scholarly journals EFEKTIVITAS LATIHAN PERNAFASAN RELAKSASI TERHADAP KELELAHAN PADA PASIEN KANKER YANG MENJALANI KEMOTERAPI

2020 ◽  
Vol 8 (01) ◽  
pp. 144-158
Author(s):  
Vervando Janter Sumilat ◽  
Prabawati Prabawati ◽  
Sudibyo Supardi

Abstract Background: Cancer patients with chemotherapy experience fatigue as cancer effects and cell destruction due to the toxicity of chemotherapy drugs. Objective: Determine the effectiveness of relaxation breathing exercises to fatigue cancer patients who undergoing chemotherapy. Methode: This research used quasi experiment pretest and posttest method. There were 92 respondents who examined using purposive sampling technique and divided into 46 respondents as intervention group and 46 respondents as control group. Relaxation breathing exercise was given four weeks for intervention group on April-July 2018 in Siloam Hospital Manado. Result: The majority of cancer patients were age 45-65 years 69,9%, 54,3% were diagnosed cancer ≤1 year and 79,3% received combination chemotherapy. The result of Wilcoxon test revealed there was significant difference before and after intervention to fatigue (p value = 0,00), with mean rank of reduction 21,97% on fatigue. The result of Mann Whitney test revealed that there was significant difference in fatigue between intervention and control groups (p value = 0,00). Multivariate logistic regression revealed that there was an effect of relaxation breathing exercise on fatigue (p value = 0,00) and relaxation breathing exercise may reduce 60,46 times of fatigue on patients who undergoing chemotherapy. Conclusion: Relaxation Breathing Exercise can reduce fatigue in cancer patients who undergoing chemotherapy in Siloam Hospital Manado. It is recommended to perform relaxation breathing exercise as a routine exercise for cancer patients during chemotherapy to minimize fatigue. Keywords: Relaxation Breathing Exercise, Fatigue, Chemotherapy, Cancer

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>


2020 ◽  
Vol 2 (2) ◽  
pp. 52-67
Author(s):  
Anggi Vina Hariyati ◽  
Cahyaningrum ◽  
Adil Zulkarnain

Anemia is one of the public health problems that need more attention of the female because they experience menstruation and they are in the growth phase. From the data of Semarang City Health Office  in 2011, it is shown the incidence of anemia in adolescents aged 10-19 years old are 68.24%. The prevention effort of the case is by measuring hemoglobin and prescribing blood supplement. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. This research used pre-experimental design with the two group pretest posttest. The population in this Study were all Merchant Marine Polytechnique Semarang at the 4th semester of female students  amounting to 50 with the total respondents 34 respondents taken with purposive sampling technique. The data were collected by performing Hemoglobin examination. The results of the study show that the average Hemoglobin before being prescribed Fe on the intervention and control group was 11.29 g/dl. After being prescribed Fe to the intervention group, it is found the average increased to 13.69 g/dl, while in the control group it is found averaged 11.72 g/dl. Bivariate Analysis uses an independent t test, the value of t is 6.136 with a p-value of   0.000. It shows that the p-value is 0,000 <((0.05), this indicates that there is a significant difference in the decrease in Hemoglobin levels in the population after being prescribed blood supplement between the intervention and control groups in The Semarang Merchant Marine Politechnique Students. It is suggested that the female adolescents to consume more iron-containing foods or consume Fe supplements such as Fe, during menstruation. ABSTRAK  Anemia merupakan salah satu masalah kesehatan masyarakat yang perlu khusus nya pada remaja  putri yang perlu mendapatkan perhatian khusus karena remaja putri mengalami mestruasi tiap bulan dan dalam masa pertumbuhan . Hasil Data Dinas Kesehatan Kota Semarang tahun 2011.  Kejadian anemia pada remaja usia 10-19 sebanyak 68,24%. Untuk menangani masalah tersebut pencegahan yang dilakukan yaitu dengan cara mengukur hemoglobin dan pemberian suplemen tablet tambah darah . Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Jenis penelitian ini menggunakan  pre-eksperimen design dengan rancangan Two group pretest posttest. Populasi dalam penelitian iniadalah seluruh taruni politeknik ilmu pelayaran semarang semester 4 berjumlah 50 taruni dengan jumlah sempel 34 responden dengan tehnik pengambilan sempel purposive sampling. Pengambilan data dengan melakukan pemeriksaan Hemoglobin.  Penelitian menunjukan bahwa rata-rata Hemoglobin sebelum diberikan pada taruni kelompok intervensi  dan  kontrol sama yaitu  11,29 g/dl.  Dan setelah diberikan pada kelompok intervensi  rata-rata meningkat menjadi 13,69 g/dl, sedangkan  kelompok kontrol rata-rata sebesar 11,72 g/dl. Analisis bivariate Menggunakan uji t independen, didapatkan nilai t hitung 6,136 dengan p-value sebesar 0,000. Terlihat bahwa p-value 0,000 <a (0,05), ini menunjukkan bahwa ada perbedaan secara signifikan penurunan (selisih) kadar Hemoglobin b pada taruni sesudah diberikan tablet penambah darah antara kelompok intervensi dan kontrol pada taruni Politeknik Ilmu Pelayaran Semarang.  Hendaknya bagi remaja putri lebih banyak mengomsumsi makanan yang mengandung zat besi atau mengomsumsi suplemen yang mengandung besi seperti Fe terutama saat mestruasi


2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

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.


2018 ◽  
Vol 3 (2) ◽  
pp. 82-94
Author(s):  
Seri Wahyuni

Anemia is one of the indirect causes of maternal mortality. The Government of Indonesia has made efforts to overcome anemia, including by giving iron tablets to pregnant women. To improve maternal compliance in consuming iron tablet healthcare workers should include family/cadres in the supervision of food and medicine. This study aims to know the effectiveness of accompaniment drinking iron tablet By Cadres Against Increasing Hb Level of Pregnant Women at Puskesmas Kota Palangka Raya. This research is a quasi-experimental design using "nonrandomized control group pretest-posttest design" approach. Sampling technique total sampling is with the number of samples of 62 people divided into 2 groups, 31 intervention groups, and 31 control groups. In the intervention group involving cadres as moderate blood-boosting drink companions in the control group without blood-boosting companions. The analysis technique used for the intervention and control group is using the Wilcoxon test. The result of intervention group statistic test get p-value = 0,000 (


2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Bambang Eryanto ◽  
Taty Hernawaty ◽  
Shelly Iskandar

Efforts to improve caregiver’s knowledge on hallucination is by providing an education the caregivers. Enhancing such knowledge can be carried out by different methods, include lecture and watching video methods. The purpose of the present research was to compare the effectiveness of lecture  and watching video method in enhancing caregiver’s knowledge on hallucination.          The research used a quasi-experiment method with a pretest and posttest group design, with the research sample was 60. The sampling technique used was a total sampling. The scores of caregiver’s knowledge were determined by a questionnaire of knowledge on hallucination that was self-developed by validity test (0.707) and reliability test (0.968). The data obtained was then tested by using Independent Sample T-test, Mann-Whitney test, and Wilcoxon test.          The result of pretest of caregiver’s knowledge before the intervention showed that there was no difference between intervention and control group (p-value=0.624), while result of posttest of caregiver’s knowledge after the intervention showed that there was a significant difference between lecture group and video group (p-value=0.000). The research findings revealed that there was a significant increase in the scores of knowledge for both methods (p-value=0.000), but the increase of video group’s knowledge score was higher (4.23) than that of lecture group (2.57).          The conclusion of the research was that wathing video method was more effective than lecture method in enhancing caregiver’s knowledge so that video can be used as an alternative method for mental health education.


2020 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Nuratma Afini ◽  
Syajaratuddur Faiqah

Menurut data yang diperoleh dari Dinas Kesehatan Provinsi NTB tahun 2017 menunjukkan bahwa cakupan pemberian ASI Eksklusif pada bayi rata-rata di sebesar 77,66%, cakupan ini turun jika tahun 2016 sebesar 86,63%. Berdasarkan data Dinas Kesehatan Kota Mataram tahun 2018 cakupan ASI Eksklusif (AE5) yaitu sebesar 50,66% diseluruh puskesmas Kota Mataram dan di Wilayah Kerja Puskesmas Karang Pule persentasi cakupan ASI yaitu sebesar 27,69%.Tujuan Penelitian untuk mengetahui apakah ada pengaruh pendidikan kesehatan melalui metode demonstrasi mengenai posisi dan perlekatan terhadap kecukupan ASI pada bayi usia 0-6 bulan di kelurahan Karang Pule Wilayah Kerja Puskesmas Karang Pule tahun 2019. Desain penelitian ini menggunakan rancangan Quasi Eksperiment. Dengan teknik pengambilan sampel yaitu Total sampling dimana semua populasi bayi usia 0-6 bulan dijadikan sampel berjumlah 38 orang. Uji hipotesis menggunakan uji Wilcoxon dan Mann Whitney U-test. Pada kelompok intervensi nilai minimal-maksimal keterampilan sebelum diberikan pendidikan kesehatan untuk  kelompok intervensi didapatkan hasil (8-16), pada posttest didapatkan hasil (13-19). Sedangkan pada kelompok kontrol dengan nilai minimal-maksimal didapatkan hasil nilai pretest (8-11) dan pada posttest didapatkan hasil (18-18). Uji analisis keterampilan menggunakan uji Wilcoxon pada kelompok intervensi didapatkan hasil p value = 0.000 dan kelompok kontrol hasil p value = 0.000. hasil uji Mann Whitney untuk kecukupan ASI didapatkan hasil nilai p value = 0.039. terdapat pengaruh yang signifikan pendidikan kesehatan melalui metode demonstrasi terhadap kecukupan ASI pada bayi usia 0-6 bulan. Terdapat pengaruh pendidikan kesehatan melalui metode demonstrasi mengeani posisi dan perlekatan terhadap kecukupan ASI ada bayi usia 0-6 bulan di Kelurahan Karang Pule Wilayah Kerja Puskesmas Karang Pule Tahun 2019. According to data obtained from the NTB Provincial Health Office in 2017 shows that the coverage of Exclusive Breastfeeding for infants is at an average of 77.66%, this coverage decreases if 2016 is 86.63%. Based on data from the City of Mataram Health Office in 2018 Exclusive breastfeeding coverage (AE5) is 50.66% in all Mataram City health centers and in the Karang Pule Community Health Center Working Area, the percentage of ASI coverage is 27.69%.Objectives to find out whether there is an effect of health education through demonstration methods regarding the position and attachment to the adequacy of breastfeeding in infants aged 0-6 months in Karang Pule Village, Karang Pule Health Center Working Area in 2019.The design of this study used the Quasi Experiment design. With the sampling technique that is Total sampling where all populations of infants aged 0-6 years were sampled as many as 38 people. Test the hypothesis using the Wilcoxon test and the Mann Whitney U-test.in the intervention group the minimum score of skills before being given health education for the intervention group was obtained (8-16), in the posttest the results were obtained (13-19). Whereas in the control group with the minimum-maximum value obtained the results of the pretest (8-11) and the posttest results (18-18). Test the skills analysis using the Wilcoxon test in the intervention group obtained results p value = 0,000 and the control group results p value = 0,000. The results of the Mann Whitney test for the adequacy of ASI were obtained by the value of p value = 0.039. there is a significant effect of health education through the demonstration method on the adequacy of breastfeeding in infants aged 0-6 months.There is the influence of health education through demonstration methods to treat the position and attachment to the adequacy of breast milk there are infants aged 0-6 months in Karang Pule Village Karang Pule Health Center Working Area in 2019


2020 ◽  
Vol 07 (02) ◽  
pp. 15-21
Author(s):  
Soumika Debnath ◽  

Aim: The present study is aimed to assess the effect of distraction therapy during venipuncture in reducing pain among 6-12 years children in the selected hospital at Bhubaneswar. Methods: The study was a double blind; Randomized control trial design was used and the formal consent was obtained from Pradyumna Bal Memorial Hospital and the investigator selected 182 samples using consecutive sampling technique and then randomized into experimental and control groups. The intervention group and the control were having 91 samples each. Measurement of pain experienced by the school going children was assessed with the help of Wong-Baker Faces Pain Scale. Descriptive and inferential statistics were used to analyze the data. Result: The mean pain score of children in experimental group was 2.571 and the standard deviation was 2.006. The p value in comparing the pain level of children in control and experimental group was <0.01, which was statistically significant at p<0.05 (confidence interval 95%) level indicating that there was significant difference in the post test level of pain between the experimental and control group. Conclusion: Hence the distraction therapy was responsive in reducing the vein-puncture pain among school going children.


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 


2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Iwan Purnawan ◽  
Arif Imam Hidayat ◽  
Eman Sutrisna ◽  
Galih Noor Alivian ◽  
Ikit Netra Wirakhmi

<p>Background: Pain is one of the main problems in patients with ICU. Inadequate handling can cause adverse effects such as unstable hemodynamics, trigger stress, and thus hinder the healing process. Non-pharmacological intervention is needed to help manage pain in patients with ICU. Purpose: This study aims to identify the effect of murottal listening to pain in ICU patients. Methods: This is a quasi-experiment with pre-test and post-test with control group design. The sampling technique was simple random sampling, consisting of 40 respondents divided into two groups. The Critical Pain Observation Tool (CPOT) is used to measure pain. Statistics using a paired t-test, Wilcoxon-test, and Mann Whitney. Results: Significant decreases in pain scores were observed in treatment groups of 4, 5 to 4,0; p = 0,013. In the control group, there was a significant decrease in pain scores from 4,8 to 4,3; p = 0,001. There was no significant difference between the median decrease in pain in the intervention group (0.001 (-1-2.0) and the control group (0.001 (0.001-1.0)) with p = 0.242. Conclusion: Murottal listening does not have a significant effect on pain in patients of ICU.</p>


2019 ◽  
Vol 2 (3) ◽  
pp. 124-134
Author(s):  
Ni Putu Dian Ayu Anggraeni ◽  
Lucky Herawati ◽  
Melyana Nurul Widyawati

Sub uterine involution is one of the pathological symptoms of the postpartum period, which causes complications. This is indicated by the size of the fundus uterine, which is greater than the normal size and elongated outflow of lochia. One of the non-pharmacological methods for preventing sub uterine involution is postpartum yoga which focuses on physical and breathing exercises, strengthening of the pelvic floor muscles, and relaxation of autosuggestions. The study aimed to analyze the effectiveness of postpartum yoga on uterine involution. A quasi-experimental, pre-test and post-test with the control group was applied in this study. Thirty-eight postpartum women received postpartum yoga as the intervention group. The control group was comprised of 19 women. The gain score of uterine involution in the intervention group was 9.14 ± 1.27 and in the control group 7.20 ± 1.11. The Cohen’s effect size test is 1.63. The result of the mann whitney test showed that there was a significant difference between the intervention group and the control group with p value 0,000. The result of determination (R Square), postpartum yoga had an effect of 40.3% on uterine involution after being controlled simultaneously with parity, frequency of breastfeeding, and anxiety. Postpartum yoga is effective to strengthen the uterine muscles, facilitate blood circulation, and stimulate neurohormonal so it could accelerate uterine involution. Further studies could measure of fundus uterine daily. Future researchers can develop postpartum yoga research with other variables such as anxiety, urinary incontinence, quality of life for postpartum women, and hormonal variables including oxytocin, endorphins, and cortisol. Keywords: postpartum yoga, postpartum period, postpartum exercise, uterine involution


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