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Peningkatan Vaskularisasi Perifer dan Pengontrolan Glukosa Klien Diabetes Mellitus Melalui Senam Kaki
No full textPendahuluan: Diabetes Mellitus merupakan penyakit metabolik kronis. Diabetic foot ulcers merupakan komplikasi yang sering terjadi akibat kadar glukosa yang tidak terkontrol. Tujuan penelitian menjelaskan pengaruh senam kaki terhadap status vaskularisasi perifer dan glukosa darah. Metode: Penelitian menggunakan quasy experimental pre-post test control group design. Populasi berjumlah 30 responden yang terbagi dalam kelompok perlakuan dan kontrol. Teknik sampling menggunakan purposive sampling. Kriteria inklusi meliputi klien DM berusia >45 tahun, DM tipe II, dan glukosa darah acak 300 mg/dl, gout artritis. Intervensi senam kaki diberikan 3 kali seminggu selama 4 minggu. Pengukuran variabel capilarry refill time menggunakan observasi penekanan ujung jari. Pengukuran variabel glukosa menggunakan glukosa stick-test. Analisis data menggunakan Wilcoxon & mann whitney test digunakan mengukur variabel capillary refill time. Independent & paired t-test digunakan mengukur variabel glukosa. Hasil: Uji variabel CRT menggunakan Mann-Whitney test menunjukkan nilai p = 0.022 yang berarti ada pengaruh senan kaki tehadap capillary refill time. Hasil uji variabel Glukosa darah menggunakan paired t test menunjukkan p=0.004, dan independent t test menunjukkan p=0.012 yang berarti ada pengaruh senam kaki terhadap kadar glukosa darah. Diskusi: Senam kaki terbukti meningkatkan Nitric Oxode Syntesis, vasodilatasi arteri, terjadi pembakaran gula darah yang mengakibatkan turunnya gula darah, afinitas oksigen hemoglobin, dan viskositas darah. Sebaliknya, terjadi peningkatan sirkulasi darah, saturasi oksigen, perfusi jaringan, dan sistem imunitas sehingga dapat mencegah ulkus kaki diabetik. Dalam upaya preventif, sebaiknya dinas kesehatan khususnya puskesmas untuk menyediakan media promosi kesehatan melalui penyediakan booklet senam kaki kaki.
Introduce: Diabetes Mellitus was a chronic metabolic disease. Diabetic foot ulcers were a complication that often results from uncontrolled glucose levels. This study was to explain the effect of foot exercises on the status of peripheral vascularization and blood glucose. Methods: The study was quasy experimental design. The population were 30 respondents divided into treatment and control group. The sampling technique uses purposive sampling. Inclusion criteria included client DM aged >45 years, DM type II, and random blood glucose 300 mg / dl, gout arthritis. Measurement of capillary refill time variables using fingertip emphasis observation. Measurement of random blood glucose variables using a glucose stick test.Data analysis using wilcoxon & mann whitney test was used to measure the capillary refill time variable. Independent & paired t-test was used to measure glucose variables. Interventions were given 3 times a week for 4 weeks. Result: In the CRT variable using the Mann-Whitney test showed a p value = 0.022 which means that there was an effect of foot exercises on the status of peripheral vascularization. On the blood glucose variable using paired t test showed p = 0.004, and independent t test showed p = 0.012 which means there is an influence of foot exercises on blood glucose levels. Discuss: Foot have been shown to increase Nitric Oxode Syntesis, arterial vasodilation, blood sugar burning which results in a decrease in blood sugar, oxygen affinity of hemoglobin, and blood viscosity. Conversely an increase in blood circulation, oxygen saturation, tissue perfusion, and immune system can prevent diabetic foot ulcers. In a preventive effort the health department, especially the puskesmas, should provide health promotion media through the provision of foot exercise exercises
Pengaruh Spiritual Guided Imagery and Music terhadap Kecemasan Pasien Kanker yang Menjalani Kemoterapi
No full textLatar Belakang : Kemoterapi membuat pasien yang didiagnosa menderita kanker memiliki perasaan gelisah, cemas dan takut akan bayang-bayang kematian yang menghantui setiap saat. Penelitian ini bertujuan untuk mengetahui Pengaruh Spiritual Guided imagery and music (SGIM) terhadap kecemasan pasien kanker yang menjalani kemoterapi. Metode : Jenis Penelitiani ini adalah Quasi experimental dengan rancangan one group pre and post test with control group design. Penelitian dilaksanakan diruangan kemoterapi pada 30 pasien yang mendapatkan terapi SGIM dan 30 sebagai kelompok kontrol. Skore kecemasan diukur sebanyak 3 kali yaitu 1 hari dan 30 menit sebelum kemoterapi serta 1 hari setelah kemoterapi. Kecemasan diukur menggunakaan skala HARS. Data dianalsisi dengan uji GLM repeated mesure dengan bantun SPSS 21. Hasil : sebanyak 73,3 % dan 26,7 pasien memiliki kecemasan berat dan sedang saat pre test menjadi kecemasan sedang (56,7%) dan kecemasan ringan (43,3%) pada pengukuran 30 menit sebelum kemoterapi dan pada akhir pengukuran berada pada kecemasan ringan (63,4 %) dan tidak ada kecemasan (33,3 %) dan sisanya 3,3 % masih mengalami kecemasan berat pada kelompok SGIM. Analisis uji GLM repeated measure post hock banferoni diketahui p value = 0,001, dengan nilai r square =0,29. Hal ini menunjukan ada pengaruh SGIM terhadap penurunan kecemasan pasien kanker yang menjalani kemoterapi dengan besar sumbangan pengaruh sebesar 29% sisanya dipengaruhi variabel yang lain. Kesimpulan : Pemberian Terapi SGIM menurunkan kecemasan pasien kanker yang menjalani kemoterapi. Rekomendasi penelitian adalah SGIM dapat diaplikasikan sebagai salah satu terapi komplementer dalam pemberian intervensi keperawatan di rumah sakit untuk menurunkan kecemaasan pasien terutama pada saat pertama kali melakukan kemoterapi.
Background : Chemotherapy make patients who diagnosed with cancer have feelings of aneasy, anxiety and fear of the shadows of death that haunts every time. The aim of this study was to investigate the effect of Spiritual Guided imagery and music (SGIM) on the anxiety of cancer patients undergoing chemotherapy. Method : This is a Quasi experimental research study with one group pre and post test design with control group design. The study was conducted in a chemotherapy room in 30 patients who received SGIM therapy and 30 as a control group. Anxiety scores were measured 3 times: 1 day and 30 minutes before chemotherapy and 1 day after chemotherapy. Anxiety is measured using the Hamilton Anciety Rating Scale (HARS). Data were analyzed by GLM repeated mesure test with SPSS 21. Results : as many as 73.3% and 26.7 patients had severe and moderate anxiety during the pre test becoming moderate anxiety (56.7%) and mild anxiety (43.3%) at the measurement 30 minutes before chemotherapy and at the end of the measurement had mild anxiety (63.4%) and (33,3 %) had no anxiety, and the rest 3.3% still have experience of severe anxiety in the SGIM group. The Analysis of GLM repeated measure test with post hock banferoni known p value = 0.001, with the r sguare value = 0.29. This shows that there is an effect of SGIM on anxiety reduction of cancer patients during chemotherapy with a contribution of 29% ,and the rest are affected by other variables. Conclusion : SGIM Therapy reduces anxiety of cancer patients undergoing chemotherapy. The research recommendation is that SGIM can be applied as one of the complementary therapies in providing nursing interventions in hospitals to reduce patient anxiety, especially at the first time undergoing chemotherapy
Nurses’ Awareness and Participation in Mandatory Continuing Professional Development in the Philippines: A Pilot Survey
No full textIntroduction: Mandatory Continuing Professional Development (CPD) in the Philippines is relatively new. The purpose of the study was to determine nurses’ awareness and participation in CPD in the Philippines. Methods: This descriptive survey was conducted among nurses (n=30) in a private hospital in Iloilo City. A researcher-made survey tool was used to gather data. Data were analyzed using descriptive statistics and Mann-Whitney U to test for differences between variables. Results: Results indicated that were nurses were generally aware of the CPD law and its implementing rules and regulations (IRR). However, while nurses understood the concept of CPD and the renewal requirements of the CPD Act, more than half were not aware of learning activities under Self-Directed Learning and that nurses can earn CPD credit units through online CPD programs. Almost half were unaware that excess CPD cannot be carried over to the next three-year period, and more than one-third were unaware that only completed post baccalaureate degree programs can be used to earn CPD credit units. There were no significant differences in the awareness of nurses when grouped according to sex, age, civil status, position, salary, and length of work experience. Seminars and workshops were the most common CPD activities participated by nurses in the last 12 months. Conclusion: Addressing the common information gaps regarding the CPD law identified in this study may assist in increasing nurses’ support in the implementation of the mandatory CPD among nurses
Review : Pengaruh Metode Edukasi Ceramah dan Diskusi terhadap Pengetahuan Kader Kesehatan dalam Deteksi Dini Demam Berdarah Dengue
Full text linkParents Perception About Adjusment Disorder At First Day School In Permata Iman 3 Kindergarten
No full textKindergarten is one form of early childhood education services for children aged 3-6 years which serves to lay the foundations towards the development of attitudes, knowledge, and skills. Therefore, self-adjustment is one of the important things in determining the success of a child in meeting the demands of the surrounding environment. This study aims to Identify Parents Perceptions of Adjusment Disorder At First Day School in PermataIman 3 Kindergarten Malang. The design in this study is descriptive. The population and sample in this study were all children aged 3-6 years who had just entered school as many as 84. The sampling technique used is total sampling. The instrument used in this study was the Child Behavior Checklist for Ages 1.5-5. This research was conducted at PermataIman 3 kindergarten in July 2019. Data obtained will be analyzed univariate and presented in percentage form. The results showed that adjustments to disorder at first day school in children in the mild category amounted to 66 (78.6%) and a small portion in the moderate category amounted to 18 (21.4%). This is probably due to factors of age, physiological conditions, order of children, and parenting. Based on the results of the study parents should be able to choose the right time to include children in the pre-school environment, namely at the age of > 4-5 years. And it is very important for the school to pay attention to the school environment, especially in the readiness of facilities, facilities and the environment
Quality Nursing Work Life Dan Burnout Syndrome Pada Perawat
No full textSalah satu SDM (Sumber Daya Manusia) di RS yang mempunyai waktu bersama pasien paling lama adalah perawat. Pada pemberian asuhan keperawatan yang berkualitas diperlukan suatau kinerja yang baik. Terdapat beberapa hal yang mempengaruhi kinerja, salah satunya adalah quality nursing work life (QNWL). Perawat dengan beban kerja yang tinggi dan desain kerja yang monoton rentan mengalami burnout syndrome (stres kerja). Penelitian ini mempunyai tujuan untuk mengetahui hubungan QNWL dengan burnout syndrome. Korelasional dan crosssectional menjadi desain dan pendekatan dalam studi ini. QNWL merupakan variabel independen dan burnout syndrome variabel dependennya. Data diperoleh melalui kuesioner. Besar sampel sejumlah 30 responden yang diperoleh secara purposive sampling. Analisa data dilakukan dengan Spearman Rank Test dengan p value 0,009 dan coefisien correlation -0,56 yang menunjukkan bahwa terdapat hubungan dengan tingkatan sedang antara QNWL dengan kejadian burnout syndrome dengan arah hubungan negatif, artinya semakin baik QNWL maka semakin meminimalkan burnout syndrome. Salah satu faktor yang mempengaruhi QNWL adalah lingkungan kerja yang kondusif, oleh karena itu diharapkan kepada perawat untuk dapat menjalin kerjasama yang baik antar tim agar tercipta suasana kerja yang harmonis dan lingkungan kerja yang harmonis, dengan demikian maka akan menurunkan kejadian burnout pada perawat.
One of the HR (Human Resources) in a hospital that has the longest time with patients is a nurse. In the provision of quality nursing care required a good performance. There are several things that affect performance, one of which is quality nursing work life (QNWL). Nurses with high workloads and monotonous work designs are prone to experiencing burnout syndrome (work stress). This study aims to determine the relationship of QNWL with burnout syndrome. Correlational and cross sectional design was used in this study. QNWL is an independent variable and burnout syndrome is the dependent variable. Data obtained through a questionnaire. The sample size of 30 respondents obtained by purposive sampling. Data analysis was performed with the Spearman Rank Test with p value 0.009 and the correlation coefficient of -0.56 which showed that there was a moderate level of correlation between QNWL and the incidence of burnout syndrome with the direction of the negative relationship, meaning that the better QNWL, the more minimizing burnout syndrome. One of the factors that influence QNWL is a conducive work environment, therefore it is expected that nurses will be able to establish good cooperation between teams in order to create a harmonious work atmosphere and a harmonious work environment, thereby reducing the incidence of burnout to nurse
