Pub Date : 2024-07-01DOI: 10.33024/mahesa.v4i7.14640
Helna Desi
ABSTRACT ERACS is a rapid recovery program after cesarean section and consists of a series of treatments from preoperative, intraoperative, and post-operative care. Giving birth by CS carries the risk of a long recovery and limited mobilization. So ERACS education is needed. Aim: To analyze the effectiveness of post-operative health education on the level of mobilization ability and post-operative pain levels in women giving birth to CS. The research design used was Quasi Experiment-with Case-Control Design with 73 respondents (40 intervention and 34 control) using total sampling in July-August 2023 at Hospital 5%), higher education (79.7%) history of surgery (73%), history of multigravida (71.6%) using analgesics1(54%) Operation education (67.6%) using educational instruments via video, mobilization ability questionnaire. The research results showed that there were differences in the level of mobilization ability and pain levels before and after being given education with a p-value (0.000) <0.05. Apart from that, it was found that there was a significant difference in the level of mobilization ability and pain level between the intervention group and the control group with a p-value (0.000) < 0.05. Post-op education using video media is an effective program to improve patient mobilization abilities. Therefore, researchers recommend that educational interventions become a new policy in hospitals, especially for women giving birth to CS using the ERACS method so that the goals of the ERACS method can be achieved, namely increasing early mobilization ability and reducing the pain scale. Keywords: Sectio Caesaria, ERACS, Education, Post Operation, Education with Videos ABSTRAK ERACS adalah program pemulihan cepat pasca operasi caesar dan berupa rangkaian perawatan dari perawatan pra operasi, intra operasi dan pasca operasi. Melahirkan dengan SC memiliki resiko pemulihan yang lama dan mobilisasi terbatas. Sehingga edukasi ERACS diperlukan . Tujuan Untuk menganalisis Keefektifitan edukasi kesehatan post operasi terhadap tingkat kemampuan mobilisasi dan tingkat nyeri post operasi pada Ibu melahirkan SC. Desain penelitian desain penelittian yang digunakan adalah Quasi Experiment-with Case Control Design dengan 73 responden (40 intervensi dan 34 kontrol) menggunakan total sampling pada bulan Juli-Agustus 2023 di RS X dengan intervensi.Hasil penelitian mayoritas responden berusia ≤40 Tahun (86,5%), pendidikan tinggi (79,7%) riwayat pernahoperasi (73%), riwayat multigravida (71,6%) menggunakan analgetik1(54%) Edukasioperasi (67,6%) menggunakan instrumen edukasi melalui video, kuesioner kemampuan mobilisasi.Hasil penelitian didapatkan bahwa ada perbedaan tingkat kemampuan mobilisasi dan tingkat nyeri sebelum dan sesudah diberikan edukasi dengan nilai p (0,000)< dari 0,05. selain itu didapatkan terdapat perbedaan signifikan tingkat kemampuan mobilisasi dan tingkat nyeri antara kelompok intervensi dengan kelompok kontrol dengan nilai p(0,000) < 0,05.
摘要 ERACS 是一项剖腹产后快速恢复计划，由术前、术中和术后护理的一系列治疗组成。剖腹产有恢复期长、活动受限的风险。因此需要开展 ERACS 教育。目的：分析术后健康教育对顺产产妇活动能力水平和术后疼痛水平的影响。研究设计采用的是准实验-病例-对照设计（Quasi Experiment with Case-Control Design），于 2023 年 7 月至 8 月在医院（5%）、高等教育程度（79.7%）、手术史（73%）、多胎妊娠史（71.6%）、使用镇痛剂1（54%）、手术教育（67.6%）的 73 名受访者（干预组 40 人，对照组 34 人）中通过视频、动员能力问卷等教育工具进行了调查。研究结果表明，接受教育前后，产妇的活动能力和疼痛程度存在差异，P 值（0.000）<0.05。此外，研究还发现，干预组和对照组的活动能力水平和疼痛水平存在显著差异，P 值（0.000）<0.05。使用视频媒体进行术后教育是提高患者活动能力的有效方案。因此，研究人员建议将教育干预作为医院的一项新政策，尤其是针对使用ERACS方法分娩CS的产妇，以实现ERACS方法的目标，即提高早期活动能力和降低疼痛量表。关键词剖腹产 ERACS 教育 手术后视频教育 ABSTRAK ERACS adalah program pemulihan cepat pasca operasi caesar and berupa rangkaian perawatan dari perawatan pra operasi, intra operasi and pasca operasi.在 SC 的帮助下，可以对手术进行更有效的管理和动员。此外，ERACS 的教育也在不断发展。为确保手术后的医疗保健教育工作能够与手术后动员和术后护理工作结合起来，我们将在 Ibu 和 SC 之间开展这项工作。在 2023 年 7 月至 8 月期间，在 RS X 上进行了 73 个应答（40 个干预应答和 34 个对照应答），并进行了总抽样，其中包括干预应答。受访者的年龄≤40 岁（86.5%）、健康状况良好（79.7%）、围产期妇女（73%）、多胎妊娠妇女（71.6%）、接受过镇痛治疗1（54%）、接受过教育（67.6%）、使用过视频教育工具、移动设备。研究结果表明，从小学到大学，学生的运动能力和学习能力都在不断提高，P(0,000)<0,05。因此，在干预组与对照组之间的移动和睡眠质量差异显著，P(0,000) < 0,05。 通过媒体视频开展的术后教育是一项非常有效的计划，可帮助人们提高生活质量。因此，我们建议通过ERACS方法，在居民区内对居民进行适当的教育干预，以提高居民的动员能力。当前位置: 主页, ERACS, 教育, 操作后, 视频教育
{"title":"Efektivitas Edukasi Kesehatan Terhadap Tingkat Kemampuan Mobilisasi dan Tingkat Nyeri pada Pasien Seksio dengan Metode Eracs","authors":"Helna Desi","doi":"10.33024/mahesa.v4i7.14640","DOIUrl":"https://doi.org/10.33024/mahesa.v4i7.14640","url":null,"abstract":"ABSTRACT ERACS is a rapid recovery program after cesarean section and consists of a series of treatments from preoperative, intraoperative, and post-operative care. Giving birth by CS carries the risk of a long recovery and limited mobilization. So ERACS education is needed. Aim: To analyze the effectiveness of post-operative health education on the level of mobilization ability and post-operative pain levels in women giving birth to CS. The research design used was Quasi Experiment-with Case-Control Design with 73 respondents (40 intervention and 34 control) using total sampling in July-August 2023 at Hospital 5%), higher education (79.7%) history of surgery (73%), history of multigravida (71.6%) using analgesics1(54%) Operation education (67.6%) using educational instruments via video, mobilization ability questionnaire. The research results showed that there were differences in the level of mobilization ability and pain levels before and after being given education with a p-value (0.000) <0.05. Apart from that, it was found that there was a significant difference in the level of mobilization ability and pain level between the intervention group and the control group with a p-value (0.000) < 0.05. Post-op education using video media is an effective program to improve patient mobilization abilities. Therefore, researchers recommend that educational interventions become a new policy in hospitals, especially for women giving birth to CS using the ERACS method so that the goals of the ERACS method can be achieved, namely increasing early mobilization ability and reducing the pain scale. Keywords: Sectio Caesaria, ERACS, Education, Post Operation, Education with Videos ABSTRAK ERACS adalah program pemulihan cepat pasca operasi caesar dan berupa rangkaian perawatan dari perawatan pra operasi, intra operasi dan pasca operasi. Melahirkan dengan SC memiliki resiko pemulihan yang lama dan mobilisasi terbatas. Sehingga edukasi ERACS diperlukan . Tujuan Untuk menganalisis Keefektifitan edukasi kesehatan post operasi terhadap tingkat kemampuan mobilisasi dan tingkat nyeri post operasi pada Ibu melahirkan SC. Desain penelitian desain penelittian yang digunakan adalah Quasi Experiment-with Case Control Design dengan 73 responden (40 intervensi dan 34 kontrol) menggunakan total sampling pada bulan Juli-Agustus 2023 di RS X dengan intervensi.Hasil penelitian mayoritas responden berusia ≤40 Tahun (86,5%), pendidikan tinggi (79,7%) riwayat pernahoperasi (73%), riwayat multigravida (71,6%) menggunakan analgetik1(54%) Edukasioperasi (67,6%) menggunakan instrumen edukasi melalui video, kuesioner kemampuan mobilisasi.Hasil penelitian didapatkan bahwa ada perbedaan tingkat kemampuan mobilisasi dan tingkat nyeri sebelum dan sesudah diberikan edukasi dengan nilai p (0,000)< dari 0,05. selain itu didapatkan terdapat perbedaan signifikan tingkat kemampuan mobilisasi dan tingkat nyeri antara kelompok intervensi dengan kelompok kontrol dengan nilai p(0,000) < 0,05. ","PeriodicalId":340756,"journal":{"name":"MAHESA : Malahayati Health Student Journal","volume":"2008 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33024/mahesa.v4i7.14740
Ayu Putu Marta, Ramdya Akbar Tukan, Dewi Wijayanti, Hendy Lesmana, Ahmat Pujianto, Ayuk Cucuk Iskandar
ABSTRACT The resilience of patients undergoing cataract surgery will have an impact on the patient’s ability to recover and heal after facing surgery. A Patient facing surgery that will be undergone requires high endurance, strong confidence to recover and remain productive after undergoing surgery. This study aimed to describe the resilience of pre-surgery cataract patients at the Central Surgical Installation of dr. H. Jusuf SK Hospital North Kalimantan Provincial Government. This design of research is descriptive. This study used purposive sampling techniques with a total of 81 respondents. The data collection method used a resilience questionnaire. Data analysis techniques used univariate analysis, namely frequency test. The result of this study showed that the resilience of pre surgery cataract patients has a minimum – maximum value of 30-40 which mean the patient’s resilience value was high. The results showed that the patient felt ready and comfortable while undergoing cataract surgery. Patients showed a high value resilience by not feeling depredded before undergoing cataract surgery and they can adapt to the changes that will occur after cataract surgery. Optimizing the role of nurses ang providing support to patient is one of efforts to maintain the nurse motivation in improving the quality of patient life. Keywords: Cataract, Preoperative, Resilience ABSTRAK Ketahanan pasien yang menjalani operasi katarak akan berdampak pada kemampuan pasien untuk pulih dan sembuh setelah menghadapi operasi. Seresponden pasien menghadapi operasi yang akan dijalani membutuhkan daya tahan tubuh yang tinggi, kepercayaan diri yang kuat untuk pulih, dan tetap produktif setelah menjalani operasi. Penelitian ini bertujuan untuk mendeskripsikan resiliensi pasien pre operasi katarak di Instalasi Bedah Sentral RSUD dr. H. Jusuf SK Pemerintah Provinsi Kalimantan Utara. Desain penelitian ini adalah deskriptif. Penelitian ini menggunakan teknik purposive sampling dengan jumlah responden 81 responden. Metode pengumpulan data menggunakan kuesioner resiliensi. Teknik analisis data menggunakan analisis univariat yaitu uji frekuensi. Hasil penelitian ini menunjukkan bahwa resiliensi pasien pra operasi katarak memiliki nilai minimal -maksimum 30-40 yang berarti nilai resiliensi pasien tinggi. Hasil menunjukkan bahwa pasien merasa siap dan nyaman saat menjalani operasi katarak. Pasien menunjukkan nilai resiliensi yang tinggi dengan tidak merasa tertekan sebelum menjalani operasi katarak dan dapat beradaptasi dengan perubahan yang akan terjadi setelah operasi katarak. Mengoptimalkan peran perawat dan memberikan dukungan kepada pasien merupakan salah satu upaya untuk menjaga motivasi perawat dalam meningkatkan kualitas hidup pasien. Kata Kunci: Katarak, Pre Operasi, Resiliensi
摘要 接受白内障手术的患者的应变能力将影响患者在面对手术后的恢复和愈合能力。面对即将接受的手术，患者需要有较高的耐力和较强的信心，才能在术后恢复和保持工作效率。本研究旨在描述北加里曼丹省政府 Dr. H. Jusuf SK 医院中央手术室白内障患者手术前的恢复能力。本研究设计为描述性研究。本研究采用目的性抽样技术，共有 81 名受访者。数据收集方法采用复原问卷。数据分析技术采用单变量分析，即频率测试。研究结果显示，白内障术前患者的复原力最小值-最大值为 30-40，这意味着患者的复原力值较高。结果显示，患者在接受白内障手术时感觉准备就绪、心情舒畅。患者在接受白内障手术前没有感到沮丧，因而显示出较高的适应力值，他们能够适应白内障手术后发生的变化。优化护士为患者提供支持的角色是保持护士提高患者生活质量积极性的努力之一。关键词白内障；术前；应变能力 ABSTRACT 白内障手术患者的应变能力将影响患者面对手术后的恢复和治愈能力。面临手术的患者需要有较高的耐力和较强的自信心，才能在术后恢复和保持工作效率。本研究旨在描述北加里曼丹省政府 RSUD Dr. H. Jusuf SK 中央手术室白内障术前患者的恢复能力。本研究采用描述性研究设计。本研究采用目的性抽样技术，共有 81 名受访者。数据收集方法采用复原问卷。数据分析技术采用单变量分析，即频率测试。 本研究结果表明，白内障术前患者的复原力最小值-最大值为 30-40，即患者的复原力值较高。结果表明，患者在接受白内障手术时感觉准备就绪、心情舒畅。患者在接受白内障手术前不会感到沮丧，并能适应白内障手术后发生的变化，从而显示出较高的适应力值。优化护士角色并为患者提供支持是保持护士积极性以提高患者生活质量的努力之一。关键词白内障 术前 适应力
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Pub Date : 2024-07-01DOI: 10.33024/mahesa.v4i7.14652
Linda Widyarani, Cecilya Kustanti
ABSTRACT Ankle sprain is a soft tissue musculoskeletal injury that occurs suddenly. The R-I-C-E approach, which stands for Rice, Ice, Compression, and Elevation, is recommended as first aid for ankle sprains. The general public's understanding of first aid for ankle sprains is still limited. Health education delivered through pocketbook media can help to increase public awareness. The purpose of this study was to determine the effect of pocketbook media on first aid skills using the R-I-C-E technique in ankle sprain patients. This study was a quantitative study with pre experimental design with one group pre-post test design. The statistical test that used was paired-t test. The population in this study were health cadres in Desa Karangtalun, Imogiri, Bantul, Daerah Istimewa Yogyakarta with a total sample of 30 people. Times of researcher on February until March 2023. In this study, the mean pre-test score was 54,80±2,265 and the mean post-test score was 73,73±1,999, with the results of paired-t test statistic being p = 0.000 (< 0.05), meaning that there is a significant difference in skills score between before and after being given the pocketbook media in the discharge planning pro on first aid skills using the R-I-C-E technique in ankle sprain patients. The pocketbook media has a beneficial impact on health cadres’s skills of how to provide first aid skills using the R-I-C-E technique in ankle sprain patients. In order to provide first aid skills using the R-I-C-E technique in ankle sprain patients, health cadres Desa Karangtalun, Imogiri, Bantul, Daerah Istimewa Yogyakarta, can use the pocketbook media as a guide or reference. Keywords: Pocketbook, Ankle Sprain, First Aid ABSTRAK Ankle sprain adalah cedera pada jaringan lunak yang terjadi secara tiba-tiba. Metode R-I-C-E, yaitu Rice, Ice, Compression dan Elevation merupakan pertolongan pertama pada ankle sprain. Pengetahuan dan pemahaman masyarakat tentang pertolongan pertama pada ankle sprain masih rendah. Pendidikan kesehatan melalui media pocketbook dapat membantu meningkatkan pemahaman masyarakat tentang pertolongan pertama pada ankle sprain. Penelitian ini bertujuan menganalisis pengaruh media pocketbook terhadap peningkatan ketrampilan/skill kader kesehatan dalam memberikan pertolongan pertama pada korban dengan ankle sprain. Penelitian ini adalah studi kuantitatif, pre experimental design dengan one group pre-post test design. Analisis data menggunakan uji paired t-test. Responden pada penelitian ini adalah kader kesehatan yang bertempat tinggal di Desa Karangtalun, Kecamatan Imogiri, Kabupaten Bantul, Provinsi Daerah Istimewa Yogyakarta, berjumlah 30 orang. Penelitian ini dilakukan pada Bulan Februari hingga Bulan Maret 2023. Penelitian ini menunjukkan bahwa rerata ketrampilan/skill responden sebelum intervensi adalah 54,80 ± 2,2, sedangkan rerata ketrampilan/skill responden sesudah intervensi adalah 73,73 ± 1,99 dengan p = 0,000. Uji statistik tersebut menunjukkan terdapa
摘要 踝关节扭伤是一种突然发生的软组织肌肉骨骼损伤。R-I-C-E方法，即Rice（米饭）、Ice（冰）、Compression（压迫）和Elevation（抬高），被推荐为踝关节扭伤的急救方法。公众对脚踝扭伤急救的了解仍然有限。通过口袋媒体开展健康教育有助于提高公众的认识。本研究旨在确定口袋书媒体对踝关节扭伤患者使用 R-I-C-E 技术急救技能的影响。本研究是一项定量研究，采用实验前设计和一组前-后测试设计。使用的统计检验是配对 t 检验。研究对象为日惹特区班图尔市伊莫吉里镇卡朗塔伦村的卫生干部，样本总数为 30 人。研究时间为 2023 年 2 月至 3 月。在这项研究中，前测的平均得分是（54.80 ± 2.265），后测的平均得分是（73.73 ± 1.999），配对 t 检验的统计结果是 p = 0.000（<0.05），这意味着在踝关节扭伤患者使用 R-I-C-E 技术的出院计划亲身体验中，获得口袋书媒体前后的技能得分存在显著差异。口袋书媒体对卫生干部如何使用 R-I-C-E 技术对踝关节扭伤患者进行急救的技能产生了有益的影响。为了在踝关节扭伤患者中使用R-I-C-E技术提供急救技能，日惹特区班图尔市伊莫吉里镇卡朗塔伦村的卫生干部可以使用口袋书媒体作为指导或参考。关键词口袋书，踝关节扭伤，急救 ABSTRACT Ankle sprain is an injury to soft tissue that occurs suddenly.R-I-C-E法，即Rice（米饭）、Ice（冰）、Compression（压迫）和Elevation（抬高）是踝关节扭伤的急救方法。公众对踝关节扭伤急救方法的认识和了解仍然较少。通过口袋媒体开展健康教育有助于提高人们对踝关节扭伤急救的认识。本研究旨在分析口袋书媒体对提高卫生干部为踝关节扭伤患者提供急救技能的影响。 本研究是一项定量研究，采用实验前设计和一组前-后测试设计。数据分析采用配对 t 检验。本研究的受访者为居住在日惹特区省班图尔县伊莫吉里分区卡朗塔伦村的卫生干部，共 30 人。研究时间为 2023 年 2 月至 3 月。研究表明，干预前受访者的平均技能为 54.80 ± 2.2，而干预后受访者的平均技能为 73.73 ± 1.99，P = 0.000。 统计检验表明，通过口袋书媒体开展健康教育前后，受访者的技能存在差异。 口袋书媒体对居住在日惹特区省班图尔县伊莫吉里区 Karangtalun 村的卫生干部产生了积极影响。通过口袋书媒体，保健干部可以更容易地了解为脚踝扭伤患者提供 R-I-C-E 方法的方法/技术/程序。关键词口袋书，脚踝扭伤，急救
{"title":"Pengaruh Media Pocketbook terhadap Ketrampilan/Skill Pertolongan Pertama dengan Metode R-I-C-E pada Korban Ankle Sprain","authors":"Linda Widyarani, Cecilya Kustanti","doi":"10.33024/mahesa.v4i7.14652","DOIUrl":"https://doi.org/10.33024/mahesa.v4i7.14652","url":null,"abstract":"ABSTRACT Ankle sprain is a soft tissue musculoskeletal injury that occurs suddenly. The R-I-C-E approach, which stands for Rice, Ice, Compression, and Elevation, is recommended as first aid for ankle sprains. The general public's understanding of first aid for ankle sprains is still limited. Health education delivered through pocketbook media can help to increase public awareness. The purpose of this study was to determine the effect of pocketbook media on first aid skills using the R-I-C-E technique in ankle sprain patients. This study was a quantitative study with pre experimental design with one group pre-post test design. The statistical test that used was paired-t test. The population in this study were health cadres in Desa Karangtalun, Imogiri, Bantul, Daerah Istimewa Yogyakarta with a total sample of 30 people. Times of researcher on February until March 2023. In this study, the mean pre-test score was 54,80±2,265 and the mean post-test score was 73,73±1,999, with the results of paired-t test statistic being p = 0.000 (< 0.05), meaning that there is a significant difference in skills score between before and after being given the pocketbook media in the discharge planning pro on first aid skills using the R-I-C-E technique in ankle sprain patients. The pocketbook media has a beneficial impact on health cadres’s skills of how to provide first aid skills using the R-I-C-E technique in ankle sprain patients. In order to provide first aid skills using the R-I-C-E technique in ankle sprain patients, health cadres Desa Karangtalun, Imogiri, Bantul, Daerah Istimewa Yogyakarta, can use the pocketbook media as a guide or reference. Keywords: Pocketbook, Ankle Sprain, First Aid ABSTRAK Ankle sprain adalah cedera pada jaringan lunak yang terjadi secara tiba-tiba. Metode R-I-C-E, yaitu Rice, Ice, Compression dan Elevation merupakan pertolongan pertama pada ankle sprain. Pengetahuan dan pemahaman masyarakat tentang pertolongan pertama pada ankle sprain masih rendah. Pendidikan kesehatan melalui media pocketbook dapat membantu meningkatkan pemahaman masyarakat tentang pertolongan pertama pada ankle sprain. Penelitian ini bertujuan menganalisis pengaruh media pocketbook terhadap peningkatan ketrampilan/skill kader kesehatan dalam memberikan pertolongan pertama pada korban dengan ankle sprain. Penelitian ini adalah studi kuantitatif, pre experimental design dengan one group pre-post test design. Analisis data menggunakan uji paired t-test. Responden pada penelitian ini adalah kader kesehatan yang bertempat tinggal di Desa Karangtalun, Kecamatan Imogiri, Kabupaten Bantul, Provinsi Daerah Istimewa Yogyakarta, berjumlah 30 orang. Penelitian ini dilakukan pada Bulan Februari hingga Bulan Maret 2023. Penelitian ini menunjukkan bahwa rerata ketrampilan/skill responden sebelum intervensi adalah 54,80 ± 2,2, sedangkan rerata ketrampilan/skill responden sesudah intervensi adalah 73,73 ± 1,99 dengan p = 0,000. Uji statistik tersebut menunjukkan terdapa","PeriodicalId":340756,"journal":{"name":"MAHESA : Malahayati Health Student Journal","volume":"25 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33024/mahesa.v4i7.14744
Khairunisya Khairunisya, Setiawati Setiawati
ABSTRACT During the third trimester of pregnancy, changes in hyperlordosis occur, which causes back pain in pregnant women. Effleurage massage and warm compress interventions have been used but have not seen their effectiveness compared to controls. PMB Muara Enim has carried out both interventions. This study aims to determine the effect of warm compresses and effleurage massage on back pain in third-trimester pregnant women at PMB Muara Enim. The research design uses quasi-experiments, a pretest, and a posttest design with a control group. This study consisted of three groups: an effleurage massage group, a warm compress group and a control group. The sample in this study was 20 people per group, so the total sample was 60. The research period was from May to October 2023. The instrument used the Numeric Rating Scale. Data analysis used the one-way ANOVA test. The research results obtained reduced back pain in the warm compress group by the most significant number compared to the warm compress and control groups (-2.40 ± 1.04; -2.15 ± 0.98; - 0.45 ± 0.6). The statistical test results showed a significant difference in the third group (p-value 0.006). Further analysis of the control group differed from the warm compress and effleurage massage groups (p-value 0.000). Statistical results also showed that the warm compress group was not significantly different from the effleurage massage group (p-value 0.100). Warm compresses and effleurage massage are equally effective in reducing back pain in pregnant women. Keywords: Effleurage Massage, Warm Compress, Back Pain, Pregnancy ABSTRAK Selama Kehamilan trimester III terjadi perubahan hiperlordosis yang menyebabkan nyeri punggung ibu hamil. Intervesi massage effleurage dan kompres hangat telah digunakan namun belum melihat efektivitas pada keduanya bila dibandingkan juga dengan control. PMB Muara Enim telah mempraktikkan kedua intervensi tersebut. Penelitian ini bertujuan untuk mengetahui pengaruh kompres hangat dan masase effleurage terhadap nyeri punggung pada ibu hamil trimester III di PMB Muara Enim. Desain penelitian menggunakan quasi experiment dan desain penelitian menggunakan pretest posttest design with control group. Penelitian ini terdiri dari tiga grup dengan kelompok massage effleurage, kelompok kompres hangat dan kelompok kontrol. Sample pada penelitian ini adalah 20 orang setiap kelompok, sehingga totalsample adalah 60. Waktu penelitian bulan Mei sampai Oktober 2023. Intrumen menggunakan Numeric Rating Scale. Analisis data menggunakan one way Anova test. Hasil penelitian didapatkan Penurunan nyeri punggung pada kelompok kompres hangat paling banyak bilan bila dibandingkan kelompok kompres hangat dan control (-2,40±1,04; -2,15±0,98; -0,45±0,6). Hasil uji statistic menunjukkan ada perbedaan bermakna pada ketiga kelompok (p value 0,006). Analisis lebih lanjut kelompok control berbeda bermakna dibandingkan kompres hangat dan Massage effleurage kelompok ( p value 0,000). Hasil statistic
摘要 怀孕三个月时，脊柱过度伸展发生变化，导致孕妇背部疼痛。按摩和热敷疗法已被采用，但与对照组相比，效果并不明显。PMB Muara Enim医院已经开展了这两种干预措施。本研究旨在确定热敷和按摩对 PMB Muara Enim 第三孕期孕妇背痛的影响。研究设计采用准实验、前测和后测设计，并设有对照组。本研究包括三个小组：擦脂按摩组、热敷组和对照组。本研究的样本为每组 20 人，因此样本总数为 60 人。研究时间为 2023 年 5 月至 10 月。研究工具采用数字评分量表。数据分析采用单因素方差分析。研究结果表明，与热敷组和对照组相比，热敷组背部疼痛减轻的数量最为显著（-2.40 ± 1.04；-2.15 ± 0.98；- 0.45 ± 0.6）。统计检验结果显示，第三组的差异显著（P 值为 0.006）。进一步分析发现，对照组与热敷组和擦洗按摩组存在差异（P 值为 0.000）。统计结果还显示，热敷组与泡腾片按摩组没有明显差异（p 值 0.100）。在减轻孕妇背痛方面，热敷和按摩同样有效。关键词挤压按摩，热敷，背痛，妊娠 ABSTRAK Selama Kehamilan trimester III terjadi perubahan hiperlordosis yang menyebabkan nyeri punggung ibu hamil.按摩和悬吊疗法可帮助缓解症状，同时还能控制病情。PMB Muara Enim（穆拉-埃尼姆姆总统）将在这方面进行干预。该计划的目的是在穆阿拉-依尼姆幼儿园的第三学年中，对学生的身体状况进行监测和评估。该研究采用了带对照组的准实验设计和前测后测设计。实验组包括按摩擦洗组、悬挂式按摩组和对照组。本研究的样本数为 20 人，每个项目的样本数为 20 人，总样本数为 60 人。研究期限为 2023 年 10 月至 2023 年 12 月。本研究采用数字评分量表。数据分析采用单向 Anova 检验。与对照组相比，与悬挂量表组相比，测试结果（-2,40±1,04；-2,15±0,98；-0,45±0,6）明显偏低。统计显示，与对照组相比，该指标有明显差异（P 值为 0.006）。对对照组进行的简单分析表明，对照组的悬挂量和按摩量（P 值为 0.000）明显低于对照组（P 值为 0.006）。统计结果表明，悬挂式体位疗法与按摩擦伤疗法之间存在差异（P 值为 0.100）。悬挂式体位疗法和按摩擦洗疗法对治疗尼里肺结核有明显效果 Kata Kunci: 按摩擦洗疗法, 悬挂式体位疗法, 尼里肺结核, 哈米兰
{"title":"Kompres Hangat dan Massage Effleurage Keduanya Efektif Menurunkan Nyeri Punggung Ibu Hamil Trimester III","authors":"Khairunisya Khairunisya, Setiawati Setiawati","doi":"10.33024/mahesa.v4i7.14744","DOIUrl":"https://doi.org/10.33024/mahesa.v4i7.14744","url":null,"abstract":"ABSTRACT During the third trimester of pregnancy, changes in hyperlordosis occur, which causes back pain in pregnant women. Effleurage massage and warm compress interventions have been used but have not seen their effectiveness compared to controls. PMB Muara Enim has carried out both interventions. This study aims to determine the effect of warm compresses and effleurage massage on back pain in third-trimester pregnant women at PMB Muara Enim. The research design uses quasi-experiments, a pretest, and a posttest design with a control group. This study consisted of three groups: an effleurage massage group, a warm compress group and a control group. The sample in this study was 20 people per group, so the total sample was 60. The research period was from May to October 2023. The instrument used the Numeric Rating Scale. Data analysis used the one-way ANOVA test. The research results obtained reduced back pain in the warm compress group by the most significant number compared to the warm compress and control groups (-2.40 ± 1.04; -2.15 ± 0.98; - 0.45 ± 0.6). The statistical test results showed a significant difference in the third group (p-value 0.006). Further analysis of the control group differed from the warm compress and effleurage massage groups (p-value 0.000). Statistical results also showed that the warm compress group was not significantly different from the effleurage massage group (p-value 0.100). Warm compresses and effleurage massage are equally effective in reducing back pain in pregnant women. Keywords: Effleurage Massage, Warm Compress, Back Pain, Pregnancy ABSTRAK Selama Kehamilan trimester III terjadi perubahan hiperlordosis yang menyebabkan nyeri punggung ibu hamil. Intervesi massage effleurage dan kompres hangat telah digunakan namun belum melihat efektivitas pada keduanya bila dibandingkan juga dengan control. PMB Muara Enim telah mempraktikkan kedua intervensi tersebut. Penelitian ini bertujuan untuk mengetahui pengaruh kompres hangat dan masase effleurage terhadap nyeri punggung pada ibu hamil trimester III di PMB Muara Enim. Desain penelitian menggunakan quasi experiment dan desain penelitian menggunakan pretest posttest design with control group. Penelitian ini terdiri dari tiga grup dengan kelompok massage effleurage, kelompok kompres hangat dan kelompok kontrol. Sample pada penelitian ini adalah 20 orang setiap kelompok, sehingga totalsample adalah 60. Waktu penelitian bulan Mei sampai Oktober 2023. Intrumen menggunakan Numeric Rating Scale. Analisis data menggunakan one way Anova test. Hasil penelitian didapatkan Penurunan nyeri punggung pada kelompok kompres hangat paling banyak bilan bila dibandingkan kelompok kompres hangat dan control (-2,40±1,04; -2,15±0,98; -0,45±0,6). Hasil uji statistic menunjukkan ada perbedaan bermakna pada ketiga kelompok (p value 0,006). Analisis lebih lanjut kelompok control berbeda bermakna dibandingkan kompres hangat dan Massage effleurage kelompok ( p value 0,000). Hasil statistic ","PeriodicalId":340756,"journal":{"name":"MAHESA : Malahayati Health Student Journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33024/mahesa.v4i7.15000
Putu Ayu Dian Darmayanti, N. Ariani, Made Asmarani Dira
ABSTRACT During childbirth, women often experience perineal trauma, especially during the first delivery. One of the most feared things in mothers during childbirth is an episiotomy and a tear of the birth canal. This is most likely to occur in women who have never given birth vaginally before. Therefore, various interventions have been evaluated to reduce perineal trauma. One of them is by doing Perineal massage on pregnant women in the third trimester and maternity women in the first period. Perineal massage is a massage technique in the perineal area with gentle emphasis to increase blood flow around the perineum and increase the elasticity of the perineal muscles. This study aims to determine the effect of perineal massage on maternity mothers on birth canal tears at Tk. II Udayana Hospital Denpasar. This study is a Quasy experiment research with a Nonequivalent control group design approach. The study subjects were normal maternity mothers who came and gave birth normally at Tk. II Udayana Hospital Denpasar in July-September 2023. The sampling technique used was accidental sampling with a total sample of 60 maternity mothers, then divided into two groups, namely the intervention group (30 subjects) and the control group (30 subjects) which were analyzed using the Mann-Whitney test. This study showed that the intervention group mostly experienced a grade 1 birth canal tear rate (60%). Meanwhile, the control group mostly experienced a grade 2 birth canal tear rate (63.3%) with a value of p = 0.001. Perineal massage in maternity mothers has been proven effective against reducing the degree of birth canal tearing at Tk. II Udayana Hospital with a p value of 0.000. Health services are expected to make efforts by encouraging classes for pregnant women and recruiting pregnant women to continue to do ANC regularly so that midwives can inform about attitudes to prevent birth canal tears by applying perineal massage. Keywords: Perineal Massage, Birth Canal, Maternity ABSTRAK Saat melahirkan, wanita sering mengalami trauma perineum, terutama selama persalinan pertama. Salah satu hal yang paling banyak ditakuti pada ibu saat proses melahirkan adalah episiotomi dan robekan jalan lahir. Hal ini kemungkinan besar terjadi pada wanita yang belum pernah melahirkan pervaginam sebelumnya. Oleh karena itu, berbagai intervensi telah dievaluasi untuk mengurangi trauma perineum. Salah satunya adalah dengan melakukan Perineal massage pada ibu hamil. Perineal massage merupakan teknik pemijatan pada area perineum dengan penekanan yang lembut untuk meningkatkan aliran darah di sekitar perineum dan meningkatkan elastisitas otot perineum. Tujuan penelitianini untuk mengetahui pengaruh perineal massage pada ibu bersalin terhadap robekan jalan lahir di Rumah Sakit Tk. II Udayana Denpasar. Penelitian ini merupakan penelitian Quasy experiment dengan pendekatan Nonequivalent control group design. Subjek penelitian yaitu ibu bersalin normal yang datang dan melahirkan normal
{"title":"Pengaruh Perineal Massage pada Ibu Bersalin Terhadap Robekan Jalan Lahir di RS TK. II Udayana","authors":"Putu Ayu Dian Darmayanti, N. Ariani, Made Asmarani Dira","doi":"10.33024/mahesa.v4i7.15000","DOIUrl":"https://doi.org/10.33024/mahesa.v4i7.15000","url":null,"abstract":"ABSTRACT During childbirth, women often experience perineal trauma, especially during the first delivery. One of the most feared things in mothers during childbirth is an episiotomy and a tear of the birth canal. This is most likely to occur in women who have never given birth vaginally before. Therefore, various interventions have been evaluated to reduce perineal trauma. One of them is by doing Perineal massage on pregnant women in the third trimester and maternity women in the first period. Perineal massage is a massage technique in the perineal area with gentle emphasis to increase blood flow around the perineum and increase the elasticity of the perineal muscles. This study aims to determine the effect of perineal massage on maternity mothers on birth canal tears at Tk. II Udayana Hospital Denpasar. This study is a Quasy experiment research with a Nonequivalent control group design approach. The study subjects were normal maternity mothers who came and gave birth normally at Tk. II Udayana Hospital Denpasar in July-September 2023. The sampling technique used was accidental sampling with a total sample of 60 maternity mothers, then divided into two groups, namely the intervention group (30 subjects) and the control group (30 subjects) which were analyzed using the Mann-Whitney test. This study showed that the intervention group mostly experienced a grade 1 birth canal tear rate (60%). Meanwhile, the control group mostly experienced a grade 2 birth canal tear rate (63.3%) with a value of p = 0.001. Perineal massage in maternity mothers has been proven effective against reducing the degree of birth canal tearing at Tk. II Udayana Hospital with a p value of 0.000. Health services are expected to make efforts by encouraging classes for pregnant women and recruiting pregnant women to continue to do ANC regularly so that midwives can inform about attitudes to prevent birth canal tears by applying perineal massage. Keywords: Perineal Massage, Birth Canal, Maternity ABSTRAK Saat melahirkan, wanita sering mengalami trauma perineum, terutama selama persalinan pertama. Salah satu hal yang paling banyak ditakuti pada ibu saat proses melahirkan adalah episiotomi dan robekan jalan lahir. Hal ini kemungkinan besar terjadi pada wanita yang belum pernah melahirkan pervaginam sebelumnya. Oleh karena itu, berbagai intervensi telah dievaluasi untuk mengurangi trauma perineum. Salah satunya adalah dengan melakukan Perineal massage pada ibu hamil. Perineal massage merupakan teknik pemijatan pada area perineum dengan penekanan yang lembut untuk meningkatkan aliran darah di sekitar perineum dan meningkatkan elastisitas otot perineum. Tujuan penelitianini untuk mengetahui pengaruh perineal massage pada ibu bersalin terhadap robekan jalan lahir di Rumah Sakit Tk. II Udayana Denpasar. Penelitian ini merupakan penelitian Quasy experiment dengan pendekatan Nonequivalent control group design. Subjek penelitian yaitu ibu bersalin normal yang datang dan melahirkan normal ","PeriodicalId":340756,"journal":{"name":"MAHESA : Malahayati Health Student Journal","volume":"69 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACT Pulmonary Tuberculosis is currently still a serious health problem and is very easily transmitted. Indonesia is the country with the second-highest number of new pulmonary TB cases in the world. The Tangerang District Health Service at the end of 2022 found the number of pulmonary TB cases was 8,941 cases. There was an increase of 60% in new cases of pulmonary TB in Sindang Jaya District within 3 months in 2023. It was necessary to determine which villages had the main problem of pulmonary TB. This study aims to know the causes and carry out interventions to reduce new cases of pulmonary TB. Activities are carried out with a community diagnosis approach. A situation analysis is carried out to determine the problem. Identify the cause of the problem using the Blum Paradigm. Prioritization of problems using the Delphi non-scoring technique. Fishbone diagram to determine the root cause of the problem. Intervention plan with log frame goals and plan of action. Intervention is carried out through a demonstration of cough etiquette. There has been an increase in the ability to practice cough etiquette to help reduce the number of new cases of pulmonary TB. It was proven that 50% of the counseling participants could understand and practice cough etiquette well. After taking a community diagnosis approach, the cause of the problem was found and intervention was carried out, so it is hoped that new cases of tuberculosis in the Sindang Jaya Health Center working area will decrease. Keywords: Tuberculosis, Community Diagnosis, Blum Paradigm, Fishbone Diagram
{"title":"Demonstration of Cough Etiquette As an Effort to Reduce Pulmonary Tuberculosis Cases in Sindang Jaya Using a Community Diagnosis Approach","authors":"Desi Natalia, Amirah Dea Putri Zahirah, Evelin Maharani Widjaja, Ernawati Ernawati","doi":"10.33024/mahesa.v4i7.14573","DOIUrl":"https://doi.org/10.33024/mahesa.v4i7.14573","url":null,"abstract":"ABSTRACT Pulmonary Tuberculosis is currently still a serious health problem and is very easily transmitted. Indonesia is the country with the second-highest number of new pulmonary TB cases in the world. The Tangerang District Health Service at the end of 2022 found the number of pulmonary TB cases was 8,941 cases. There was an increase of 60% in new cases of pulmonary TB in Sindang Jaya District within 3 months in 2023. It was necessary to determine which villages had the main problem of pulmonary TB. This study aims to know the causes and carry out interventions to reduce new cases of pulmonary TB. Activities are carried out with a community diagnosis approach. A situation analysis is carried out to determine the problem. Identify the cause of the problem using the Blum Paradigm. Prioritization of problems using the Delphi non-scoring technique. Fishbone diagram to determine the root cause of the problem. Intervention plan with log frame goals and plan of action. Intervention is carried out through a demonstration of cough etiquette. There has been an increase in the ability to practice cough etiquette to help reduce the number of new cases of pulmonary TB. It was proven that 50% of the counseling participants could understand and practice cough etiquette well. After taking a community diagnosis approach, the cause of the problem was found and intervention was carried out, so it is hoped that new cases of tuberculosis in the Sindang Jaya Health Center working area will decrease. Keywords: Tuberculosis, Community Diagnosis, Blum Paradigm, Fishbone Diagram","PeriodicalId":340756,"journal":{"name":"MAHESA : Malahayati Health Student Journal","volume":"1983 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33024/mahesa.v4i7.14713
Regia Napitupulu, Paridah Paridah, Ramdya Akbar Tukan, Alfianur Alfianur, Dewi Wijayanti, Hendy Lesmana
ABSTRACT Chronic kidney disease is a condition of progressive decline in kidney function that occurred within a few months or years. Globally, there were 850,000 deaths each year from chronic kidney disease. The high incidence of chronic kidney disease is supposed to be caused by several risk factors such as hypertension, Diabetes Mellitus, smoking habits, consumption of supplement drinks, and lifestyle. The objective of this study was to identify the factors that influence the incidence of chronic kidney disease in coastal communities. The design of this study was cross sectional. The sampling used a purposive sampling method with a total sample of 68 respondents. The results of this study showed that there was a significant correlation between Sociodemographic factors (age and sex), comorbidities (Hypertension, Diabetes Mellitus, and Hyperuricemia), and lifestyle (consumption of seafood, alcohol, and caffeine). In addition, there was no significant correlation Sociodemographic factors (education), lifestyle (consumption of supplements), and family history toward the chronic kidney disease of people in coastal areas. The conclusions of the most dominant risk factors were likely to occur of chronic kidney disease in coastal area communities namely age, Hyperuricemia comorbidities and a lifestyle in consuming seafood. Keywords: Risk Factors, Chronic Kidneys, Coastal Areas ABSTRAK Penyakit ginjal kronis merupakan suatu keadaan adanya penurunan fungsi ginjal secara progresif yang terjadi dalam beberapa bulan atau tahun. Secara global, setiap tahun terdapat 850.000 kematian akibat dari penyakit ginjal kronis. Tingginya angka kejadian penyakit ginjal kronis diduga disebabkan oleh beberapa faktor risiko seperti penyakit Hipertensi, Diabetes Mellitus, kebiasaan merokok, konsumsi minuman suplemen, dan gaya hidup. Tujuan penelitian ini adalah untuk mengidentifikasi faktor-faktor yang mempengaruhi kejadian penyakit ginjal kronis pada masayarakat pesisir. Desain penelitian ini adalah studi cross-sectional. Pengambilan sampel menggunakan metode purposive sampling dengan jumlah sampel 68 responden. Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara faktor sosiodemografi (usia dan jenis kelamin), penyakit penyerta (Hipertensi, Diabetes Mellitus, dan Hiperurisemia), gaya hidup (konsumsi seafood, alkohol, dan kafein), dan tidak ada hubungan signifikan faktor sosiodemografi (pendidikan), gaya hidup (komsumsi suplemen), dan riwayat keluarga dengan penyakit ginjal kronis pada masyarakat di wilayah pesisir. Kesimpulan faktor risiko yang paling dominan berpeluang untuk terjadinya penyakit ginjal kronis pada masyarakat di wilayah pesisir yaitu usia, penyakit penyerta Hiperurisemia dan gaya hidup mengosumsi seafood. Kata Kunci: Faktor Risiko, Ginjal Kronis, Wilayah Pesisir
ABSTRACT 慢性肾脏病是一种肾功能在数月或数年内逐渐衰退的疾病。全球每年有 85 万人死于慢性肾病。慢性肾脏病的高发病率应该是由几个风险因素造成的，如高血压、糖尿病、吸烟习惯、饮用补充饮料和生活方式。本研究旨在确定影响沿海社区慢性肾脏病发病率的因素。本研究采用横断面设计。抽样采用目的抽样法，共有 68 名受访者。研究结果显示，社会人口学因素（年龄和性别）、合并症（高血压、糖尿病和高尿酸血症）和生活方式（食用海鲜、酒精和咖啡因）之间存在显著相关性。此外，社会人口因素（教育程度）、生活方式（食用保健品）和家族史与沿海地区居民的慢性肾脏病没有明显的相关性。得出的结论是，在沿海地区社区，慢性肾脏病最主要的风险因素是年龄、高尿酸血症合并症和食用海鲜的生活方式。关键词风险因素 慢性肾脏 沿海地区 ABSTRAK Penyakit ginjal kronis merupakan suatu keadaan adanya penurunan fungsi ginjal secara progresif yang terjadi dalam beberapa bulan atau tahun.在全球范围内，每年有 850,000 千克马铃薯被用于种植菠萝。猕猴桃中含有多种风险因素，包括髋关节疾病、糖尿病、肥胖、高血压和糖尿病。本研究的目的是为了确定可在雌激素水平升高时促进雌激素水平升高的因素。该研究是一项横断面研究。抽样调查采用了目的性抽样方法，共有 68 个回答者。研究结果表明，在碘代谢病（甲状腺肿和甲状腺结节）、肾病（髋关节疾病、糖尿病和高尿酸血症）、肝病（海鲜、酒精和咖啡因）等病症方面存在显著差异、烷醇和卡芬），以及可能存在的重大疾病（糖尿病）、高血压（高血脂症）和胰岛素依赖症（胰岛素依赖症）。目前占主导地位的风险因素包括使用不当、荨麻疹和海鲜中毒。关键词: 风险因素, 金针菇, 国家公园
{"title":"Penyakit Ginjal Kronis Pada Masyarakat di Wilayah Pesisir","authors":"Regia Napitupulu, Paridah Paridah, Ramdya Akbar Tukan, Alfianur Alfianur, Dewi Wijayanti, Hendy Lesmana","doi":"10.33024/mahesa.v4i7.14713","DOIUrl":"https://doi.org/10.33024/mahesa.v4i7.14713","url":null,"abstract":"ABSTRACT Chronic kidney disease is a condition of progressive decline in kidney function that occurred within a few months or years. Globally, there were 850,000 deaths each year from chronic kidney disease. The high incidence of chronic kidney disease is supposed to be caused by several risk factors such as hypertension, Diabetes Mellitus, smoking habits, consumption of supplement drinks, and lifestyle. The objective of this study was to identify the factors that influence the incidence of chronic kidney disease in coastal communities. The design of this study was cross sectional. The sampling used a purposive sampling method with a total sample of 68 respondents. The results of this study showed that there was a significant correlation between Sociodemographic factors (age and sex), comorbidities (Hypertension, Diabetes Mellitus, and Hyperuricemia), and lifestyle (consumption of seafood, alcohol, and caffeine). In addition, there was no significant correlation Sociodemographic factors (education), lifestyle (consumption of supplements), and family history toward the chronic kidney disease of people in coastal areas. The conclusions of the most dominant risk factors were likely to occur of chronic kidney disease in coastal area communities namely age, Hyperuricemia comorbidities and a lifestyle in consuming seafood. Keywords: Risk Factors, Chronic Kidneys, Coastal Areas ABSTRAK Penyakit ginjal kronis merupakan suatu keadaan adanya penurunan fungsi ginjal secara progresif yang terjadi dalam beberapa bulan atau tahun. Secara global, setiap tahun terdapat 850.000 kematian akibat dari penyakit ginjal kronis. Tingginya angka kejadian penyakit ginjal kronis diduga disebabkan oleh beberapa faktor risiko seperti penyakit Hipertensi, Diabetes Mellitus, kebiasaan merokok, konsumsi minuman suplemen, dan gaya hidup. Tujuan penelitian ini adalah untuk mengidentifikasi faktor-faktor yang mempengaruhi kejadian penyakit ginjal kronis pada masayarakat pesisir. Desain penelitian ini adalah studi cross-sectional. Pengambilan sampel menggunakan metode purposive sampling dengan jumlah sampel 68 responden. Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara faktor sosiodemografi (usia dan jenis kelamin), penyakit penyerta (Hipertensi, Diabetes Mellitus, dan Hiperurisemia), gaya hidup (konsumsi seafood, alkohol, dan kafein), dan tidak ada hubungan signifikan faktor sosiodemografi (pendidikan), gaya hidup (komsumsi suplemen), dan riwayat keluarga dengan penyakit ginjal kronis pada masyarakat di wilayah pesisir. Kesimpulan faktor risiko yang paling dominan berpeluang untuk terjadinya penyakit ginjal kronis pada masyarakat di wilayah pesisir yaitu usia, penyakit penyerta Hiperurisemia dan gaya hidup mengosumsi seafood. Kata Kunci: Faktor Risiko, Ginjal Kronis, Wilayah Pesisir","PeriodicalId":340756,"journal":{"name":"MAHESA : Malahayati Health Student Journal","volume":"8 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33024/mahesa.v4i7.14549
Dian Kartikasari, Fidiastuti Fidiastuti
ABSTRACT Stroke is a cerebrovascular disease (brain blood vessels) due to the death of brain tissue (cerebral infarction). The cause of stroke is reduced blood and oxygen flow to the brain due to blockage, constriction or rupture of brain blood vessels which causes symptoms of hemiparase’s weakness of the limbs. Implementation of Range of Motion (ROM) exercise can be carried out in non-hemorrhagic stroke patients with physical mobility problems. ROM exercises can cause stimulation so that increasing chemical and neuromuscular activity which has an effect on increasing muscle strength, and is useful for improving muscle tone, preventing joint stiffness, improving blood circulation and increasing joint mobilization. Implementation of ROM exercises in stroke patients is very important at promoting patient independence. Gradual recovery of the extremities through ROM exercises can help achieve a level of independence and reduce the impact of weakening strength on daily activities.This study aims to determine implementation of Range of Motion (ROM) exercise is useful for increasing muscle strength in non-hemorrhagic stroke patients at RSI PKU Muhammadiyah Pekajangan Pekalongan. Descriptive research design in the form of a case study with a nursing process approach by implementing nursing on physical mobility disorders in non-hemorrhagic stroke patients by doing ROM exercises. The case subject is one subject with a medical diagnosis of non-hemorrhagic stroke at RSI PKU Muhammadiyah Pekajangan. The results of this study showed that the patient's muscle strength increased from 3 to 4 and from 2 to 3 after being given ROM exercise for 3 x 24 hours. There is an effect of impelementation Range of Motion (ROM) on increasing muscle strength in non-hemorrhagic stroke patients, because patients ha increased in muscle strength scale after being given ROM exercises. Keywords: Range of Motion, Muscle Strength, Stroke ABSTRAK Akibat dari stroke dapat menimbulkan hemiparise dan kelemahan anggota gerak yang menimbulkan masalah gangguan mobilita fisik. Guna memelihara dan meningkatkan kekuatan otot, mobilitas sendi, mencegah kekakuan sendi, memperbaiki tonus otot, dan memperlancar sirkulasi darah maka diperlukan latihan Range of Motion (ROM). Pemulihan ekstremitas secara bertahap melalui latihan ROM bisa membantu mencapai tingkat kemandirian dan mengurangi dampak melemahnya kekuatan pada aktivitas sehari-hari. Penelitian ini bertujuan untuk mengetahui sejauh mana penerapan Range of Motion (ROM) bermanfaat untuk meningkatkan kekuatan otot pada pasien stroke non hemoragik di RSI PKU Muhammadiyah Pekajangan Pekalongan. Desain penelitian deskriptif dalam bentuk studi kasus dengan pendekatan proses keperawatan dengan mengimplementasikan keperawatan pada gangguan mobilitas fisik pada pasien stroke non dengan melakukan latihan ROM. Adapun subyek kasus adalah satu kasus dengan diagnosa medis stroke non hemoragik di RSI PKU Muhammadiyah Pekajangan. Hasil penelitian menunjukk
ABSTRACT 中风是一种脑血管疾病（脑血管），由脑组织死亡（脑梗塞）引起。中风的原因是脑血管堵塞、收缩或破裂导致流向大脑的血液和氧气减少，从而引起半身不遂、四肢无力的症状。对于有肢体活动障碍的非出血性脑卒中患者，可以进行活动范围（ROM）锻炼。ROM 运动可产生刺激，从而增加化学和神经肌肉活动，这对增加肌肉力量有一定作用，对改善肌肉张力、预防关节僵硬、改善血液循环和增加关节活动度很有帮助。对脑卒中患者进行 ROM 锻炼对促进患者的独立性非常重要。本研究旨在确定在北加仑RSI PKU Muhammadiyah Pekajangan医院的非出血性中风患者中实施活动范围（ROM）锻炼是否有助于增强肌肉力量。描述性研究设计以个案研究的形式进行，采用护理过程方法，通过做 ROM 运动对非出血性中风患者的身体活动障碍实施护理。研究对象是北加扬安穆罕默迪亚RSI PKU的一名医学诊断为非出血性中风的患者。研究结果表明，在进行了 3 x 24 小时的 ROM 运动后，患者的肌肉力量从 3 增强到 4，从 2 增强到 3。在非出血性中风患者中，运动范围（ROM）对增加肌肉力量有一定的效果，因为患者在接受运动范围锻炼后，肌肉力量指数有所上升。关键词运动范围 肌力 中风 ABSTRAK Akibat dari stroke dapat menimbulkan hemiparise and kelemahan anggota gerak yang menimbulkan masalah gangguan mobilita fisik. Guna memelihara and kelemahan anggota gerak yang menimbulkan masalah gangguan mobilita fisik.因此，我们需要对运动范围（ROM）进行调整，以提高和改善运动能力、增强运动能力、提高运动肌张力，以及增加运动量。在 ROM 范围内进行康复训练，不仅能提高运动能力，还能在日常活动中减少运动阻力。本研究的目的是帮助在北加隆根省穆罕默迪亚大学（PKU Muhammadiyah Pekajangan Pekalongan）脑卒中非血友病患者获得运动范围（ROM），以提高他们的运动能力。该研究的目的是，通过对非中风患者的运动能力进行研究，并提高他们的 ROM 能力。在北加州穆罕默迪亚Pekajangan的RSI PKU中，有一个非常适合诊断非中风性疾病的子系统。该研究表明，在 3x 24 小时内使用 ROM 可使脑卒中的发病率从 3 例上升到 4 例，从 2 例上升到 3 例。非血凝性脑卒中患者的活动范围（ROM）可增加，因为脑卒中患者可在活动范围内进行活动。相关数据: 运动范围, 中风, 耳廓训练
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Pub Date : 2024-07-01DOI: 10.33024/mahesa.v4i7.14603
Hendy Lesmana, Santi Tambunan, Ahmat Pujianto, Maria Imaculata Ose, Darni Darni, H. Hasriana
ABSTRACT Due to prolonged bed rest brought on by disruptions in one or more organ functions, the majority of patients receiving treatment in the Intensive Care Unit (ICU) have muscle weakness that is unrelated to their primary condition and prevents them from mobilization. In the ICU room of RSUD dr.H. Jusuf SK, this study intended to identify the variables associated with nurse compliance in carrying out early mobilization. This quantitative study adopted a cross-sectional methodology and a non-experimental descriptive design. The ICU nurses at RSUD dr.H. Jusuf SK made up the entire sample of 39 responders, using the total sampling methodology. Utilizing observation sheets of nurse compliance with early mobilization as well as a questionnaire about nurses' knowledge, attitudes, and behavior to gather data. The Spearman correlation test was used to analyze the data. Both univariate and bivariate analysis were used in this study. According to this survey, nurses' education was good (74.4%), their attitude was adequate (76.9%), but their domineering behavior was poor (51.3%), and they were disobedient (43.6%). The correlation between the three parameters and nurse compliance yielded ap value of less than 0.05. In the ICU room of RSUD dr.H. Jusuf SK, this study demonstrated a good relationship between nurse compliance and knowledge, attitudes, and conducted in regards to early mobilization of critical patients. It was intended that this research would be used to further investigate the reasons that hindered nurse compliance with mobilization. Keywords: ICU, Nurse Compliance, and Early Mobilization. ABSTRAK Pasien yang dirawat di Intensive Care Unit (ICU) hampir seluruhnya mengalami kelemahan otot yang tidak terkait dengan diagnosis utamanya karena tirah baring lama yang disebabkan gangguan satu atau lebih fungsi organ tubuh, sehingga tidak mampu untuk melakukan mobilisasi. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kepatuhan perawat dalam pemenuhan mobilisasi dini di ruang ICU RSUD dr.H. Jusuf SK. Penelitian kuantitatif ini menggunakan desain deskriptif non-eksperimental dengan pendekatan cros sectional. Teknik pengambilan sampel menggunakan total sampling dengan jumlah 39 responden, yakni seluruh perawat ICU RSUD dr.H. Jusuf SK. Pengumpulan data menggunakan kuisioner pengetahuan, sikap dan perilaku perawat, serta lembar observasi kepatuhan perawat dalam mobilisasi dini. Data diolah dengan uji korelasi Spearmen. Penelitian ini menggunakan analisis univariat dan bivariat. Penelitian ini menunjukkan bahwa pengetahuan perawat sudah baik (74,4 %), sikap perawat cukup (76,9%), sedangkan perilaku perawat dominan buruk (51,3 %) dan perawat tidak patuh (43,6 %). Hasil korelasi ketiga faktor terhadap kepatuhan perawat didapatkan nilai p < 0,05. Penelitian ini menunjukkan bahwa adanya hubungan positif antara pengetahuan, sikap, dan perilaku dengan kepatuhan perawat dalam pemenuhan mobilisasi dini pada pasien kritis di ruang ICU
摘要 由于一个或多个器官功能紊乱导致长期卧床，在重症监护室（ICU）接受治疗的大多数患者都会出现与原发疾病无关的肌肉无力，从而无法进行活动。本研究旨在RSUD Dr.H. Jusuf SK的重症监护病房中，确定与护士遵从早期移动相关的变量。这项定量研究采用了横断面方法和非实验描述性设计。RSUD Dr.H. Jusuf SK重症监护室的护士采用总体抽样方法，构成了39个应答者的全部样本。利用护士遵守早期动员的观察表以及有关护士知识、态度和行为的调查问卷来收集数据。采用斯皮尔曼相关检验分析数据。本研究采用了单变量和双变量分析。调查结果显示，护士的教育程度良好（74.4%），态度端正（76.9%），但行为跋扈（51.3%），不服从管理（43.6%）。这三个参数与护士依从性之间的相关性得出的 ap 值小于 0.05。在 RSUD Dr.H. Jusuf SK 的重症监护室，这项研究表明，护士的依从性与危重病人早期动员的知识、态度和行为之间存在良好的关系。本研究旨在进一步调查阻碍护士遵从移动的原因。关键词重症监护室、护士依从性和早期动员。 重症监护病房（ICU）收治的患者几乎都会因一个或多个器官功能受损导致长期卧床而出现与主要诊断无关的肌无力，从而无法进行移动。本研究旨在确定与朱素夫-索克（RSUD dr.H. Jusuf SK）重症监护病房护士遵从早期动员相关的因素。 本定量研究采用了非实验性描述性设计，并采用了剖面方法。数据收集采用了护士知识、态度和行为问卷，以及护士遵从早期动员的观察表。数据处理采用斯皮尔曼相关检验。本研究采用了单变量和双变量分析。研究结果显示，护士的知识水平良好（74.4%），态度中等（76.9%），而护士的行为主要较差（51.3%），不遵从（43.6%）。三个因素与护士依从性的相关性结果显示，P 值小于 0.05。本研究表明，在 RSUD Dr.H. Jusuf SK 的重症监护室中，知识、态度和行为与护士对危重病人实施早期动员的依从性之间存在正相关关系。 希望本研究能够进一步研究与护士实施动员的依从性相关的障碍因素。关键词ICU、护士依从性和早期动员。
{"title":"Analisis Faktor Kepatuhan Mobilisasi Dini Pasien Kritis","authors":"Hendy Lesmana, Santi Tambunan, Ahmat Pujianto, Maria Imaculata Ose, Darni Darni, H. Hasriana","doi":"10.33024/mahesa.v4i7.14603","DOIUrl":"https://doi.org/10.33024/mahesa.v4i7.14603","url":null,"abstract":"ABSTRACT Due to prolonged bed rest brought on by disruptions in one or more organ functions, the majority of patients receiving treatment in the Intensive Care Unit (ICU) have muscle weakness that is unrelated to their primary condition and prevents them from mobilization. In the ICU room of RSUD dr.H. Jusuf SK, this study intended to identify the variables associated with nurse compliance in carrying out early mobilization. This quantitative study adopted a cross-sectional methodology and a non-experimental descriptive design. The ICU nurses at RSUD dr.H. Jusuf SK made up the entire sample of 39 responders, using the total sampling methodology. Utilizing observation sheets of nurse compliance with early mobilization as well as a questionnaire about nurses' knowledge, attitudes, and behavior to gather data. The Spearman correlation test was used to analyze the data. Both univariate and bivariate analysis were used in this study. According to this survey, nurses' education was good (74.4%), their attitude was adequate (76.9%), but their domineering behavior was poor (51.3%), and they were disobedient (43.6%). The correlation between the three parameters and nurse compliance yielded ap value of less than 0.05. In the ICU room of RSUD dr.H. Jusuf SK, this study demonstrated a good relationship between nurse compliance and knowledge, attitudes, and conducted in regards to early mobilization of critical patients. It was intended that this research would be used to further investigate the reasons that hindered nurse compliance with mobilization. Keywords: ICU, Nurse Compliance, and Early Mobilization. ABSTRAK Pasien yang dirawat di Intensive Care Unit (ICU) hampir seluruhnya mengalami kelemahan otot yang tidak terkait dengan diagnosis utamanya karena tirah baring lama yang disebabkan gangguan satu atau lebih fungsi organ tubuh, sehingga tidak mampu untuk melakukan mobilisasi. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kepatuhan perawat dalam pemenuhan mobilisasi dini di ruang ICU RSUD dr.H. Jusuf SK. Penelitian kuantitatif ini menggunakan desain deskriptif non-eksperimental dengan pendekatan cros sectional. Teknik pengambilan sampel menggunakan total sampling dengan jumlah 39 responden, yakni seluruh perawat ICU RSUD dr.H. Jusuf SK. Pengumpulan data menggunakan kuisioner pengetahuan, sikap dan perilaku perawat, serta lembar observasi kepatuhan perawat dalam mobilisasi dini. Data diolah dengan uji korelasi Spearmen. Penelitian ini menggunakan analisis univariat dan bivariat. Penelitian ini menunjukkan bahwa pengetahuan perawat sudah baik (74,4 %), sikap perawat cukup (76,9%), sedangkan perilaku perawat dominan buruk (51,3 %) dan perawat tidak patuh (43,6 %). Hasil korelasi ketiga faktor terhadap kepatuhan perawat didapatkan nilai p < 0,05. Penelitian ini menunjukkan bahwa adanya hubungan positif antara pengetahuan, sikap, dan perilaku dengan kepatuhan perawat dalam pemenuhan mobilisasi dini pada pasien kritis di ruang ICU ","PeriodicalId":340756,"journal":{"name":"MAHESA : Malahayati Health Student Journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.33024/mahesa.v4i6.14756
Vidya Jihan Permatasari, Y. Setyaningsih, Daru Lestantyo
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