Densitas Tulang Ibu Postmenopause Antara Senam Taichi Dan Arenga Pinnata Dengan Senam Taichi Dan Green Tea di Kelurahaan Tumbanggalung Kota Pematangsiantar

Author(s):  
Sri Hernawati Sirait

Postmenopausal Bone Density Between Taichi Ang Arenga Pinnata And Taichi Ang Green Tea    Sri Hernawati Sirait (Program Studi Kebidanan Pematangsiantar Poltekkes Kemenkes Medan) Email : [email protected]   ABSTRACT                      Osteoporosis is a problem in public health, especially in developing countries. Various ways can be done to reduce osteoporosis, one of which is by consuming Arenga pinnata and green tea and doing tai chi exercises. The aim of the study was to compare the effectiveness of Taichi and Arenga pinnata exercises with Tai chi exercises and green tea on bone density in postmenopausal mothers. This type of research is quasi-experimental with a quasi-experimental pret and posttest group with control design. It was conducted on 50 postmenopausal mothers in Timbang Galung Subdistrict, Siantar Barat District, Pematangsiantar, July - September 2018. Sampling was taken by consecutive sampling. Tai chi and consumption of Arenga pinnata in group 1 and tai chi and gymnastic consumption of group II green tea polyphenol (GTP) for 12 weeks were taken. Bone density measurement with densitometry. Data analysis with Mann Whitney U and Wilcoxon test with α = 0.05. The mean T-score before intervention in the control group was -2.71 ± 1.35 and -3.21 ± 0.67 in the intervention group (p = 202). There were no differences in bone density in the two groups after intervention (p = 0.488). There were differences in bone density in the control group before and after the intervention (p = 0,000). There were differences in bone density in the intervention group before and after treatment (p = 0,000). Tai chi exercise and arenga pinnata and gymnastics Tai chi and green tea increases bone density in postmenopausal women. Tai chi exercises with a combination of other supporting supplements need to be done in premenopausal women.   Keywords:  bone density; postmenopausal women; taichi; arenga pinnata;  green tea.   Densitas Tulang Ibu Postmenopause Antara Senam Taichi Dan Arenga Pinnata Dengan Senam Taichi Dan Green Tea   Abstrak  Osteoporosis merupakan masalah dalam kesehatan masyarakat terutama di negara berkembang. Berbagai cara dapat dilakukan untuk mengurangi osteoporosis, salah satunya adalah dengan mengkonsumsi arenga pinnata dan green tea serta melakukan  senam tai chi. Tujuan penelitian untuk mengetahui perbedaan antara senam tai chi dan arenga  pinnata dengan senam tai chi dan green tea terhadap densitas tulang pada ibu postmenopause. Jenis penelitian adalah quasi eksperimen dengan rancangan quasi experiment pret and posttest group with control design. Dilakukan pada 50 orang ibu postmenopause di Kelurahan Timbang Galung Kecamatan Siantar Barat Pematangsiantar, Juli-September 2018. Pengambilan sampel dengan consecutive sampling. Dilakukan senam tai chi dan konsumsi Arenga pinnata pada kelompok 1 dan senam tai chi dan konsumsi green tea polyphenol (GTP) kelompok II selama 12 minggu. Pengukuran densitas tulang dengan densitometry. Analisa data dengan uji  Mann Whitney U dan Wilcoxon dengan α = 0,05. Rerata T-score  sebelum intervensi pada kelompok kontrol -2,71 ± 1,35 dan -3,21 ± 0,67 pada kelompok intervensi (p = 202). Tidak terdapat perbedaan densitas tulang pada kedua kelompok setelah intervensi (p = 0,488). Terdapat perbedaan densitas tulang pada kelompok kontrol sebelum dan setelah intervensi (p = 0,000). Terdapat perbedaan densitas tulang pada kelompok intervensi sebelum dan setelah perlakuan (p = 0,000).  Senam tai chi dan arenga pinnata dengan senam tai chi dan green tea meningkatkan densitas tulang pada wanita postmenopause. Senam tai chi dengan kombinasi suplemen pendukung lain perlu dilakukan pada wanita premenopause.   Kata kunci :  densitas tulang;  ibu post menopause; taichi; arenga pinnata; green tea

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Dyah Restuning Prihati ◽  
Maulidta Karunianingtyas Wirawati

Diabetic ulcer is caused by damage to the skin nerves due to reduced blood flow. Pain and anxiety when wound care begins when dressing and cleaning the wound. Murottal therapy is a distraction technique in the form of al-quran records, decreases stress hormones and provides a feeling of relaxation. The purpose of this study was to reduce the level of pain and anxiety during wound care in patients with DM ulcers after being given murrotal therapy in RSUD K.M.T. Wongsonegoro Semarang. The research method with quasi experimental pre-posttest control group. a sample of 17 people in the intervention group and 15 in the control group. Sample selection with total sampling. The murrottal listening intervention group played for 3 times for 15 minutes. Respondents were conducted pre and posttest with NRS pain measuring instruments and DASS anxiety. The results of the Wilcoxon test in the intervention group obtained p = 0,000, there were differences in the level of pain between before and after murotal therapy and p = 0.002 there was a difference in the level of anxiety between before and after murotal therapy. In the control group obtained p = 0.02, there were differences in the level of pain between before and after murotal therapy and the value of p = 1.00, there was no difference in the level of anxiety between before and after given murotal therapy. Conclusion: Murrotal therapy can reduce the level of pain and anxiety during wound care for DM ulcer patients.


2016 ◽  
Vol 55 (6) ◽  
pp. 339 ◽  
Author(s):  
Hartono Gunadi ◽  
Rini Sekartini ◽  
Retno Asti Werdhani ◽  
Ardi Findyartini ◽  
Muhammad Arvianda Kevin Kurnia

Background Immunization is recognized as one of the strategiesto reduce vaccine preventable diseases. Competency related toimmunization are consequently important for medical students andthe medical school needs to assure the competence acquisition.Objective To assess competence related to immunization andits retention following lectures with simulations compared tolectures only.Methods A quasi-experimental study was conducted to the 5th yearstudents of University of Indonesia Medical School during the ChildAdolescent Health Module in 2012-2013. The intervention grouphad lectures with simulations and the control group had lecturesonly. Immunization knowledge was assessed with a 30 multiplechoice question (MCA) items performed before and after themodule. Competence retention was assessed by MCQ (knowledge)and OSCE (skills) 2-6 months afterwards.Results Sixty eight subjects for each group with similarcharacteristics were analyzed. There was significant differenceafter module MCQ score between two groups. Competenceretention in 2-6 months after module completion was betterin intervention group, both for the knowledge (median MCQscore of 70.00 (range 37-93) vs. mean score of 58.01 (SD 12.22),respectively; P<0.001) and skill (OSCE mean scores of 75.21 (SD10.74) vs. 62.62 (SD 11.89), respectively; P < 0.001). Proportionof subjects in the intervention group who passed both the MCQand OSCE were also significantly greater.Conclusion Lectures with simulations are proved to bemore effective in improving medical students’ immunizationcompetence as well as its retention compared to lectures onlyapproach.


2020 ◽  
Vol 8 (T2) ◽  
pp. 196-199
Author(s):  
Stang Stang ◽  
Debora Selin ◽  
Suriah Suriah ◽  
Sumarni Marwang ◽  
Hasanuddin Ishak

BACKGROUND: Each pregnancy and childbirth has complication risks. These complications are accompanying pathological incidences that might cause maternal mortality. AIM: This research aims to determine the effect of educational media development in increasing knowledge and attitudes about complications of pregnancy and childbirth in pregnant women. METHODS: This research method passed through several stages as follows: First stage consisted of the development of educational media (leaflets), and second stage consisted of development test with leaflet media using a quasi-experimental research design. The samples were Trimester I to Trimester III pregnant women who visited Sayang Rakyat Hospital Makassar, which consisted of 30 people as intervention group and 30 people as control group. The intervention group was provided leaflets while the control group was provided books on maternal and child health. Data analysis used Wilcoxon Signed Ranks Test and Mann–Whitney test. RESULTS: The results showed that there are differences in case of knowledge and attitudes of pregnant women regarding complications of pregnancy and childbirth before and after being provided with leaflet intervention with a value of p = 0.000. Likewise, there are differences in the case of knowledge and attitudes of pregnant women regarding pregnancy and childbirth complications between the intervention and control groups with p = 0.041 and 0.001, respectively. CONCLUSION: Educational media on knowledge and attitudes about complications of pregnancy and childbirth has a positive effect in pregnant women at Sayang Rakyat Hospital in Makassar.


2017 ◽  
Vol 5 (2) ◽  
pp. 29
Author(s):  
Muhammad Taukhid

Background : Fatigue is feeling tired physically, psychologically, cognitively perceived cancer patients while undergoing therapies for the disease, including chemotherapy. The purpose of this study was to determine differences in the level of fatigue in cancer patients between before and after aerobic exercise combined with relaxation techniques of yoga. Methods :  This study used Quasi-experimental design with pretest-posttest control group in patients with breast cancer in the course of chemotherapy. The sampling methods used purposive sampling. The fatigue level was collected by subjective instruments Pipper Fatigue Scale (PFS), and then analyzed by the Independent and Dependent T test, and multivariate analysis used linear regression with a significance value of α 0.05. Results :  There were differences in the level of fatigue post-test between the intervention group and the control group with a difference of 1.25 (p = 0.013). History of previous exercise may explain the 17.8% level of fatigue that occurs in patients with breast cancer in the course of chemotherapy, the rest was explained by other variables. Conclusion : There were a decrease in the level fatigue statistically, however clinically the level of fatigue remain the same catagories.


Jurnal NERS ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Nyoman Sudja ◽  
Meirina Meirina

Introduction: Increasing age in pre-senile, causes a deterioration abilities and physical changes, including the cardiovascular system. Blood vessels lose their elasticity thus be increased peripheral vascular resistance that results in hypertension. This study aims to gain an idea of the effect on the ability of pre-senile people’s psychoeducation in the management of hypertension. Method: Quasi-experimental, the pre-post test with control group design, psychoeducation intervention with a sample size of 72 people . Result: The results showed signifi cant difference of pre-aged knowledge and behavior before and after getting psychoeducation intervention in the intervention group (p-value = 0.000 knowledge, and behaviors = 0.000) . Whereas in the control group there was no difference in knowledge (p-value = 0.896), but there are signifi cant differences in behavior of pre-senile people (p-value = 0.049). There are differences in knowledge and behavior after they were given psychoeducation intervention (post-test ) in the intervention group and the control group (p-value = 0.001 knowledge , behavior=0.018). Discussion: Psychoeducation had effect on the ability of pre-senile in the management of hypertension, so this program can be applied to groups of Posbindu for pre-senile people throughout the areas of the city of Bogor.Key words: psychoeducation, skills, pre-senile, hypertension


2019 ◽  
Vol 2 (2) ◽  
pp. 84-93
Author(s):  
Florentina Dhiana Sri Setyohariyati ◽  
Emiliana Tarigan ◽  
Havids Aima

Introduction. Burnout is a symptom that is often experienced by nurses, especially in the operating room, intensive unit and emergency room. Burnout is characterized by fatigue of heavy workloads, lack of control and appreciation, unfair treatment as employees, lack of social support at work, and conflict of value values that cause Emotional Exhausting, Depersonalization, Personal Accreditation. Coaching implementation by mentors to the implementing nurses is expected to reduce burnout. Methods. This study aims to analyze the description of the differences and influence of coaching implementation by mentor to the executor nurse burnout at Siloam Hospitals Group. Research uses quantitative methods with quasi experimental designs, pretest-posttest control group and causal research. The sample in the study was chosen by consecutve sampling in all respondents included in the inclusion criteria. The sample in this study amounted to 117 nurses, who were divided into 2 groups ie inetrvensi group with 88 respondents and control group with 29 respondents. Coaching implementation is given within 12 weeks with the frequency of meetings 3-4 times. Results. The results of this study showed that there was a decrease in burnout before and after intervention with paired t test in the intervention group and control group, with value (p = 0.002). Conclusion. The results of the intervention analysis on the implementation of coaching training simultaneously have an effect on motivation, workplace, age, gender, education and work experience simultaneously with a contribution of F 3,316 with a significance number of 0.005 <0.05. This study recommends the need for further research.


2021 ◽  
Vol 8 (2) ◽  
pp. 182-192
Author(s):  
Achwan Achwan ◽  
Abdurahman B.B. Laksono

Leg cramps are a common side effect of intradialysis CKD patients. Preventing intradialysis cramping pain can improve quality of life. Breathing and stretching exercises are non-pharmacological treatments for cramping pain. The purpose of this study was to prove the effect of breathing and stretching exercises on changes in the intensity of leg cramps in hemodialysis patients at the Haji Jakarta Hospital in 2018. This study was a quasi-experimental study with a two-group pre-post test research design. The sample was selected by purposive sampling, a sample of 34 patients. The intensity of muscle cramps was measured using the Numeric Rating Scale. The results of the analysis using the paired sample T-test. The results showed that the intervention group had a P-value = 0.01 and the control group had a P-value = 0.055, meaning that there was a difference in mean the intensity of cramping pain before and after breathing and stretching exercises was compared, so it was concluded that there was an effect of breathing and stretching exercises on the intensity of intradialysis leg cramps. Patients are advised to breathing and stretching exercises regularly, light exercise, eat and drink diet.


2018 ◽  
Vol 3 (1) ◽  
pp. 115
Author(s):  
Wiwit Fetrisia ◽  
Aisyah Elyanti ◽  
Yantri Maputra

The initial stage of a human's life in infancy is considered important because at this time the foundations of personality are laid down which will give color when they grow up. The role of parents is very necessary in providing early stimulation. Stimulation is stimulation that comes from the baby's outer environment. The baby health service coverage in 2014 in Bukittinggi was 88.4%, lower than Padang city as much as 90.6%. It is known that the number of infants aged 0-1 years in Padang city amounted to 3,498 people, while in Bukittinggi city only 629 people. Supposedly with a small number of infants achieving early detection of infant growth and development is better than the number of babies in a larger city. The design of this study was a quasi-experimental design with two group pretest-posttest with the control group to identify the effect of stimulation on infant growth and development before and after the intervention, which was carried out from November 2017 - August 2018, in the environmental health center of Bukittinggi City Health Office. The population is infants with ages 0 - 6 months, and the number of samples taken is 46 people. The results of the study carried out with the Wolcoxon test, obtained there were differences in development before and after the intervention was given to the intervention group p = 0,000, there was a development difference in the control group p = 0.014, there were differences in growth before and after the intervention p = 0.000, there was no difference growth in the control group p = 0.083. It can be concluded that stimulation plays a role in preventing delays in growth and development in infants 0-6 months. From this study health workers can socialize about how to stimulate babies to mothers for early prevention of growth and development disorders in infants.


2018 ◽  
Vol 2 (2) ◽  
pp. 274
Author(s):  
Marthalena Simamora ◽  
Galvani Volta Simanjuntak ◽  
Henny Syapitri

Introduction. Osteoarthritis (OA) is a degenerative disease due to the thinning of the joint cartilage, mostly in the knee joint (89.91%) with the pain manifestation. If the pain is not managed, it could lead to the limitation of movement and disruption of daily activities. Having physical exercise regularly could reduce pain. The purpose of study was to determine the effect of knee fl exion extension and strengthening (FELS) exercise in reducing pain intensity. Methods. This was a quasi-experimental study with pretest-posttest control randomized design, where 70 respondents were recruited and consisted of 53 in intervention and 17 in control group. Result. The statistical analysis used ordinal regression revealed (1) FELS exercise was effective in reducing pain intensity (p = 0.013); (2) a signifi cant difference in pain intensity before and after FELS exercise (p = 0.000); (3) a signifi cant difference of pain intensity in the intervention group compared to the control group (p = 0.004); (4) effect of other activities in reducing pain intensity (p = 0.042). While the factors of age, gender, pain experience, anxiety and support system were not signifi cantly effective in reducing pain. Discussion. FELS exercise was helpful in reducing pain intensity in patients with knee osteoarthritis. It was then suggested to OA patients are requested to perform regular FELS exercise while the families are keep on giving support to the patient to do FELS exercise.Keywords: Knee fl exion extension, strengthening exercise, pain intensity, knee OA


2020 ◽  
Vol 4 (1) ◽  
pp. 92-101
Author(s):  
Tasman Tasman ◽  
Heppi Sasmita ◽  
Yessi Fadriyanti ◽  
N. Rachmadanur ◽  
Lola Felnanda Amri

The purpose of this study was to determine the increase in self-efficacy of adolescents at risk through a combination of psychoeducation therapy with music at SMPN Kota Padang. The research method used in this research is quantitative research with a quasi-experimental research design pre-post test control group. The results showed that the mean score of self-efficacy before the intervention group intervention was lower than the control group. Still, after the intervention was given to adolescents, it showed psychoeducation therapy with music on changes in student self-efficacy at risk. The statistical test results obtained a P value <0.05. In conclusion, there is a significant increase in self-efficacy before and after psychoeducation therapy intervention with music. Keywords: Psychoeducation, Youth, Self Efficacy


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