scholarly journals EFEKTIFITAS PIJAT REFLEKSI TERHADAP BUANG AIR BESAR (BAB) PADA PASIEN POST OPERASI SECTIO CAESAREA DENGAN ANESTESI SPINAL DI RUANG CAMAR I RUMAH SAKIT UMUM DAERAH ARIFIN ACHMAD PROVINSI RIAU

2019 ◽  
Vol 2 (2) ◽  
pp. 1-10
Author(s):  
Lita Riduan ◽  
Satria Jalu Saputra

ABSTRACT The difficultness of defecation is most problems happend to post surgical operation of sectio caesarea patients. It is because of anesthesia premedication. One of the solutions is reflexology massage therapy. The aim of this research was to knowed the effectiveness of reflexology massage therapy post surgical operation to defecation of sectio caesarea patients with spinal anestetion at camar I Arifin achmad public hospital pekanbaru. Pra eksperimental is used in this research. Consecutive sampling method is used in this research with the amount of sample was 30 respondens post surgical operation of sectio caesarea patient with spinal anestetion at Camar I. Univariate analisys is used whith distribution frequency, bivariate analisys is used independent sample t test. The result of research show p value 0,027. Reflexology massage therapy had effectiveness to fastness defecation to post surgical sectio caesarea patients. From this research reflexology massage therapy can be an intervention to risk of constipation problem for post surgical sectio caesarea patients in Arifin Achmad Public Hospital Pekanbaru.

2018 ◽  
Vol 13 (2) ◽  
pp. 167-177
Author(s):  
Rantiyana Rantiyana ◽  
Miranti Florencia ◽  
Suratun Suratun

Objective of the study is to know the effect of Qur’an murottal therapy toward pain of the burned patients in the surgical room at RSUD Prabumulih year 2017. The study used pre-experimental one group pretest-posttest. Population of the study was all the burned patients grade II treated in the surgical room at RSUD Prabumulih. The researcher used nonprobability sampling method with consecutive sampling to select 15 respondents. The results showed that the pain average scale of the patients was 5.73. After getting the murottal therapy, the pain average scale changed into 3.73. The result of paired t-test with p-value 0.001 > α = 0.05. There is an effect of Qur’an murottal therapy toward pain of the burned patients in the surgical room at RSUD Prabumulih year 2017.


2019 ◽  
Vol 4 (1) ◽  
pp. 17-29
Author(s):  
Nurlina ◽  
Nursyamsi

Postoperative surgery and trauma are stressors that can cause physiological and psychological reactions to the patient. Psychological reactions in the form of anxiety usually arise in the preoperative stage when the patient anticipates surgery and at the postoperative stage because of pain and discomfort, changes in body image and bodily functions. Handling anxiety with spiritual aspects in the form of dzikir therapy is an effort to reduce anxiety levels in patients pre and post surgery. This study used a pre-experimental research design with a one group pre and posttest design study design. The sample of this study was 15 respondents in the experimental group taken by consecutive sampling method. The experimental group received a dzikir therapy 1 time treatment with a duration of 12 minutes. Data collection is done using a questionnaire sheet. Analysis of the data used in this study is univariate and bivariate by using a paired sample t test. The results of the analysis used a statistical test paired sample t test with a level of confidence (α = 0.05). Based on the results of this test, the p value is 0,000, thus p <α (0,000 <0,05). The conclusion of this study is that there is an effect of giving dzikir therapy to the level of anxiety in patients pre and post surgery. Researchers suggest that the results of this study can be used as a reference for application in the scope of nursing services, especially handling anxiety.


2020 ◽  
Vol 4 (1) ◽  
pp. 14-20
Author(s):  
Rizful Maulina Maulina

Sectio caesarea merupakan pembedahan dilakukan dengan membuat sayatan yang selalu berhubungan dengan insisi yang menimbulkan berbagai keluhan dan gejala. Salah satu keluhan yang sering dikemukakan adalah nyeri. Aromaterapi lavender merupakan salah satu pengobatan nonfarmakologi yang dapat mengurangi nyeri karena kandungan yang dimilikinya. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian aromaterapi lavender untuk penurunan skala nyeri luka ibu post sectio caesarea. Desain penelitian pre experiment design dengan one group pre test-post test design. Populasi dalam penelitian ini ibu post sectio caesarea hari ke 1-2 bulan Juni 2017. Sampelnya ibu post sectio caesarea sejumlah 8 responden. Teknik sampling menggunakan Purposive sampling. Analisis data menggunakan uji t test. Hasil penelitian menunjukkan Sebelum pemberian aromaterapi lavender menunjukkan 100% responden mengalami nyeri sedang. Setelah pemberian aromaterapi lavender menunjukkan bahwa 62,5% responden dengan nyeri sedang dan 37,5% dengan nyeri ringan. Hasil analisa data nilai p value sebesar 0,021 yang kurang dari α (0,05) sehingga H1 diterima yakni  ada pengaruh pemberian aromaterapi lavender terhadap penurunan nyeri luka ibu post sectio caesarea. Berdasarkan hasil penelitian maka disarankan tenaga medis dapat mengkombinasikan farmakologi dan non farmakologi dalam praktek kebidanan sebagai upaya untuk mengatasi nyeri pada ibu post sectio caesarea.Kata Kunci: sikap orang tua, sikap teman sebaya, akses media, perilaku seksual pranikah beresiko IMS


2017 ◽  
Vol 3 (6) ◽  
pp. 693-696
Author(s):  
Muhaji Muhaji ◽  
Bedjo Santoso ◽  
Putrono Putrono

Background: Endotracheal suctioning is one of the common supportive measures in intensive care units (ICU), which may be related to complications such as hypoxia. However, a questionable efficacy is still identified to choose suctioning pressure between 130 mmHg and 140 mmHg that is effective for patients with endotracheal tube.Objective: To compare the effectiveness of 130 mmHg and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube.Methods: This research used a quasy experimental design with pretest and posttest group. The study was conducted from 31 January to 1 March 2017 in the Hospital of Panti Wilasa Citarum and Hospital of Roemani Muhammadiyah Semarang. There were 30 samples recruited using consecutive sampling, with 15 assigned in the 130 mmHg and 140 mmHg suctioning pressure group. Pulse oximetry was used to measure oxygen saturation. Paired t-test and Independent t-test were used for data analysis.Results: Findings showed that there was a statistically significant effect of 130 and 140 mmHg suctioning pressure on oxygen saturation in patients with ETT with p-value <0.05. There was a significant mean difference of oxygen saturation between 130 mmHg and 140 mmHg suctioning pressure group with p-value 0.004 (<0.05). The mean difference of oxygen saturation between both groups was 13.157.Conclusion: The 140 mmHg suctioning pressure is more effective compared with 130 mmHg suctioning pressure in increasing oxygen saturation in patients with ETT.


2020 ◽  
Vol 1 (1) ◽  
pp. 9-12
Author(s):  
Heru Purnomo ◽  
Mu'awanah Mu'awanah ◽  
Mohammad Nur Mudhofar

ABSTRACTBackground : Early mobilization is some effort to defend autonomy as early as possible by guiding the victim for defending fisiologis function (Carpenito, 2001).  According Smeltzer Bare (2002) in patient with colon inflammation disturbance, explained that change position encourage doing passive and active exercise to depend muscle and prevent tromboembolic.  Activity limitation changed suitable with daily necessary.  General anesthesia can cause decreasing colon movement with stimuli parasympatic obstruction in colon muscle.  Client with local anesthesia will experience same case.  Direction surgery which involved intestinal can cause stopping intestinal while movement. Surgery action with general anesthesia in RS.DR.R.Soeprapto Cepuoften was being done in juny – December 2012 period reported 166 cases.Objective : This study to determine the difference of early mobilization 6 hours and 8 hours toward intestine peristaltic on post operation patient with general anesthesia at RSUD dr. R. Soeprapto Cepu. Methods : Method of this research  used quasi eksperimental design and taking sampling method was stratified random sampling, research was done into 20 respondences.  Collecting data technique using observation technique.  Statistic analysis used Independent t-test exam, organize and data analysis with computer program assist SPSS for windows 16.Result : The result analysis was shown with independent t-test exam was be found t hitung 0,662, t table 2,101, p value 0,641.  Where is t hitung t table (0,662 2,101) and p value alpha (0,641 0,05) above can be conclude Ho was accepted.  Its mean its’nt difference early mobilization 6 hours and 8 hours about peristaltic of intestine for post operation patient with general anesthesia in dr.R.Soeprapto Cepu Hospitals.Conclusion : Advice we recommend early mobilization of patients immediately after surgery with general anesthesia, according to the results of this study was able to mobilize patients early in the post anesthesia 6 hours. Keywords: mobilisation, peristaltic of intestine, post operation, general anesthesia.


2019 ◽  
Vol 4 (2) ◽  
pp. 107
Author(s):  
Chici Riansih ◽  
Sri Nabawiyati nurul Makiyah ◽  
Farida Kartini

Postpartum depression is one of serious problems that women experience after giving birth. Depression symptoms found in postpartum mothers include sadness, anxiety, crying, temperament, lack of appetite, insomnia, and inattentive to the baby. It is a part of the symptoms of maternal psychological disorders that lead to the postpartum depression. This study used quantitative research with analytic observational research design. The population of primiparous postpartum mothers is 60 people consisting of 20 postpartum mothers of Sectio Caesarea, 20 spontaneous postpartum mothers, and 20 vacuum extraction postpartum mothers in the Public Hospital of Yogyakarta Municipality. The sampling teachnique used consecutive sampling. The study utilized Edinburgh Postnatal Depression Scale (EPDS) questionnaire. Bivariate analysis used ANOVA statistical test followed by post hoc test and Chi-Square test with 95% of confidence level. The results of the analysis show Respondents data who were at risk of postpartum depression in Sectio Caesarea intrapartum (16 or 80%) compared to vacuum extraction intrapartum (5 or 13%) and spontaneous intrapartum (7 or 35%). There was a difference on the type of Sectio Caesarea intrapartum with spontaneous intrapartum and vacuum extraction with the risk of postpartum depression of p-value = 0.001 (p <0.05). The difference of the risk was significant on the type of Sectio Caesarea intrapartum when compared with vacuum extraction and spontaneous intrapartum, while between vacuum extraction and spontaneous intrapartum was not significantly different. The conclusion of this study is that there are differences in the type of Sectio Caesarea intrapartum with spontaneous intrapartum and vacuum extraction on the risk of postpartum depression among primiparous mothers in Public Hospital of Yogyakarta Municipality.


2019 ◽  
Vol 6 (1) ◽  
pp. 503
Author(s):  
Setianingsih Setianingsih ◽  
Afiya Nurrahma Deanti ◽  
Nur Wulan Agustina

Proses degeneratif pada lansia menyebabkan terjadinya penurunan kondisi, salah satu dampaknya yaitu perubahan kualitas tidur lansia. Dampak lebih lanjut menyebabkan menurunnya kemandirian lansia yang akan berujung pada penurunan kualitas hidup lansia, untuk itu perlu adanya upaya yang efektif untuk mempertahankan kualitas tidur pada lansia. Upaya tersebut diantaranya zumba gold dan rendam kaki dengan air hangat. Tujuan penelitian ini untuk mengetahui pengaruh zumba gold dan rendam kaki dengan air hangat terhadap kualitas tidur lansia. Penelitian ini menggunakan desain penelitian Quasi Eksperimen. Populasi penelitian ini adalah lansia yang tinggal di dukuh Pandes. Responden penelitian sebanyak 40 responden yang diperoleh dengan teknik Consecutive Sampling yang sesuai dengan kriteria inklusi dalam penelitian. Instrumen pengumpulan data menggunakan kuesioner PSQI. Analisa data bivariat menggunakan uji Paired t-test dan Independent T-test. Hasil uji Paired T-test diperoleh p value = 0,000 < 0,05 untuk kedua intervensi dan hasil uji Independent T-test diperoleh p value = 0,0678 untuk kedua intervensi yang berarti tidak terdapat perbedaan pengaruh yang signifikan antara kedua intervensi. Kesimpulannya zumba gold dan rendam kaki dengan air hangat mampu meningkatkan kualitas tidur pada lansia, serta tidak ada perbedaan pengaruh yang signifikan antara kedua intervensi tersebut di dukuh Pandes, desa Pandes, kecamatan Wedi, kabupaten Klaten.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Wayan Erawan ◽  
H. Opod ◽  
Cicilia Pali

Abstrak: Kecemasan adalah suatu sinyal yang menyadarkan, ia memperingatkan bahaya yang mengancam dan memungkinkan seseorang mengambil tindakan untuk mengatasi ancaman. Angka kejadian dari kecemasan perioperative diketahui 11% - 80% diantara pasien dewasa. Tujuan penelitian untuk mengetahui perbedaan proporsi pasien laki-laki dan perempuan pre operasi laparatomi yang mengalami kecemasan, dan mengetahui perbedaan tingkat kecemasan pasien laki-laki dan perempuan pre operasi laparatomi. Jenis penelitian ini adalah penelitian analitik dengan pendekatan cross sectional. Pengambilan sampel dengan teknik non probability sampling yaitu consecutive sampling. Metode pengumpulan data dengan menggunakan kuesioner  Hamilton Anxiety Scale (HARS). Penelitian dilakukan pada 32 responden di RSUP Prof.dr.R.D.Kandou Manado pada bulan november sampai desember 2012. Analisis data menggunakan uji statistik yaitu independent sampel T-Test. Hasil penelitian didapatkan responden laki-laki, tidak cemas (40%), cemas ringan (26,67%), cemas sedang (33,33%), sedangkan pada responden perempuan diperoleh hasil, tidak cemas (23,53%), cemas ringan (17,65%), cemas sedang (35,29%), cemas berat (23,53%). Berdasarkan uji statistik nilai P-value sebesar 0,024, berarti H0 ditolak dan Ha diterima, artinya ada perbedaan tingkat kecemasan antara pasien laki-laki dan perempuan pre operasi laparatomi. Kata kunci: Kecemasan, laparatomi, laki-laki, perempuan.     Abstract: Anxiety is a signal that disenchants; warns threatening dangers and gives someone the chance to take action in order to overcome the incoming threats. The incidence of perioperative anxiety has been reported with range 11% to 80% among adult patients. The study objective is to determine the difference in proportion between male and female pre-laparotomy surgery patients who experience anxiety, and know the difference in the level of anxiety of male and female pre-laparotomy surgery patients. This observation is an analytic study with cross sectional approach. The sampling technique is by using non probability sampling; which is consecutive sampling. The data colletion method is by using questionnaire, Hamilton Anxiety Scale (HARS). The observation was done toward 32 respondents in Prof.dr.R.D.Kandou General Hospital from November to December 2012. The data analysis is by using statistical test; independent sample T-test. The observation among male respondents  results in without anxiety (40,%), with mild anxiety (26,67%), with moderate anxiety (33.33%), while among female respondents results in without anxiety (23.53%), with mild anxiety (17.65%), with moderate anxiety (35.29%), and with severe anxiety (23.53%). According to the statistical test, resulting in P-value of 0.024, that H0 is rejected and Ha is accepted. In conclusion, there are differences in the level of anxiety between male and female pre-laparotomy surgery patient. Keyword: anxiety, laparotomy, male, female.


2018 ◽  
Vol 8 (04) ◽  
pp. 516-521
Author(s):  
Nurma Shitah ◽  
Agus Purnama

Atraumatic care merupakan  bentuk perawatan terapeutik yang diberikan oleh tenaga kesehatan dalam tatanan  pelayanan kesehatan anak melalui penggunaan tindakan yang dapat mengurangi  distres fisik maupun distres psikologis yang dialami anak maupun orang tua. Medical play merupakan salah satu terapi bermain yang dapat diberikan pada anak dengan diberi kesempatan untuk bermain dan mengekplorasi peralatan medis seperti stetoskop, penlight, termometer, dan lain-lainnya terhadap tindakan yang mereka alami selama dirumah sakit. Tujuan penelitian ini yaitu untuk mengetahui efektivitas penerapan atraumatic care dengan medical play terhadap respon kecemasan anak usia prasekolah  yang mengalami hospitalisasi. Penelitian ini merupakan penelitian eksperimen dengan pendekatan Pre-experimental design dengan pendekatan desain pre and posttest without control. Populasi pada penelitian ini adalah semua pasien anak dengan hospitalisasi di ruang rawat anak RSU Adhyaksa. Sampel yang digunakan adalah 26 responden dengan menggunakan teknik pengambilan sampel adalah consecutive sampling. Pengumpulan data menggunakan kuesioner Skala ZSAS (Zung Self Rating Anxiety Scale)  Hasil data didapatkan mayoritas berjenis kelamin laki-laki (53,8%), mayoritas  tidak memiliki pengalaman dirawat sebelumnya sebanyak 24 responden (92,3%), rata-rata skor cemas anak sebelum intervensi 50,346, rata-rata skor cemas anak setelah intervensi adalah 47,3846. Hasil uji dengan paired sample t-test didapatkan nilai  p-value = <0,05 pada skor ZSAS yang berarti pada alpha 5% terlihat ada perbedaan yang bermakna sebelum dan sesudah dilakukan Medical play. Maka dari Hasil Penelitian ini dapat disimpulkan bahwa efektif penerapan atraumatic care  dengan medical play terhadap respon kecemasan anak usia prasekolah yang mengalami hospitalisasi


1970 ◽  
Vol 5 (2) ◽  
Author(s):  
Dewi Umu Kulsum ◽  
Henny Suzana Mediani ◽  
Argi Virgona Bangun

Di Indonesia ALL menduduki peringkat tertinggi kanker pada anak yang menyebabkan kematian. Kemoterapi merupakan pengobatan kanker dengan jangka waktu yang lama dan paling sering dilakukan, dimana dapat menyebabkan efek samping yang mengganggu fungsi fisik dan fungsi psikososial. Fenomena di Rumah Cinta Anak Kanker Bandung pun menggambarkan dimana angka kejadian penderita leukemia pada anak cenderung meningkat dan berfokus pada conservative therapy. Tujuan penelitian ini untuk mengetahui pengaruh swedish massage therapy terhadap tingkat kualitas hidup penderita leukemia usia sekolah di Rumah Cinta Anak Kanker Bandung. Metode penelitian menggunakan quasi eksperimen dengan nonequivalent control group design with pretest and posttest. Sampel dalam penelitian ini adalah anak usia sekolah yang berjumlah 34 orang (masing–masing grup 17 orang) dengan menggunakan consecutive sampling. Instrumen penelitian menggunakan PedsQL general score dan cancer module yang berstandar internasional. Prosedur yang digunakan pada penelitian ini adalah tindakan swedish massage therapy yang dilakukan langsung oleh peneliti. Analisis data yang digunakan adalah paired t-test dan independent t-test.Hasil penelitian menggambarkan terdapat perbedaan kualitas hidup pada kelompok intervensi sebelum dan sesudah dilakukan swedish massage therapy (p = 0,000 pada α = 5). Hasil penelitian merekomendasikan bahwa swedish massage therapy bisa dipakai sebagai metode alternatif dalam meningkatkan kualitas hidup penderita leukemia usia sekolah.Kata kunci: Kualitas hidup, leukemia, swedish massage therapy.


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