PENGARUH TERAPI KOMBINASI PROGRESSIVE MUSCLE RELAXATION DAN AROMATERAPI LEMON TERHADAP NYERI PADA PASIEN KANKER

Background: Cancer pain is caused by the growth of cancer mass that is getting bigger so that it suppresses bones, tissues and other organs around it. Cancer pain is a common complaint of post-treatment patients. Pain that is not further identified will have an impact on the patient's activity. Pain management can be done by pharmacological and nonpharmacological measures. Nonpharmacological therapies include progressive muscle relaxation and lemon aromatherapy. Aim : This study aimed to determine the effect of progressive muscle relaxation and lemon aromatherapy of cancer’s patient. Method : Pre Experiment used One Group With Pretest — Posttest Design. The sample consisted of 9 respondents using nonprobability sampling technique with purposive sampling method. Result : The results of this research is Wilcoxon Signed Rank Test with a maximum level of 95%, obtained p value of 0.006 less than the significant value of 0.05. Conclusion : There is an effect of progressive muscle relaxation and aromatherapy lemon on pain in cancer patients with a p value of 0.006. Keywords : Progressive muscle relaxation, lemon aromatherapy, pain, cancer

Download Full-text

PENGARUH PROGRESSIVE MUSCLE RELAXATION TERHADAP PENURUNAN KADAR GULA DARAH SEWAKTU PADA PASIEN DIABETES MELLITUS DI PUSKESMAS KELING 1 KABUPATEN JEPARA

Jurnal Ilmu Keperawatan dan Kebidanan ◽

10.26751/jikk.v12i2.1152 ◽

2021 ◽

Vol 12 (2) ◽

pp. 411

Author(s):

Rusnoto Rusnoto ◽

Nur Laily Prasetyawati

Keyword(s):

Diabetes Mellitus ◽

Muscle Relaxation ◽

Progressive Muscle Relaxation ◽

Rank Test ◽

Control Group ◽

P Value ◽

Signed Rank ◽

Post Test ◽

Signed Rank Test ◽

Diabetes Melitus

Latar Belakang : Diabetes Melitus merupakan salah satu penyakit degenerative. Terdapat lebih dari 220 juta DM diseluruh dunia pada tahun 2011 dan 80% lebih penderita berada di negara berkembang termasuk Indonesia (Soegondo, 2009). Kurang lebih 5-10% pasien diabetes menderita DMT1, selebihnya sekitar 90-95% pasien diabetes menderita DMT2 (Smeltzer & Bare, 2002). Beberapa faktor yang dapat meningkatkan kejadian DM adalah umur, keturunan, pola makan yang salah, aktivitas fisik kurang gerak, obesitas, stres, dan pemakaian obat-obatan. Salah satu factor yang dapat meningkatkan kejadian DM yaitu stres. Stres yang menetap menimbulkan respon stres berupa aktivasi sistem saraf simpatis dan peningkatan kortisol. Kortisol ini akan meningkatkan konversi asam amino, laktat, dan piruvat di hati menjadi glukosa melalui proses glukoneogenesis, dengan demikian stres akan meningkatkan kadar glukosa darah. Tujuan : Mengetahui pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Jepara Tahun 2021. Metode : Metode dalam penelitian ini adalah kuasi eksperimen dengan rancangan control group pre-test and post-test. Sampel 50 responden yang terdiri dari kelompok intervensi dan kelompok kontrol. Alat ukur yang digunakan glukometer digital, lembar observasi latihan PMR. Analisis data menggunakan uji wilcoxon. Hasil Penelitian : Hasil analisis uji wilcoxon signed rank test didapatkan bahwa p value = 0,001 (p value < α) maka dapat disimpulkan Ho ditolak dan Ha diterima yang berarti ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021. Kesimpulan : Ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021. Dengan penelitian ini diharapkan ada kelanjutan penelitian ini dengan metode lebih baik.

Download Full-text

PENGARUH FOOTBATH TREATMENT TERHADAP NYERI POST SECTIO CAESAREA DI RUANG MELATI RSUD DR SOEKARDJO TASIKMALAYA TAHUN 2019

JURNAL KEBIDANAN KESTRA (JKK) ◽

10.35451/jkk.v3i1.420 ◽

2020 ◽

Vol 3 (1) ◽

pp. 1-5

Author(s):

Detty Chotimah ◽

Yulia Herliani ◽

Endang Astiriyani

Keyword(s):

Rating Scale ◽

Numerical Rating Scale ◽

Sampling Technique ◽

Sectio Caesarea ◽

Rank Test ◽

P Value ◽

Abdominal Incision ◽

Signed Rank ◽

Numerical Rating ◽

Signed Rank Test

Sectio caesarea is a surgical procedure in giving birth with an abdominal incision and uterus that have higher morbidity than normal childbirth. Foot bath treatment is one part of post natal spa can release endorphins in the brain which is a natural pain reliever. The purpose of this research is to determine the effect of foot bath treatment on post SC pain in Melati room RSUD dr Soekardjo Tasikmalaya. This research was used pre eksperimental with pretest posttest design. The research instrument used Numerical Rating Scale (NRS). Sampling technique was used purposive sampling with 30 respondents. Foot bath treatment is done for 15 minutes. The analyzed was by Wilcoxon Signed Rank Test. The result of this research showed that the scale of pain before getting foot bath treatment is mostly moderate pain as many as 26 peoples (87,7%). The scale of pain after getting foot bath treatment is mostly mild pain as many as 25 peoples (83,3%). The result of the statistical test showed p value 0,000 <0,05 it means there is an effect of foot bath treatment to post SC pain.

Download Full-text

THE EFFECTIVENESS OF STIMULATION TO THE TOILET LEARNING ABILITIES OF TODDLER

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v5i1.art.p062-065 ◽

2018 ◽

Vol 5 (1) ◽

pp. 062-065

Author(s):

Maria Ulfa

Keyword(s):

Sampling Technique ◽

Statistical Test ◽

Learning Ability ◽

Rank Test ◽

P Value ◽

Learning Abilities ◽

Signed Rank ◽

Post Test ◽

Signed Rank Test ◽

Wilcoxon Sign Rank

Abstract :Toilet learning in children is an attempt to train children to be able to control in defecating and urinating. The aim of this research was to determine the effectiveness of stimulation to the toilet learning ability of toddler. The research usedPre-Experimental One-Group Pre-test-post test design. The sampling technique used purposive sampling. The statistical test used wilcoxon signed rank test. The population was 14 toddler of PosyanduBendowulungKabupatenBlitar. The result showed that there was an effect of stimulation to the ability of toilet learning of 1 to 3 years old toddler. The Statistical test result using Wilcoxon sign rank test obtained p value = 0,000 (<0,05). It is expected to increase knowledge about the implementation of toilet learning stimulation, especially for parents to make their children more indepen- dent. Keywords: Stimulation, Toilet learning.

Download Full-text

PENGARUH ISLAMIC PROGRESSIVE MUSCLE RELAXATION (IPMR) TERHADAP PENURUNAN KADAR KORTISOL PASIEN PRE OPERASI DI RUANG AZZAHRA 2 RSI JEMURSARI SURABAYA

Journal of Health Sciences ◽

10.33086/jhs.v11i1.119 ◽

2018 ◽

Vol 11 (1) ◽

Author(s):

Chilyatiz Zahroh ◽

Khamida Khamida ◽

Nanang Rokhman Saleh

Keyword(s):

Muscle Relaxation ◽

Simple Random Sampling ◽

Progressive Muscle Relaxation ◽

Rank Test ◽

Signed Rank ◽

Sample Data ◽

Post Test ◽

Signed Rank Test ◽

Cortisol Levels ◽

Patient Stress

Surgery is a medical action can cause stress on the patient. Stress patient who will undergo surgery must be well managed in order not to harm patients. The purpose of this study was to analyze the influence of Islamic progressive muscle relaxation (IPMR) against the patient's decrease cortisol levels. This research was experimental research with approach of pre-post test design. The population were all patients treated in Azzahra during September 2017, with research samples of 30 respondents obtained via simple random sampling techniques. Independent variables was Islamic progressive muscle relaxation, whereas cortisol levels was dependent variables. The data of Cortisol levels was collected through the patient's blood sample. Data were analyzed with a Wilcoxon signed rank test. Results of the study indicate that there are significant levels of cortisol after patient's IPMR. Cortisol levels in the normal range can modulate the immune system so as to strengthen the body's immune. Nurses can make the effort an effective, easy and cheap to reduce stress to patients who will undergo surgery with technique IPMR. Keywords: Islamic, Progressive, Muscle, Relaxation, Cortisol, Stress

Download Full-text

Aromaterapi Lavender dapat Menurunkan Intensitas Nyeri Perineum pada Ibu Post Partum

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2016.4(3).123-128 ◽

2017 ◽

Vol 4 (3) ◽

pp. 123

Author(s):

Wiwin Widayani

Keyword(s):

Post Partum ◽

Sampling Technique ◽

Complementary Therapy ◽

Perineal Pain ◽

Rank Test ◽

P Value ◽

Relieve Pain ◽

Signed Rank ◽

Before And After ◽

Signed Rank Test

Perineals pain affects woman ability to mobilize so that it can cause complications such as post-partum haemoragik. Trauma to the perineum also cause discomfort and dyspareunia, therefore, perineal pain management is important. Currently the handling used to relieve pain is complementary therapy aromatherapy with essential oils of lavender, because lavender has the properties of anticonvulsant, antidepressant, anxiolytic, and also soothing. Aromatherapy stimulates the hypothalamus to secrete chemical mediators that serve as pain relievers and give rise to feelings of happiness. The purpose of this study was to determine the effect of lavender aromatherapy to the perineal pain intensity in post partum women. This study is a quasy experiment pre and post non random control in postpartum women at Bidan Praktik Mandiri in Bandung. Sampling this study using consecutive sampling technique. The data taken using the instrument in the adaptation of a Visual Analog Scale (VAS) and analyzed by using the wilcoxon signed rank test. The result is there was a decrease in pain intensity before and after the administration of inhaled lavender aromatherapy (Z=-3.77) with p-value 0.001. Lavender aromatherapy can be a complementary alternative therapy to reduce pain in postpartum women but more research necessary is needed with more respondents.

Download Full-text

PENGARUH TEKNIK RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN SKALA NYERI MENSTRUASI (DISMENORE) PADA REMAJA PUTRI DI DESA PULAU JAMBU

PREPOTIF : Jurnal Kesehatan Masyarakat ◽

10.31004/prepotif.v5i1.1550 ◽

2021 ◽

Vol 5 (1) ◽

pp. 400-407

Author(s):

Helena Fira ◽

Apriza Apriza ◽

Nila Kusuma Wati

Keyword(s):

Health Center ◽

Young Women ◽

Rating Scale ◽

Muscle Relaxation ◽

Sampling Technique ◽

Progressive Muscle Relaxation ◽

Rank Test ◽

Bivariate Analysis ◽

P Value ◽

Relaxation Techniques

during menstruation or dysmenorrhea is often complained by teenage girls who have entered puberty as an uncomfortable sensation such as pain in the abdomen, cramps and pain in the waist that can interfere with daily activities. One of the non-pharmacological treatments for dysmenorrhea is progressive muscle relaxation techniques, which are very suitable for reducing dysmenorrhea pain. Purpose: This study was to determine the effect of progressive muscle relaxation techniques on the scale of menstrual pain (dysmenorrhea) in young women in Pulau Jambu village, the working area of the Kuok Community Health Center in 2020. Methods: This type of research uses a quasi-experimental method with a non-equivalent pretest-posttest plan. The sampling technique used purposive sampling with a sample size of 30 people. The data collection tool used was an observation sheet using the Numeric Rating Scale (NRS) pain scale. Data processing used univariate and bivariate analysis with the Wilcoxon Signed Rank Test with the SPSS 17 program. Results: this study shows that progressive muscle relaxation techniques have an influence on the scale of dysmenorrhea in young women in Pulau Jambu village, the working area of the Kuok Health Center in 2020 with a p value of 0.000. (

Download Full-text

PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN DAN PERILAKU KADER DALAM PEMANTAUAN TUMBUH KEMBANG BALITA

Media Ilmu Kesehatan ◽

10.30989/mik.v8i3.343 ◽

2020 ◽

Vol 8 (3) ◽

pp. 237-244

Author(s):

Tyas Ning Yuni Astuti Anggraini ◽

Ekawati

Keyword(s):

Health Education ◽

Growth And Development ◽

Sampling Technique ◽

Rank Test ◽

P Value ◽

Signed Rank ◽

Signed Rank Test ◽

And Behavior ◽

The Village ◽

Wilcoxon Rank Test

Background: One of the health development in Indonesia in the period of 2015-2019 was focused on reducing the stunting of under-fives. One of the government's tasks to overcome stunting is to oversee the growth and development of infants. This task reaches the level of basic health services, namely Posyandu which is carried out by trained cadres. Objective: to determine the effect of providing health education to the knowledge and behavior of Posyandu cadres in monitoring the growth and development of toddlers in Sukoharjo Methods: This type of research uses Quasi Experiment. The population in this study were all Posyandu cadres in Sukoharjo Village. The population is 120 cadres. Sampling technique with total sampling. The questionnaire used in this study used a closed questionnaire. Data analysis using the Wilcoxon Signed Rank Test Results: Most respondents have sufficient behavior as much as 96 respondents (80%), whereas after being given health education there is an increase in the good category of 96 people (80%). If seen from the Wilcoxon rank test, a p-value of 0,000 <0.05 is obtained, meaning that there are differences in behavior among respondents after being given health education. Conclusion: There is an influence of health education on knowledge and behavior in monitoring growth and development in the village of Sukoharjo

Download Full-text

Pengaruh Abdominal Stretching Exercise terhadap Penurunan Dysmenorrhea

Jurnal SMART Kebidanan ◽

10.34310/sjkb.v7i1.264 ◽

2020 ◽

Vol 7 (1) ◽

pp. 58

Author(s):

Yulita Elvira Silviani ◽

Tita Rosnita ◽

Buyung Keraman

Keyword(s):

Sampling Technique ◽

Rank Test ◽

Bivariate Analysis ◽

P Value ◽

Test Analysis ◽

Purposive Sampling ◽

Signed Rank ◽

Wilcoxon Signed Rank Test ◽

Post Test ◽

Signed Rank Test

ABSTRAK Angka kejadian nyeri menstruasi (dysmenorrhea) di dunia sangat besar, rata-rata lebih dari 50% perempuan disetiap Negara mengalami dysmenorrhea. Menurut data dari WHO, 2010 didapatkan angka kejadian sebesar 1.769.425 jiwa (90%) wanita mengalami dysmenorrhea dengan 10-15% mengalami dysmenorrhea berat. Tujuan penelitian ini adalah untuk mengetahui pengaruh abdominal stretching exercise terhadap penurunan dysmenorrhea pada mahasiswa D III kebidanan STIKes Tri Mandiri Sakti . Metode penelitian yang digunakan adalah analitik kuantitatif metode praeksperimen dengan rancangan desain (one group pre test-post test) dalam satu kelompok dengan analisa uji Wilcoxon Signed Rank Test. Sampel pada penelitian ini sebanyak 19 responden diambil dengan teknik purposive sampling. Analisis penelitian ini menggunakan analisis univariat dan bivariat. Berdasarkan hasil penelitian didapatkan dari 19 responden yang mengalami dysmenorrhea, diperoleh rata-rata skala dysmenorrhea sebelum dilakukan senam 8,00 dan sesudah dilakukan senam diperoleh rata-rata 5,00 Berdasarkan hasil uji analisis terdapat signifikan nilai p-value =0,000 <α=0,05. Ada pengaruh abdominal stretching exercise terhadap penurunan dysmenorrhea pada mahasiswa D III kebidanan STIKES Tri Mandiri Sakti Bengkulu.Kata Kunci: dysmenorrhea; abdominal stretching exercise; remaja putri THE EFFECT OF ABDOMINAL STRETCHING EXERCISE ON DYSMENORRHEA REDUCTIONABSTRACTThe incidence of menstrual pain (dysmenorrheal) in the world is very large, on average more than 50% of women in each country experience dysmenorrheal. According to data from WHO, 2010 there was an incidence of 1,769,425 people (90%) of women having dysmenorrheal with 10-15% having severe dysmenorrheal. The purpose of this study was to determine the effect of abdominal stretching exercise gymnastics on the reduction of dysmenorrheal in students of Diploma of midwifery at STIKES Tri Mandiri Sakti students. The research method used in this quantitative analytical study was pre-experimental method with design design (one group pre-test post test) in one group. With paired simple T-test test analysis and Wilcoxon signed rank test to test the data with normal distribution. The samples in this study were 19 respondents and taken by purposive sampling technique. The analysis of this study used univariate and bivariate analysis with Wilcoxon Signed Rank Test. Based on the results of the study obtained from 19 respondents who experienced dysmenorrheal, obtained on average dysmenorrheal scale before doing 8.00 gymnastics and after doing gymnastics obtained an average of 5.00. Based on the results of the analysis there were significant P-value = 0,000 <α = 0 05 that there is an effect of abdominal stretching exercise on decreasing dysmenorrheal in Diploma midwifery students at level I and II at STIKES Tri MandiriSakti Bengkulu. The conclusion is that there is significant influence of abdominal Stretching to reduce dysmenorrheal pain in Diploma midwifery students of STIKES Tri Mandiri Sakti Bengkulu.Keywords: abdominal stretching exercise; decreasing; female students

Download Full-text

INCREASED KNOWLEDGE OF WOMAN ADOLESCENT ABOUT ABORTUS PROVOCATUS CRIMINALIS AFTER IN HEALTH EDUCATION

Jurnal Ilmiah Perawat Manado (Juiperdo) ◽

10.47718/jpd.v6i2.791 ◽

2018 ◽

Vol 6 (2) ◽

pp. 76-82

Author(s):

Fernanda Sharen Maissy Wuisan ◽

Lucia Moningka ◽

Esther N. Tamunu

Keyword(s):

Health Education ◽

Young Women ◽

Sampling Technique ◽

Rank Test ◽

Control Group ◽

P Value ◽

Signed Rank ◽

Signed Rank Test ◽

Level Of Knowledge ◽

Female Teenagers

Background: Abortion provocateurs criminalis is an abortion that occurs due to actions that are not legal or not based on medical indications. The incidence of abortion in Indonesia according to the BKKBN every year there is an increase of about 15% and of that number 800,000 of them are carried out by young women who are still sitting in school. Data found in SMK Cokroaminoto, Manado City, 5 female students who dropped out of school due to pregnancy out of wedlock and 2 of them took shortcuts by aborting provocateurs criminals. Objective: This study is to determine the effect of health education on the level of knowledge of adolescent girls about abortion provocateurs criminals. Method: The research design used was a pre-experimental method with a one-group pretest-posttest method in which the design features were not compared to a control group. The study population was female teenagers grade X and XI at SMK Cokroaminoto Manado, amounting to 49 people. The sampling technique used was Total Sampling, as many as 31 people. Results: Analysis with the Wilcoxon signed-rank test. The test results have a significant effect on health education about abortion provocateurs criminal on the level of knowledge of young women (α ≤ 0.05 ie p-value = 0,000). Conclusion: Health education about abortion provocatus criminals increases the knowledge of young women. Suggestions are expected that young women can increase awareness to prevent abortion of provocateurs criminalis.

Download Full-text

EDUKASI MENGENAI ANEMIA DEFISIENSI BESI BAGI REMAJA PUTRI DENGAN MEDIA LEAFLET

Prosiding SENAPENMAS ◽

10.24912/psenapenmas.v0i0.15000 ◽

2021 ◽

pp. 279

Author(s):

Angelita Afina Arif Putri ◽

Amirah Salwa ◽

Utami Wahyuningsih

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Adolescent Girls ◽

Correct Answer ◽

Deficiency Anemia ◽

Rank Test ◽

P Value ◽

Signed Rank ◽

Wilcoxon Signed Rank Test ◽

Signed Rank Test

One of the nutritional problems that often occurs among adolescents is iron deficiency anemia. Especially for adolescent girls who have a higher risk of anemia than adolescent boys. Based on data from Riskesdas 2018, the prevalence of anemia in adolescents aged 15-24 years is 32%, meaning that there are still anemia problems in Indonesia that have not been resolved. The purpose of this community dedication activity is to provide education about iron deficiency anemia for adolescent girls using leaflet media. The target of this community dedication activity is adolescent girls aged 12-19 years in the JABODETABEK area. The community dedication activity is carried out online through the WhatsApp group due to the COVID-19 pandemic. There are 31 adolescent girls who participated in this community dedication activity. This community dedication activity consists of three stages including pretest, education with leaflets, and posttest. The amount and types of pretest and posttest questions are the same. The amount of questions given is 15 questions. The correct answer is given a score of 10 and the wrong one is given a score of 0. The level of knowledge of adolescent girls is categorized as 3 groups, which is less if the correct answer is <60%, sufficient if the correct answer is 60-80%, and good if the correct answer is >80%. Most of the adolescent girls are in the age range of 17-19 years (54.8%). The results showed that there was an increase in knowledge about iron deficiency anemia in adolescent girls. The results of the Wilcoxon signed rank test showed significantly different pretest and posttest results (p-value = 0.000), so it can be concluded that providing education using leaflets can help increase knowledge of iron deficiency anemia for adolescent girls.Salah satu masalah gizi yang sering terjadi pada kalangan remaja yaitu anemia defisiensi besi. Khususnya bagi remaja putri yang memiliki risiko lebih tinggi mengalami anemia dibandingkan remaja putra. Berdasarkan data Riskesdas 2018, prevalensi anemia pada remaja berusia 15-24 tahun sebesar 32%, artinya masih terdapat permasalahan anemia di Indonesia yang belum teratasi. Tujuan dari pengabdian masyarakat ini adalah untuk memberikan edukasi mengenai anemia defisiensi besi bagi remaja putri dengan media leaflet. Sasaran dari kegiatan pengabdian masyarakat ini adalah remaja putri berusia 12-19 tahun di wilayah JABODETABEK. Kegiatan pengabdian masyarakat dilakukan secara online melalui grup whatsappkarena kondisi pandemi covid-19. Total remaja putri yang mengikuti kegiatan pengabdian masyarakat berjumlah 31 orang. Kegiatan pengabdian masyarakat ini terdiri dari tiga tahapan diantaranya pretest, edukasi dengan leaflet, dan posttest. Jumlah dan jenis pertanyaan pretest dan posttest sama. Jumlah pertanyaan yang diberikan adalah 15 soal. Jawaban yang benar diberikan nilai 10 dan yang salah diberikan nilai 0. Tingkat pengetahuan remaja putri dikelompokkan menjadi 3 diantaranya kurang jika jawaban yang benar < 60%, cukup jika jawaban yang benar 60-80%, dan baik jika jawaban yang benar > 80%. Sebagian besar remaja putri berada pada rentang usia 17-19 tahun (54,8%). Hasil menunjukkan bahwa terdapat peningkatan pengetahuan mengenai anemia defisiensi besi pada remaja putri. Hasil uji Wilcoxon signed rank test menunjukkan hasil pretest dan posttest yang berbeda nyata (p-value = 0,000), sehingga dapat disimpulkan bahwa pemberian edukasi menggunakan leaflet dapat membantu meningkatkan pengetahuan anemia defisiensi besi bagi remaja putri.

Download Full-text