scholarly journals THE EFFECT OF VIRTUAL EDUCATION TO IMPROVE COMPLIANCE OF HEMODIALISYS PATIENTS WITH HEALTH PROTOCOLS DURING PANDEMIC

2021 ◽  
Vol 10 (2) ◽  
pp. 175-183
Author(s):  
Nur Hidayati ◽  
Abdul Rokhman ◽  
Suratmi Suratmi ◽  
M. Syukri Ghozali ◽  
Muhtadi Muhtadi
Keyword(s):  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Hemodialysis Patients ◽  
Virtual Education ◽  
Wilcoxon Test ◽  
Before And After ◽  
Post Test ◽  
Improve Compliance ◽  
Educational Videos ◽  
Larger Sample

Background: The spread of COVID-19 has continued to increase since March 2020. Patients with chronic kidney failure who undergo Hemodialysis are one of the groups vulnerable to COVID-19 because they routinely undergo Hemodialysis. One of the ways to prevent transmission of COVID-19 to hemodialysis patients is by providing education to comply with the COVID-19 prevention Health protocol. Objective: The purpose of this study was to determine the effect of virtual education on Hemodialysis patient compliance in preventing covid-19 transmission at the Muhammadiyah Hospital in Lamongan. Methods: This study used the Pre-Experiment approach one group pre-test post-test design on all CKD patients who were routine Hemodialysis at Muhammadiyah Lamongan Hospital from October - December 2020 who were taken using the purposive sampling technique. The intervention given was playing educational videos for 2 months. Data were collected using a questionnaire before and after the intervention, which was tested by the Wilcoxon test with α <0.05. Results: There were 69 patients who took part in the entire processes until it was completed. The results revealed that there were differences in the level of compliance of hemodialysis patients before and after treatment (p = 0.000). Further research with larger sample and RCT design is needed for stronger generalization in population. Conclusion: Providing educational videos can increase the level of compliance of hemodialysis patients in implementing Health protocols to prevent transmission of COVID-19.

The Effect of Breastfeeding Calendar Training on Knowledge and Attitudes of Mothers in Exclusive Breastfeeding

2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Test Design ◽  
Knowledge And Attitudes ◽  
Lactating Mothers ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.

scholarly journals Perbedaan Kadar Hemoglobin pada Penderita Gagal Ginjal Kronik Sebelum dan Setelah Melakukan Hemodialisa

2021 ◽  
Vol 8 (1) ◽  
pp. 146-151
Author(s):  
Virania Arvianti ◽  
◽  
Septian Septian ◽  
Aturut Yansen ◽  
◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Kidney Function ◽  
Secondary Data ◽  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Wilcoxon Test ◽  
Cross Sectional ◽  
Significant Difference ◽  
Before And After

IntroductionAnemia is the most common occurrence in chronic kidney disease undergoing hemodialysis therapy. In the condition of chronic kidney disease, the decline in kidney function can occur slowly and chronically until the kidneys do not function at all. Hemodialysis is one of the therapies used to replaced kidney function. During hemodialysis, a decrease in hemoglobin levels often occurs, this is due to the disruption of the hormon erythropoietin. Objective:determine the differences in hemoglobin levels in patients with chronic kidney disease before and after hemodialysis at Bhayangkara TK. I Raden Said SukantoHospital. Method: The design of this research is cross sectional using secondary data and the sampling technique of this research was random sampling with a total of 133 patients. Result: The normality test was carried out first using the Kolmogorov-Smirnova test which showed the results were not normally distributed with a sig value of 0.001. the next test was the Wilcoxon test with a sig (2-tailed_ value of 0.002 with an average hemoglobin level of 8,81 g/dL before hemodialysis and 9,09 g/dL after hemodialysis. Conclusion:Based on the results of the study means that there is a significant difference in a patient with chronic kidney failure before and after hemodialysis.

scholarly journals Decreasing in Blood Pressure with Music Therapy (Vivaldi-The Four Season) in Elderly Patients With Hypertension in PSTW Glenmore Banyuwangi

2020 ◽  
Vol 10 (2) ◽  
pp. 48-52
Author(s):  
Rahmawati Raharjo ◽  
Agung Dwi Rahardjo
Keyword(s):  
Blood Pressure ◽  
Elderly Patients ◽  
Music Therapy ◽  
Classical Music ◽  
Sampling Technique ◽  
The Elderly ◽  
Wilcoxon Test ◽  
Before And After ◽  
Post Test ◽  
Pharmacological Method

The elderly is a vulnerable age group having health problems. The addition of age causes the function and structure of organs, especially the cardiovascular system and blood vessels, the condition contributes to the trigger occurs an increase in blood pressure. Prevention and management of hypertension can be done by pharmacological and non-pharmacological methods. The non-pharmacological method that can be intervened is classical music. The purpose of this study was to determine the effect of music therapy on reducing blood pressure in hypertensive elderly. This type of research design uses a pre-experimental design with one group pre-test-post test design approach. Samples were taken using a purposive sampling technique of 53 elderly people living in the Banyuwangi Tresna Werdha Social Home. Analysis of data using the Wilcoxon test with a value of p <0.05. Wilcoxon analysis test results obtained p or (Asymp. Sig. (2-tailed) = 0,000, p <0.05. These results research showed there was a difference before and after given classical music therapy in elderly patients with hypertension. Then it can be concluded that the delivery of music therapy in patients with hypertension will help in lowering blood pressure so that music therapy (Vivaldi-the four-season) becomes a non-pharmacological solution both in service and self-handling.

scholarly journals EXERCISE INTRADIALYSIS TERHADAP PENURUNAN TINGKAT FATIGUE PADA PASIEN HEMODIALISA

2018 ◽  
Vol 2 (1) ◽  
pp. 7-13
Author(s):  
Dyah Restuning Prihati ◽  
Marisha Dwi Pangesti
Keyword(s):  
Sampling Technique ◽  
Chronic Kidney Failure ◽  
Hemodialysis Patients ◽  
Case Study Method ◽  
A Value ◽  
Physical Exercises ◽  
Before And After ◽  
Patients Experience ◽  
Severe Weakness

Chronic kidney failure is that the kidneys are not functioning properly for more than three months. the worst condition of the patient undergoing hemodialysis. Hemodialysis patients experience fatigue conditions namely fatigue, fatigue, lethargy and feelings of energy loss. The purpose of this study was to determine the effect of intradyalysis exercise on fatigue levels in hemodialic patients. Research design with descriptive design and case study method. Sampling uses a nonprobability sampling technique with a purposive sampling approach. The number of 5 respondents who were given intradyalysis exercise. The measuring instrument is the Piper Fatigue Scale (PSF) with 21 items. The results of the study showed that the level of fatigue before physical exercise on average in the category of severe weakness level, with a value of 7.57. While the value of the fatigue level after two physical exercises averaged 3, 87 with a moderate level of weakness. the comparison of fatigue levels before and after the intervention on the first day experienced a decrease in fatigue level of 1.77 while on the second day there was a decrease in fatigue level of 1.71. The conclusion of this study is that intradyalysis exercise can reduce fatigue levels in hemodialysis patients.

scholarly journals The Effect Of Mind-Body-Spirit Therapy On Mood Score In Patients With Chronic Renal Failure With Hemodialysis

2018 ◽  
Vol 2 (1) ◽  
pp. 42-50
Author(s):  
Errick Endra Cita ◽  
Dian Miftahul Mizan
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Hemodialysis Patients ◽  
Wilcoxon Test ◽  
Early Screening ◽  
Wide Range ◽  
Before And After ◽  
Post Test ◽  
Mood Score ◽  
Life Threatening

Background: The number of new chronic renal failure patients with hemodialysis therapy continues to increase from year to year in Indonesia. When people learn they need to begin dialysis, they typically experience a flurry of emotions. The stress is caused by chronic illness accounts for a wide range of feelings and moods. This includes general irritability, anger and frustration over the problems caused by the illness, and feelings of being hopeless and helpless when faced with a life-threatening disease. Mind-body-spirit therapy (Concepts of Islam) focuses on the ability to manage the mindset and psychic that will affect the physical, attitudes and behavior of individuals in addressing their lives. Purpose : Giving mind-body-spirit therapy to hemodialysis patients to improve quality of life, given for 4 weeks with the frequency twice a week. Methods : Pre-experimental study with one group pre-test post-test. The sample of 23 patients with hemodialysis therapy taken by purposive sampling. The FACES test is a visual analog scale representation of mood was used in this study. Early screening on mood was taken in 23 patients (13 men and 10 women, mean age 51.5 years). Mind-body-spirit therapy (Islamic concept) consisted of Tausiyah (cognitive reconstruction), prayer, dhikr and drinking zam-zam water. The mood score was evaluated at week 4 after 4 weeks of treatments. Wilcoxon test results, obtained a significance value of 0,000 (p <0,05). This suggests "there are significant differences in mood conditions before and after the Mind Body Spirit therapy intervention (Islamic Concept). Result : After the treatments, there is an increase in the mood score of hemodialysis patients. Conclusion : A mind-body-spirit therapy of 4 weeks is effective for improving the mood of patients with chronic renal failure with hemodialysis therapy

scholarly journals Effect of Puppet Play Therapy on Anxiety in Preschoolers with Thalassemia at the Thalassemia Polyclinic at Al-Ihsan Baleendah Hospital, Bandung Regency

2021 ◽  
pp. 758-769
Author(s):  
Lisbet Octovia Manalu ◽  
Budi Rustandi ◽  
Budi Somantri
Keyword(s):  
Play Therapy ◽  
Emotional Response ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Blood Transfusions ◽  
Control Approach ◽  
Research Theme ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

Thalassemia is one of the top eight catastrophic diseases. Data from Yayasan Thalasemia Indonesia dan Perhimpunan Orang tua Penderita Thalasemia Indonesia (YTI/POPTI) have shown that in Indonesia the number of cases of this disease increased from 2011 to 2015. Preschool-aged children who experience thalassemia every month are subjected to invasive measures such as blood transfusions. Repeated blood transfusions make children feel threatened and can trigger various responses, one of which is anxiety. Anxiety is an emotional response to something dangerous, closely related to feeling uncertain and helpless. Puppet play therapy can reduce anxiety in children with thalassemia who undergo blood transfusions. This study aims to determine the effect of puppet play therapy on anxiety of preschool children (3-6 years) with thalassemia at the Thalassemia Polyclinic at Al-Ihsan Hospital, Bandung. The design used in this study used a quasi-experimental study with a one group pre-post test design without control approach using the Wilcoxon test. The number of samples in this study were 30 respondents who were taken by total sampling technique. The instrument used refers to the content / research theme developed from the Spence Children Anxiety Scale. The results of the Wilcoxon statistical test obtained a significance figure, namely p = 0.009, thus p <α (0.009 <0.05), then H0 is rejected. It can be concluded that there are differences in the level of anxiety of children with thalassemia before and after being given puppet play therapy.   Keywords: puppet play therapy; worry; preschool; Thalassemia

scholarly journals The Effect of Massage Relaxation to Decrease Headaches in Pregnancy Trimester I

2019 ◽  
Vol 8 (2) ◽  
pp. 25-32
Author(s):  
Nicky Danur Jayanti
Keyword(s):  
Pregnant Women ◽  
Test Group ◽  
Sampling Technique ◽  
First Trimester ◽  
The Body ◽  
Wilcoxon Test ◽  
Test Analysis ◽  
Before And After ◽  
Post Test ◽  
Massage Treatment

Headache is a diffuse pain in various parts of the head which varies in its intensity, and the duration of which is a neurological complaint during pregnancy, to reduce headaches by providing provision of drug therapy from aroma therapy, relaxation massage, hot and cold compresses. A relaxing massage is given to ease the discomfort, maintain the overall function of the body and provide emotional support. The study aimed to find out if there is an effect of a relaxation massage in decreasing headaches in pregnant women trimester I.The research method used was a comparative study using a pre-test and post-test group design. The samples used were 15 pregnant women who fit the inclusion criteria and population as many as 19 respondents. The sampling technique used was purposive sampling. Analysis of the results of research was using the Wilcoxon test analysis. Most of the first trimester pregnant women have headaches prior to  the relaxation massage were 10 respondents (66.7%), relaxation massage after having a mild headache were 11 respondents (73.3%). Based on the analysis of Wilcoxon test obtained value ρ = 0.002, thus it is said that Ha is accepted because ρ <0.05 means that there is  an effect of the level of head pain in the first trimester pregnant women before and after a relaxing massage treatment. It is advised to pregnant women, to add motivation to deal with headaches naturally.

scholarly journals The THE ROLE OF SELF-EFFICACY AND FAMILY SUPPORT IN STABILIZING BLOOD PRESSURE OF PATIENTS WITH HYPERTENSION

2020 ◽  
Vol 4 (3) ◽  
pp. 211-217
Author(s):  
Erni Tri Indarti
Keyword(s):  
Blood Pressure ◽  
Family Support ◽  
Self Efficacy ◽  
Healthy Lifestyle ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
P Value ◽  
The Family ◽  
Before And After ◽  
Post Test

Hypertension is a health problem for the majority of people in Indonesia. The Efforts to reduce the incidence rate of hypertension and controling blood pressure by changing the healthy lifestyle and by being in taking. To realize healthy lifestyle and behavior of hypertension, self-efficacy and support of the family as well as health care cooperation with the parties, the family, and society are required. The purpose of this research to know if self-efficacy and family support stabilizing blood pressure of patients with hypertension. This research is a pre-experimental research with One-Group Pre-Post test design approach. The study was conducted in 50 people with the stratified random sampling technique in Ketawang Village, Gondang Districtor 8 weeks. Measurement of the blood pressure was the Spignomanometer merk Onemed  was given before and after the patients were given counseling self-efficacy and family support. The data was analyzed SPSS 21 Wilcoxon test. The Statistical test results obtained p value 0.000 to sistole and diatole so that there is a meaningful that  self-efficacy counseling and family support stabilizing blood pressure of patients hypertension. Self-efficacy counseling and family support controling blood pressure for patients with hypertension, so they needs to be developed to reduce hypertension complications.

scholarly journals PENGARUH PEMBERIAN ROSE EFFLEURAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I FASE AKTIF PADA PERSALINAN NORMAL PRIMIGRAVIDA DI BIDAN PRAKTIK MANDIRI ERNITA KOTA PEKANBARU

2020 ◽  
Vol 4 (1) ◽  
pp. 9-14
Author(s):  
Jasmi Jasmi ◽  
Elly Susilawati ◽  
Ana Andriana
Keyword(s):  
Sampling Technique ◽  
Active Phase ◽  
Labor Pain ◽  
Wilcoxon Test ◽  
P Value ◽  
Average Intensity ◽  
Test Study ◽  
Before And After ◽  
Post Test ◽  
Confidence Degree

Birth pain can cause maternal discomfort such as fatigue, frustration, despair, and stress. The preliminary survey at PMB Ernita of Pekanbaru showed that there were 60% of the mothers that suffered moderate pain and 40% of them experienced severe pain. The intensity of labor pain can be reduced by giving a rose effleurage that can produce endorphin so that it stimulates a sense of relaxation. This pre-experimental research used a one group pre-test study post-test design carried out in March to June 2018. The population was primigravidae  mothers in the first stage of labor taken using purposive sampling technique. The results showed that the average intensity of pain in parturient women before and after administration of rose effleurage was 6.00 and 4.60, respectively. The result of statistic test with Wilcoxon test on 95% confidence degree showed that there was the effect of rose effleurage stage on pain intensity in the active stage of labor (p value = 0.000). It is then suggested that rose effleurage can be applied as an alternative method which aims to reduce the intensity of labor pain at the time of active phase.

scholarly journals Analysis of Effectiveness of Lean Management in Improvement of Service in Installation Nutrition RSUD dr. Iskak Tulungagung

2018 ◽  
Vol 1 (2) ◽  
pp. 34-41
Author(s):  
Ida Srijani
Keyword(s):  
Sampling Technique ◽  
Food Distribution ◽  
Wilcoxon Test ◽  
Food Preparation ◽  
Lean Management ◽  
Before And After ◽  
Post Test ◽  
Food Planning ◽  
Meal Planning ◽  
Improve Service Quality

Quality of nutrition installation service is determined from four processes; food planning, food preparation, food preparation, food processing and food distribution to patients. Efforts to improve service quality are modified processes using LEAN management. Pre experimental research design with one group pretest - post test design. Sample 36 people from all nutrition installation officer of food management system (MSPM) with sampling technique Non probability sampling type purposive sampling. The result of the research shows the influence of LEAN management implementation to the aspect of meal planning before and after intervention with wilcoxon test (p = 0,083) with pre test value 100% (good quality) and pos test value 100% good quality. In receipt aspect, preparation and storage of food obtained wilcoxon test (p = 0,157) with pre test value 100% enough quality and post test value 100% good quality. In the aspect of foodstuff processing obtained wilcoxon test (p = 0,001) with pre test value 100% enough quality and post test value 100% good quality. In the aspect of food distribution, the test of wilcoxon (p = 0,000) with pre test of 100% quality is sufficient and the post test value is 21%, the remaining quality is 79% good quality.

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