat penyakit gagal jantung kongestif yang sedang menjalani rawat jalan denagan cara consecutive  sampling.  Sebelum  analisis  stataistik  peneliti  melakukan  uji  normalitas  dengan  uji Shapiro-Wilk, dan selanjutnya dilakukan uji Paired samples t-tes, Wilcoxon test dan Mann Whitney Test. Hasil analisa bahwa terdapat perbedaan perubahan denyut nadi sebelum dan sesudah perlakuan pada kelompok eksperimen sig. 0,000 (<0,05) serta tidak terdapat perbedaan denyut nadi sebelum dan sesudah pada kelompok kontrol sig.0,888 (>0,05). Kesimpulan pola hidup memiliki pengaruh signifikan terhadap perubahan denyut jantung pada pasien Gagal Jantung di Poliklinik Jantung RSUP Dr. Soeradji Tirtonegoro Klaten bulan Juni - Agustus 2015.   Kata Kunci: pola hidup, denyut nadi, gagal jantung     ABSTRACT Heart failure becomes major problem in part of cardiologi because of increaching number of patients in happening of the hospitalization as wen as death and disability. in this condition it is importan that the patient of heart disease. The objective to know the effect of life pattern of heart failure patients on heart rate change of heart failure patients at Dr. Soeradji Tirtonegoro Klaten   The methods of research quasi eksperimental research design. Is a pre and post test control group. The research of population were all patient heart failure who came to the clinic. At the heart Hospital Dr. Soeradji Tirtonegoro. The humfiel in this reasearch was responclun with the history of congestive heart failure. Who is undegoing out patient consecutive sampling or sampling consecutive. Before statistic analysis the research do the test for normality with The Shapiro Wilk Test, and Mann Whitney Test. The result of research or the result of analysis that there are different in pulse changes before and after treatment in the experiment group sig. 0.00 (<0.05) and there is not different before and after the pulse control group sig. 0.000 (>0.05) in the control group is underfined. Conclusion: the implementation of life pattern has a significant influence on hourth rate and body weight for the patients with heart fait fune clinic to herat hospital dr. Soeradji Tirtonegoro Kalten June up to August 2015.   Keywords: lifestyle, pulse, heart failure

2019 ◽  
Vol 9 (2) ◽  
pp. 151-159
Author(s):  
Nira Gusfika

This study aims to determine the improvement of organizational commitment through interpersonal communication training. The hypothesis of this research is that there is a difference of organizational commitment to employees between before and after being given interpersonal communication training on experimental group, where the level of commitment of employee organization after being given interpersonal communication training is higher than the level of organizational commitment of the employees before being given interpersonal communication training. Second hypothesis, there is difference of posttest organizational commitment level between experiment group and control group, where posttest of organizational commitment in experiment group is higher than control group.The subject of this research is 17 employees at STAI YAPPTI Balaiselasa. Characteristics of the subjects of this study are employees who have levels of organizational commitment and interpersonal communication in the category very low, low and medium. The design used was Pretest-Posttest Control Group, while the data was collected using organizational commitment scale then analyzed using Mann Whitney test to see the difference of score between the experimental group who were given interpersonal communication training with the control group who were not given interpersonal communication training. Furthermore, Wilcoxon test was done for see experimental group scores between before and after interpersonal communication training.Based on Mann Whitney test results found Z = -3.447 (p <0.01), meaning there is a difference in scores between experimental groups who were trained with control groups who were not trained. Based on Wilcoxon test results found there was a difference between organizational commitment score in the experimental group between before and after being given interpersonal communication training with Z = -2,668 (p<0,01).


2018 ◽  
Vol 13 (1) ◽  
pp. 88-94
Author(s):  
Sri Wahyuni ◽  
Tutik Rahayu

Abstract: The purpose of this study is to identify the effectiveness ofendorphine massage on female sexual function during menopause inNgampel District of Kendal Regency. Sampling was done by samplingcriteria acsidental aged less than 60 years old, have a husband, in a healthycondition. Data processing was performed using the Wilcoxon test todetermine differences in sexual function before and after the interventionwhile endorphine effectiveness of massage performed by using MannWhitney.Hasil research: Wilcoxon test showed that there are significantdifferences in sexual function before and after being given endorphineMassage with p value 0.00. While Mann Whitney test showed p value of0.13 and the value of z score of -2.828, which means there is a stronginfluence among endorphine Massage to increased sexual function soendorphine Massage is effective for improving sexual function.


2018 ◽  
Vol 6 (1) ◽  
pp. 36
Author(s):  
Maruli Taufandas ◽  
Elsye Maria Rosa ◽  
Moh Afandi

Salah satu penyakit degeneratif pada lansia yang sering dialami yaitu osteoartritis, yang ditandai dengan adanya nyeri pada ekstremitas bawah dan prevalensinya semakin meningkat dengan bertambahnya usia. Penatalaksanaan non farmakologi merupakan komponen yang sangat penting dalam mengatasi nyeri, salah satu bentuknya adalah latihan Range of Motion. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh Range of Motion untuk menurunkan nyeri sendi pada lansia dengan osteoartritis di wilayah kerja Puskesmas Godean I Sleman Yogyakarta. Metode :Penelitian ini adalah study intervensi berupa penelitian kuantitatifdengan rancangan Quasi Eksperiment Design: Pretest-Posttest Control Group Design. Penelitian dilakukan di dua dusun di Kabupaten Sleman yaitu di dusun Mertosutan dan dusun Ngabangan.Sampel pada penelitian ini sebanyak 36 orang lansia dengan masing-masing 18 lansia sebagai kelompok intervensi dan 18 lansia sebagai kelompok kontrol.Pengambilan sampel menggunakan teknik purposive sampling.Analisis data yang digunakan adalah Wilcoxon Test dan Mann Whitney Test. Hasil : Setelah melakukan latihan Range of Motionselama 4 minggu, didapatkan hasil bahwa terdapat pengaruh Range of Motion terhadap skala nyeri sendi pada lansia dengan osteoartritis dengan p value 0,000 (α < 0,05). Kesimpulan :Range of Motion berpengaruh secara signifikan terhadap penurunan tingkat skala nyeri sendi pada lansia dengan osteoartritis


2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Trina Kurniawati ◽  
Titih Huriah ◽  
Yanuar Primanda

AbstrakEdukasi kepada pasien Diabetes Mellitus (DM) yang dapat memperbaiki hasil klinis adalah Diabetes Self Management Education (DSME). DSME merupakan salah satu metode yang dapat memfasilitasi pengetahuan dan keterampilan. Penelitian ini bertujuan untuk mengetahui pengaruh Diabetes Self Management Education terhadap Self Management pada pasien DM. Penelitian ini menggunakan metode penelitian quasi experimental dengan control group pre test- post test design. Teknik pengambilan sampel menggunakan teknik Simple random sampling dengan jumlah sampel sebanyak 46 orang yang terbagi menjadi 23 orang pada kelompok intervensi mendapatkan DSME sebanyak 4 sesi dalam satu bulan dan 23 orang pada kelompok kontrol mendapatkan edukasi dari Program PERSADIA. Instrumen yang digunakan menggunakan kuesioner. Analisis statistik menggunakan Wilcoxon dan Mann Whitney test. Hasil penelitian menunjukkan bahwa P value uji Wilcoxon test sebesar 0,000 pada kelompok intervensi, P value uji Mann Whitney test adalah 0,000 pada variabel self management. Berdasarkan hasil uji statistik didapatkan p<0,05 yang menunjukkan bahwa terdapat perbedaan nilai self management antara kelompok intervensi dengan kelompok kontrol secara signifikan. Kesimpulan penelitian ini adalah DSME dapat meningkatkan self management pada pasien DM. Disarankan petugas kesehatan dapat memberikan DSME untuk meningkatkan self management pasien diabetes dan menggunakan DSME sebagai program promosi kesehatan.Kata kunci: Diabetes Mellitus; DSME;Self Management  The Influnce of Diabetes Self Management Education (DSME) to the Self Management on the Diabetes Patient AbstractEducation to patients Diabetes Mellitus (DM) who can improve clinical outcomes is Diabetes Self Management Education (DSME). DSME is one method that can facilitate knowledge and skills. The purpose of this research is to determine the effect of Diabetes Self Management Education (DSME) to Self Management on the diabetes patients. This study is used the quasi experimental research method with control group pre test post test design. The sampling technique used Simple random sampling with a samples of 46 people and it is devided 23 people in the intervention group get DSME as much as 4 sessions in one month and 23 people in the control group get education programe at PERSADIA. The instrument used was questionnaire. Statistical analysis used Wilcoxon and Mann Whitney test. The results showed that P value of Wilcoxon test  was 0.000 in the intervention group, P test value of Mann Whitney test was 0.000 in self management variable. Based on statistical test results obtained p <0.05 which indicates that there are differences in self-management value between the intervention group and the control group significantly. The conclusions of this research is DSME can improve self-management on the patients with diabetes. It is recommended that health workers can provide DSME to improve self-management  in diabetic patients and use DSME as a health promotion program.Keywords  : Diabetes Mellitus, DSME, Self Management


2019 ◽  
Vol 11 (3) ◽  
pp. 171-176
Author(s):  
Rina Anggraeni ◽  
Riani Pradara Jati ◽  
Siti Rusmini ◽  
Siti Nur Latifah

Senam  rematik  merupakan  salah  satu  metode  yang  praktis  dan efektif  dalam  memelihara  kesehatan  tubuh.Gerakan  yang  terkandung  dalam senam rematik  adalah gerakan yang sangat efektif, efisien, dan logis karena rangkaian  gerakannya dilakukan secara teratur dan terorganisasi bagi penderita rematik (Wahyudi Nugroho,2008). senam rematik berkhasiat untuk menurunkan nyeri osteoatritis lutut dan peningkatan rentang gerak pada penderita osteoatritis. Tujuan penelitian untuk mengetahui pengaruh sebelum dan sesudah diberikan senam rematik pada lansia di balai pelayanan sosial cepiring. Penelitian kuantitatif dengan desain penelitian quasi experimental yang bertujuan untuk mengungkapkan hubungan sebab akibat antara variabel tanpa ada manipulasi suatu variabel (Sugiono, 2010). Rancangan penelitian ini menggunakan pretest-posttest control group design. Pengukuran desain ini dilakukan sebanyak dua kali yaitu sebelum dan sesudah intervensi. Ada hubungan antara pemberian terapi senam rematik terhadap penurunan nyeri osteoatritis lutut lansia dimana dari hasil uji Mann-Whitney Test diperoleh p = 0.002 (skala nyeri)yang artinya ada hubungan yang signifikan.   Kata kunci: senam rematik, gerontik, ilmu keperawatan EFFECTS OF REMATIC GYM TOWARDS REDUCTION OF PAIN AND IMPROVEMENT OF MOVEMENT FLIGHT IN ELDERLY WITH OSTEOATRITIS   ABSTRACT Rheumatic exercises are one of the practical and effective methods in maintaining a healthy body. The movements contained in rheumatic exercises are very effective, efficient, and logical movements because a series of movements is carried out regularly and organized for rheumatic sufferers (Wahyudi Nugroho, 2008) . rheumatic exercises are efficacious to reduce osteoatritis knee pain and increase range of motion in osteoatritis sufferers. The purpose of this study: to determine the effect before and after rheumatic exercises given to the elderly at the Cepiring social service center. Quantitative research with quasi experimental research design that aims to reveal the causal relationship between variables without manipulation of a variable (Sugiono, 2010). The design of this study used a pretest-posttest control group design. This design measurement is carried out twice, namely before and after the intervention. There is a relationship between rheumatism exercise therapy with pain reduction in elderly knee osteoatritis where the Mann-Whitney Test results obtained p = 0.002 (pain scale) which means there is a significant relationship.   Keywords: rheumatic gymnastics, gerontik, nursing


2015 ◽  
Vol 5 (2) ◽  
pp. 88
Author(s):  
Eka Rhestifujiayani ◽  
Emil Huriani ◽  
Muharriza Muharriza

Background: Hemiparesis is a common problem that can caused disability. ROM Exercise is an exercise that to performed evaluate and to improv the function of the musculoskeletal system and is one of therapies in stroke patients that aim to increase cerebral blood flow, minimize disability caused by stroke, so can refine sensory motoric function.Purpose: The objective of this study was to examine the effect ROM exercises of the extremity muscle strength in patients with stroke Methods: This study was a quasi experimental with non equivalent control group design. The sampling technique was purposive sampling. The number of sample was 20 respondents. The statistical test used are Wilcoxon test and Mann-Whitney test. Result: Wilcoxon test in control group showed p-value in upper extremities was p=0,157 and in lower extremities was p=0,083, it mean that there was no increase in muscle strength in the control group and in experiment group showed p-value in upper extremities was p=0,004 and in lower extremities was p=0,005, it mean that there is increase in muscle strength in the experiment group. The result of Mann-Whitney test showed p-value in upper extremities was p=0,002 and in lower extremities was p=0,006, it means that there were differences in the increase in muscle strength between control group and experiment group. Conclusion: ROM exercises affect the increase in muscle strength in stroke patients with hemiparesis. The ROM exercises can be used as a nursing intervention in the provision of nursing care.


2019 ◽  
Vol 2 (3) ◽  
pp. 62-71
Author(s):  
Herlina Syafrianti ◽  
Bambang Suwarno ◽  
Elfrida .

This research aimed to know the effect of using metacognitive strategy towards student’s reading comprehension. The design was quasi-experimental. The sample consists of 69 students in two classes. The instrument consists of reading test which was tried out. The treatment for the experiment group was metacognitive strategy and for the control group was the strategy that the teacher use in the class. The data were collected through pre-test and post-test. The activity in the classroom during six meetings, two meetings for pre-test and post-test and four meetings for teaching in the classroom. The data was analyzed by The Wilcoxon Test and The Mann-Whitney Test. The Wilcoxon Test for the control group showed that there was no significant difference between pre-test and post-test. The Wilcoxon test for the experiment group showed that there was significant difference between pre-test and post-test. The Mann-Whitney test for pre-test showed that there was no significant difference between experiment and control class. The Mann-Whitney test for post-test showed that there was significant difference between experiment and control class. Finding of the research showed that, there was significant difference between pre-test and post-test for the experiment class and there was significant differece between experiment and control class for post-test result. This result indicated that there was an effect of metacognitive strategy towards student’s reading comprehension


2021 ◽  
Vol 8 (1) ◽  
pp. 28-35
Author(s):  
Ignasia Yunita Sari

Kecacingan menginfeksi 24% penduduk dunia terutama pada anak-anak dan meningkatkan angka morbiditas. Salah satu intervensi mengatasi kecacingan adalah pemberian obat cacing. Motivasi orang tua diperlukan untuk keteraturan dalam pemberian obat cacing pada anak. Edukasi yang tepat diperlukan untuk meningkatkan motivasi orang tua. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas edukasi kesehatan dengan metode audiovisual terhadap motivasi orang tua dalam memberikan obat cacing di SD Sanjaya Tritis Pakem. Metode penelitian dengan menggunakan quasi experiment dengan desain pre test and post test nonequivalent control group. Sampel sejumlah 64 dibagi menjadi 30 kelompok kontrol dan 34 kelompok intervensi. Kelompok kontrol diberikan edukasi dengan metode audiovisual dan kelompok kontrok dengan ceramah. Analisis data menggunakan wilcoxon test dan mann whitney test. Hasil penelitian menunjukkan edukasi kesehatan dengan metode audiovisual efektif dalam meningkatkan motivasi orang tua (p value 0,000). Tidak ada perbedaan keefektifan edukasi menggunakan metode audiovisual dan ceramah dalam meningkatkan motivasi orang tua (p value 0,225)


2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Akhmad Rifai ◽  
Dwi Sulistyowati

Abstract: Level Of Ability Of Nurses, ECG Interpretation. American Heart Association (AHA) in 2011, recorded more than 1.000.000 people have heart attacks every year, half died from the heart attack and in Europe figures reach 20,000-40,000 CHD patients than 1,000,000 population. In Indonesia in 2002 with acute myocardial infarction disease is the first cause of death with a mortality rate of 220,000 (14%). The purpose of this study to determine the level of ability to interpret ECG nurse in RSUD dr. Soeratno Gemolong Sragen. This research is an experimental approach to Pre-TestPost Test Group design. through research hypothesis testing. The study population was a nurse amounted to 50 respondents divided into two groups. 30 respondents as the treatment group and 20 respondents as the control group. Statistical tests on the group in pairs using the nonparametric Wilcoxon test and unpaired pad groups using the Mann-Whitney test. Based on the results of the Wilcoxon test can be concluded that the 30 respondents who do the training interpretation of ECG by means of training and training using the modules can be drawn the conclusion that the majority of nurses had good knowledge in terms of ability to interpret ECG with p-value 0.001, which means there are significant differences between before and after doing the training. While the results of the Mann-Whitney test the difference between training and training in how to use the module p-value 0.001, which means there is a significant difference training by way of training and training in how to use the module.


Author(s):  
Arif Helmi Setiawan ◽  
Siti Nurjannah ◽  
Nur Muji Astuti

Introduction: Clinical learning is a very important component for nursing students to integrate theoritical with skills in real settings. However, the reality revealed that the achievement of student competency is still not fulfilled yet; this is due to the unstructured interaction between students and mentors. The purpose of this study was analyzed the competence of the clinical learning module on the competency achievement of nursing student. Methods: This research is a quasi-experiment with the pretest-posttesttwogroup research design. Research samples of students in two nursing school in Surabaya who met the criteria of 50 respondents as a treatment group and 50 respondents as a control group. The research instrument used questionnaires and clinical learning modules as well as competency achievement books. Data analysis used Wilcoxon sign ranks test and Mann Whitney test with α ≤ 0,05.Results: The results of statistical tests in the control group obtained P value 0.14 showed there were differences in achievement of competencies before and after, in the treatment group obtained P value 0.000 which means that there were differences in achievement of competencies before and after using the learning module, and the results of Mann Whitney Test obtained P 0.000 , means there is an influence of the clinical learning module on the achievement of the competence of nursing students.Conclusions: Nursing clinic learning requires interaction between students and mentors so that with this clinical learning module can effectively improve the achievement of the competence of nursing students.


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