E-Journal Universitas Muhammadiyah Semarang
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A Pilot Study Pengaruh Bibliotherapy pada Penderita Penyakit Kronis dengan Health Anxiety
Get PDFKecemasan kesehatan adalah kecemasan yang dialami seseorang karena penyakit yang dideritanya. Kecemasan ini dapat dialami oleh seseorang yang menderita penyakit kronis dalam jangka waktu lama. Pada kecemasan ini ditandai dengan tanda fisik seperti perubahan tekanan darah. Salah satu pendekatan terapi yang dilakukan untuk menangani kecemasan kesehatan adalah dengan bibliotherapy. Terapi ini merupakan terapi dengan pendekatan mengubah insight seseorang sehingga dapat mengubah sudut pandang dalam menghadapi masalah. Tujuan dari penelitian ini adalah mengetahui pengaruh tindakan biblotherapy terhadap kecemasan kesehatan. Metode penelitian ini adalah dengan pendekatan pilot study dengan jumlah responden 27 lansia. Penelitian ini dilakukan disalah satu kelurahan di Kota Semarang. Hasil penelitian ditemukan adanya pengaruh tindakan biblotherapy terhadap kecemasan kesehatan dengan nilai p value 0,008 kesimpulan dalam penelitian ini adalah terapi bibilotherapy dapat menjadi salah satu alternatif terapi yang digunakan untuk menangani kecemasan kesehatan. Terapi ini juga merupakan terapi dengan biaya murah dan dapat dilakukan oleh semua orang
Hubungan Dukungan Keluarga terhadap Perilaku Self Care pada Penderita Ulkus Diabetikum
Get PDFSatu komplikasi kronis yang cukup sering terjadi pada pasien diabetes melitus adalah terjadi ulkus kaki diabetik. Dampak negatif yang dirasakan pasien ulkus kaki diabetikum seperti penurunan mobilitas yang berakibat penurunan kemampuan untuk melakukan aktivitas sehari-hari. Self care adalah penanganan yang dilakukan untuk menciptakan lingkungan luka yang lebih moist. Perilaku self care tidak dapat terlaksana secara optimal tanpa adanya dukungan keluarga. Dukungan keluarga menujukkan suatu bentuk kepedulian yang dapat diberikan ketika keluarga membutuhkan bantuan kehidupan dalam menjalani pengobatan dan perawatan. Tujuan: untuk menganalisa hubungan dukungan keluarga terhadap perilaku self care pada penderita ulkus dabetikum di RSUD dr. H. Moch Ansari Saleh Banjarmasin. Metode: penelitian kuantitati ini menggunakan pendekatan cross sectional. Pengambilan sampel menggunakan purposive sampling dengan jumlah sampel 41 orang. Pengumpulan data menggunakan kuesioner dan diolah dengan uji spearman rank (rho). Hasil: Mayoritas responden berusia 46-55 tahun berjenis kelamin perempuan dengan pendidikan terakhir SD. Mayoritas responden adalah IRT dengan riwayat tidak ada keluarga menderita DM. Mayoritas responden tidak memiliki pola makan yang diatur, dan tidak pernah latihan fisik seperti olahraga. Sebanyak 56,1% responden selalu melakukan perawatan kaki dan 63,4% minum obat secara teratur. Sebanyak 39,0% responden mengatakan tidak pernah dukungan informasional. Pada dukungan instrumental mayoritas responden yaitu 53,7% menyatakan selalu mendapatkan, begitu juga pada dukungan emosional dan penghargaan yang selalu mendapatkan 65,9%. Simpulan : Hasil uji spearman rank menunjukan nilai p- value=0,004 yang artinya terdapat hubungan antara dukungan keluarga terhadap perilaku self care pada penderita ulkus diabetikum di RSUD dr. H. Moch Ansari Saleh Banjarmasin.
Hubungan Fungsi Kognitif terhadap Interaksi Sosial pada Lansia
Get PDFUsia lanjut sering kali mengalami ketidakberdayaan karena penurunan kemampuan fisik, sosial, motorik dan psikologis. Ketidakberdayaan menyebabkan perubahan seperti pada fungsi kognitif dan sosial. Pada lansia dengan penurunan kognitif dapat mengalami kelemahan gerak, berpikir serta gangguan komunikasi secara verbal, hal ini dapat menjadi faktor penghambat dalam melakukan interaksi sosial. Tujuan: Melakukan analisa hubungan fungsi kognitif dengan interaksi sosial pada lansia di Panti Perlindungan dan Rehabilitasi Sosial Lanjut Usia Budi Sejahtera. Metode: Penelitian ini menggunakan metode kuantitatif dengan pendekatan studi cross sectional. Sampel sebanyak 47 responden diambil menggunakan rumus slovin dan teknik purposive sampling. Data dianalisis menggunakna uji chi-square. Hasil: Hasil penelitian didapatkan mayoritas responden adalah lansia muda yaitu usia 60-69 tahun dengan jenis kelamin perempuan. Mayoritas responden dengan tingkat pendidikan Sekolah Dasar. Berdasarkan fungsi kognitif mayoritas dengan permasalahan kognitif ringan (53,2%) dan berat (46,8%). Berdasarkan data interaksi sosial mayoritas memiliki interaksi sosial yang baik (68,1%) dan kurang (31,9%). Berdasarkan hasil analisis Chi Square, diperoleh nilai p= 0,000. Simpulan : Hasil tersebut membuktikan bahwa terdapat hubungan yang signifikan antara fungsi kognitif dengan interaksi sosial pada lansia di Panti Perlindungan dan Rehabilitasi Sosial Lanjut Usia Budi Sejahtera
INTEGRASI MODEL PEMBELAJARAN PROBLEM BASED LEARNING BERBASIS STEM UNTUK MENINGKATKAN KEMAMPUAN PEMECAHAN MASALAH SISWA PADA MATERI SPLTV DI KELAS X
Get PDFThe STEM approach is an approach used to improve students' problem solving, critical and creative thinking abilities, and can be a foundation in preparing students for careers in technology, science and engineering. Therefore, researchers integrated a STEM-based Problem Based Learning model which aims to determine students' problem solving abilities in learning Mathematics on SPLTV material and prepare students to face the world of work. The subjects of this research were students of class X Nautika 2 at SMK Negeri 5 Tanjungpinang, Riau Islands, academic year 2023/2024. This type of research is Classroom Action Research (PTK) which is carried out in two cycles, namely cycle I and cycle II. The assessment instrument used is a test technique in the form of a description which is carried out at the end of each cycle. The data that has been collected from the test results is then analyzed descriptively to see the picture or percentage of actions that have been carried out. The results of the research show that the application of the STEM-based problem based learning model can increase problem solving abilities in the SPLTV material of class X Nautika 2 students at SMK Negeri 5 Tanjungpinang by 15%
The Effects of Heavy Metal Contamination on Liver Function in a Rat Model
Get PDFBackground: Mining activities in South Kalimantan have been widely associated with the emergence of various health issues through heavy metal contamination in the water. Previous studies have demonstrated that the presence of heavy metals has an impact on physiological alterations inside many organs, notably the liver.Objective: The study aimed to determined the impact of liver damaged from heavy metal of lead (Pb), cadmium (Cd), and mercury (Hg), and the combination of the three in rat model.Methods: Our research used the true experiment laboratory method with a post-test group design. Male white rats (Rattus norvegicus), aged 2–6 months and weighing 250–300 grams, were assigned to the control group and the treatment group. Treatment groups were administered orally with water contaminated with heavy metals of Pb, Cd, and Hg orally for 28 days. The serum markers of liver damaged were then measured.Results: The levels of transaminase enzymes (AST and ALT) in the heavy metal-exposed group were increased compared to the control group. However, the increase was not statistically significant (p = 0.247; p = 0.349, respectively). The group exposed to Hg exhibited the highest levels of AST and ALT in comparison to the other groups.Conclusion: Heavy metal exposure tend to raise transaminase enzyme levels, indicating liver damage. Hg exhibited the greatest transaminase value increase of all heavy metals, indicating its highest potential for liver toxicity
In Vitro Antimicrobial Activity of Eichornia crassipes and Pistia stratiotes Extracts as Natural Disinfection Agents
Get PDFBackground: Eichornia crassipes and Pistia stratoites are aquatic weeds that contain various antimicrobial compounds and have the potential to disinfectants. Objective: This study aims to analyze the antimicrobial activity of extract of Eichornia crassipes and Pistia stratoites as In Vitro disinfection agentsMethods: This in vitro experimental study tested E.crassipes and P.statoites extracts in combined (EC+PS) forms against several species of bacteria and Candida albicans. The testing of antimicrobial activity using the diffusion method and effectiveness as a disinfectant were tested through the phenol coefficient test. Results: The results of the data analysis of the EC+PS 25%-100% (ratio 1:1) treatment using the ANOVA test and Duncan's posthoc (significance 95%), obtained different inhibition zones for gram-positive, gram-negative bacteria, and C.albicans; EC100%+PS100 extract produced the widest inhibition zone. The inhibitory power of EC+PS extracts ranged from moderate to strong (> 5 mm - > 20 mm). In the phenol coefficient test using a dilution of 1:20-1:250, a good coefficient value (> 1) was obtained from the EC+PS extract treatment and the disinfectant control for all test organisms. Conclusion: E.crassipes and P.stratoites extracts can produce antimicrobial activity with a good phenol coefficient value, which makes their combination a natural disinfectant
Negative pressure wound therapy (NPWT) as management of surgical site infection (SSI) in spinal fusion surgery
Get PDFSurgical Site Infection (SSI) following spinal fusion surgery may lead to patient morbidity, increased treatment costs, and possible recurrent medical interventions. Negative Pressure Wound Therapy (NPWT) has demonstrated promise in the management of SSI as well as assisting in surgical wound healing. This literature review aimed to evaluate the effectiveness of NPWT as a prophylactic, and treatment of SSI in spinal fusion surgery. The literature review method is conducted by searching research articles comparing NPWT and Standard Wound Dressing (SWD) effectiveness with the relevant cohort or Randomized Controlled Trial (RCT) research design using Embase, Scopus, PubMed, and ScienceDirect databases. The application treads of NPWT for surgical wounds in spinal fusion surgery were also described. The research articles were limited from 2017 to 2022. Six articles fit in criteria of inclusion, three articles were prophylactic management research, and the others were the management of treatment research. Analysis of the articles indicated that NPWT as prophylactic could effectively reduce the incidence of postoperative surgical site infections. NPWT as treatment had less time duration, lower risk of sponge fragment retainment, and fewer procedures to achieve wound closure in spinal fusion surgery. There is currently a lack of strong clinical evidence of its efficacy, so rigorous randomized prospective clinical trials are needed
Application of early warning system (EWS) in patients with cardiovascular disorders : a descriptive study
Get PDFIncidents of clients experiencing sudden cardiac arrest in the inpatient setting or unexpected and unavoidable deaths in the inpatient setting are common. One of the efforts to improve quality related to patient safety in hospitals is the application of the Early Warning System (EWS) to clinical changes in patients in hospital inpatient installations. The purpose of this study was to describe the application of EWS in clients with cardiovascular system disorders, including the risk of seriousness, respiratory rate, oxygen saturation, use of oxygen supplements, systolic blood pressure, pulse frequency, level of consciousness, and body temperature. This study is an observational descriptive study with a cross-sectional approach. The number of respondents was 48 people, namely clients who were treated with diseases of the cardiovascular system. Data analysis using descriptive analysis. The characteristics of respondents obtained in this study showed that the majority of respondents were female (54.2%), the majority of medical diagnoses were congestive heart failure, which was 43.75%, and the average length of stay was 4.63 days. Most of the patient's risk of seriousness was in the moderate category, namely 22 respondents (45.8%). Assessment of clients with cardiovascular system disorders with EWS in this study can predict the level of patient care so that preventive measures can be taken. Recommendations for future research are research on predicting patient mortality using EWS
Taboo in Angkola Language: Prohibited Communication among Family Kinships
Get PDFThe research is the performance and participation in communication prohibited in Angkola society, which is then referred to as taboo language in family relations in a sociopragmatics framework. This research aims to find personal communication patterns prohibited in Angkola Language (AL), to find out performance, communication patterns, values and reasons for the prohibition so that there is an effort in cultural sustainability. Another aim is to re-awaken the younger generation applying values and norms in AL amidst current developments, and the era of communication freedom. Qualitative approach using ethnographic methods was carried out within the sociopragmatics framework. Participants involved in AL considered taboo in communication are: 1) The wife/husband of the in-laws; 2) Siblings, especially siblings of different gender; 3) Daughter-in-law to her son-in-law; 4) Son-in-law to his daughter-in-law; 5) In-laws (husband’s father and wife's mother); 6) The wife of our younger brother; and 7) Our aunt's daughter. The performance patterns carried out by the participants: 1) being silent, not answering; 2) using indirect sentences; 3) coding (clearing throat, small cough); 4) using simple, short words; 5) mediating of surround objects; 6) leaving the conversation location; 7) not joking; 8) tending to be serious; 9) giving good, polite answers; 10) avoiding jokes, teases, and long conversations; 11) using a third person intermediary; and 12) making small talk. Reasons of the waning language taboo culture is due to globalization, the widespread use of social medias, the openness of information in current modern era
GROUP ANTENATAL CARE (G-ANC) MENUJU KEHAMILAN YANG SEHAT DENGAN BEBAS ANEMIA DI DESA GONDANG KECAMATAN LIMBANGAN KABUPATEN KENDAL
Get PDFAngka Kematian Ibu (AKI) merupakan masalah serius yang perlu diatasi salah satunya melalui pelayanan Group Antenatal Care (G-ANC) yang dilakukan secara terintegrasi. Pengabdian Masyarakat pada ibu hamil dengan memberikan pendidikan kesehatan dan pengetahuan tentang anemia dapat mendeteksi lebih awal kondisi kehamilan yang berisiko tinggi seperti anemia, sehingga intervensi dapat segera dilakukan pada ibu hamil. Tujuan : Tujuan pengabdian masyarakat ini untuk memberikan pendidikan kesehatan pada ibu hamil agar meningkatkan pengetahuan tentang pencegahan anemia pada kehamilan Di Desa Gondang Kecamatan Limbangan Kabupaten Kendal. Metode : Penelitian ini menggunakan metode edukasi, one-group pre-test-post-test dengan lembar kuisioner untuk mengukur tingkat pengetahuan ibu hamil tentang Anemia dan pemeriksaan kadar hemoglobin dengan menggunakan alat ukur digital dengan merk Easy Touch GCHb dengan jumlah peserta 20 ibu hamil. Hasil : Terlihat adanya perubahan yang signifikan menunjukkan bahwa dari 20 responden tingkat pengetahuan sebelum diberikan penyuluhan mayoritas cukup sebesar 65%, kemudian baik 15% dan cukup 20%. Setelah dilakukan penyuluhan terjadi perubahan tingkat pengetahuan yaitu mayoritas baik 60% dan cukup 40%. Kesimpulan : Terdapat peningkatan pengetahuan yang cukup signifikan pada ibu hamil setelah diberikan pendidikan kesehatan dan edukasi tentang anemia