scholarly journals Perbedaan Tekanan Darah Sebelum dan Sesudah Exercise Intradialysis Pada Pasien Hemodialisis di Unit Hemodialisis Rumah Sakit Panti Rahayu Gunung Kidul

2021 ◽  
Vol 2 (2) ◽  
pp. 156-169
Author(s):  
Christina Murni Yuliastuti ◽  
Th.Tatik Pujiastuti ◽  
Sr. Lucilla Suparmi, CB

ABSTRACT Background:Hemodialysis defines as a process of cleaning the blood from waste substances through a filtering process outside the body. Patients with chronic renal failure undergoing hemodialysis often experience complications including hypotension. Several references state an alternative intervention to prevent complications of hypotension in hemodialysis patients with an Intradialytic exercise. Intradialytic exercise is a planned and gradual form of exercise that includes various stages of flexibility exercise, strengthening exercise and cardiovascular exercise performed during hemodialysis. Intradialytic exercise is aimed to improve the work of the heart, respiration and improve hemodialysis regulation for the better. Objective:This study was aimed to determine the difference in blood pressure before and after intradialytic exercise in patients undergoing hemodialysis. Methods:This research design used a quasi-experimental design with pre-test and post-test with control design. The samples were 38 respondents who taken by total sampling at the Hemodialysis Unit of Panti Rahayu Hospital. The samples were divided into the intervention group who undertook intradialytic exercise for 4 weeks, each respondent experiences twice a week, while the control group who did routine hemodialysis and independent exercise. Results:The results showed that the distribution of the characteristics of the respondents was 51-54 years old (18.41%) the sex was mostly male (63.2%) Most of them (55.3%) underwent hemodialysis for less than 2 years. Statistically, it was known that there was no significant difference in blood pressure before and after intradialytic exercise inside patient’s body of the control and intervention groups. There was no significant difference in blood pressure between the intervention group compared to the control group, but there was a dynamic difference in blood pressure in patients who did intradialytic exercise. Conclusion:There was dynamics of differences in blood pressure in patients undergoing intradialytic exercise, it is recommended that hemodialysis nurses at Panti Rahayu Hospital take care patients during hemodialysis so that these interventions are routinely carried out.

2021 ◽  
Vol 2 (2) ◽  
pp. 156-169
Author(s):  
Christina Murni Yuliastuti ◽  
Th.tatik Pujiastuti ◽  
Sr. Lucilla Suparmi, CB

ABSTRACT Background: Hemodialysis defines as a process of cleaning the blood from waste substances through a filtering process outside the body. Patients with chronic renal failure undergoing hemodialysis often experience complications including hypotension. Several references state an alternative intervention to prevent complications of hypotension in hemodialysis patients with an Intradialytic exercise. Intradialytic exercise is a planned and gradual form of exercise that includes various stages of flexibility exercise, strengthening exercise and cardiovascular exercise performed during hemodialysis. Intradialytic exercise is aimed to improve the work of the heart, respiration and improve hemodialysis regulation for the better. Objective: This study was aimed to determine the difference in blood pressure before and after intradialytic exercise in patients undergoing hemodialysis. Methods: This research design used a quasi-experimental design with pre-test and post-test with control design. The samples were 38 respondents who taken by total sampling at the Hemodialysis Unit of Panti Rahayu Hospital. The samples were divided into the intervention group who undertook intradialytic exercise for 4 weeks, each respondent experiences twice a week, while the control group who did routine hemodialysis and independent exercise. Results: The results showed that the distribution of the characteristics of the respondents was 51-54 years old (18.41%) the sex was mostly male (63.2%) Most of them (55.3%) underwent hemodialysis for less than 2 years. Statistically, it was known that there was no significant difference in blood pressure before and after intradialytic exercise inside patient’s body of the control and intervention groups. There was no significant difference in blood pressure between the intervention group compared to the control group, but there was a dynamic difference in blood pressure in patients who did intradialytic exercise. Conclusion: There was dynamics of differences in blood pressure in patients undergoing intradialytic exercise, it is recommended that hemodialysis nurses at Panti Rahayu Hospital take care patients during hemodialysis so that these interventions are routinely carried out.


2008 ◽  
Vol 20 (3) ◽  
Author(s):  
Samuel Setiawan ◽  
Edeh Rolleta Haroen ◽  
Dede Hadidjah

In administering fluoride through drinking water there is the risk of overdose, higher cost and inadequate availability of drinking water containing fluoride in developing countries like Indonesia. A safe fluoride source is contained in toothpaste. The purpose of this research was to obtain data concerning difference in saliva pH before and after brushing with toothpaste containing fluoride and without toothpaste. The research method used was the quasi-experimental method. Samples were collected by the way of purposive sampling, conducted on 43 male and female research subjects. The data were analyzed by statistical analysis using the t test at 95% confidence level. In this research a control group consisting of 43 people was used. Research results indicated that the average saliva pH before brushing was 7.174; after brushing with fluoride containing toothpaste salivary pH was 7.593. Result research of brushing without toothpaste showed an average saliva of 7.163 before brushing and 7.379 after brushing without toothpaste. The average changes in saliva pH before and after brushing using fluoride containing toothpaste was 0.216. The conclusion of this research was that there was significant difference in saliva pH before and after brushing with toothpaste containing fluoride; there was significant difference in saliva pH before and after brushing without toothpaste, and there was significant difference in saliva pH before and after brushing with toothpaste containing fluoride and without toothpaste.


2021 ◽  
Vol 15 (5) ◽  
pp. 1774-1779
Author(s):  
Sanaz Nehbandani ◽  
Hajar Salehi ◽  
Khadije Rezaie Keikhaie ◽  
Hossein Rashki Ghalenow ◽  
Fatemeh Mirzaie ◽  
...  

Introduction & Objective: Nausea and vomiting during pregnancy is one of the most common gastrointestinal disorders that more than 85% of pregnant women experience. However, controlling and treating this complication is still one of the most important issues in antenatal care. Therefore, the aim of this study was to investigate the effect of ear acupressure at Shen Men point on relieving nausea, vomiting and retching during pregnancy. Materials and Methods: In this quasi-experimental study, 100 pregnant women with a gestational age of less than 16 weeks attending the health clinics of Zabol city during 2019-2020 were studied in two control and intervention groups (n = 50 in each group). The samples in the intervention group were trained to apply pressure on their ears’ Shen Men point with the thumb for three minutes three times a day (morning, noon, and night), for a duration of one month. At the end of second and fourth weeks, the data were collected using the Rhodes index form and then, were analyzed by SPSS software version 22. Results: According to the results, there was no significant difference between the two groups in terms of age, gestational age, occupation and education. The difference in the mean scores of nausea, vomiting and retching was not statistically significant between the control and intervention groups before the study. But four weeks after the study, a significant difference was observed in the mean scores of vomiting, nausea and retching between the two groups, so that the mean scores of vomiting, nausea and retching were significantly lower in the intervention group than in the control group. Conclusion: The ear acupressure medicine at the Shen men point can be used as a non-invasive, safe and inexpensive method to relieve nausea, vomiting and retching during pregnancy. Keywords: Acupressure medicine, Shen Men, Vomiting, Pregnancy, Nausea, Retching, Rhodosis


Author(s):  
Ziba Ghoreyshi ◽  
Monireh Amerian ◽  
Farzaneh Amanpour ◽  
Reza Mohammadpourhodki ◽  
Hossein Ebrahimi

AbstractBackgroundThe vital signs reflect the physiological state of patients in various clinical conditions. The purpose of this study was to compare the effects of cold compress and Xyla-P cream on hemodynamical changes during venipuncture in hemodialysis patients.Methods and MaterialIn this clinical trial study, 50 patients under hemodialysis were selected by simple random sampling. The patients were then randomly assigned to either Xyla-P cream, cold compress or placebo groups. The vital signs (blood pressure and pulse) were measured upon two intermittent hemodialysis sessions before and after venipuncture. Data were analyzed using repeated measures analysis of variance.ResultsThe mean alternation in systolic blood pressure was significantly different comparing the placebo and cold compress groups before and after intervention (p<0.001). However, the difference was not significant between the Xyla-P cream group and either placebo (p=0.402) or ice compress (p=0.698) groups. The difference of the mean diastolic blood pressure was significant comparing the placebo group with either the Xyla-P cream group (p=0.003) or cold compress group (p<0.001) before and after intervention. In addition, there was a significant difference in the mean number of heartbeats comparing the control group with either the Xyla-P cream group (p<0.001) or cold compress group (p<0.001) before and after the intervention.ConclusionsConsidering the beneficial effects of ice compress and the Xyla-P cream on reduction of cardiovascular parameters, it is recommended to use these methods in hemodialysis patients during venipuncture.


2019 ◽  
Vol 5 (2) ◽  
pp. 119-127
Author(s):  
Anafrin Yugistyowati

Background:Parents’ skillsin taking care of premature babies need to be developed to promote parents role in nurturing. The application of Family-Centered Care (FCC) through associated family program is one of the interventions to optimalize parent’s capability. Objective:This study aimed to identify the parent’s skill in the care of premature baby before and after the application of FCC. Methods:The research design was quasi-experimental,employing pre- and post-test with nonequivalent control group. Data were collectedin a non-probability sample with consecutive sampling method. Sample wereparents who hadpremature babiesandwere hospitalized at Perinatology Unit Saras Husada HospitalPurworejo.This research involved 36 respondents. Data were analyzedwith the Wilcoxon Signed Ranks Test. Result:There was not a significant difference on parents’ skills in control group (p= 0.083). Parents in intervention group showed difference in skills after the intervention (p= 0.025). Conclusion: There were significant differences in parents’ skills, before and after the intervention of FCC. Keywords:Premature Baby, Family-Centered Care, Skill Parents


2019 ◽  
Vol 7 (3) ◽  
Author(s):  
Hesti Platini ◽  
Sandra Pebrianti ◽  
Indra Maulana

Hypertension is a cardiovascular disease globally. Hypertension is remains silent killer, the clinical strategy to focusing on new and improved treatments is exercise. Tera  gymnastics is a physical and mental exercise, combining the movement of body parts with breathing techniques and rhythms through the concentration of thought that is carried out regularly, harmoniously, correctly and continuously, Physical activity can reduce high blood pressure. Some study showed Regular physical activity is an effective intervention with respect to these factor, decreasing mortality rate for cardiovascular disease and all cause of disease in hypertensive patient. Gymnastic Tera exercise can help to control metabolic variable related to hypertension. The study was use quasy experimental design with one group pretest-posttest. The study was conducted in Puskesmas Pasundan Garut. Sampling in this study is subjects  that is criteria patients has hipertension with 8 weeks treatment so will take methode of  concecutive sampling with 15 respondents for intervention group and 15 for control group.  The sample were age 30-55 years. The Intervention was gymnastic tera exercise. The Blood pressure function was evaluated before and after the training period. The data were analyzed by using t-test paired. The result showed a significant difference before and after tera gymnastic exercise in patient with hypertension I (p=000.0). Result of systolic blood presure when in mean SD pretest is 146.00 higher than post test is 136.00 in intervention group. The tera gymnastic exercise conditioning program achieved effect in this population. The reduction of blood pressure after exercise is of great clinical relevance.  The increased riskof physical inactivity in controlling hypertension in our study suggest that general practitioners must be in the habit of prescribing practice of physical exercise. Physical activity has been shown to have beneficial effect on blood pressure. patients are followed up regularly to confirm that they are adhering to the management plan and the blood pressure targets.


2019 ◽  
Vol 9 (2) ◽  
pp. 173-179
Author(s):  
Budi Antoro ◽  
Yuli Lestari

Kekambuhan asma antara lain dapat bersifat ringan, tidak mengganggu aktivitas, menetap dapat mengganggu aktivitas, dan menimbulkan disability (kecacatan) hingga kematian. Penatalaksanaan bertujuan untuk mencegah kekambuhan penyakit hingga mencegah kematian dapat dilakukan dengan senam asma terstruktur. Penelitian ini bertujuan untuk mengidentifikasi pengaruh senam asma terstruktur terhadap jarak kekambuhan pada pasien asma di perkumpulan senam asma RSUD Hi. Dr. Abdul Moeloek. Penelitian ini menggunakan metode penelitian quasi eksperimental dengan desain pretest-postest with control group design. Hasil penelitian menunjukkan bahwa ada perbedaan bermakna antara jarak kekambuhan (relapse) sebelum dan sesudah pada kelompok intervensi (p=0.023); tidak ada perbedaan bermakna antara jarak kekambuhan (relapse) sebelum dan sesudah pada kelompok kontrol (p=0.059); tidak ada perbedaan bermakna jarak kembuhan (relapse) antar kelompok (p=0.375). Sosialisasi serta aplikasi senam asma terstruktur dapat menjadi salah satu terapi dalam asuhan keperawatan asma.   Kata kunci: Senam asma terstruktur, kekambuhan   THE EFFECT OF STRUCTURED ASTHMA GYMNASTICS ON THE DISTANCE OF RELAPSE IN ASTHMA PATIENTS   ABSTRACT Asthma relapse can be mild, does not interfere with activity, persists and disrupt activities, and cause disability (death). Management aims to prevent asthma relapse to prevent death can be done with structured asthma gymnastics. This study aims to identify the effect of structured asthma gymnastics on the distance of relapse in asthma patients in the asthma gymnastics association RSUD Hi. Dr. Abdul Moeloek. This study used a quasi-experimental research method with the design of the pretest-posttest with control group design. The results showed that there was a significant difference between relapse before and after the intervention group (p = 0.023); there was no significant difference between relapse before and after the control group (p = 0.059); there was no significant difference in recovery distance (relapse) between groups (p = 0.375). Socialization and application of structured asthma exercises can be one of the therapies in asthma nursing care.   Keywords: Asthma gymnastics structure, relapse  


Author(s):  
Lusi Ismayenti ◽  
Agus Suwandono ◽  
Hanifa Maher Denny ◽  
Bagoes Widjanarko

The purpose of this study was to assess the effect of using a combination of stretching and Brain Gym®(BG) + Touch for Health (TfH) movements to reduce fatigue and musculoskeletal complaints (MSCs) in garment-sewing operators. A quasi-experimental study was performed on 53 respondents with two sessions of stretching movements and BG + TfH movements of 5 min duration, three times a week for four weeks. Fatigue was measured using a reaction timer and MSCs were measured using a Nordic Body Map questionnaire. Wilcoxon and Mann–Whitney U tests were performed to examine the differences of pre/post and between the intervention group (IG) and control group (CG). A significant difference was found in IG for pre- and post-fatigue (p < 0.001) and MSCs (p < 0.001), while in CG there was no difference in fatigue (p = 0.200) and MSCs (p = 0.086). Significant differences were found between the IG and CG groups in terms of fatigue (p = 0.046), as well as in MSCs (p < 0.001). A significant decrease in MSCs per part body in IG was found on the left wrist, left hand, and left knee. The percentage of MSC severity decreased in all parts of the body, except the right shoulder, left elbow, and right thigh.


Author(s):  
Sitti Aisyah Ansi ◽  
Wa Ode Nesya Jeni , Samrida

The Comparative Study of the Lancau Wolio Giving to Lowering Blood Pressure of Elderly Hypertension in Katobengke Public Health Center working area in 2020. The purpose of this study was to determine the effectiveness of Lancau Wolio potion in lowering blood pressure of elderly hypertension compared to other medication. The research was a quantitative approach and  a quasi-experimental  that compares the results of the intervention group and the control group. The intervention group comsume the Lancau Wolio and the control group taking medical drugs (Captopril) in lowering blood pressure. The results of this study showed a decrease of systolic blood pressure on the intervention group after consuming Lancau Wolio for two weeks (p = 0.003) and there was no difference in diastolic blood pressure on the intervention group before and after treatment (p = 0.255).In this study,  Lancau Wolio was proven to be an alternative medication for hypertension which is effective in reducing systolic blood pressure by 9.32% on  intervention group of elderly in  Katobengke Public Center working area..


2019 ◽  
Vol 7 (5) ◽  
Author(s):  
Yuli Mulyanti Soenar ◽  
Deswani Kasim

An understanding of reproductive health in the elderly, especially women, becomes so important because there are so many changes that occur when women enter old age. Decreasing reproductive health in women occurs when women enter menopause. For this reason, it is necessary to provide appropriate information to the elderly regarding the health of their reproductive system, to avoid health problems that threaten the overall condition of the body. This study aims to determine the effect of reproductive health education in the elderly. The research method used was quasi-experimental with non-randomized pretest-posttest group control design. The number of samples in this study was 62 people consisting of 32 people in the intervention group and 30 people in the control group. Data analysis in this study with paired t-test and independent. The results showed that there was a significant difference in knowledge of the elderly between the intervention group and the control group after the intervention (p-value = 0,000), so there were significant differences in the attitudes of Keywords: reproductive health education, elderly, knowledge, attitudes the elderly between the intervention and control groups, after the intervention (p = 0.008). The conclusion is that there is an influence of reproductive health education in the elderly on the knowledge and attitudes.


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