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PENANGANAN NON BEDAH PADA TRAUMA KAPITIS 脑膜炎创伤非外科治疗
Pub Date : 2020-04-30 DOI: 10.36656/JPKM.V2I2.292
Tri Makmur, F. A. Siregar
Capitis trauma is a problem in the field of neurology, as the most common cause of death in young adults (<45 years) and a major cause of disability. Of the 2 million emergency patients, 25% are caused by capitis trauma, which can cause neurological disorders and structural damage to the brain resulting in decreased consciousness. In developing countries, including Indonesia, the frequency of capitis trauma tends to increase. Capitis trauma can occur at any age, most often regarding the productive age group (15-44 years). The frequency of capitis trauma is higher in males than females with a ratio of 4: 1. The most common cause is due to accidents by 60%. Capitis trauma in terms of neurological aspects requires operative therapy and non-operative therapy. Non-operative treatment can be done by maintaining the airway / ventilation, maintaining fluid balance, maintaining temperature, neurological examination and administration of drugs such as dexamethasone, anti-seizure administration, administration of hypertonic fluids such as manithol and administration of stress ulcer drugs.
头炎创伤是神经病学领域的一个问题,是年轻人(45岁以下)最常见的死亡原因和残疾的主要原因。在200万急诊患者中,25%是由头炎外伤引起的,头炎可引起神经系统疾病和大脑结构损伤,导致意识下降。在发展中国家,包括印度尼西亚,资本创伤的频率趋于增加。头膜创伤可发生在任何年龄,最常发生在生育年龄组(15-44岁)。头炎的发生率男性高于女性,比例为4:1。最常见的原因是由于60%的事故。头炎在神经方面的创伤需要手术治疗和非手术治疗。非手术治疗可通过维持气道/通气、维持体液平衡、维持体温、神经学检查和使用药物(如地塞米松)、抗癫痫药物、高渗液体(如曼尼醇)和应激性溃疡药物来完成。
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引用次数: 0
HUBUNGAN KECANDUAN GAME ONLINE DENGAN POLA TIDUR PADA REMAJA USIA 16 - 18 TAHUN DI SMA NEGERI 1 DELI TUA KECAMATAN DELI TUA KABUPATEN DELI SERDANG TAHUN 2019
Pub Date : 2020-04-30 DOI: 10.36656/JPKM.V2I2.194
Mona Fitri Gurusinga
Background: online game addiction is one form of addiction that is non-physical, indicated by unhealthy behavior with compulsiveness or continuous behavior in playing online games to get satisfaction so that it will be difficult to stop or limit it even though the behavior causes some social and emotional problems. Method: this study was conducted by Analytical Survey with Cross-Sectional approach. Research Results: there is a relationship between online game addiction and sleep patterns in adolescents aged 16-18 years (value p = 0.004 <α 0.05). Conclusion: adolescents who are addicted to online games with disturbed sleep patterns are more numerous than adolescents who are not addicted to sleep patterns of adolescents who not disturbed. Suggestion: it is expected that all parents pay more attention to their children in using the internet (playing online games), not to be addicted because it will endanger the child's future and the child's sleep patterns will also be disrupted due to lack of sleep.
背景:网络游戏成瘾是一种非身体成瘾,表现为不健康的行为,强迫性或持续性地玩网络游戏以获得满足感,即使这种行为造成一些社会和情感问题,也难以停止或限制。方法:采用横断面分析法进行调查。研究结果:16-18岁青少年网络游戏成瘾与睡眠模式存在相关性(p = 0.004 <α 0.05)。结论:睡眠模式受干扰的网络游戏成瘾青少年比睡眠模式不受干扰的青少年数量更多。建议:希望各位家长在孩子使用网络(玩网络游戏)的时候多加注意,不要上瘾,因为这会危及孩子的未来,孩子的睡眠模式也会因为睡眠不足而被打乱。
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引用次数: 3
PENGARUH TERAPI BERMAIN LEGO TERHADAP INTERAKSI SOSIAL ANAK AUTIS DI SDLB 017700 KISARAN NAGA KECAMATAN KISARAN TIMUR KABUPATEN ASAHAN TAHUN 2019
Pub Date : 2020-04-30 DOI: 10.36656/JPKM.V2I2.226
D. Barus, Citra Anggraini, Friska Sembiring
Social interaction is a relationship relating to individuals with individuals, individuals with groups, and groups with groups in which there is cooperation and competition. Children with autism have language and communication difficulties as well as understanding their surroundings. Researchers have the aim to determine the effect of lego play therapy on the social interactions of children with autism. In this study, researchers used a pre-experimental research design in the form of one group pretest-posttest. The sample in this study were all students suffering from autism, as many as 13 students in grades 1 - 4, with age 7 - 10 years with total sampling technique. Collecting data using observation sheets, researchers wanted to find out the extent to which play lego therapy can increase social interaction in children with autism. Where the results of the study state social interaction before being given lego play therapy is 1.15, while after being given lego play therapy is 1.77 . The results of statistical tests that have been conducted by researchers say there is an effect of lego play therapy on social interactions of children with autism can be seen the results of the p-value < 0.05. In this case the researchers suggest that teaching staff at SDLB in the future be able to implement this lego play therapy so that the social interaction of children with autism can increase even better.
社会互动是指个体与个体、个体与群体、群体与群体之间存在合作与竞争的关系。患有自闭症的儿童有语言和交流的困难,也无法理解周围的环境。研究人员的目的是确定乐高游戏疗法对自闭症儿童社会互动的影响。在本研究中,研究者采用了一组前测后测的实验前研究设计。本研究的样本采用全抽样方法,全部为自闭症学生,1 - 4年级学生多达13名,年龄在7 - 10岁之间。研究人员利用观察表收集数据,希望找出乐高游戏疗法能在多大程度上增加自闭症儿童的社交互动。其中,研究结果表明,接受乐高游戏治疗前的社会互动为1.15,接受乐高游戏治疗后的社会互动为1.77。研究人员进行的统计测试结果表明,乐高游戏治疗对自闭症儿童的社会互动有影响,可以看到结果的p值< 0.05。在这种情况下,研究人员建议SDLB的教学人员在未来能够实施这种乐高游戏疗法,这样自闭症儿童的社会互动可以更好地增加。
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引用次数: 1
HUBUNGAN STATUS AKREDITASI PUSKESMAS DENGAN MUTU PELAYANAN DI KABUPATEN SIMALUNGUN 西马伦贡地区社区卫生中心的认证状况与服务质量之间的关系
Pub Date : 2020-04-30 DOI: 10.36656/JPKM.V2I2.239
Siti Marlina, Novrika Silalahi, Septa Dwi Insani, Herri Novita Br Tarigan, F. Sitorus
Puskesmas is a health service facility that organizes public health efforts and first-level individual health efforts, with greater emphasis on promotive and preventive efforts, to achieve the highest level of public health in the working area. Puskesmas Accreditation is an acknowledgment given by an independent Accreditation provider established by the Minister after meeting Accreditation standards. The purpose of this study was to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This type of research is analytic to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This study uses a case control study approach (case and control), where independent variables are determined first, then the dependent variable is searched through a questionnaire that has been tested. A sample of 92 people, 46 were sampled for cases (Puskesmas Tiga Dolok) and 46 for controls (puskesmas Huta Bayu) using consecutive sampling techniques. Based on the results of bivariate test studies, that the dimensions of service quality related to the health center accreditation status (p <0.05) are tangibles, reliability, responsiveness, and assurance dimensions. Factors that are not related to the health center accreditation status (p> 0.05) are empathy dimensions. From the multivariate test results, it is known that the most dominant factor on the status of puskesmas accreditation is the quality of service based on the dimensions of responsiveness.
Puskesmas 是一个卫生服务设施,负责组织公共卫生工作和一级个人卫生工作,更加重视促进和预防工作,以实现工作区域内最高水平的公共卫生。Puskesmas 认证是由部长设立的独立认证机构在达到认证标准后给予的认可。本研究的目的是确定西马伦贡地区乡镇卫生院认证状态与服务质量之间的关系。本研究采用分析法来确定西马伦贡地区乡镇卫生院认证状况与服务质量之间的关系。本研究采用案例对照研究法(案例与对照),首先确定自变量,然后通过已测试的调查问卷寻找因变量。采用连续抽样技术抽取了 92 个样本,其中 46 个为病例(Puskesmas Tiga Dolok),46 个为对照(puskesmas Huta Bayu)。根据双变量检验研究的结果,与保健中心认证状况相关的服务质量维度(P 0.05)是移情维度。从多变量测试结果可知,影响乡卫生院认证状况的最主要因素是基于响应性维度的服务质量。
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引用次数: 1
INTERVENSI KEPERAWATAN PADA PASIEN PRURITUS UREMIK YANG MENJALANI TERAPI HEMODIALISA: A SYSTEMATIC REVIEW 接受血液透析治疗的UREMIK prurituic患者的护理干预:系统审查
Pub Date : 2020-04-30 DOI: 10.36656/JPKM.V2I2.216
Friska Sembiring, Citra Anggraini, Dewi Tiansa
Uremik pruritus merupakan salah satu keluhan paling umum terjadi pada pasien yang menjalani terapi hemodialisa dimana komplikasi nya sangat erat berhubungan dengan gangguan kualitas hidup, gangguan tidur, ansietas dan komplikasi lainnya pada daerah kulit yang dapat mencapai tingkat mortalitas yang tinggi. Penelitian tentang uremik pruritus yang melihat efek minyak esensial aromatherapy di tinjau terbitan antara tahun 2011 sampai dengan tahun 2018. Metode yang digunakan melalui pencarian database CINAHL, Science Direct, JCN, IOSR Journal, Biomed Central, Proquest, Google Scholar dengan pencarian jurnal tentang efek intervensi keperawatan terhadap pruritus uremik. Penelitian yang di telusuri ada 10 jurnal terdiri dari original research, studi review, short review dan randomize control trial dan quasi eksperimental yang meneliti tentang intervensi keperawatan seperti  aromatherapy, akupressure, pemantauan status gizi terhadap pasien pruritus uremik dimana jurnal tersebut mendapatkan kesimpulan bahwa intervensi keperawatan memberikan efek positif terhadap pruritus uremik dari hasil penelitian tersebut di dapatkan bahwa penelitian aromatherapy lebih banyak memberikan hasil yang baik terhadap penurunan uremik pruritus khususnya pada pasien yang menjalani terapi hemodialisa. Intervensi keperawatan seperti complementary therapy dapat di pertimbangkan menjadi salah satu terapi non farmakologis yang dapat diberikan kepada pasien yang mengalami uremik pruritus.
Uremik pru蒂斯是在接受血液透析治疗的患者中最常见的症状之一,这些症状与生活质量障碍、睡眠障碍、ansietas和皮肤区域可能达到高死亡率的其他并发症密切相关。从2011年到2018年,在对香薰油的研究中,可以看到对香油的影响。使用的方法是通过搜索CINAHL、科学直接、JCN、IOSR杂志、生物医学中心、Proquest、谷歌Scholar等期刊,寻找关于护士干预对uremik普鲁仪式影响的期刊。随后的研究包括10份期刊,包括原始研究、评论研究、简短回顾和randomize控制试验和实验quasi,这些研究了治疗、理疗、在《预防血液透析疗法》一书中,对护理干预对尿素患者的营养状况进行监测,得出的结论是,护理干预对尿素的治疗产生了积极的影响。完整的治疗等护理干预可以被认为是一种非药物治疗,可以作为一种非药物治疗,可以给受尿道困扰的患者。
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引用次数: 0
PENGARUH SENAM KAKI DIABETIK TERHADAP ANKLE BRACHIAL INDEKS PADA PASIEN DIABETES MELLITUS TYPE II DI RUMAH SAKIT UMUM SEMBIRING
Pub Date : 2020-04-30 DOI: 10.36656/JPKM.V2I2.201
Rostiodertina Girsang, F. Sitorus, Zuliawati Zuliawati
Diabetes Melitus (DM) adalah suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin atau aktivitas insulin. Salah satu komplikasi dari Diabetes Melitus Tipe 2 yang mempengaruhi sistem saraf perifer yaitu Peripheral Arthery Disease (PAD) merupakan suatu kondisi dimana terdapat terdapat lesi di pembuluh darah sehingga menyebabkan aliran darah dalam arteri yang mensuplai darah ke ekstermitas menjadi terbatas. Senam kaki diabetes dapat membantu sirkulasi darah dan memperkuat otot-otot kecil kaki dan mencegah terjadinya kelainan bentuk kaki. Sikulasi darah pada daerah kaki dapat diukur melalui pemeriksaan non invasive salah satunya adalah dengan pemeriksaan ankle brachial index. Penelitian ini bertujuan untuk menguji Pengaruh senam kaki Diabetes Terhadap Ankle Brachial Index Pada Pasien DM Tipe. Jenis penelitian ini merupakan eksperimenental studies dengan pre test dan post test. Sampel penelitian ini sebanyak 10 orang dengan teknik purposive sampling. Hasil penelitian rata-rata ankle brachial index pasien setelah pemberian terapi senam kaki mengalami peningkatan dengan nilai ABI sebelum pemberian terapi senam kaki (pretest) sebagian besar tergolong berat yaitu 4 responden (40%) meningkat menjadi normal sebanyak 5 responden (50%) setelah diberikan terapi senam kaki (posttest). Dan dari hasil t hitung sebesar 4.714, hal ini diketahui bahwa nilai t hitung lebih besar dari t tabel (4.714>1.833), yang berarti H0 ditolak dan Hα diterima, sedangkan nilai p=0.001 lebih kecil dari tingkat kemaknaan α=0,05 hal ini menunjukan ada perbedaan yang bermakna antara ankle brachial index sebelum dan sesudah pemberian terapi senam kaki.
糖尿病(DM)是一种代谢疾病,其特征是胰岛素分泌障碍或胰岛素活动引起的高血糖疾病。皮氏2型糖尿病影响周围神经系统(PAD)的2型糖尿病并发症之一是血管存在损伤,导致动脉中提供血液到外侧的血液流动受到限制。糖尿病腿的锻炼有助于血液循环和加强腿部的小肌肉,防止足部畸形。腿上的血液循环可以通过非侵入性检查来测量,其中之一就是腕管检查。本研究旨在测试糖尿病腿体操对DM型患者Ankle Brachial指数的影响。这种研究是试验前和试验后的实验研究。本研究采用采样技术的10个人样本。足疗后的ankle brachial的研究结果显示,足疗后的平均体重增加了4名受访者(40%),而足疗后的平均体重增加了5名受访者(50%)。结果t数4.714大小的,这件事泄露出去,数不清的t值大于t(4.714表> 1.833),意味着豪拒绝的Hα被录取了,而p =冰河世纪的价值小于kemaknaan水平α= 0。05这展示肱脚踝指数是有意义的区别治疗前后的礼物体操英尺。
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引用次数: 0
HUBUNGAN PERILAKU HIDUP BERSIH DAN SEHAT DALAM TATANAN RUMAH TANGGA DENGAN KEJADIAN DIARE 在家庭环境中清洁健康生活关系与腹泻事件
Pub Date : 2020-04-30 DOI: 10.36656/JPKM.V2I2.238
Alprindo Sembiring, F. Sitorus, Rita Ayu Butar-butar
Diarrheal disease frequency of bowel movements more than 4 times with consistent dilute, can green or can be mixed with mucus and blood or mucus only. This study aims to determine The relationship between behavior of clean and healthy life and incidence of diarrhea at subvillage sidorame paya rumput subdistrict medan deli. The study design used is cross sectional by using total sampling method, a sample size of 50 people. Data were analyzed using chi square test, with α of 0.05. Research results obtained from 50 people who did not do a clean and healthy living behaviors there are 37 people (74%) had diarrhea, which perform a clean and healthy life behavior, there were 13 people (26%) did not have diarrhea. From the research there was no significant association of clean and healthy behaviors with the incidence of diarrhea who do not have the meaning of living a clean and healthy behaviors have a great chance of diarrhea than those who do a clean and healthy living behaviors. Suggested to the health authority health centers medan deli to take preventive action against the possible occurrence of diarrhea to reduce mortality and morbidity in diarrhea.
腹泻病的大便频率在4次以上,呈一致稀释,可呈绿色或可与黏液混合或仅含黏液。本研究旨在了解西多拉姆帕亚朗普街道棉兰熟食店村村民清洁健康生活行为与腹泻发生率的关系。本研究采用全抽样的横断面设计,样本量为50人。数据采用卡方检验,α为0.05。研究结果从50名未做清洁健康生活行为的人中获得有37人(74%)出现腹泻,其中执行清洁健康生活行为的人中有13人(26%)没有出现腹泻。从研究来看,清洁健康的生活习惯与腹泻的发病率没有显著的联系,没有清洁健康生活习惯的人比那些有清洁健康生活习惯的人有更大的腹泻几率。向卫生主管部门建议棉兰熟食保健中心采取预防措施,预防可能发生的腹泻,以降低腹泻的死亡率和发病率。
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引用次数: 0
HUBUNGAN MOTIVASI KADER POSYANDU DENGAN UPAYA PENINGKATAN KUNJUNGAN BALITA DI WILAYAH KERJA PUSKESMAS PAMATANG SILIMAHUTA TAHUN 2019 推动者POSYANDU与2019年PUSKESMAS patum pasilimahuta工作区域的幼儿访问增加
Pub Date : 2019-11-05 DOI: 10.36656/jpkm.v2i1.171
Maria M U Girsang, Siti Marlina
Motivation is defined as strength, encouragement, needs, enthusiasm, pressure, or psychological mechanisms that encourage someone or a group of people to achieve certain achievements in accordance with what people  want. Integrated service post is one form of health services organized by the community for the community with technical support from local health workers. The purpose of this study was to determine the relationship between the motivation of  integrated service postcadres and efforts to increase children under five year visits in the area in the Pamatang Silimahuta Community Health Center work area. The sample was 73 respondents using random sampling techniques. The  design of  this study used analytic survey research, using the Cross Sectional approach and data collected from respondents using questionnaire sheets. The results showed a relationship between integrated service post cadre motivation and efforts to increase children under five year visits in the Pamatang Silimahuta Community Health Center work area with p value = 0.007 smaller than 0.05. It was suggested to the relevant parties to give awards to cadres so that it could motivate integrated service postcadres to be more active so that it can increase children under five year  visit to the integrated service post.
动机被定义为力量、鼓励、需求、热情、压力或心理机制,鼓励某人或一群人按照人们的愿望取得一定的成就。综合服务站是社区在当地卫生工作者的技术支持下为社区组织的一种卫生服务形式。本研究的目的是确定综合服务岗位干部的动机与帕马唐西里马胡塔社区卫生中心工作区域增加该地区5岁以下儿童就诊的努力之间的关系。采用随机抽样技术,调查对象为73人。本研究的设计采用了分析调查研究,采用了横断面方法,并使用问卷收集了受访者的数据。结果显示,综合服务岗位干部积极性与帕马唐西里玛胡塔社区卫生服务中心工作区域5岁以下儿童就诊增加力度存在相关关系,p值= 0.007小于0.05。建议有关方面对干部进行奖励,激励综合服务岗位干部更加积极主动,增加5岁以下儿童到综合服务岗位就诊。
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引用次数: 0
PENGARUH PEMBERIAN MAKANAN TAMBAHAN PEMULIHAN TERHADAP PERUBAHAN STATUS GIZI BALITA GIZI BURUK DI TFC-FAJAR UPTD PUSKESMAS SAIGON KOTA PONTIANAK TAHUN 2018 在tf-黎明UPTD西贡西贡的儿童营养状况恶化的进一步食品影响,2018年庞蒂克市
Pub Date : 2019-10-31 DOI: 10.36656/jpkm.v2i1.175
A. Saputra, Sukma Sahreni
Background: The best indicator to measure the nutritional status of the community is through the nutritional status of children under five. In an effort to overcome the problem of malnutrition in infants, the Ministry of Health of the Republic of Indonesia established a comprehensive policy, including prevention, promotion or education and management of malnutrition toddlers. The prevention efforts are carried out through growth monitoring in integrated service posts while malnourished children under five are treated with supplementary recovery feeding programs. Method: This research is a Quasi Experiment study with one group pretest and posttest design. The sampling technique was a total sampling with a sample of 32 patients. Univariate analysis was presented in the frequency distribution table and bivariate analysis using Spearman Rank Correlation test. Result: There was a significant influence on the nutritional status of children under five before and after PMT-P based on the weight-for-height index and weight-for-age. For the height-for-age index there was no significant influence on the nutritional status of children under five before and after PMT-P which means there was no correlation of the height-for-age index against PMT-P. Conclusion: There is a significant influence on the nutritional status of children under five based on the weight-for-height index and weight-for-age before and after PMT-P, but it is not related to the nutritional status of children under five based on the height-for-age index.
背景:衡量社区营养状况的最佳指标是通过五岁以下儿童的营养状况。为了克服婴儿营养不良问题,印度尼西亚共和国卫生部制定了一项全面政策,包括预防、促进或教育和管理营养不良的幼儿。预防工作通过综合服务站的生长监测进行,而五岁以下营养不良的儿童则通过补充恢复喂养方案得到治疗。方法:本研究采用一组前测和后测设计的准实验研究。抽样方法为32例患者的总抽样。单因素分析采用频率分布表,双因素分析采用Spearman秩相关检验。结果:根据身高体重指数和年龄体重指数,PMT-P前后5岁以下儿童的营养状况有显著影响。对于年龄身高指数,在PMT-P前后对5岁以下儿童的营养状况没有显著影响,这意味着年龄身高指数与PMT-P之间没有相关性。结论:PMT-P前后,体重身高比指数和年龄比指数对5岁以下儿童营养状况有显著影响,但与身高年龄比指数对5岁以下儿童营养状况无相关性。
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引用次数: 2
PENGARUH PEMBERIAN BELIMBING DAN MENTIMUN TERHADAP PENDERITA HIPERTENSI DI DESA LAU KERSIK KECAMATAN GUNUNG SITEMBER KABUPATEN DAIRI
Pub Date : 2019-10-18 DOI: 10.36656/jpkm.v2i1.189
Herri Novita Br Tarigan, Prista Hotmarina Purba
Hypertension is a disease that is not uncommon in the community, including the Bukit Lau Kersik village. People with hypertension often do not show long-term symptoms and can be life-threatening. However, one of the management of hypertension that can be used as non-pharmacological therapy is consuming starfruit juice and cucumber which is quite easy to find in the Bukit Lau Kersik village. This combination of juices contains potassium which can reduce blood pressure in patients with hypertension. This study used Equivalent Time Sample Design with 14 subjects with hypertension in the Bukit Lau Kersik Village, Gunung Sitember Subdistrict, Dairi District. The technique of this research sample used Non-Probability Sampling with Saturated Sampling. The instrument used was a sphygmomanometer and a stethoscope. Bivariate data analysis in this study was the Wilcoxon statistical test. Based on the data analysis performed, the value of p = 0.011 (p= < 0.05) was obtained, meaning that there was a significant relationship between giving star fruit juice and cucumber to hypertensive patients. Then it can be concluded that there is an influence between giving star fruit and cucumber juice to blood pressure reduction in hypertensive patients in Bukit Lau Kersik Village Gunung Sitember Subdistrict, Dairi District in 2019. Suggestion: The factors that affect blood pressure in hypertensive patients and checking blood pressure before drinking star fruit juice and cucumber.
高血压是一种在社区,包括Bukit Lau Kersik村并不罕见的疾病。高血压患者通常不会出现长期症状,可能危及生命。然而,一种可以作为非药物治疗的高血压管理方法是食用杨桃汁和黄瓜,这在Bukit Lau Kersik村很容易找到。这种果汁的组合含有钾,可以降低高血压患者的血压。本研究采用等效时间样本设计,选取了14名来自Dairi区Gunung Sitember街道Bukit Lau Kersik村的高血压患者。本研究样本采用饱和采样的非概率采样技术。使用的仪器是血压计和听诊器。本研究的双变量数据分析采用Wilcoxon统计检验。通过对数据的分析,得出p= 0.011 (p= < 0.05)的值,即杨桃汁与黄瓜对高血压患者有显著相关性。由此得出结论:2019年,戴立区武吉劳克西克村古农斯特贝尔街道高血压患者服用杨桃和黄瓜汁对血压降低有影响。建议:高血压患者血压的影响因素及饮用杨桃汁和黄瓜前检查血压。
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引用次数: 1
期刊
Jurnal Penelitian Keperawatan Medik
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