scholarly journals The influence of reminder book to adherence of heart failure patients in Malang city

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Alfrina Hany ◽  
Rizqa Fadlila ◽  
Endah Panca Lydia
Keyword(s):  
Heart Failure ◽  
Wilcoxon Test ◽  
P Value ◽  
Heart Failure Therapy ◽  
Significant Difference ◽  
Patients With Heart Failure ◽  
Before And After ◽  
Recommended Therapy ◽  
Adherence To Therapy ◽  
At Home

Background: Non-adherence to the recommended therapy causes patients with heart failure to experience recurrence of the disease. Reminder book on therapy adherence is very useful, because it assists in monitoring adherence to therapy carried out by patients while at home. Therefore, this study aims to determine the effect of the existence of a reminder book on adherence to therapy among patients with heart failure in a private hospital in Malang.Design and method: A pre-experiment design with one-group pre and posttest was used. The respondents were 18 patients that received counseling on the management of heart failure therapy while at home and were given a reminder book. Furthermore, the modified MMAS-8 scale was the study instrument used to measure adherence.Result: The results showed that most respondents were above the age of 65 with a treatment duration of 1 to 5 years. It was discovered that most of the respondents had never received information about heart failure therapy. Data analysis which was carried out using the Wilcoxon test with a p-value of 0.001, showed that there was a significant difference between respondents' compliance before and after being given a reminder book.Conclusion: From this study, it was concluded that providing a reminder book has an effect on therapeutic adherence in patients with heart failure. Researchers recommend that hospitals should make use of this reminder as a tool to control or supervise outpatient therapy.

The Effect of Echocardiography Based on Lipid Nano Contrast Agent on Cardiology Patients with Heart Failure and Atrial Fibrillation

2021 ◽  
Vol 21 (2) ◽  
pp. 852-858
Author(s):  
Lizhong Wang ◽  
Jianing Xi ◽  
Qian Cao ◽  
Yaowen Jia ◽  
Zhenying Zhang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Contrast Agent ◽  
Stress Echocardiography ◽  
Clinical Symptoms ◽  
Diastolic Heart Failure ◽  
Significant Difference ◽  
Patients With Heart Failure ◽  
Before And After ◽  
Conventional Echocardiography

This paper discusses the effect and evaluation of echocardiography based on lipid nano contrast agent on patients with heart failure and atrial fibrillation in cardiology department, providing reference for clinical diagnosis and treatment. Fifty two patients with diastolic heart failure diagnosed by echocardiography were selected for routine echocardiographic examination after optimizing the drug treatment scheme, and then the patients underwent treadmill exercise test and stress echocardiography evaluation. The results of conventional echocardiography and stress echocardiography after treatment were compared with those before treatment, and the clinical parameters and biochemical indexes before and after treatment were compared. Results after treatment, the clinical symptoms of the patients improved, the level of NT proBNP in the N-terminal forebrain decreased significantly, and the exercise tolerance increased significantly. Compared with the conventional echocardiography before and after treatment, the left ratio and e′ value of stress echocardiography after treatment increased significantly, while E/e′ decreased significantly. There was no significant difference in the indexes of general echocardiography before and after treatment. After treatment, positively correlated with the ratio of peak a to peak E. The results show that the sensitivity of stress echocardiography to evaluate ischemic diastolic heart failure has been improved, and some indexes have clinical significance. Compared with conventional echocardiography, it can effectively evaluate the therapeutic effect of drugs.

scholarly journals PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO

2019 ◽  
Vol 7 (2) ◽  
pp. 104-113
Author(s):  
Dwi Novitasari ◽  
Ikit Netra Wirakhmi
Keyword(s):  
The Elderly ◽  
Wilcoxon Test ◽  
Relaxation Technique ◽  
P Value ◽  
Common Symptom ◽  
Parasympathetic System ◽  
Significant Difference ◽  
Before And After ◽  
Autogenic Relaxation ◽  
The Mean

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache. Keywords: Autogenic relaxation, headache, hypertension.

scholarly journals CD4 LYMPHOCYTE IN HIV / AIDS BEFORE AND AFTER ANTIRETROVIRAL THERAPY

2017 ◽  
Vol 13 (2) ◽  
pp. 183
Author(s):  
Rangsang Bagus Prabowo ◽  
Dewi Indah Noviana Pertiwi ◽  
FX. Hendriyono
Keyword(s):  
Antiretroviral Therapy ◽  
Lymphocyte Count ◽  
Wilcoxon Test ◽  
P Value ◽  
Cross Sectional ◽  
Infected People ◽  
Significant Difference ◽  
Cd4 Lymphocyte Count ◽  
Before And After ◽  
Cd4 Lymphocyte

Abstract: Human Immunodefficiency Virus (HIV) is a virus that decreases the human immunity system, therefore the infected people become susceptible to any kind of infections. Examination of CD4 lymphocyte count periodically is one of the antiretroviral therapy success indicators. The purpose of this research was to determine the difference of CD4 lymphocyte count before and after antiretroviral therapy at Ulin General Hospital Banjarmasin on 2013-2015. The method of this research was observational analytic with cross-sectional approach. The study population was 55 patients which were selected by inclusion and exclusion criteria. Results portrayed an increase of the CD4 lymphocyte count in 51 patients after being given four kinds of antiretroviral for 6 months with the mean increase in CD4 lymphocyte count was 92,72 cell/µL. Data analysis result with Wilcoxon test portrayed a difference of the CD4 lymphocyte count before and after antiretroviral therapy with p value=0,000. In conclusion, there was a significant difference of the CD4 lymphocyte count before and after antiretroviral therapy. Keywords: Human Immunodeficiency Virus, CD4, lymphocyt, antiretroviral therapy

scholarly journals Perbedaan pH Saliva Sebelum Dan Sesudah Mengunyah Permen Karet Xylitol Pada Pemakai Alat Orthodonti Cekat

2018 ◽  
Vol 6 (1) ◽  
pp. 15-19
Author(s):  
Gita Komala Dewi ◽  
Susilarti Susilarti ◽  
Almujadi Almujadi
Keyword(s):  
Environmental Changes ◽  
Salivary Flow ◽  
Oral Bacteria ◽  
Wilcoxon Test ◽  
P Value ◽  
Orthodontic Appliance ◽  
Significant Difference ◽  
Salivary Ph ◽  
Before And After ◽  
Fixed Orthodontic Appliance

Orthodontic treatment may lead to environmental changes in the oral cavity that may occur in a number of users of the orthodontic appliance, such as changes in bacterial concentration, salivary buffering capacity, salivary acidity (pH) and salivary flow rate. Xylitol stimulates salivary flow and helps restore saliva acid/base balance because it cannot be converted to acid by oral bacteria. To identify the difference in salivary pH before and after chewing xylitol gum in the users of fixed orthodontic appliance. This research is quasi-experimental with one group pretest-posttest design. Samples were students of SMA Kolombo Sleman who used a fixed orthodontic appliance. Data were analyzed using a Wilcoxon test. The salivary pH of the users of a fixed orthodontic appliance before chewing xylitol gum mostly belonged to acid criterion (43.8%), and the base criterion (34.3%). After chewing xylitol gum, the salivary pH of the users of fixed orthodontic appliance mostly belonged to a neutral criterion (78.1%). The results of the Wilcoxon test showed that the salivary pH before and after chewing gum xylitol in the users of fixed orthodontic appliance had a P value of 0.027 <α 0.05. There is a significant difference in salivary pH before and after chewing xylitol gum in users of fixed orthodontic appliance.

scholarly journals Manfaat Relaksasi Otot Progresif Bagi Klien DM Tipe II Untuk Mengurangi Gejala Fatigue

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati
Keyword(s):  
Muscle Relaxation ◽  
Intervention Group ◽  
Progressive Muscle Relaxation ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Diabetic Patients ◽  
Significant Difference ◽  
Before And After

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.

scholarly journals Primary Dysmenorrhea Intensity Between Stretching Abdominal Therapy and Acupuncture to Adolescent Girls

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Ni Nyoman Suindri ◽  
◽  
Ni Luh Putu Sri Erawati ◽  
Made Widhi Gunapria Darmapatni ◽  
Ni Gusti Kompiang Sriasih
Keyword(s):  
High School ◽  
High School Students ◽  
Adolescent Girls ◽  
Rating Scales ◽  
Wilcoxon Test ◽  
P Value ◽  
Menstrual Pain ◽  
Significant Difference ◽  
Before And After ◽  
The Difference

Menstrual pain or dysmenorrhea is known as cramping pain in the lower abdomen during menstruation experienced by some women. Abdominal stretching exercises and acupressure can reduce dysmenorrhea. This research aims to determine the difference in the intensity of primary menstrual pain (dysmenorrhea) between abdominal stretching therapy and acupressure for adolescent girls in a Senior High School in Denpasar. The method applied in this research is a Quasi-Experimental two-groups pretest-posttest design. The research sample was grouped into two, namely 70 high school students in the abdominal stretching therapy and 70 students in acupressure therapy. The data were collected using the Numerical Rating Scales or NRS. The data were then analysed using the Wilcoxon test and Mann Whitney test. The result of the research showed that there was a significant difference in dysmenorrhea before and after abdominal stretching therapy (p=0.000). Also, there was a significant difference in dysmenorrhea before and after acupressure therapy (p=0.000). There was no difference in dysmenorrhea before applying abdominal stretching therapy and acupressure with a p-value=0.335. Also, there was no difference in dysmenorrhea after both therapies were undergone in two groups (p=0,111). The difference test on the difference between the pre-test and post-test obtained p-value = 0.012. Hence, there was a significant difference in decreasing dysmenorrhea between abdominal stretching therapy and acupressure (p=0.012). Conclusion: there is a significant difference in reducing dysmenorrhea between abdominal stretching therapy and acupressure. Suggestion: further research is necessary to conduct by using time series design.

scholarly journals EDUKASI MASYARAKAT PEDULI AIR BERSIH DALAM UPAYA PENINGKATAN PENGETAHUAN MASYARAKAT TENTANG CARA PENGELOLAAN AIR MINUM DI DESA PEMURUS RT 3B KECAMATAN ALUH-ALUH BERBASIS DARING

2021 ◽  
Vol 5 (1) ◽  
pp. 560
Author(s):  
Nadia Hildawati ◽  
Meliyana Meliyana ◽  
Rizka Elma Selviana ◽  
Asrina Magfiroh ◽  
Atikah Rahayu ◽  
...  
Keyword(s):  
Drinking Water ◽  
Rural Areas ◽  
Wilcoxon Test ◽  
P Value ◽  
Clean Water ◽  
Knowledge And Attitudes ◽  
The People ◽  
Significant Difference ◽  
Before And After ◽  
Post Test

ABSTRAKAir merupakan kebutuhan bagi setiap kehidupan, semua makhluk hidup memerlukan air dalam kehidupannnya sehingga tanpa air dapat dipastikan tidak akan ada kehidupan. Sebagian besar masyarakat yang mengalami kesulitan memperoleh air bersih untuk digunakan sebagai air minum tersebut adalah masyarakat yang tinggal di perdesaan. Kegiatan ini bertujuan untuk meningkatkan pengetahuan dan sikap masyarakat tentang cara pengelolaan air minum di Desa Pemurus RT.3B Kecamatan Aluh-Aluh. Sasaran kegiatan ini adalah masyarakat Desa Pemurus RT.3B Kecamatan Aluh-Aluh yang berjumlah 15 orang. Kegiatan ini sebagai salah satu bentuk untuk meningkatkan pengetahuan dan sikap masyarakat tentang cara pengelolaan air minum. Metode pelaksanaan kegiatan intervensi berupa penyuluhan yang dilakukan melalui media whatsApp group. Hasil pre dan post test dilakukan analisis statistik menggunakan uji wilcoxon untuk mengetahui apakah terdapat perbedaan sebelum dan sesudah dilakukan intervensi. Hasil penyuluhan ini menunjukkan bahwa terdapat perbedaan hasil pre test dan post test pengetahuan sebelum dan sesudah dilakukan penyuluhan (p-value=0,038). Namun pada sikap didapatkan hasil tidak ada perbedaan yang signifikan antara sikap masyarakat sebelum dan sesudah dilakukan penyuluhan (p-value=1,000). Diharapkan masyarakat bisa mengelola air minum agar nantinya dapat menciptakan derajat kesehatan yang lebih baik. Kata kunci: air bersih; pengelolaan air minum; penyuluhan ABSTRACTWater is a necessity for every life, all living things need water in their life so that without water it is certain that there will be no life. Most of the people who have difficulty obtaining clean water to use as drinking water are people who live in rural areas. This activity aims to increase public knowledge and attitudes about how to manage drinking water in Pemurus Village RT.3B, Aluh-Aluh District. The target of this activity is the Pemurus Village community, RT.3B, Aluh-Aluh District, totaling 15 people. This activity is a form of increasing community knowledge and attitudes about how to manage drinking water. The method of implementing intervention activities is in the form of counseling carried out through whatsapp group media. The results of the pre and post tests were statistically analyzed using the Wilcoxon test to determine whether there were differences before and after the intervention. The results of this counseling showed that there were differences in the results of the pre-test and post-test of knowledge before and after the counseling (p-value 0.038). However, in attitudes, the results showed that there was no significant difference between the attitudes of the community before and after the counseling (p-value 1,000). It is hoped that the community can manage drinking water so that later it can create a better health degree. Keywords: clean water; drinking water management; counseling

scholarly journals Primary Dysmenorrhea Intensity Between Stretching Abdominal Therapy and Acupuncture to Adolescent Girls

2021 ◽  
Author(s):  
Ni Nyoman Suindri ◽  
Ni Luh Putu Sri Erawati ◽  
Made Widhi Gunapria Darmapatni ◽  
Ni Gusti Kompiang Sriasih
Keyword(s):  
High School ◽  
High School Students ◽  
Adolescent Girls ◽  
Rating Scales ◽  
Wilcoxon Test ◽  
P Value ◽  
Menstrual Pain ◽  
Significant Difference ◽  
Before And After ◽  
The Difference

Menstrual pain or dysmenorrhea is known as cramping pain in the lower abdomen during menstruation experienced by some women. Abdominal stretching exercises and acupressure can reduce dysmenorrhea. This research aims to determine the difference in the intensity of primary menstrual pain (dysmenorrhea) between abdominal stretching therapy and acupressure for adolescent girls in a Senior High School in Denpasar. The method applied in this research is a Quasi-Experimental two-groups pretest-posttest design. The research sample was grouped into two, namely 70 high school students in the abdominal stretching therapy and 70 students in acupressure therapy. The data were collected using the Numerical Rating Scales or NRS. The data were then analysed using the Wilcoxon test and Mann Whitney test. The result of the research showed that there was a significant difference in dysmenorrhea before and after abdominal stretching therapy (p=0.000). Also, there was a significant difference in dysmenorrhea before and after acupressure therapy (p=0.000). There was no difference in dysmenorrhea before applying abdominal stretching therapy and acupressure with a p-value=0.335. Also, there was no difference in dysmenorrhea after both therapies were undergone in two groups (p=0,111). The difference test on the difference between the pre-test and post-test obtained p-value = 0.012. Hence, there was a significant difference in decreasing dysmenorrhea between abdominal stretching therapy and acupressure (p=0.012). Conclusion: there is a significant difference in reducing dysmenorrhea between abdominal stretching therapy and acupressure. Suggestion: further research is necessary to conduct by using time series design.

scholarly journals The Effect of Psychological Stress on Salivary Testosterone in Puberty Children

2018 ◽  
Vol 6 (9) ◽  
pp. 1611-1616 ◽  
Author(s):  
Dimas Bagus Prastyo ◽  
Melda Deliana ◽  
Yazid Dimyati ◽  
Karina Sugih Arto
Keyword(s):  
Psychological Stress ◽  
Sexual Maturation ◽  
Female Students ◽  
Wilcoxon Test ◽  
Male Students ◽  
P Value ◽  
Salivary Testosterone ◽  
Testosterone Levels ◽  
Significant Difference ◽  
Before And After

BACKGROUND: Psychological stress is a condition that is experienced by many adolescents which affect the Hypothalamic-Pituitary-Gonadal axis. Testosterone is known as a sex steroid hormone that is susceptible to acute stress and can be measured through saliva. Disruption of the reproductive system can affect the sexual maturation process. AIM: To understand the difference in salivary testosterone levels in puberty children before and after given a stressor. METHODS: A quasi-experimental intervention study was conducted at Antonius Bangun Mulia junior high school, Medan, North Sumatera, in July-October 2017. Subjects were students aged 12-14 years with sexual maturity G2 for boys and M2 for girls. Psychological stress intervention was generated by the Wechsler intelligence scale for children fourth edition (WISC IV). Saliva was collected before and after the intervention. The analysis was done with Wilcoxon test and a P value < 0.05 was considered significant. RESULTS: Forty-two subjects of 24 male students and 18 female students with sexual maturation Tanner II (54.8%) and Tanner III (45.2%). This study obtained that there was a statistically significant difference in salivary testosterone levels before and after the subject was given a stressor (P = 0.015, CI 95%). This difference also was seen within sexual maturation Tanner II (P = 0.045, CI 95%). No difference was observed in testosterone levels based on gender, male students (P = 0.065, CI 95%) and female students (P = 0.112, CI 95%). CONCLUSION: Stress can affect salivary testosterone levels. There was a statistically significant difference in salivary testosterone levels before and after psychological stress in puberty children.

scholarly journals PENGARUH PENYULUHAN GIZI DENGAN MEDIA VIDEO TERHADAP PENGETAHUAN DAN SIKAP REMAJA TENTANG KONSUMSI SAYUR DAN BUAH DI SMAN 1 PALANGKA RAYA

2021 ◽  
Vol 5 (2) ◽  
pp. 79
Author(s):  
Harlyanti Muthma'innah Mashar
Keyword(s):  
Statistical Tests ◽  
Wilcoxon Test ◽  
P Value ◽  
Knowledge And Attitudes ◽  
Significant Difference ◽  
Before And After ◽  
Vegetables And Fruits ◽  
Age Range ◽  
Skipping Breakfast ◽  
Nutrition Habits

The age of 10-18 years is the age range of adolescents who are included in the period of being vulnerable to nutrition. Habits at this age are often skipping breakfast, not moving, and snacking a lot. This causes low consumption of vegetables and fruits. This study aims to analyze the effect of providing nutrition counseling using video media on the knowledge and attitudes of adolescents about vegetable and fruit consumption at SMAN 1 Palangka Raya. The design of this study was a quasi-experiment with one group pretest and posttest design with 38 subjects. The results were then analyzed using the Wilcoxon test and McNemar test. The results showed that the characteristics of the subjects were in the age group of 15-17 years with the highest number aged 16 years (68.4%). Most of the subjects were female (55.3%). The results of the statistical test obtained p = 0.000 (p <0.05) stating that there was a significant difference between knowledge before and after counseling. The results of statistical tests using McNemar's test for attitudes obtained a p-value of 0.000 (p <0.05) which indicated that there was a significant difference between attitudes before and after counseling. Based on these results, counseling with video media influences the knowledge and attitudes of adolescents regarding the consumption of vegetables and fruits at SMAN 1 Palangka Raya.

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