Penerapan Senam Kegel Untuk Menurunkan Inkontinensia Urine Pada Lansia

When someone is getting older, usually she has some change, whether physical, biological, psychological, and mental ones. One of the physical changes is urinary incontinence disorder. It is uncontrolled release of urine that causes hygiene and social problems. This paper whitten to apply kegel exercises to reduce urinary incontinence disorder in elderly. It focused on two families with elderly who get this disorder. The result shows both cannot control their urination into the restroom. After applying the intervention, the first one still cannot control, yet. However, the second one has succeeded in controlling his urination, until he went to the restroom. Thus, it could be concluded this exercises is able to reduce urinary incontinence in elderly. Therefore, it is expected for them to practice it regularly. Keywords: urinary incontinence, elderly, kegel exercise AbstrakMenua biasanya mengalami perubahan-perubahan, baik perubahan fisik biologis maupun psikologis dan mental. Salah satu perubahan fisik pada lansia yaitu mengalami gangguan inkontinensia urine. Inkontinensia urine adalah keluarnya urin yang tidak terkontrol sehingga menyebabkan gangguan kebersihan dan sosial. Karya Tulis Ilmiah ini bertujuan untuk menerapkan senam kegel untuk menurunkan inkontinensia urine pada lansia. Fokus studi kasus pada karya tulis ilmiah ini adalah 2 keluarga dengan lansia yang mengalami inkontinensia urine. Hasil menunjukkan sebelum intervensi kedua pasien tidak dapat menahan BAK sampai ke kamar mandi. Setelah intervensi pada pasien 1 dapat menahan BAK belum dapat menahan sampai ke kamar mandi. Sedangkan pada pasien 2 dapat menahan BAK sampai ke kamar mandi. Kesimpulannya senam kegel dapat menurunkan inkontinensia urine pada lansia. Saran bagi pasien untuk melakukan senam kegel dengan rutin dan teratur. Kata kunci: Inkontinensia urine; lansia; senam kegel

Pemenuhan Kebutuhan Eliminasi Pada Inkontinensia Urine Dengan Kegel Exercise Di UPT Pelayanan Sosial Lanjut Usia Binjai

ABSTRACT: FULFILLMENT OF URINE INCONTINENCE NEEDS FOR ELIMINATION WITH KEGEL EXERCISE AT BINJAI ELDERLY SOCIAL SERVICE UPT Background: Urinary incontinence means the spontaneous expulsion of urine at any time against the will (involuntary). Elderly is the process of slowly losing the ability of tissues to repair themselves/replace and maintain their normal function.Purpose: Kegel exercises are exercises to strengthen the pelvic muscles or exercises that aim to strengthen the pelvic floor muscles, especially the pubococcygeal muscles so that a woman can strengthen the urinary tract muscles.Methods: This research method is descriptive with a nursing process approach. The subject of the study was conducted on 2 patients with the same case, namely in patients who experienced urinary incontinence.Results: The results of the urinary incontinence assessment were associated with decreased bladder and detrusor muscle tone. The nursing interventions and implementation are monitoring the pattern and ability to urinate, identifying the causes of urinary incontinence, explaining the definition, types, and causes of urinary incontinence, recommending limiting fluid consumption 2-3 hours before bedtime, encouraging clients to do Kegel exercises and collaborating with medical and physiotherapists to overcome urinary incontinence. Kegel exercises were carried out in stages to the patient 2 days a day, morning and evening.Conclusion: The evaluation was carried out for 3 days and the results were that the patient was able to urinate and was controlled. The research is expected that the elderly UPT Binjai will improve more skills and always coordinate with other health teams in providing nursing care in accordance with Standard Operating Procedures (SOP). Keywords: Elimination Needs, Urinary Incontinence, Kegel Exercises INTISARI: PEMENUHAN KEBUTUHAN ELIMINASI PADA INKONTINENSIA URINEDENGAN KEGEL EXERCISE DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI Latar Belakang: Inkontinensia urin berarti pengeluaran urin secara spontan pada sembarang waktu diluar kehendak (involunter). Lansia adalah proses hilangnya secara perlahan-lahan kemampuan jaringan untuk memperbaiki diri/mengganti dan mempertahankan fungsi normalnya.Tujuan: Senam kegel adalah senam untuk menguatkan otot panggul atau senam yang bertujuan untuk memperkuat otot-otot dasar panggul terutama otot pubococcygeal sehingga seorang wanita dapat memperkuat otot-otot saluran kemih.Metode: Metode penelitian ini adalah deskriptif dengan pendekatan proses Keperawatan. Subjek penelitian dilakukan pada 2 orang pasien dengan kasu yang sama yaitu pada pasien yang mengalami inkontinensia urin.Hasil: Hasil pengkajian inkontinensia urin berhubungan dengan penurunan tonus kandung kemih dan otot detrusor. Intervensi dan implementasi keperawatanya itu memonitor pola dan kemampuan berkemih, mengidentifikasi penyebab inkontinensia urine, menjelaskan definisi, jenis dan penyebab inkontinensia urine, menganjurkan membatasi konsumsi cairan 2-3 jam menjelang tidur, menganjurkan klien untuk senam kegel dan melakukan kolaborasi dengan medis dan fisioterapi untuk mengatasi inkontinensia urine. Senam kegel dilakukan secara bertahap kepada pasien 2 hari sehari pagi dan sore hari.Kesimpulan: Evaluasi dilakukan selama 3 hari dan didapatkan hasil yaitu pasien dapat berkemih dan dikontrol. Penelitian diharapkan UPT lanjut usia Binjai meningkatkan keterampilan yang lebih dan selalu berkoordinasi dengan tim kesehatan lainnya dalam memberikan asuhan keperawatan sesuai dengan Standart Operasional Prosedur (SOP). Kata Kunci: Kebutuhan Eliminasi, InkontinensiaUrin, Senam Kegel

Efektifitas Puerperal Gymnastic dan Kegel Exercises terhadap Involusi Uterus pada Ibu Postpartum Hari 1 - 3

During labor, women experience many reproductive changes, one of which is uterine involution. If the uterine involution is late to return to normal, it will cause subinvolution, puerperal gymnastic techniques and kegel exercises are the easiest techniques to use and are very effective. The purpose of this study was to determine the effectiveness of puerperal gymnastic and kegel exercises on uterine involution in postpartum mothers day 1-3 at BPM Hj. Nengah Mardani Tenggarang Bondowoso. This type of research uses a pre-experimental research methodology using a two-group interpretation-posttest design, with a sample of 30 respondents. The sampling technique in this study used total sampling. Data analysis used paired sample t test and independent t test. The independent t test results showed that there was no significant difference between puerperal gymnastic and kegel exercises in overcoming uterine involution in postpartum mothers with a p value of 0.039 (p value> α 0.05). Of the two techniques, Kegel exercises were more effective in reducing involution. uterus with a mean difference of 6.7333> than the mean puerperal gymnastic of 5.8000.

THE EFFECT OF KEGEL EXERCISE ON THE QUALITY OF LIFE IN POST TURP PATIENTS AT MUHAMMADIYAH HOSPITAL

Introduction: Urinary incontinence is a comorbid condition that often occurs in post TURP clients. Low urinary incontinence scores were found in post TURP clients who did Kegel exercises. The purpose of this study was to explain the effect of Kegel exercise on urinary incontinence, and quality of life in post- TURP clients. Methods: The study design was a true experiment pre-post test control group design. The sample size was 32 people who were selected by systematic random sampling, consisting of 16 people in the control group and 16 people in the group treatment. The independent variable in this study was Kegel exercise and the dependent variable was quality of life. Data were collected using a quality of life questionnaire with WHOQOL-BREF. Inferential analysis used statistical t-test (Independent t-Test and Paired t-Test), MANOVA with a significance level of α < 0.05. Results: The results showed that: Kegel exercises improve quality of life scores of the significance level p = 0.045. Conclusion: Kegel exercise can build pubococcygeus muscle mass, improve blood circulation, and improve the bulbocavernosus and ischiocavernosus muscles, thereby reducing urinary incontinence, and quality of life for post TURP clients in a wider population by increasing the reach of the study population and increasing monitoring of client exercise

En medrivende form for knibeøvelser: Når retoriske homologier driver en designproces

Homological analysis has played a part in rhetorical criticism to uncover unexpected common forms that connect otherwise disparate groups and contexts. This article investigates how to use homologies as discursive prototypes when designing compelling forms and developing design solutions to complex problems in a rhetorical vein. Two different cases are presented for illustration that share a focus on Kegel exercises. One is an activist campaign, a fictitious party established during the Danish national election in 2019 to counter the far-right party Stram Kurs (Hard Line) by way of humor and coordinated Kegel exercises; the other a current co-creation process in which designers and groups of new mothers explore rhetorical homologies that might motivate Kegel exercises in relation to pregnancy. These two form-oriented design processes are analyzed to discover how rhetorical homological thinking might support the creative development as well as the critical evaluation of compelling forms before they are circulated to propose surprising solutions to large and small problems in society. Keywords populism, Ernesto Laclau, antagonism, empty signifier, chains of equivalence, affect, political rhetoric

Addition of Neuromuscular Taping in Kegel Exercise For Increasing Pelvic Floor Muscles of the Urine Incontinence in Middle-aged Individuals

Urine incontinence is the loss of bladder control, or leaking urine. The current study aimed at providing a physiotherapy intervention such as adding neuromuscular taping to Kegel exercises for increasing the pelvic floor muscles. The study was conducted at the Wredha Khusnul Khotimah house in Pekanbaru. The study is an experimental research with a randomized pre- and post-test group design, and made a comparison between the two groups. The study compared the RUIS (Revised Urinary Incontinence Scale) scale value before and after the intervention. The study sample comprised of 20 middle-aged people with urine incontinence condition who were recommended neuromuscular taping in addition to their Kegel exercises for six weeks. Mann Whitney test found p-value < 0.05, so it could be concluded that there was a difference between the RUIS value before and after the intervention in both groups. The addition of neuromuscular taping to Kegel exercises is more effective than Kegel exercise alone for urine incontinence condition in middle-aged individuals. Keywords: neuromuscular taping, elderly, urine incontinence

Two at-home apps for patients with pelvic floor disorders

Clinicians can recommend these apps to assist their patients in performing Kegel exercises.