scholarly journals Pengaruh Transtibial Prosthesis terhadap Activity Of Daily Living Pasien Amputasi Bawah Lutut

2020 ◽  
Vol 9 (1) ◽  
pp. 56-62
Author(s):  
Muhammad Syafii ◽  
Nur Rachmat

Background: The physical condition of patients with transtibial amputations affects the fulfillment of activity of daily living. Transtibial Prosthesis is used to increase the patient's activity abilities. This research is to find the effect of using transtibial prostheses on the activity of daily living. This study aims to determine the effect of the use of transtibial prostheses on the activities of daily life. Methods: This research method uses Quasi Experiment in the form of two-group post test only design. The study population was transtbial amputee at PT. Kuspito Prosthetic Orthotics. The sample in this study 40 people, namely 20 people using Transtibial Prosthesis,  20 people using Axial Crutches. The study was conducted at PT. Kuspito Prosthetic Orthotics from April to May 2019. This study used an observation sheet prepared by Kempen, et al (1996), namely The Groningen Activity Restriction Scale. Results: The normality test used is Shapiro Wilk. Mann Whitney test resuls shows an average difference of ADL between users of transtibial prosthesis users (22.40) and axillary crutch users (19.95) with a p value = 0.008 where a p value <0.05. Conclusion: So  there is a difference in ADL which is statistically significant in patients using transtibial prosthesis and patients using axillary crutches. Where for transtibial prosthesis users better in ADL than axillary crutch users.  

2020 ◽  
Vol 6 (2) ◽  
pp. 164-170
Author(s):  
Dewi Nurlaela Sari ◽  
Aay Rumhaeni

ABSTRAK Sectio caesarea merupakan tindakan alternatif dalam proses persalinan untuk menyelamatkan ibu dan janin. Ibu Bersalin dengan operasi sectio caesarea dilakukan pembedahan pada dinding abdomen dan dinding rahim. Dampak yang paling sering muncul dirasakan oleh postpartum dengan post operasi sectio caesarea adalah  nyeri. Nyeri akan berdampak pada bounding attachment terganggu, mobilisasi terbatas, Activity Daily Living (ADL) terganggu serta berpengaruh  terhadap Inisiasi Menyusui Dini (IMD). Asuhan yang diberikan terbatas pada terapi farmakologi dibandingkan  non farmakologi. Foot massage adalah salah satu terapi non farmakologi yang dapat membantu menutup gerbang di posterior horns dari sumsum tulang belakang dan memblokir bagian dari nyeri ke sistem saraf pusat. Tujuan penelitian ini untuk mengetahui pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea di RS AMC. Penelitian ini merupakan penelitian pre eksperimen dengan pendekatan one group pre test post test design. Jumlah sampel yang digunakan berjumlah 27 orang dengan menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Numeric Rating Scale (NRS) dan prosedur kerja foot massage. Responden dilakukan foot massage selama 20 menit selama 2 hari. Data di analisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan lebih dari setengah klien post operasi sectio caesarea berada di skala nyeri 6 sebelum dilakukan foot massage dan hampir setengah memiliki skala nyeri 3 sesudah dilakukan foot massage dan didapatkan nilai p value = 0.000, sehingga disimpulkan ada pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea. Diharapkan rumah sakit dapat menjadikan foot massage sebagai salah satu alternatif manajemen non farmakologi dalam penanganan nyeri.   Kata kunci: Foot Massage; Post Partum; Nyeri; Sectio Caesarea      


2021 ◽  
Vol 21 (1) ◽  
pp. 215
Author(s):  
Indah Dewi Sari ◽  
Utary Dwi Listiarini

Half of the women in Indonesia experience menstrual pain / dysmenorrhoea, 54.89%, experience various disorders including abdominal pain, cramps and back pain. The purpose of this study was to determine the effectiveness of acupressure, ginger drink and the difference in giving acupressure and ginger drink to reducing the intensity of menstrual pain / dysmenorrhea in young women at SMK Swasta PAB 5 Klambir Lima 2020. The design of this study used a quasi-experimental pre and post test with a sample of 30 students who were divided into two groups. Each group was given acupressure and ginger drink in the morning and evening during menstruation from day one to day two. Respondents were assessed for pain before and after the intervention was given. The results of the Shapiro-Wilk normality test contained Sig data (p <0.05). The Wilcoxon test has a p-value of 0.002 (p <0.05), which means that acupressure is effective in reducing the intensity of menstrual pain / dysmenorrhea, there is a p-value of 0.001 (p <0.05) which means that ginger is effective against reducing pain intensity. menstruation / dysmenorrhea, there is a p-value of 0.034 (p <0.05), which means that there is a difference in the effectiveness of acupressure and ginger drink in reducing the intensity of menstrual pain / dysmenorrhea. There is an effectiveness of giving acupressure, ginger drink, and there is a difference in giving acupressure and ginger drink on the intensity of menstrual pain / dysmenorrhea on young women. It is hoped that the school will provide ginger drinks and acupressure measures to young women who experience menstrual pain / dysmenorrhea so that they can participate in learning activities at school.


Author(s):  
Francisca F Desena ◽  
edjo Santoso ◽  
Diyah Fatmasari ◽  
Lanny Sunarjo ◽  
Waljuni Astu Rahman

Dental and oral health problems in pregnant women are caused by poor care behavior of dental and oral hygiene as well as the condition of dental and oral hygiene of pregnant women itself. Those can lead to an impact of premature birth and low weight of the baby at birth. Strategies for behavioral change in pregnant women were one achieved through dental and oral hygiene education in the form of counseling along with material delivered that was well received by the pregnant women as the subject of research. The modification of Kuru-Kuru as game model can improve skills, self-reliance and as a media of counseling to pregnant women. The aim of research is to create KuruKuru, a game model, as an effort to improve dental health treatment to pregnant women. Research and Development method (R & D) was adopted with model testing of quasy-experimental one-group pre-test posttest design for this research. OHI-S and the skills of pregnant women are the dependent variables. The expert validation used intra-class correlation coefficient, while for the normality test, it used Shapiro Wilk. In addition, variable of abnormal pregnant women used non-parametric test (Wilcoxon). The result of KuruKuru game model is either relevant or feasible as an effort to improve dental and oral hygiene of pregnant women shown by p-value less than 0.003. This game effectively improves the skills of dental and oral hygiene with pre-test result in 5.92±1.158 and post-test in 9.54±0.613 (p < 0,000) and lowers the score of OHI-S pregnant women with pre-test in 1.211±0.605 and posttest in 0.155±0.275 (p < 0,000). It can be concluded that Kuru-kuru game model is effective as an effort to shape the behavior of pregnant women in improving dental and oral hygiene.


2021 ◽  
Vol 3 (3) ◽  
pp. 96-102
Author(s):  
Aida Fitria ◽  
Ade Ayu Prawita ◽  
Sari Yana

Introduction: Emesis gravidarum or nausea, vomiting, which often occurs in the first trimester of pregnancy, if left untreated, will cause problems for pregnant women and the fetus. Handling of emesis gravidarum can be done with pharmacological and non-pharmacological treatments such as lemon aromatherapy. According to Riskesdas Jambi province in 2018, complications experienced by pregnant women amounted to 14.36% of them experienced nausea and vomiting. Objective: To determine the effect of lemon aromatherapy on emesis gravidarum in pregnant women in the first trimester at the Rosita Village Midwife Clinic, Pasar Monday, Jambi Province in 2020. Method:  The research was pre-experimental design approach in the form of one group pre-test and post-test. The study population was 20 people. The sample were taken by using a purposive sampling technique amounted to 15 respondents, the statistical test used was the depnden t test. Result:  The data obtained the pre-test mean of 10,20 and SD of 1.486, while the post-test of mean of 4,80 SD of 1.234. From the results of the statistical test, namely the paired t-test with a confidence level of 95%, it is known that the p-value=0.000. Conclusion: There is frequency reduction in first trimester emesis gravidarum by giving lemon aromatherapy Lemon Aromatherapy in Trimester I Pregnant Women.


2020 ◽  
Vol 1 (2) ◽  
pp. 60-67
Author(s):  
Nurlaely Dwi Astuti ◽  
Muhammad Noor Ahsin ◽  
Siti Masfuah

This study aims to measure the improvement of students' understanding and also to measure students' learning activities after learning through the Group Investigation (GI) assisted by Watak Kalinyamatan media. This type of research is an experimental research design with Pre Experiment Design. The sample in this study was grade IV SDN 1 Damarjati, with the total of 45 students.  Sampling was done by using Purposive Random Sampling technique. Data collection techniques used observation, interviews, tests, and documentation.  In Analyzing the data used  the final data analysis which includes the normality test, description of the concept understanding analysis, description of the students’ activity description, and hypothesis test that includes n-gain test and  t-test.The results of the analysis in this study were (1) there was an improvement in students' understanding of the concepts before and after the GI model of the Watak Kalinyamatan media was applied to the students, (2) P-value = 0.039 0.025  H0 was accepted, this means that the average post-test score of students' concept understanding through the GI model assisted by the Watak Kalinyamatan media received a score of ≥ 65, (3) In the learning activities of the students’ meeting 2, 3 and 4 P-value = 0.1075, 0.045, and 0.037 ≥ 0.025, H0 is accepte, this means that the students’ activities after being given learning through GI models assisted by the Watak Kalinyamatan media are ≥ 65.


2020 ◽  
Vol 8 (10) ◽  
pp. 240-248
Author(s):  
Vandana Dwivedi ◽  
◽  
Subin S. ◽  
Neeraj Kumar ◽  
Tejbir Singh ◽  
...  

Background: Stroke, global health problem and second cause of death with fourth leading cause of disability worldwide. Mirror therapy is a new approach in rehabilitation used in different neurological disorders including stroke. In mirror therapy, a mirror is placed beside the unaffected limb, blocking the view of the affected limb. This creates the illusion that both limbs are functioning properly. Objectives: The objective of the study was to assess the effectiveness of mirror therapy on upper extremity motor functions and activity of daily living in stroke patients. Method: A quasi-experimental one group pre-test post-test design used by convenient sampling assign 35-stroke patients who met the inclusion criteria. The intervention administered in the morning for a week and a self-structured tool (UEMFs assessment scale) for Upper extremity motor functions and ADL Independence scale for activity of daily living. Data were collected every day in a week. Results: The result showed that UEMFs score was significant after intervention (p<0.001), ADL score was significant (p<0.001). There was significant improvement from pre to post test was found in UEMFs status among stroke patents (p=0.015). The significant improvement in ADL status among stroke patients. (p=0.003). The significant correlation was found between UEMFs (r=0.737, p<0.001) and ADL (r=0.857, p<0.001). Conclusion: The study concluded that Mirror therapy was an effective, non-pharmacological measure for improving upper extremity motor functions and ADL among stroke patients.


2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Yopi Harwinanda Ardesa ◽  
Cica Tri Mandasari Ningsih ◽  
Muhammad Syaifuddin

Abstract: Plantaris Fascitis, Medial Arc Support, Fatigue, Stress. This research purpose to know the effect of Medial Arc Support in patients with plantar fascitis against fatigue and stress on employees packing PT TPS Food TBK. Experimental studies using quantitative methods to approach one group pretest-posttest design. The study population was all employees at PT TPS Food packing TBK suffering from plantar fascitis. To measure the reduction of pain in the plantar fasciitis with measuring tools such as Visual Analoc Scale by taking data on the day before treatment done and a day after the last treatment carried out (4 weeks). Examination carried out under pain painful motion, silent pain, and tenderness. Examination of pain before and after treatment. The results showed the average pretest fatigue patients with plantar fasciitis (24.60) while the average post-test (20.20). Wilcoxon test results showed statistical p value 0,000 <0,05 so that there is influence of Medial Arch Support to decrease fatigue in patients with plantar fasciitis. With the conclusion of the conclusions There is the influence of Medial Arch Support to decrease stress levels in patients with plantar fasciitis with p value 0,000 <0,05. There is the influence of Medial Arch Support to decrease fatigue in patients with plantar fasciitis with p value 0,000 <0,05.


Medicina ◽  
2021 ◽  
Vol 57 (4) ◽  
pp. 360
Author(s):  
Aldo Rocca ◽  
Maria Chiara Brunese ◽  
Micaela Cappuccio ◽  
Andrea Scacchi ◽  
Gennaro Martucci ◽  
...  

Background and Objectives: The role of physical activity (PA) in elderly patients admitted to surgical units for mild acute diverticulitis in the development of disability has not been clarified so far. Our aim is to demonstrate the relationship between physical activity and better post-discharge outcomes on disability in elderly population affected by diverticular disease. Materials and Methods: We retrospectively reviewed data of 56 patients (32 Males-24 females) collected from October 2018 and March 2020 at Cardarelli Hospital in Campobasso. We included patients older than 65 yrs admitted for acute bleeding and acute diverticulitis stage ≤II, characterized by a good independence status, without cognitive impairment and low risk of immobilization, as evaluated by activity of daily living (ADL) and the instrumental activity of daily living (IADL) and Exton-Smith Scale. “Physical Activity Scale for the Elderly” (PASE) Score evaluated PA prior to admission and at first check up visit. Results: 30.4% of patients presented a good PA, 46.4% showed moderate PA and 23.2% a low PA score. A progressive reduction in ADL and IADL score was associated with lower physical activity (p value = 0.0038 and 0.0017). We consider cognitive performance reduction with a cut off of loss of more than 5 points in Short Port of ADL and IADL and a loss of more than 15 points on Exton-Smith Scale, (p-value 0.017 and 0.010). In the logistic regression analysis, which evaluated the independent role of PASE in disability development, statistical significance was not reached, showing an Odds Ratio of 0.51 95% CI 0.25–1.03 p value 0.062. Discussion: Reduced physical activity in everyday life in elderly is associated with increased post-hospitalization disability regarding independence, cognitive performance and immobilization. Conclusions: Poor physical performance diagnosis may allow to perform a standardized multidimensional protocol to improve PA to reduce disability incidence.


2018 ◽  
Vol 2 (2) ◽  
pp. 45
Author(s):  
Dewi Puspita Ningrum ◽  
Hery Ernawati ◽  
Laily Isro'in

AbstractDandruff is often regarded as a mild thing. However, for patients it resulted in disruption of comfort and confidence. The use of natural ingredients without the side effects of chemicals for the treatment of dry dandruff is by using traditional materials obtained from the natural surroundings, one of which is aloe vera (Aloe vera). Aloe vera (Aloe vera), which chemically has elements of a compound that can replace chemical drugs to cope with dry dandruff such as phosphorus, vitamins A, B, amino acids, saponins and flavonoids. The design of this study using one group pra-post test design, with a population of 23 respondents, a sample of 23 respondents, using total sampling technique. Collecting data using questionnaires. Data processing with data normality test pre-post <30%, then using a paired t-test with significance <0.05.The results of this study obtained from 23 respondents, 17 respondents (73.9%) experienced a decline in scores, 4 respondents (17.4%) score remained, and 2 respondents (8.7%) decrease increase of dry dandruff score. Statistical analysis showed significant results with a p-value = 0.000 < 0.05. The conclusion of this study is aloe vera gel (Aloe vera) has an effect to healing dry dandruff. Therefore it is expected that sufferers of dry dandruff are more selective to choose the type of scalp treatment.Keywords: Aloe Vera Gel, Dry Dandruff.AbstrakKetombe kering sering dianggap sebagai hal yang ringan. Namun, bagi penderita hal tersebut mengakibatkan gangguan kenyamanan dan tidak percaya diri. Penggunaan bahan alami tanpa menimbulkan efek samping untuk pengobatan ketombe kering adalah dengan menggunakan bahan tradisional, salah satunya adalah lidah buaya (Aloe vera). Lidah buaya (Aloe vera) yang secara kimia memiliki unsur-unsur senyawa yang dapat menggantikan fungsi obat kimia untuk mengatasi ketombe kering diantaranya fosfor, vitamin A,B, asam amino, saponin dan flavonoid. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian gel lidah buaya (Aloe vera) terhadap penyembuhan ketombe kering. Desain penelitian ini menggunakan one group pra-post test design, dengan jumlah populasi 23 responden, sampel 23 responden, dengan menggunakan teknik total sampling. Pengumpulan data menggunakan kuesioner. Pengolahan data dengan uji normalitas data pre-post <30%, maka menggunakan uji paired t-test dengan kemaknaan <0,05. Hasil penelitian ini didapatkan dari 23 responden, 17 responden (73,9%) mengalami penurunan skor, 4 responden (17,4%) skor tetap, dan 2 responden (8,7%) mengalami penurunan peningkatan skor ketombe kering. Analisis statistika menunjukkan hasil yang signifikan dengan nilai = p-value 0.000 < 0.05. Kesimpulan dari penelitian ini adalah gel lidah buaya (Aloe vera) mempunyai efek untuk penyembuhan ketombe kering. Maka dari itu diharapkan penderita ketombe kering lebih selektif untuk memilih jenis perawatan kulit kepala.Kata Kunci : Gel Lidah Buaya, Ketombe Kering.


2019 ◽  
Vol 5 (3) ◽  
pp. 292-298
Author(s):  
Ratna Dewi Putri

Latar Belakang : Proses persalinan dipengaruhi oleh faktor power, passage, passanger, penolong dan psikis. Berdasarkan faktor tersebut yoga merupakan salah satu alternatif untuk mempersiapkan persalinan karena teknik latihannya menitik beratkan pada pengendalian otot, teknik pernapasan, relaksasi dan ketenangan pikiran. Pra survey yang dilakukan di Praktik Mandiri Bidan  Tri Imawati SST, pada bulan Januari – Desember tahun 2017 menunjukkan bahwa 52 (53%) ibu primigravida mengalami kala II lama dan 47 (47%) ibu bersalin yang tidak mengalami kala II lama.Tujuan penelitian : Diketahui pengaruh senam yoga prenatal Trimester III Terhadap Lama Kala II Persalinan pada Ibu Primigravida di Wilayah Kerja Puskesmas Metro Pusat Kota Metro Provinsi Lampung  Tahun 2018.Metode : Penelitian kuantitatif dengan desain penelitian metode quasi ekperiment dengan pendekatan two group post test design. Populasi adalah ibu bersalin primigravida Trimester III, sampel 30 ibu terbagi menjadi dua kelompok 15 ibu bersalin primigravida trimester III yang menggikuti senam yoga prenatal dan 15 ibu bersalin primigravida trimester III yang tidak mengikuti senam yoga prenatal, teknik sampling purposive sampling. Analisis data dilakukan menggunakan uji statistik menggunakan uji t independent.Hasil penelitian : Rata-rata (mean) lama kala II persalinan pada ibu primigravida yang mengikuti senam yoga adalah  21,67 menit dengan standar deviasi sebesar 7,48 menit. Rata-rata (mean) lama kala II persalinan pada ibu primigravida yang tidak mengikuti senam yoga adalah  44,67menit dengan standar deviasi sebesar 12,74 menit.Kesimpulan     : Ada pengaruh senam yoga prenatal trimester III terhadap lama kala II persalinan pada ibu primigravida (p-value = 0,000). Ibu hamil trimester III dapat melaksanakan senam yoga sebagai alternatif persiapan persalinan, karena membantu kesiapan mental, membantu memusatkan pikiran, memberi ketenangan dan kenyamanan sehingga mempercepat lama kala II.


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