scholarly journals PENGARUH TERAPI ACTIVE CYCLE OF BREATHING TECHNIQUE (ACBT) TERHADAP FREKUENSI PERNAFASAN (RESPIRATORY RATE) PADA PENDERITA TUBERKULOSIS PARU DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN

2021 ◽  
Vol 4 (2) ◽  
pp. 499-506
Author(s):  
Eka Nugraha Varida Naibaho ◽  
Sri Mega Herlina Kabeakan

Pulmonary tuberculosis is a major public health problem in the world and is the second leading cause of death from infectious diseases. The purpose of this study was to determine the effect of active cycle of breathing technique (ACBT) therapy on breathing frequency in patients with pulmonary tuberculosis. Quantitative research method, with a Quasi Experimental research design with a pre-test and one-group post-test approach. The study was carried out in the Orchid room of the Imelda Indonesian Workers General Hospital in Medan in July - August 2021. The study population was 45 patients with pulmonary tuberculosis and the sample technique of this study was Nonprobability Sampling. The number of samples was 41 pulmonary tuberculosis patients according to the researcher's criteria. The data analysis technique used is Wilcoxon test analysis. The results of the study There was an effect of breathing patterns before the administration of active cycle of breathing technique (ACBT) Therapy on the improvement of respiratory frequency in patients with pulmonary tuberculosis with a value of M ± SD = 17.1081 ± 2.94188. There is an effect of breathing pattern after administration of active cycle of breathing technique (ACBT) Therapy on the respiratory frequency of Pulmonary Tuberculosis Patients with a value of M ± SD = 27.0400 ± 2.82076. There is a difference in the effect of breathing patterns before and after administration of active cycle of breathing technique (ACBT) therapy on the Improvement of respiratory frequency in pulmonary tuberculosis patients with a significant value of 0.000 < 0.005.   Abstrak Tuberkulosis paru adalah masalah pokok kesehatan pada masyarakat didunia dan merupakan penyebab kematian ke dua dari penyakit infeksi. Tujuan penelitian untuk mengetahui pengaruh pemberian terapi active cycle of breathing technique (ACBT) terhadap frekuensi pernafasan pada penderita tuberkulosis paru. Metode penelitian kuantitatif, dengan desain penelitian Quasi Eksperiment dengan pendekatan pre test dan post test one group. Penelitian dilaksanakan di ruangan Anggrek Rumah Sakit Umum Imelda Pekerja Indonesia Medan pada bulan Juli - Agustus 2021. Populasi penelitian sebanyak 45 orang pasien Tuberkulosis Paru dan teknik sampel penelitin ini adalah Nonprobability Sampling. Jumlah sampel 41 orang pasien tuberkulosis paru sesuai dengan kriteria peneliti. Teknik analisa data yang digunakan adalah analisis uji Wilcoxon. Hasil penelitian ada pengaruh pola nafas sebelum pemberian terapi active cycle of breathing technique (ACBT) terhadap perbaikan frekuensi pernafasan pada penderita tuberkulosis paru dengan nilai M ± SD =17.1081 ± 2.94188. Ada pengaruh pola nafas sesudah pemberian terapi active cycle of breathing technique (ACBT) terhadap frekuensi pernafasan pasien tuberkulosis paru dengan nilai M ± SD = 27.0400 ± 2.82076. Ada perbedaan pengaruh pola nafas sebelum dan sesudah pemberian terapi active cycle of breathing technique (ACBT) terhadap perbaikan frekuensi pernafasan pasien tuberkulosis paru dengan nilai signifikan 0,000 < 0,005.

2021 ◽  
pp. 545-552
Author(s):  
I Kade Wijaya ◽  
. Hasriany ◽  
Rioh Gunawan

Pulmonary tuberculosis patients tend to experience high respiratory frequency. The breathing muscles in patients who experience shortness of breath can work when respiratory abnormalities occur. This study aims to determine the effect of Pursed Lip Breathing Exercise on Respiratory Frequency among Pulmonary Tuberculosis Patients. The design in this study is a Quasi-Experimental design with a two-group approach, and a pre-test and post-test design. The sample is comprised of 20 patients in the Balai Besar Kesehatan Paru Masyarakat Makassar between 6 January – 8 February 2020. The instruments used in this study were the standard operational procedure of the Pursed Lip Breathing Exercise and the Respiratory Frequency Observation Sheet to determine the changes in the respiratory frequency of patients in the treatment and control groups. Statistics were analyzed using the T dependent test and Wilcoxon test. The Wilcoxon test result on the intervention group obtained the value of p = 0.004 or p < 0.05 and control group achieved p value = 0.157 or p > 0.05, it means the intervention group indicated influence and control group did not get any it. The intervention group that was treated by Pursed Lip Breathing Exercise acquired influence of breathing frequency on the pulmonary TB patients, but in another hand control group that only was measured the breathing frequency did not get any influence on the pulmonary TB patients.   Keywords: Tuberculosis, Breathing Frequency, Pursed Lip Breathing Exercise


Author(s):  
Vidya Basavaraju ◽  
Chetan Lakshmikantha Bukanakere ◽  
Damayanthi M. Nagaraj ◽  
Shashikala Manjunatha

Background: Tuberculosis is among the most important causes of death from a single infectious agent and a major public health problem causing an enormous burden of disease and economic impact especially in the developing countries. Pulmonary tuberculosis is the most common form of tuberculosis causing >85% of all tuberculosis cases. The smear conversion rate is an operational indicator for the directly observed treatment short course (DOTS) strategy of Revised National Tuberculosis Control Programme (RNTCP) in India.Methods: A longitudinal study was conducted in DMC, RRMCH, in the first two quarters of the year 2013 i.e., from January 1st to June 31st of the year 2013. All 130 adult category I (new) sputum smear positive cases that attended DMC, and registered under RNTCP constituted the sample for the study. Data was collected by interview method by using pre-tested, semi-structured questionnaire. Data was analyzed using SPSS version 20.0.Results: Majority of the study subjects was >50 years, Hindus, illiterates, belonged to nuclear family from rural area belonged to upper lower socio-economic class. The overall sputum smear conversion rate is 92.4%. Lower sputum smear conversion rate was observed in the following risk factors like the male gender, smoking, diabetes, initial high pre-treatment smear grading and poor drug compliance.Conclusions: The overall sputum conversion rate at the end of two months of intensive phase under (DOTS) chemotherapy in 118 sputum smear positive (cat I) new pulmonary tuberculosis patients in Designated Microscopy and Treatment Centre (DMC) Rajarajeswari Medical College and Hospital was 92.4%.


2020 ◽  
Vol 7 (2) ◽  
pp. 76
Author(s):  
Sawitry Sawitry ◽  
Fitria Hikmatul Ulya ◽  
Elisabet Jemsi Adepatiloy

ABSTRAK Edema kaki terjadi hampir 80% dari semua kehamilan dan dapat menimbulkan ketidaknyamanan selama kehamilan seperti nyeri, merasa berat, kram pada malam hari, penebalan kulit, dan pigmentasi. Salah satu intervensi non farmakologis untuk mengurangi edema adalah rendaman air hangat dan garam yang merupakan intervensi untuk menghilangkan edema pada ekstremitas bawah  selama kehamilan. Menganalisis  pengaruh rendaman air hangat dan garam  terhadap edema kaki ibu hamil trimester III. Penelitian kuantitatif dengan metode quasy eksperimental one group pre test post test desaign. Sampel penelitian sebanyak 16 ibu hamil Trimester III dengan teknik accidental sampling. Analisis data menggunakan uji Wilcoxon. Terjadi penurunan tingkat edema kaki pada ibu hamil dengan selisih nilai tengah edema kaki sebelum 4,00 dan setelah perlakuan sebesar 0,00  .Uji Wilcoxon menunjukkan ρ value 0,000. Ada pengaruh rendaman air hangat dan garam  terhadap edema kaki ibu hamil trimester III. Kata Kunci : rendaman air hangat dan garam; edema; tungkai bawah ; ibu hamil.  THE EFFECT OF WARM WATER AND SALT IMMERSION IN DECLINING LEG EDEMA OF THIRD TRIMESTER PREGNANT WOMEN  ABSTRACT Edema of the legs occurs in almost 80% of all pregnancies and can cause discomfort during pregnancy such as pain, feeling heavy, cramps at night, skin thickening, and pigmentation. One of the non-pharmacological interventions to reduce edema is soaking in warm water and salt which is an intervention to relieve edema in the lower extremities during pregnancy. This study was to determine the effect of warm water and salt immersion in declining leg edema of third trimester pregnant women. This quantitative research used quasy experimental method one group pre test post test desaign. The total samples were 16 respondents with purposive sampling and random sampling techniques. Data analysis used the Wilcoxon test. The difference in the mean value of leg edema before 4.00 and after treatment was 0.00. The Wilcoxon test showed ρ value of 0.000. There is an effect of warm water and salt immersion on leg edema of third trimester pregnant women.   Keywords: warm water and salt soaking; edema; lower limbs; pregnant mother


2020 ◽  
Vol 3 (3) ◽  
pp. 112-118
Author(s):  
Rifat Nurwita Kusumaningtyas ◽  
Indah Setyawati Tantular ◽  
Deby Kusumaningrum ◽  
Rina K Kusumaratna

BACKGROUNDPulmonary tuberculosis (TB) is a leading cause of morbidity and mortality, and East Java province is the second largest contributor of co-infection in Indonesia. Asymptomatic helminth infection among pulmonary tuberculosis patients causes another public health problem. Few data relate to helminth infection based on clinical and immunological outcomes of pulmonary TB in highly endemic areas. METHODSThis study was designed as a preliminary study and aimed to determine helminth co-infection among TB patients with a macroscopic assessment. This cross-sectional study was conducted in June-August 2017. RESULTSAmong 16 treated active TB patients from TB cohort data of Tanakali Kedinding health center found that 56% were stool smear-positive for Trichuris trichiura eggs, but had no clinical symptoms. CONCLUSIONWhether or not the helminth infection may have an impact on the diagnosis and treatment of active TB remains to be further investigated. Co-infection could be inhibited by the host immune response and improve the prognosis of TB treatment.


PSYCHE 165 ◽  
2021 ◽  
pp. 296-302
Author(s):  
Fahrunnisa Lanjarto ◽  
Raras Indah Fitriana

Pregnancy is time when a person experiences many changes, both physically and psychologically, making them more vulnerable to stress. This case happens because pregnant women experience hormonal changes that affect psychological and physical conditions during the pregnancy process. This study aims to determine the effect of group therapy using supportive techniques coupled with the provision of information needed to reduce anxiety in pregnant women. The data collection methods used in this study were observation, interviews, Focused Group Discussion (FGD), as well as pre-test and post-test using the Beck Anxiety Inventory (BAI). The research design using quasi-experimental with pre-test and post-test without control, the sample in the study consisted of 7 pregnant women who had mild to severe anxiety levels. The results of data analysis using non-parametric test with the Wilcoxon test showed a value of z = 2.731 and a value of p = 0.018 (p <0.05). The results showed a significant decrease in anxiety scores before and after following the group therapy process. Based on the results of the study, it can be concluded that there is an effect of supportive group therapy on pregnant women at the Srandakan Public Health Center.


Author(s):  
Nandkishor Bhaurao Kale

Rajyakshma is oldest disease known to mankind as its first reference found in oldest literature Rugveda. It is called as King of Diseases, which indicates its severity. Tuberculosis remains major public health problem not only in India but also in world. According to WHO one third of global population is suffering from tuberculosis. Anti-tubercular therapy is long lasting and has many side effects, so it is necessary to develop adjunct therapy which will minimize the hazards and help patient to improve the immune status. Aims and objective – To evaluate the toxicity reduction and early restoration by adjunct therapy of Jivantyadi Ghrit.  Methodology - In the present case study DOTs therapy in the dose of 3 tablets once per day was given as an adjunct with Jivantyadi Ghrit 10 ml BD per day was administered for a period of 6 months in the diagnosed case of pulmonary tuberculosis. Assessment was recorded. Results – WBC count and ESR rate reduced to normal, Haemoglobin level increased, SGPT and Sr. Bilurubin level remains normal. Also significant resolution of lung Koch’s lesions was noted radiologically. Conclusion - Jivantyadi Ghrit as an adjunct therapy with DOTs reduces the side effects (especially hepatic) of DOTs therapy and also shows significant clinical improvement in sign and symptoms of PTB.


2020 ◽  
Vol 1 (2) ◽  
pp. 28-36
Author(s):  
Hendera Hendera ◽  
Laila Eka Pratiwi ◽  
Memin Tri Ethik ◽  
Dina Ahsana

The coronavirus 19 (COVID-19) outbreak is an infection caused by the acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which are a pathogenic virus and highly contagious. The drug dexamethasone is only beneficial for patients infected with COVID-19 and has no effect on patients who are infected with mild symptoms nor can it prevent the entry of the COVID-19 virus. Taking dexamethasone without a doctor's prescription can trigger infection of the COVID-19 virus and have detrimental effects on the body. The purpose of this community service activity is to provide education that can increase understanding of dexamethasone which can not prevent us from getting infected by the COVID-19 and to inform the dangers of using dexamethasone that is not from a doctor's prescription. This is a quantitative research with a Pre-Experimental method using One Group Pretest-Posttest Design and the collecting data instruments used are multiple choice question types. The results of 30 participants complete data were analyzed using statistics with the Wilcoxon test with a P-value of 0,000 (P 0.05). The results showed that there was a significant effect on the use of educational methods in increasing participants' understanding of this drug. Furthermore, the N-Gain test was carried out with a result of 75.389%, so it concluded that the use of the educational method in the activity entitled "dexamethasone drug not an antidote to COVID-19" was considered quite effective in increasing the knowledge of participants who were facilitated by the pre-test and post-test.


2019 ◽  
Vol 10 (1) ◽  
pp. 32
Author(s):  
Fenny Fernando ◽  
Ayu Gustia Ningsih ◽  
Melia Pebrina ◽  
Honesty Diana Morika

ABSTRAKBBLR masih terus menjadi masalah kesehatan masyarakat yang signifikan secara global mencapai 15% bayi di seluruh dunia (lebih dari 20 juta jiwa). Sangat penting Terapi pendamping menggunakan metode kangguru yang bisa digunakan untuk mencegah terjadinya hipotermi karena tubuh ibu dapat memberikan kehangatan kepada bayinya secara terus menerus dengan cara kontak antara kulit ibu dengan kulit bayi.Tujuan penelitian ini mempelajari pengaruh metode kangguru terhadap peningkatan suhu pada bayi BBLR. Jenis penelitian ini quasi eksperimen ,dengan rancangan studi rancangan yang berupaya untuk mengungkapkan hubungan sebab akibat dengan melibatkan kelompok kontrol Bayi BBLR yang melakukan perawatan dengan inkubator dan kelompok eksperimen  Bayi  BBLR yang melakukan perawatan dengan metode kanguru dengan rancangan post test only. Penelitian dilakukan pada Bulan Juni sampai dengan November 2018. Penelitian dilaksanakan di RSUD D.Rasidin dan RS TK III Dr.Reksdiwiryo Populasi adalah Seluruh ibu yang melahirkan bayi BBLR   terdata di rekam medis RSUD D.Rasidin dan RS Tk III.Reksodiwiryo  berjumlah 26 Bayi. Sampel berjumlah 26 BBLR yang diambil dengan teknik consecutive sampling. Data dianalisis  menggunakan uji Wilcoxon, dan nilai p < 0,05 dianggap bermakna secara statistik. Rerata suhu aksila kelompok metode kanguru 36,8 ±0,3  dan rerata suhu aksila pada kelompok inkubator 36,4±0,1. Rerata total kehilangan panas kering pada kelompok metode kanguru dsan inkubator sebesar 29,66 ± 0,53 J dan pada kelompok inkubator 34,28 ± 0,77 J. Hasil penelitian menyimpulkan bahwa ada pengaruh metode kangguru terhadap suhu aksila pada bayi BBLR. Disarankan hasil penelitian ini dapat dijadikan bahan perbandingan apabila dilakukan penelitian lebih lanjut mengenai perawatan yang tepat pada BBLR.Kata Kunci : BBLR, Metode Kangguru dan Inkubator THE EFFECTIVENESS OF KANGAROO METHOD ON TEMPERATURE AND HEAT LOSS IN LOW BIRTH WEIGHT BABIES (LBW)                ABSTRACTLow Birth Weight still continues to be a significant public health problem globally that reached until 15% of babies worldwide (more than 20 million people). The therapy of using the Kangaroo method can be used to prevent hypothermia because the mother's body can provide warmth to the baby continuously by contact the mother's skin with the baby's skin. The purpose of this study was to study the effect of kangaroo method on increasing temperature in Low Birth Weight. The type of research was quasi-experimental, with a design study to reveal a causal relationship between control group of Low Birth Weight infants who cared for an incubator and an experimental group for LBW infants who were treated with Kangaroo methods. This research used a post test design only. The study have done in June untill November 2018. The study was carried out in Dr.Rasidin Hospital and Dr.Reksodiwiryo Hospital. The population was all mothers who gave birth to low bith weight were recorded in the medical records of Dr.Rasidin Hospital and Reksodiwiryo Hospital. The sample amounted to 26 low birth weight taken by consecutive sampling technique. Data were analyzed using Wilcoxon Test, and p <0.05 was considered statistically significant. The mean axillary temperature of the kangaroo method group was 36.8 ± 0.3 and the mean axillary temperature in the incubator group was 36.4 ± 0.1. The average total dry heat loss in the kangaroo method was 29.66 ± 0.53 J and in the incubator group 34.28 ± 0.77 J. The results concluded that there the kangaroo method on axillary temperature in low birth weight. It is suggested that the results of this study can be used as a comparison for the next research. Keyword: Low Birth Weight, Kangaroo methode,incubator methodeE


2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Ayu Alivia Aufar ◽  
Aniek Wirastania

Abstact            The purpose of  this study was to test the effectiveness of cinematherapy techniques in group guidance services for sex education for class X students at SMAN 15 Surabaya. The research design used in this study used a one group pre-test post-test design which was given to 7 students in class X with a low sex education score category. This research method uses quantitative research. The scale used in measuring the instrument is sex education. Seeing the current phenomenon, is the reason for researchers to conduct research on the low level of sex education in our country. Researchers chose SMAN 15 Surabaya as a place of research. Researchers used non-parametric data analysis techniques and the Wilcoxon test. The results of data interpretation using the Wilcoxon test are known as Asymp. Sig (2-tailed) is 0.018. Value 0.018 0.05, it can be concluded that Ho is acceptable. There is a significant influence in group guidance services using cinematherapy techniques on sex education for class X students at SMAN 15 Surabaya. Keywords: Seks Education, Cinematherapy, Group Guidances. AbstrakTujuan melakukan penelitian ini untuk menguji kefektifan teknik cinematherapy di dalam pemberian layanan konseling bimbingan kelompok terhadap pendidikan seks siswa kelas X di SMAN 15 Surabaya. Rancangan penelitian yang digunakan dalam penelitian ini menggunakan one group pre-test post-test design yang diberikan pada 7 siswa kelas X dengan kategori skor pendidikan seks yang rendah. Metode penelitian ini menggunakan metode penelitian kuantitatif. Skala pengukuran yang digunakan didalam pengukuran instrument adalah pendidikan seks. Melihat fenomena yang terjadi saat ini, menjadi alasan peneliti untuk melakukan penelitian tentang rendahnya pendidikan seks yang ada di negara kita. Peneliti memilih SMAN 15 Surabaya sebagai tempat penelitiannya. Peneliti menggunakan teknik analisis data non parametric dan dengan uji Wilcoxon. Hasil interpretasi data yang menggunakan uji Wilcoxon diketahui Asymp. Sig (2-tailed) brnilai 0,018. Nilai 0,018 0,05, maka bisa disimpulkan bahwa Ho dapat diterima. Terdapat pengaruh yang signifikan di dalam layanan bimbingan kelompok dengan menggunakan teknik cinematherapy terhadap pendidikan seks siswa kelas X di SMAN 15 Surabaya. Kata Kunci : Pendidikan Seks, Cinematherapy, Bimbingan Kelompok


2021 ◽  
Vol 6 (1) ◽  
pp. 39-46
Author(s):  
Putra Apriadi Siregar ◽  
Yulia Khairina Ashar ◽  
Reni Ria Armayani Hasibuan ◽  
Fauziah Nasution ◽  
Fitri Hayati ◽  
...  

Background: Leaflet and poster calendars are one medium to provide health education to patients with pulmonary tuberculosis on the treatment of pulmonary Tuberculosis. The purpose of this research for media want to effectivity leaflet and poster calendars on health promotion to improve the knowledge and attitudes of pulmonary tuberculosis treatment at the Martubung Public Health Center. Methods: Research is a quasi-experimental design with pre-test and post-test group. The population in this study were all patients with pulmonary tuberculosis treatment in Martubung Public Health Center and analyzed with the wilcoxon test. Results: The results of the study using the wilcoxon test showed that the leaflet could increase the pretest value of 10 knowledge to 11.03 (p <0.001) and the attitude of having a pretest value of 41.77 to 45.7 (p <0.001). The wilcoxon test results show that the poster calendar can increase the pretest knowledge value from 8.7 to 11.97 (p <0.001) and the pretest attitude value from 43.7 to 50.27 (p <0.001). Conclusions: The media are most effective in improving knowledge and attitudes about the treatment of patients with pulmonary tuberculosis disease in Martubung Public Health Center is media poster calendar from the average value based on the pre-test and post-test conducted.


Sign in / Sign up

Export Citation Format

Share Document