scholarly journals PENGARUH SHAKER EXERCISE TERHADAP KEMAMPUAN MENELAN PADA PASIEN STROKE DENGAN DISFAGIA DI RUMAH SAKIT KOTA MEDAN

2019 ◽  
Vol 1 (2) ◽  
pp. 61-67
Author(s):  
Yusrial Tarihoran

Stroke adalah kumpulan gejala klinis akibat hilangnya fungsi otak sebagian atau keseluruhan. Salah satu penyebab kematian pasien stroke adalah aspirasi pneumonia yang berhubungan dengan disfagia. Penelitian ini bertujuan mengidentifikasi pengaruh shaker exercise terhadap kemampuan menelan pada pasien stroke dengan disfagia di Rumah Sakit Kota Medan. Desain penelitian ini adalah quasy eksperiment, khususnya pretest-posttest design withtout control. Pengambilan sampel dengan metode consecutive sampling. Sampel berjumlah 24 orang, kelompok intervensi ini diberikan shaker exercise selama 6 hari berturut-turut dan dilakuan tiga kali sehari. Hasil penelitian dinyatakan ada perbedaan yang signifikan kemampuan menelan pada pasien stroke dengan disfagia setelah diberikan shaker exercise, dengan p value 0,000 (α =0,05). Manfaat penelitian ini nantinya dapat dijadikan sebagai salah satu intervensi mandiri keperawatan dalam menangani pasien stroke dengan disfagia sehingga meningkatkan mutu asuhan keperawatan, mempercepat penyembuhan, serta mencegah komplikasi.   Stroke is a group of clinical symptoms due to partial or complete brain function loss. One of the causes of death of stroke patients is the aspiration of pneumonia associated with dysphagia. This study aims to identify the effect of shaker exercise on swallowing ability in stroke patients with dysphagia at Rumah Sakit Kota Medan. This research used Quasy experimental with pretest-posttest without control group design. As samples, there were 24 respondents for intervention group with consecutive sampling method. The intervention group was given shaker exercise for 3 times a day and it was done continued for 6 days. The results revealed that there was a significant difference in swallowing ability in stroke patients with dysphagia after being given shaker exercise, with p value 0,000 (α = 0.05). The research can be used as a nursing intervention in stroke patients with dysphagia that improve the quality of nursing care, promote healing, and prevent complications.

2019 ◽  
Vol 10 (2) ◽  
pp. 276
Author(s):  
Yusari Asih ◽  
I Gusti Ayu Mirah WS

<p><span>Baby Massage and Spa was a traditional effort that uses a holistic approach through comprehensive care using a combination of massage and water therapy methods that are carried out in an integrated manner to balance the body, mind, and feelings. Age 3-6 months is the right time for babies to do massage and spa. The purpose of this study was to determine the effect of baby massage and spa on the growth of infants aged 3-5 months in Pringsewu District in 2018. This study uses a quasi-experimental approach with research design pre and post-test with control group design. The purposive sampling technique was taken with a sample of 30 infants as the intervention group and 30 infants as the control group. Data were processed using computerization and analyzed using the T-Test. The results showed that there were significant differences between body weight, body length and baby head circumference in the pre and post-treatment. There was no significant difference in the average increase in infant weight between babies who were carried out by baby massage and spa with babies who were not carried out by baby massage and spa with p-value 0.116. There is a significant difference in the baby's body length and head circumference performed by baby massage and spa with those not carried out by baby massage and spa with p-value 0.000. Baby Massage and Spa has a significant effect on increasing the growth of babies aged 3-5 months.</span></p><p><span> </span></p>


2018 ◽  
Vol 1 (2) ◽  
pp. 74-80
Author(s):  
Zuhrotul Umaroh ◽  
Elsye Maria Rosa

Background: The injury is still a major public health problem throughout the country, where two-thirds occur in developing countries, including Indonesia. In Indonesia, recorded injury cases in 2013 reached 84,277 people (8.2%). The negative impacts caused by the fracture appears, which includes; psychological, social, and spiritual. The Department of Health reported that 15% of patients experiencing psychological stress fractures to depression. Psychoeducation efficient in the treatment process and decrease the symptoms of depression that is a component in the psychological response on the existence of a disability condition. Aim: the research aimed todetermine the effectiveness of psychoeducation to the physical adaptation among fracture patients in public hospital of Jombang Method: this is a quasi-experiment research with pre-test and post-test control group design. There were 16 respondents in control group and another 16 respondents for intervention group which was gathered with consecutive sampling. The data were analyzed with parametric analysis using paired sample t-test dan independent t-test. For testing the data normality distribution, Shapiro-wilk analysis was operated. Result: Paired t test sample stated that there was significant difference in the physical adaptation among fracture patients before and after the intervention of psychoeducation (p value = 0,000 ; CI 95% <alpha = 0,05). In the unpaired t test was obtained p value = 0.000; CI 95% <alpha = 0.05, which indicates a significant difference of fracture patients’ adaptation who has given psychoeducation intervention and who has not. Conclusion: the psychoeducation intervention  increasedphysical adaptation among fracture patients. Nurses must continue to develop and apply the procedures for implementing psychoeducation fractures primarily in patients with the aim to improve the adaptability of fracture patients.


2018 ◽  
Vol 6 (3) ◽  
pp. 461
Author(s):  
Mahda Febriyanti Eka Pertiwi Putri ◽  
Murtaqib Murtaqib ◽  
Mulia Hakam

During the quality of sleep the elderly is good, some changes that will occur to the elderly arenormal as well, but if not, it will cause health problems. This research aims to analyze theeffect of jasmine aromatherapy relaxation on sleeping quality to the elderly at elderlyassociation in Jenggawah Jember. This research used quasy experimental design methodwith pre-post test and control group design. Sleeping quality was measured using a PSQIquestionnaire and interventions which were given for 28 days. The result of dependent t testshowed no significant difference on the average score of control group (p value = 1,000).While in the intervention group there was a decrease in the mean score of PSQI after beinggiven jasmine aromatherapy relaxation, so that there was a significant difference in sleepingquality of the intervention group (p value = 0,001). Independent t tests showed significantdifferences between the control group and the intervention group after jasmine aromatherapyrelaxation (p value = 0,001). Overall, jasmine aromatherapy relaxation can improve sleepingquality in the elderly, so that jasmine aromatherapy relaxation may be used as an alternativenon-pharmacological treatment which has no adverse side effects compared to the use oflong-term sleeping pills that would give negative side effects to its users. Keywords: aromatherapy, sleeping quality, elderly.


Author(s):  
Mehdi Mesri ◽  
Seied Saeid Esmaeili Saber ◽  
Mohammadreza Godazi ◽  
Aboulfazl Roustaei Shirdel ◽  
Reza Montazer ◽  
...  

Abstract Objectives Herbal medicines, as a treatment method, have received a great deal of attention. The effects of two herbal medicines namely Zingiber officinale and Echinacea on alleviation of clinical symptoms and hospitalization rate of suspected COVID-19 outpatients were examined. Methods A clinical trial with 100 suspected COVID-19 outpatients as participants was conducted. The participants were allocated randomly to two groups of 50 members. The intervention group received concurrent Zingiber officinale (Tablet Vomigone 500 mg II tds) and Echinacea (Tablet Rucoldup I tds) for seven days in addition to the standard treatment. The control group only received the standard treatment (Hydroxychloroquine). After seven days, alleviation of clinical symptoms and hospitalization rate were examined. In addition, 14 days after treatment, the hospitalization was assessed again by telephone follow up. Results The two groups were identical in terms of basic characteristics. Improvement level as to coughing, dyspnea, and muscle pain was higher in the intervention group (p value <0.05). There was no significant difference between the two groups in terms of the other symptoms. In addition, the hospitalization rate in the intervention and control groups were 2 and 6% respectively, which are not significantly different (p value >0.05). Conclusions Taking into account the efficiency and trivial side-effects of Zingiber officinale and Echinacea, using them for alleviation and control of the clinical symptoms in COVID-19 outpatients is recommended.


2019 ◽  
Vol 1 (2) ◽  
pp. 314-323
Author(s):  
Eko Riyanti ◽  
Irna Nursanti ◽  
Natsir Hugroho

The purpose of this study was to determine the effect of the package of warning signs of bleeding pregnant women (tabahanmil) on the knowledge, attitudes and skills of pregnant women in preventing bleeding in Bayan District, Purworejo Regency. The type of quantitative research with Quasi experimental research design, pretest-posttest with control group design. The results of bivariate analysis found that the intervention group after being given a tabahanmil package significantly affected compared to the control group that was not given a tabahanmil package on knowledge, attitudes, and skills, each of which has a p value = 0,000 less than 0.05. Conclusion, there is a significant difference from the average value of knowledge, attitudes, and skills of pregnant women in preventing bleeding in the intervention group and the control group.   Keywords: Pregnant Women, Skills, Preventing Bleeding, Knowledge, Attitudes


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Veronica Silalahi

Objective: to identify the effectiveness of health education about menarche using audiovisual media and leaflets on the attitudes of teenage girls Methods: This article used a quasi-experimental non-equivalent control group design. This study divided the subjects into two groups, the intervention group and the control group with 31 respondents each, that is class III and IV in Sawunggaling 1 primary school, Surabaya. This article used a simple random sampling. Data processing was carried out by pretest and posttest and health education interventions using audiovisuals and leaflets for the intervention group, and for the control group using leaflet. Data analysis used the Mann Whitney test to assess the mean increase in attitudes in both groups, and the Wilcoxon test to see an increase in attitudes after the intervention in both groups.Results: The results showed p-value = 0.000 (p <0.05) in the intervention groups. This means that there is a significant increase in the attitude of teenage girls before and after being given health education which shows the effectiveness of health education about menarche using audiovisual media and leaflets. Whereas in the control group data obtained that 0.754 (p> 0.005), this means that there is no significant difference from the attitudes of teenage girls before and after being given health education about menarche with media leafletsConclusion : health education using audiovisuals and leaflets that are effective in improving the attitudes of teenage girls in facing menarche 


2017 ◽  
Vol 3 (3) ◽  
pp. 191-197
Author(s):  
Arum Estiyani ◽  
Ari Suwondo ◽  
Sri Rahayu ◽  
Suharyo Hadisaputro ◽  
Melyana Nurul Widyawati ◽  
...  

Background: Postpartum anemia among mothers is a health problem in Indonesia. Consuming Moringa Oleifera is assumed as one of the efforts to deal with anemia. However, lack of the study conducted in the working in the working area of health center of Tlogosari Wetan.Objective: This study was conducted to examine the effect of Moringa Oleifera on blood profile in postpartum mothers.Methods: The study was quasy experimental study with pretest posttest control group design. The sample in this study were all postpartum mothers in the working area of the health center of Tlogosari Wetan. It was 30 respondents recruited by purposive sampling, divided into intervention group (15 respondents) who received Moringa leaf capsule and iron tablet; and control group (15 respondents) were given iron tablet. Data were analyzed using Independent t-test.Results: Findings showed a significant difference in the mean of hemoglobin level (Intervention group 11.9467; control group 11.0600), hematocrit (Intervention group 38.3867; Control group 33.8133), thrombocyte (Intervention group 3.02536; Control group 2.35805), and erythrocyte (Intervention group 4.30137; Control group 3.78206) with p-value < 0.05.Conclusion: there was a significant effect of Moringa Oleifera on changes in blood profile (hemoglobin, hematocrit, erythrocyte, thrombocyte) in postpartum mothers in the working area of the health center of Tlogosari Wetan. Thus, it is suggested that Moringa leaves could be used to prevent anemia in postpartum mothers.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Setiyawan Setiyawan ◽  
Lina Pratiwi ◽  
Noerma Shovie Rizqiea

Non-hemorrhagic stroke is a disease which is related to a functional disorder of the brain due to the blood vessel blockage by a blood clot, or by the narrowing of an artery or some arteries that lead to the brain which causes weakness of muscular strength. One of the non-pharmacological therapies, which are beneficial to non-hemorrhagic stroke patients, is hydrotherapy. Hydrotherapy is a therapy which utilizes water to cure or relieve various complaints. One of which is the complaint of how to strengthen muscular strength. The objective of this research is to investigate the effect of warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients. This research used the quasi-experimental research method ith pre-test and post-test nonequivalent control group design. Non-probability sampling with purposive sampling was used to determine its samples. The samples consisted of 40 respondents, into two groups: intervention and control group. The data of the research were analyzed by using the Wilcoxon’s Test and Mann Whitney’s Test. The result of the research shows that the footbath hydrotherapy had an effect on the muscular strength of the non-hemorrhagic stroke patients as indicated by the p-value = 0.000, and there was a difference between the control group and the intervention group where the p-value was 0. 008. The footbath hydrotherapy affected the muscular strength of non-hemorrhagic stroke patients. Thus, nurses as health practitioners are expected to administer warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients.


2018 ◽  
Vol 3 (2) ◽  
pp. 278
Author(s):  
Mira Agusthia

<p><em>Stroke patients in Indonesia are increasing every year and have a high degree of dependence on caregiver. The more severe the load perceived by the caregiver the more severe the emotional level felt by the caregiver, therefore caregiver requires upbringing in reducing the burden he feels that is by providing psychoeducation therapy. Psychoeducation is one of the therapies that provide information and education to the caregiver, thus psychoeducation is the right therapy in lowering caregiver load. The purpose of this study was to determine the effect of psychoeducation therapy on caregiver load in treating stroke patients. This research was conducted at National Stroke Hospital of Bukittinggi from July 31st to September 1st 2017. The research type was quasi-experimental with pretest and posttest with control group design using Zarit Burden Interview questionnaire. The sample of 34 Caregiver using Purpossive Sampling technique. The results showed that there was a decrease of Caregiver load in the intervention group as much as (12,71), deviation standard (4,566) with p value 0,000 and the weight loss control group (0,41) standard deviation (0,795), with p value 0,050. Conclusion of the study of the influence of psychoeducation therapy on caregiver load in treating stroke patients.</em></p><p><em><br /></em></p><p><em><br /></em>Penderita stroke di Indonesia semakin meningkat setiap tahunnya dan memilikitingkatketergantungan yang tinggiterhadapcaregiver. Semakin berat beban yang dirasakan oleh caregiver semakin berat pula tingkat emosional yang dirasakan oleh caregiver, oleh karena itu caregiver membutuhkan asuhan dalam menurunkan beban yang dirasakannya yaitu dengan memberikan terapi psikoedukasi. Psikoedukasi merupakan salah satu terapi yang memberikan informasi dan edukasi kepada caregiver, dengan demikian psikoedukasi adalah terapi yang tepat dalam menurunkan beban caregiver. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi psikoedukasi terhadap beban caregiver dalam merawat penderita stroke.Penelitian ini dilakukan Di Rumah Sakit Stroke Nasional Bukittinggi mulai dari tanggal 31Juli s/d 1 September 2017. Jenis penelitian adalah quasi-eksperimental dengan rancangan pretest and posttest with control group menggunakan kuisioner Zarit Burden Interview. Sampel berjumlah 34 Caregiver menggunakan teknik Purpossive Sampling. Hasil penelitian menunjukkan bahwa adanya penurunan beban Caregiver pada kelompok intervensi sebanyak (12,71), standar deviasi (4,566) dengan p value 0,000 dan kelompok kontrol penurunan beban sebanyak ( (0,41) standar deviasi (0,795), dengan p value 0,050. Simpulan penelitian adanya pengaruh terapi psikoedukasi terhadap beban caregiver dalam merawat penderita stroke.</p>


2020 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Henrianto Karolus Siregar ◽  
Dudut Tanjung ◽  
Nunung Febriany Sitepu

Fracture is the discontinuity of bone tissues according to their types and areas. Intervention for recovering fractured patients is done by using Levine theory. The objective of the research was to identify the influence of Levine conceptual model based-intervention on anxiety. The research used quasi-experimental method with equivalent control group design. The samples were 52 respondents, 26 of them were in the intervention group ad the other 26 of them were in the control group, taken by using consecutive sampling technique. The data were analyzed by using paired t-test and independent t-test. The result of the research showed that there the influence of Levine conceptual model based-intervention program on anxiety before and after the intervention at p-value=0.000 (p<0.05). There was the difference of this type of intervention from hospital standard nursing intervention at p-value = 0.000 (p<0.5). The conclusion that there was the influence of Levine conceptual model based-intervention program on anxiety. It is recommended that this type of nursing intervention be used as a part of independent nursing intervention to help handle on anxiety of fractured patients.


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