scholarly journals EFFECT OF NUTRITIONAL COUNSELING LEALEF MEDIA ON KNOWLEDGE, SODIUM, POTASIUM INTAKE IN PATIENTS HYPERTENSION

2021 ◽  
Vol 12 (1) ◽  
pp. 62-72
Author(s):  
Dina Dwi Aprilia ◽  
Jumiyati Jumiyati ◽  
Ayu Pravita Sari

ABSTRACK Hypertension actually is a disease that can be implified on sudden death. It's mostly caused by high blood pressure so that the risk of suffering complications is a big issue. It can be caused by many factors, one of that is high sodium and low potassium consumption as well. Based on 2015 WHO data, it shows that 1.13 billion people in the world have hypertension. Based on Riskesdas data the number of cases of hypertension in Indonesia is 63,309,620 people. In Bengkulu province In 2018 about province's health data, it was found that in 2018 the estimated number of sufferers ≥ 15 years reached 899,010 people. The highest hypertension was found in the Selebar Sub-District Puskesmas Basuki Rahmad about 7,464 .The purpose of this study determines the effect of nutritional counseling using modified leaflet media, knowledge of sodium and potassium intake in patients with hypertension in Basuki Rahmad Community Health Center in Bengkulu City in 2020.This research method is a pre-experimental research design with one group pretest and posttest term. Samples that were taken by purposive sampling of 25 people. Data collected includes pre test data first, namely knowledge, data, sodium intake, and potassium. After that post-test data, it is knowledge data about sodium and potassium consumption. Analysis of the data used is the univariate analysis and bivariate analysis.Based on the research from 25 samples given nutritional counseling, the results obtained knowledge about sodium and potassium consumption value of p-value 0,000.In the conclusion of this study is about the influence of nutritional counseling on sodium and potassium consumption that related to hypertension disease.


2016 ◽  
Vol 3 (2) ◽  
pp. 64
Author(s):  
Nur Indah Rahmawati ◽  
Sri Achadi Nugraheni ◽  
Atik Mawarni

<p>Coverage of exclusive breastfeeding in the District of Sewon still low, either because they are less optimal role of KP motivator. They lack of confi dence in dealing with problems in breastfeeding. The research objective was to analyze the effect of the use of a handbook by the motivator of the knowledge and skills motivator in dealing with problems in exclusive breastfeeding in the District of Sewon Bantul. This research is pre experiment with the design of nonequivalent one group pre test and post test design. The population was Motivator KP Capital in District Sewon many as 50 people. Collecting data through questionnaires and observations then performed univariate analysis (descriptive), bivariate (Paired T test). The results of research showed that the respondent’s average age was 46.74. Education respondents mostly high school was 25 people, most of the respondents did not work that 31 people (62%). Motivator knowledge prior to intervention use a pocket book value of the average was 64,5 while the value after the intervention mean value is 72.1. Motivator skills during pretest score was 57.6 at, while the second posttest mean value is 64.65. There was the effect of using a pocket book support group of mothers about breastfeeding, the problem of skills variable (p-value=0.0001) means the use of a paperback book motivators influencing skills in breastfeeding issues. Suggested for Health Department and Community Health Center in order to develop a motivator as refresher training for, to improve the knowledge and skills motivator in breastfeeding issues so as to increase the coverage of exclusive breastfeeding.</p>



2017 ◽  
Vol 3 (1) ◽  
pp. 55
Author(s):  
Finta Isti Kundarti ◽  
Ira Titisari ◽  
Naning Tri Windarti

Pain in the labor are predisposition for anxiety, hyperventilation, thus causing oxygen requirements and increased blood pressure. Pain in the labor  can be reduced by non- pharmacological methods, one of which is using aromatherapy. Lavender as an aromatherapy effect relaxation, pain relief, reduces anxiety and causes calmness. The purpose of this research was to know the effect of lavender massage aromatherapy to the level of the first stage of labor pain in the active phase of first stage labor. The research design used quasi experiment with pre-test post-test with control group design. The population in this research that the whole maternal active phase of the first stage in BPM Blabak’s Community Health Center Kediri Regency. The research time is June 23 until July 19 sampling techniques. The research instrument used scale observation. Statistical tests in this study using the paired t test.The results showed t value (11,000) ; t table (2,262) and P value (0.000) ; α (0.05), then H0 is rejected, which means there is effect of lavender (Lavandula angustifolia) massage aromatherapy to the pain labor level of the active phase in the first stage of labor. So the conclusion of lavender massage aromatherapy down the level of pain  in the active phase of the first stage of labor. This method can be applied midwives to help reduce pain during childbirth.; Keywords: Lavender Aromatherapy, Pain, Labor, Massage



BMJ ◽  
2019 ◽  
pp. l772 ◽  
Author(s):  
Martin O’Donnell ◽  
Andrew Mente ◽  
Sumathy Rangarajan ◽  
Matthew J McQueen ◽  
Neil O’Leary ◽  
...  

AbstractObjectiveTo evaluate the joint association of sodium and potassium urinary excretion (as surrogate measures of intake) with cardiovascular events and mortality, in the context of current World Health Organization recommendations for daily intake (<2.0 g sodium, >3.5 g potassium) in adults.DesignInternational prospective cohort study.Setting18 high, middle, and low income countries, sampled from urban and rural communities.Participants103 570 people who provided morning fasting urine samples.Main outcome measuresAssociation of estimated 24 hour urinary sodium and potassium excretion (surrogates for intake) with all cause mortality and major cardiovascular events, using multivariable Cox regression. A six category variable for joint sodium and potassium was generated: sodium excretion (low (<3 g/day), moderate (3-5 g/day), and high (>5 g/day) sodium intakes) by potassium excretion (greater/equal or less than median 2.1 g/day).ResultsMean estimated sodium and potassium urinary excretion were 4.93 g/day and 2.12 g/day, respectively. After a median follow-up of 8.2 years, 7884 (6.1%) participants had died or experienced a major cardiovascular event. Increasing urinary sodium excretion was positively associated with increasing potassium excretion (unadjusted r=0.34), and only 0.002% had a concomitant urinary excretion of <2.0 g/day of sodium and >3.5 g/day of potassium. A J-shaped association was observed of sodium excretion and inverse association of potassium excretion with death and cardiovascular events. For joint sodium and potassium excretion categories, the lowest risk of death and cardiovascular events occurred in the group with moderate sodium excretion (3-5 g/day) and higher potassium excretion (21.9% of cohort). Compared with this reference group, the combinations of low potassium with low sodium excretion (hazard ratio 1.23, 1.11 to 1.37; 7.4% of cohort) and low potassium with high sodium excretion (1.21, 1.11 to 1.32; 13.8% of cohort) were associated with the highest risk, followed by low sodium excretion (1.19, 1.02 to 1.38; 3.3% of cohort) and high sodium excretion (1.10, 1.02 to 1.18; 29.6% of cohort) among those with potassium excretion greater than the median. Higher potassium excretion attenuated the increased cardiovascular risk associated with high sodium excretion (P for interaction=0.007).ConclusionsThese findings suggest that the simultaneous target of low sodium intake (<2 g/day) with high potassium intake (>3.5 g/day) is extremely uncommon. Combined moderate sodium intake (3-5 g/day) with high potassium intake is associated with the lowest risk of mortality and cardiovascular events.



2018 ◽  
Vol 5 (2) ◽  
pp. 168-173
Author(s):  
Rohanah Rohanah ◽  
Suyatini Suyatini
Keyword(s):  
T Test ◽  
P Value ◽  

Kualitas hidup lansia adalah kondisi fungsional lansia berada pada kondisi yang maksimal atau optimal sehingga memungkinkan lansia menikmati masa tuanya dengan penuh makna, bahagia dan berkualitas.  yang meliputi kesehatan fisik, psikologis, sosial dan lingkungan,Pemberdayaan keluarga yang dimaksud adalah pendidikan kesehatan dengan memberikan contoh, pengetahuan dan sikap agar keoluarga dapat mendukung lansia. .Tujuan penelitian ini untuk mengetahui kualitas hidup lansia sebelum  dan sesudah pemberdayaan keluarga dan adakah pengaruh pemberdayaan keluarga terhadap kualitas hidup lansia. Hipotesis penelitian ini ada pengaruh pemberdayaan keluarga terhadap kualitas hidup lansia Design dan metodologi penelitian ini menggunakan Quusi Eksperimen pre-post test. Data dianalisis menggunakan uji dependen t test. Sampel diambil dengan total sampling yang memenuhi kriteria inklusi didapat 30 responden lansia .Penelitian ini dilakukan di Kelurahan Karangsari kota Tangerang bulan Oktober sampai Nopember 2017,Data penelitian ini diambil dengan menggunakan kuisioner baku WHOQOL.Hasil uji statistic menunjukan pre test dan post test dengan nilai p value 0.00 dapat disimpulkan ada perbedaan  yang signifikan kualitas hidup lansia sebelum dan sesudah dilakukan pemberdayaan keluarga, selain itu didapat  nilai correlation 0.735 artinya ada pengaruh yang cukup kuat proses pemberdayaan keluarga terhadap kualitas hidup lansia. Saran: kepada Puskesmas/Pelayanan Kesehatan hendaknya dapat mengadakan kegiatan pemberdayaan keluarga secara berkala untuk tetap mempertahankan kualitas hidup lansia



2021 ◽  
Vol 20 (1) ◽  
pp. 34-39
Author(s):  
Fatma Nuraisyah ◽  
Ratu Matahari ◽  
Khoiriyah Isni ◽  
Fitriana Putri Utami
Keyword(s):  
P Value ◽  

Salah satu permasalahan remaja adalah kesehatan reproduksi. Namun hal tersebut masih dianggap tabu dibicarakan antara orang tua dengan remaja.  Dengan adanya komunikasi antara orang tua dengan remaja diharapkan adanya ruang diskusi tentang dampak positif dan negatif terkait kesehatan reproduksi. Tujuan dari penelitian ini adalah mengetahui pengaruh pelatihan komunikasi terkait kesehatan reproduksi remaja terhadap pengetahuan dan sikap orang tua. Penelitian eksperimental dengan desain quasi experiment. Sedangkan bentuk rancangan pra-eksperimen yang digunakan dalam penelitian ini adalah rancangan One Group Pretest-Posttest. Sampel penelitian berjumlah 23 responden yang merupakan ibu pengurus Bina Keluarga Remaja yang memiliki anak usia remaja di Dusun Mertosanan Kulon, Desa Potorono, Kecamatan Banguntapan, Bantul, yang diambil menggunakan teknik total sampling. Instrument penelitian menggunakan kuesioner pre-post test. Data dianalisis dengan uji t berpasangan.  Hampir sebagian besar responden termasuk dalam kategori usia dewasa akhir yaitu 36-45 tahun (65%). Hasil uji t berpasangan menyatakan terdapat pengaruh pelatihan komunikasi terkait kesehatan reproduksi remaja terhadap pengetahuan dan sikap orang tua (p-value=0,01). Terdapat perbedaan rerata skor responden sebelum dan setelah diberikan pelatihan komunikasi kesehatan reproduksi remaja. Terdapat peningkatan pengetahuan dan sikap orang tua setelah diberikan pelatihan komunikasi mengenai kesehatan reproduksi remaja. Seyogyanya orang tua harus mengikuti perkembangan zaman sehingga mampu menjadi tempat berdiskusi yang nyaman pada remaja. Menyaring informasi kesehatan berdasarkan kebenaran dan menyaring pergaulan sangat penting dilakukan oleh remaja, terlebih di era digital. Sementara itu, pemerintah dapat mengembangkan sistem layanan kesehatan remaja yang dapat diakses secara online oleh remaja.



2018 ◽  
Vol 5 (1) ◽  
pp. 78-87
Author(s):  
Nurul Faidah ◽  
Dewa Ayu Dwita Indriani ◽  
M. Fairuz Abadi

Pendahuluan : Stres merupakan perasaan tertekan, cemas dan tegang. Stres merupakan respon adaptif terhadap situasi yang dirasakan menantang atau mengancam kesehatan seseorang. Untuk menurunkan stres yang di alami oleh lansia berkaitan dengan harapan hidupnya maka terapi Reminiscence tepat untuk di jadikan intervensi sebagai memulihkan kembali perasaan yang menyenangkan atau mengingat kembali memori pada masa lalu seseorang. Tujuan penelitian ini untuk mengetahui pengaruh terapi reminiscence terhadap tingkat stress pada lanjut usia di Banjar Tangkas Wilayah Kerja Puskesmas Tegallalang 1. Metode : Metode penelitian ini menggunakan desain penelitian ini menggunakan jenis penelitian Pra-eksperiment dengan rancangan penelitian One-group pre-test post-test design. Teknik sampling yang digunakan non probability sampling dengan teknik purposive sampling didapatkan sampel sejumlah 20 orang. Instrument pengumpulan data menggunakan DASS 42 Psychometric Properties Of The Depression Anxiety Stress Scale. Hasil penelitian rata-rata tingkat stress pada lansia pre-test 59,20 dan post-test 41,20 di dapatkan nilai p value =0,000<α=0,05 menunjukkan ada Pengaruh Terapi Reminiscence terhadap tingkat stres pada lanjut usia yang berarti adanya pengaruh yang signifikan. Diskusi : Terapi Reminiscence berpengaruh secara signifikan menurunkan tingkat stres pada lanjut usia di Banjar Tangkas Wilayah Kerja Puskesmas Tegallalang 1. Di sarankan agar terapi reminiscence di jadikan metode alternatif tindakan keperawatan yang dapat dilaksanakan di keperawatan gerontik guna membantu lansia dalam menurunkan stres. Kata Kunci :Lanjut Usia, Stres, Terapi Reminiscence ABSTRACT Introduction : Stress is a feeling of depression, anxiety and tense. Stress is a form of adaptive response to situations that are felt as challenge or threaten someone's health. To lessen the stress that was experienced by the elderly with regards to their life expectancy, Reminiscence therapy is considered appropriate to be created as intervention for restoring back a pleasant feeling or recalling memory in someone's past. The purpose of this study is to determine the influence of Reminiscence therapy toward stress levels in elderly at Banjar Tangkas within healthcare coverage of Tegallalang community health center 1. Method: This research method is designed to use Pre-experimental research type with One-group pre-test post-test design. The sampling technique used is a non probability sampling with purposive sampling technique that produces sample of 20 people. Data collection instrument uses DASS 42 Psychometric Properties of the Depression Anxiety Stress Scale. Result: The result shows the average stress level of elderly in pre-test is 59,20 and in post-test is 41,20 which resulted p value = 0,000 <α=0,05 indicate that there is influence of Reminiscence therapy toward stress level in elderly which means that there issignificant influences. reminiscence therapy significantly influences lower stress level in elderly in Banjar Tangkas With in Health care Coverage of Tegallalang Community Health Center 1. It is recommended that Reminiscence therapy to be madeasan alternative method of nursing act that can be implemented in gerontic nursing to help elderly in reducing their stress. Keywords: Elderly, Stress, Reminiscence Therapy



2020 ◽  
pp. 38-47
Author(s):  
Lisbeth Pardede, Renta Sianturi, Aprillia Veranita

Hipertensi merupakan suatu penyakit kronik, berulang dan angka kejadiannya semakin meningkat setiap tahun. Penanganan hipertensi membutuhkan waktu seumur hidup, serta membutuhkan kepatuhan klien dalam menjaga pola hidup. Namun banyak klien  hipertensi tidak mampu menjaga pola hidupnya sehingga perlu dilakukan cara untuk meningkatkan kepatuhan klien dalam menjaga pola hidup. Penelitian ini dilakukan dengan quasi eksperiment, jumlah responden 66 orang dipilih dengan purposive sampling, desain pre post test. Data yang dikumpulkan yaitu karakteristik responden, kepatuhan pola hidup meliputi kepatuhan makan dan minum, kepatuhan aktivitas dan istirahat, pengendalian stress dan kepatuhan kontrol dan minum obat. Hasil penelitian yaitu ada perbedaan  nilai rata – rata sebelum dan sesudah dilakukan penyuluhan kesehatan  p value (0,000) dengan CI 95%.  Setelah diberikan penyuluhan terjadi peningkatan pengetahuan responden yang berdampak pada perubahan sikap dan perilaku dalam menjaga pola hidup. Oleh karena itu penyuluhan kesehatan perlu ditingkatkan dilayanan kesehatan primer sebagai salah satu bentuk intervensi penanganan hipertensi. Kata Kunci: Hipertensi, Kepatuhan , Penyuluhan Kesehatan, Pola Hidup



Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 2118
Author(s):  
Alexandra Maria Burlui ◽  
Anca Cardoneanu ◽  
Luana Andreea Macovei ◽  
Ciprian Rezus ◽  
Lucian Vasile Boiculese ◽  
...  

Systemic sclerosis (SSc) patients exhibit a plethora of risk factors for nutritional decline, including the presence of chronic inflammation and the progressive nature of disease-related multisystem involvement. The prevalence and consequences of nutritional decline in scleroderma are frequently underestimated, its management currently remaining a subject of debate. The main objective of the present study was to perform a detailed assessment of scleroderma patients’ diet as well as their eating habits and to describe the relationships with weight loss and malnutrition risk in the absence of professional nutritional counseling. Methods: We used a translated and validated version of the EPIC-Norfolk FFQ (European Prospective Investigation into Cancer and Nutrition Norfolk Food Frequency Questionnaire) to evaluate the patients’ diet and MUST (Malnutrition Universal Screening Tool) to investigate the risk of malnutrition. Disease activity was estimated using the EUSTAR-AI (European Scleroderma Trials and Research group Activity Index). Results: We included 69 patients with SSc, of which 42 underwent a detailed dietary assessment. Dietary factors were connected to body composition and digestive symptoms. We found high sodium intake and frequent suboptimal energy consumption in our study group, including patients with cardiopulmonary involvement. Liver transaminases were inversely correlated with the consumption of nuts and seeds. Malnutrition and weight loss were significantly associated with pulmonary hypertension, heart failure, albumin levels, and the extent of skin fibrosis, but not advanced age. Although the patients with EUSTAR-AI ≥ 2.5 were more frequently included in the moderate and high malnutrition risk categories, these results did not reach statistical significance. Conclusions: Currently, there is an unmet need for longitudinal and interventional research focusing on the long-term significance, ramifications, and management of nutritional impairment in SSc patients with various clinical manifestations. Our results indicate that scleroderma patients could benefit from personalized nutritional counseling in an interdisciplinary setting.



2020 ◽  
Vol 4 (1) ◽  
pp. 112-119
Author(s):  
Padila Padila ◽  
Harsismanto J ◽  
Lussyefrida Yanti ◽  
Setiawati Setiawati ◽  
Juli Andri

This study aims to determine the effect of blowing superbubbles and blowing bamboo propellers on children's respiratory frequency with pneumonia. The study design was pre-test and post-test two groups. The results of the univariate analysis before the blow therapy were carried out. Super bubbles, the respiratory frequency of all respondents was included in the moderate category, namely 10 (100%) respondents. After the intervention, there was a change to the mild type, namely as many as 3 (30%) respondents. Whereas before the therapy of blowing bamboo propellers, the respiratory frequency of the majority of respondents was included in the medium category, namely as many as 8 (80%) of respondents, and after therapy, the respiration frequency was balanced between the moderate and light types, namely as many as 50% of respondents respectively. The bivariate analysis results showed the effect of blowing superbubbles and blowing bamboo propellers on the respiratory frequency of the children with a p-value of 0.000, and 0.006, respectively. In conclusion, the intervention of blowing superbubbles and blowing propeller affects the respiratory frequency of children with pneumonia.   Keywords: Baling-Baling Bamboo, Respiratory Frequency, Blow Super Bubbles



Author(s):  
Ulfa Farrah Lisa ◽  
Mutia Putri

Abstrak Demontrasi perawatan payudara akan  membuat keterampilan ibu hamil semakin meningkat dan demonstrasi akan berpengaruhterhadap keterampilan perawatan payudara pada ibu hamil. Perawatan payudara bertujuan untuk melancarkan sirkulasi darah dan mencegah tersumbatnya aliran susu sehingga mempelancar pengeluaran ASI. Target pemberian ASI ekslusif adalah sebesar 80% sedangkan pencapaian di Kota Banda Aceh masih rendah yaitu  55,17%. Dari survei data awal yang dilakukan di Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh didapatkan bahwa jumlah ibu hamil sebanyak 31 orang dari lima desa dan mayoritas tidak bisa melakukan perawatan payudara. Artikel ini bertujuan untuk mengetahui pengaruh demonstrasi terhadap keterampilan perawatan payudara pada ibu hamil trimester ketiga diwilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh. Penelitian ini bersifat eksperimen semu (quasi experiment) dengan pre-test post-test desain. Dilakukan di wilayah kerja Puskesmas Jeulingke Kecamatan Syiah Kuala Banda Aceh, pada tanggal 25 Juni sampai dengan 2 Juli 2018. Jumlah sampel dalam penelitian inisebanyak 31 orang dengan teknik total sampling. Pengumpulan data menggunakan lembaran observasi dan uji statistic menggunakan uji wilcoxon dengan taraf signifikasi α=0,05 (C1=95%). Hasil analisis menunjukkan dari 31 responden sebelum diberikan demonstrasi(pre-test) keterampilan responden mayoritas perlu perbaikan sebanyak 28 orang (90,3%) dan responden yang mampu sebanyak 3 orang (9,7%), sedangkan setelah diberikan demonstrasi (post-test) keterampilan responden mayoritas mampu sebanyak 16 orang (51,6%), mahir sebanyak 9 orang (29,1%) dan perlu perbaikan sebanyak 6 orang (19,3 %). Setelah dilakukan uji statistik, didapat nilai p-value 0,000. Kata Kunci      : Demonstrasi, Perawatan Payudara, Keterampilan Abstract Demonstration of breast care will make the skills of pregnant women is increasing and the demonstration will affect the skill of breast care in pregnant women. Breast care aims to improve blood circulation and prevent blockage of milk flow so that it smoothes out breast milk. The target of  the exclusive breastfeeding is 80% while the achievement in Banda Aceh is still low (55.17%).From the initial survey data conducted at the Community Health Center of Jeulingke, Syiah Kuala Banda Aceh, and the number of pregnant women is 31 people from five villages and the majority cannot breast care. This article aims to  know the effect of demonstration on breast care skill in third trimester pregnant woman in work area at Community Health Center (Puskesmas) of Jeulingke, Syiah Kuala Banda Aceh. This research has aQuasi Experiment with pre-test post-test design. This research was Conducted in the work area at Puskesmas Jeulingke, District Syiah Kuala Banda Aceh, from 25 June to 2 July 2018. The samples in this research there were 31 people with total sampling technique. And the Data collection is used observation sheet and statistic by wilcoxon testwith a significance level α=0,05 (C1=95%). The results of the analysis show from 31 respondents before being given a demonstration (pre-test) the majority of respondents' skills were categorized as needing improvement as many as 28 people (90.3%) and respondents who were in the category of capable were 3 people (9.7%), while after being given a demonstration ( post-test) the skills of the majority of respondents are in the category of capable as many as 16 people (51.6%), proficient categories as many as 9 people (29.1%) and categories need improvement as much as 6 people (19.3%). After a statistical test, the p-value is 0,000.  Keywords: Demonstration, Breast Care, Skills.



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