Jurnal Kesehatan Hesti Wira Sakti
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INTERVENSI TERAPI BEKAM DAN SENTUHAN QUANTUM MENURUNKAN KADAR GULA DARAH PENDERITA DIABETES MELITUS (DM)
No full textIntroduction: In many nations, the number of diabetics (DM) is steadily increasing. Diabetes mellitus treatment begins with implementing a healthy lifestyle (medical nutrition therapy and physical activity), as well as pharmaceutical intervention using anti-hyperglycemic medications orally or by injection. Wet cupping therapy is complementary non- pharmacological therapy that is often used by people with diabetes mellitus and has been proven to reduce blood sugar level. Cupping is a method of drawing blood from the peripheral skin surface by suctioning or cupping. Small incisions are then made on the outer skin, and suction is applied again to draw out blood. This is believed to remove toxins from the body, which can decrease blood sugar levels. Methods: This research design uses pre-experimentation with a one-group pre-test - post-test research plan. The number of samples used was 15 respondents, while data collection was carried out using the Non-probability Sampling technique with the Total Sampling method. This research was held at Rumah Sehat Insani Kalasan Clinic with 1 time of intervention of quantum healing touch and wet cupping therapy. Results: There was an effect of wet cupping therapy and quantum touch therapy on reducing blood sugar levels in diabetes mellitus sufferers after intervention, a significant value of p=0.001 (p<0.05) was obtained. Conclusion: Cupping complementary therapy is one of the therapies used by diabetes mellitus (DM) sufferers to lower their blood sugar levels. Nurses in implementing nursing care can add this therapy. However, it needs to be further developed on how many times cupping therapy should be carried out so that blood sugar levels can be controlled.
Keywords: Wet cupping, diabetes mellitus, blood sugar, quantum touch therapyPendahuluan: Penyakit Diabetes melitus (DM) prevalensinya menjadi semakin tinggi dan terus meningkat di berbagai negara. Langkah pertma yang dilakukan untuk mengobati diabetes adalah dengan menerapkan pola hidup sehat melewati terapi nutrisi medis dan berbagai olahraga fisik. Langkah selanjutnya, yaitu intervensi farmakologis dengan mengonsumsi obat antihiperglikemik oral maupun suntik. Terapi bekam basah merupakan terapi tambahan non farmakologi yang diterapkan oleh orang yang menderita diabetes terbukti dapat mengurangi ukuran gula dalam darah. Bekam adalah pengeluaran darah dari permukaan kulit pada bagian pinggirnya dengan cara disedot atau dibekam, dilanjutkan dengan mengoleskan luka kecil pada kulit bagian luar dan dihisap kembali agar darah mengalir keluar. Racun yang berhasil dikeluarkan dari tubuh dapat menurunkan kadar gula darah. Metode: Desain yang diterapkan adalah pra-eksperimen serta one group pre- dan post-test. Besar sampelnya adalah 15 orang dengan strategi non-probability sampling bermetodekan Total Sampling. Studi dilaksanakan di Klinik Rumah Sehat Insani Kalasan dengan 1 kali intervensi terapi sentuhan quantum dan bekam basah. Hasil: Perawatan bekam basah dan sentuhan quantum mempunyai pengaruh yang besar atas menurunnya ukuran gula darah dengan p-value 0,001 (p-value < 0,05). Kesimpulan: Terapi bekam komplementer adalah satu dari beberapa alternatif untuk penderita DM dalam mengatasi kadar gula darahnya. Perawat dalam pelaksanaan asuhan keperawatan dapat menambahkan terapi tersebut. Namun perlu dikembangkan lagi harus berapa kali dilakukan terapi bekam agar ukuran gula darah dapat dikendalikan.
Kata kunci: Bekam basah, diabetes mellitus, gula darah, terapi sentuhan quantu
THE RELATIONSHIP OF SECTIO CAESAREA DELIVERY AND THE INCIDENT OF NEONATAL JAUNDICE IN NEONATES AT WAJAK HUSADA MALANG GENERAL HOSPITAL: HUBUNGAN PERSALINAN SECTIO CAESAREA DENGAN KEJADIAN NEONATAL JAUNDICE PADA NEONATUS DI RUMAH SAKIT UMUM WAJAK HUSADA MALANG
No full textIntroduction: The incidence of neonatal jaundice at Wajak Husada General Hospital, Malang, was recorded to increase in 2023. In the same year, cesarean section deliveries (SC deliveries) at Wajak Husada General Hospital also increased. However, the results of previous research regarding the relationship between SC delivery and the incidence of neonatal jaundice still need to be found. This study aimed to determine the relationship between SC delivery and the incidence of neonatal jaundice in neonates at RSU Wajak Husada in 2023. Methods: This research was an analytical observational study with a cross-sectional design. Sampling in this study used a case-control technique with a sample size of 172 neonates. Results: Crosstabulation results showed that more respondents from the neonatal jaundice group (66.7%) had a CS delivery status than those without neonatal jaundice (28.9%). The chi-square test results showed that the status of SC delivery and the incidence of neonatal jaundice had a p-value of 0.000. The OR calculation results showed that respondents with a history of SC delivery were 4.909 times more likely to experience neonatal jaundice than those with a history of natural delivery (95% CI 2.556 – 9.428). Conclusion: There is a relationship between SC delivery and the incidence of neonatal jaundice in neonates at RSU Wajak Husada in 2023.Introduction: The incidence of neonatal jaundice at Wajak Husada General Hospital, Malang, was recorded to increase in 2023. In the same year, cesarean section deliveries (SC deliveries) at Wajak Husada General Hospital also increased. However, the results of previous research regarding the relationship between SC delivery and the incidence of neonatal jaundice still need to be found. This study aimed to determine the relationship between SC delivery and the incidence of neonatal jaundice in neonates at RSU Wajak Husada in 2023. Methods: This research was an analytical observational study with a cross-sectional design. Sampling in this study used a case-control technique with a sample size of 172 neonates. Results: Crosstabulation results showed that more respondents from the neonatal jaundice group (66.7%) had a CS delivery status than those without neonatal jaundice (28.9%). The chi-square test results showed that the status of SC delivery and the incidence of neonatal jaundice had a p-value of 0.000. The OR calculation results showed that respondents with a history of SC delivery were 4.909 times more likely to experience neonatal jaundice than those with a history of natural delivery (95% CI 2.556 – 9.428). Conclusion: There is a relationship between SC delivery and the incidence of neonatal jaundice in neonates at RSU Wajak Husada in 2023
STUDI FENOMENOLOGI: ANOMALI HIDUPKU DI DALAM PENJARA
No full textIntroduction: Adolescents as prison will face psychological challenges such as stigma, discrimination, isolation and instability. The purpose of the study was to explore the meaning of life of adolescents as prison. Methods: This research was a Qualitative research used interpretive phenomenology approach. This research was conducted at the Malang Correctional Center. Participants in this study were seven adolescents with purposive sampling technique. In-depth interviews are used to obtain data and data analysis using IPA (interpretative Phenomenological Analysis). Results: Nine major research themes were found, namely fear of being overshadowed by past mistakes and shame as a former prisoner, feeling ostracized and getting a bad label from the community, chaotic when returning to society, feeling humiliated and failing as a former prisoner, feeling valuable and trying to be better, getting care from parents, family and society, still being able to play a role and being needed by others, hoping to become a successful person, challenged to improve themselves. Conclusion: Adolescents as ex-prisoners experience a transition period, namely psychological problems including feelings of being ostracized, getting stigmatized by society, feeling inferior and worthless. Support from the closest people and community acceptance causes former prisoners to be able to play a role in society, causing former prisoners to return to the community.
Keywords: Adolescent, ex-convict, psychologicalPendahuluan: Remaja sebagai seorang mantan narapidana akan menghadapai tantangan psikologis seperti stigma, diskriminasi, isolasi dan ketidakstabilan. Tujuan penelitian untuk mengekplorasi makna hidup remaja sebagai seorang mantan narapidana Metode: Penelitian ini merupakan penelitian Qualitatif menggunakan pendekatan interpretif phenomenology. Penelitian ini dilakukan di lembaga balai pemasyarakatan Malang. Partisipan dalam penelitian ini tujuh remaja dengan tehnik sampling purposive sampling. Pengumpulan data menggunakan wawancara mendalam dan analisis data menggunakan IPA (Interpretativ Phenomenologi). Hasil: Sembilan tema besar penelitian ditemukan yaitu takut dibayangi kesalahan masa lalu dan malu sebagai mantan narapidana, merasa dikucilkan dan mendapat label jelek dari masyarakat, kacau hati ketika kembali ditengah masyarakat, merasa diri hina dan gagal sebagai mantan narapidana, merasa berharga dan berusaha menjadi lebih baik, mendapat kepedulian dari orang tua, keluarga dan masyarakat, tetap bisa berperan dan diperlukan oleh orang lain, berharap menjadi orang sukses, tertantang memperbaiki diri. Kesimpulan: Remaja sebagai seorang mantan narapidana mengalami masa transisi yaitu masalah psikologis termasuk perasaan dikucilkan, mendapatkan stigma dari masyarakat,merasa rendah diri dan tidak berharga. Dukungan dari orang terdekat dan penerimaan masyarakat menyebabkan mantan narapidana mampu berperan dimasyarakat sehingga menyebabkan mantan narapidana kembali memiliki harapan untuk menjadi manusia yang sukses dan menjadi manusia yang lebih baik.
Kata Kunci: Remaja, Mantan narapidana, Psikologi
The THE INFLUENCE OF PRENATAL YOGA TO IMPROVING THE SLEEP QUALITY OF PREGNANT WOMEN IN THIRD TRIMESTER IN THE TAJINAN HEALTH CENTER: PENGARUH PRENATAL YOGA TERHADAP PENINGKATAN KUALITAS TIDUR IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS TAJINAN KABUPATEN MALANG
No full textSleep disorder is one of the uncomfortable by third trimester of pregnant women. Sleep disorder include sleeplessness, subjective sleep disorder, poor sleep quality, lack of night's sleep, drowsiness that occurs during the day and awakens at night, the reported prevalence increased to 83.5% after the 8th gestational age month and can increase headaches, dizziness, lack of enthusiasm, activity and emotional disorder. The purpose of this study was to analyze the effect of prenatal yoga on the sleep quality of third trimester pregnant women. The research method used was a pre-experimental one group pre and post test with the Pittsburgh Sleep Quality Index (PSQI). The population of this study were third trimester pregnant women in the working area of Tajinan Health Center with a sample of 32 people using purposive sampling. Data were analyzed using Wilcoxon test with SPSS. The results of the study showed that of the 32 respondents before implementing prenatal yoga, almost all respondents had poor sleep quality, 31 pregnant women (96.9%) and after doing prenatal yoga, almost all respondents had good sleep quality, namely 29 pregnant women (90.6%). Based on the research results, it is hoped that mothers will regularly do prenatal yoga exercises to improve sleep quality until they enter labor.Gangguan tidur adalah salah satu ketidaknyamanan yang sering dialami oleh ibu hamil trimester III. Gangguan tidur tersebut adalah sulit tidur, gangguan tidur subyektif, kualitas tidur yang tidak baik, tidur malam yang tidak cukup, kantuk yang terjadi di siang hari serta terbangun di malam hari, dilaporkan prevalensinya meningkat menjadi 83,5% setelah usia kehamilan 8 bulan dan dapat meningkatkan sakit kepala, pusing, tidak semangat, gangguan aktivitas dan gangguan emosional. Tujuan penelitian ini adalah untuk mengetahui pengaruh prenatal yoga terhadap peningkatan kualitas tidur ibu hamil trimester III. Metode penelitian adalah pre eksperimental one group pre dan post test dengan Indeks Kualitas Tidur Pittsburgh (PSQI). Populasi penelitian ini adalah ibu hamil trimester III di wilayah kerja Puskesmas Tajinan dengan sampel penelitian sebanyak 32 orang secara purposive sampling. Data dianalisis menggunakan uji wilcoxon dengan SPSS. Hasil penelitian menunjukkan bahwa dari 32 responden sebelum pelaksanaan prenatal yoga hampir seluruh responden mempunyai kualitas tidur buruk sejumlah 31 ibu hamil (96.9%) dan sesudah dilakukan prenatal yoga hampir seluruh responden mempunyai kualitas tidur baik meningkat yaitu sejumlah 29 ibu hamil (90.6%). Berdasarkan hasil penelitian diharapkan agar ibu rutin melakukan latihan prenatal yoga agar meningkatkan kualitas tidur sampai memasuki masa persalinan
PENGARUH SENAM YOGA TERHADAP PENURUNAN INTENSITAS DYSMENORRHEA PADA SISWI SMA ISLAM PUJON KABUPATEN MALANG
No full textIntroduction: Many women experience problems during menstruation and one of them is menstrual pain. Menstrual pain is a common condition experienced by young women who have menstruated. Dysmenorrhea can cause discomfort in daily physical activity. This study aims to analyze the effect of yoga exercise on decreased dysmenorrhea intensity before and after being given and not being given yoga exercise to Pujon Islamic High School students, Malang Regency. Methode: The research method uses a quasi-experimental approach with a pretest-posttest control group design. The research population was Pujon Islamic High School students in Malang Regency with a total sample of 32 people. Sampling used quota sampling with the Universal Pain Assessment Tool pain scale research instrument. The analysis technique uses the Wilcoxon test. Result: The results showed that almost half of the experimental group before doing yoga exercise experienced moderate pain 43.7% and after being given yoga exercise most of the pain felt mild pain 56.3% and almost half had no pain 43.7%. The control group found that almost half experienced moderate pain 43.7% and after that the pain felt was mostly mild pain 75%. The results of the Wilcoxon test obtained a p-value of 0.004 <0.05, meaning that there was an effect of yoga exercise on decreased dysmenorrhea intensity in Pujon Islamic High School students, Malang Regency. Conclusion: Yoga exercise are effective in minimizing menstrual pain in adolescents.
Keywords: dysmenorrhea, yoga exercise, young womenPendahuluan: Banyak perempuan yang mengalami masalah saat menstruasi dan salah satunya adalah nyeri haid. Nyeri haid sebagai suatu kondisi yang umum dialami remaja perempuan yang sudah mendapatkan menstruasi. Dysmenorrhea bisa menyebabkan ketidaknyamanan dalam aktivitas fisik sehari-hari. Penelitian ini bertujuan menganalisis pengaruh senam yoga terhadap penurunan intensitas dysmenorrhea sebelum dan sesudah diberikan dan yang tidak diberikan senam yoga pada siswi SMA Islam Pujon Kabupaten Malang. Metode: Penelitian menggunakan quasi eksperimental dengan pendekatan pretest-posttest control group design. Populasi penelitian adalah siswi SMA Islam Pujon Kabupaten Malang dengan jumlah sampel 32 orang. Pengambilan sampel menggunakan quota sampling dengan instrumen penelitian skala nyeri Universal Pain Asessment Tool. Teknik analisis uji Wilcoxon. Hasil: Hasil penelitian menunjukkan bahwa kelompok eksperimen sebelum dilakukan senam yoga hampir setengahnya mengalami nyeri sedang 43,7% dan setelah diberi senam yoga nyeri yang dirasakan sebagian besar mengalami nyeri ringan 56,3% dan hampir setengahnya tidak nyeri 43,7%. Kelompok kontrol didapatkan hampir setengahnya mengalami nyeri sedang 43,7% dan setelahnya nyeri yang dirasakan sebagian besar mengalami nyeri ringan 75%. Hasil uji Wilcoxon didapatkan p-value 0,004 < 0,05 artinya terdapat pengaruh senam yoga terhadap penurunan intensitas dysmenorrhea pada siswi SMA Islam Pujon Kabupaten Malang. Kesimpulan: Senam yoga efektif dalam meminimalisir nyeri haid pada remaja.
Kata kunci: dysmenorrhea, remaja, senam yog
HUBUNGAN ANTARA WAKTU LAMA PUASA DENGAN KEJADIAN MUAL MUNTAH PADA PASIEN POST OPERASI DI RSUD PIRU KABUPATEN SERAM BAGIAN BARAT
No full textIntroduction: Post Operative Nausea and Vomiting (PONV) is an unpleasant experience during the postoperative period at 24-48 hours, which is distressing for the patient and can prolong the length of stay, as well as increase the risk of postoperative complications. Fasting before surgery is necessary to minimize the risk of aspiration during anesthesia procedures. The aim of this study was to analyze the relationship between long periods of fasting and the incidence of nausea and vomiting in post-operative patients. Method: This type of research is correlation analysis with a cross-sectional design. The population of patients in the anesthesia unit who underwent caesarean section with SAB spinal anesthesia. The sample consisted of 64 consecutive sampling methods for the period April 2023. The independent variable was the duration of fasting and the dependent variable was the incidence of nausea and Vomiting was measured using an observation sheet, ratio data scale and data analysis using the one-way ANOVA correlation test with paired data. Results: The results of the hypothesis test of the relationship between the length of fasting and the incidence of nausea and vomiting in caesarean section patients with spinal anesthesia showed a significant value of 0.23, which means there is no relationship between the duration of fasting and the incidence. nausea and vomiting in patients due to post-operative nausea and vomiting with spinal anesthesia may be caused by other factors, namely: hypotension resulting in hypoperfusion, aerophagy, drug administration, surgical techniques (many manipulations of intestinal organs, and other factors. Conclusion: Suggestions for future researchers analyze the relationship between the incidence of nausea and vomiting on other factors or control confounding variables.
Keywords: Length of Fasting, Post Operative Nausea and VomitingPendahuluan: Post Operative Nausea and Vomiting (PONV) merupakan pengalaman yang tidak menyenangkan selama masa postoperasi pada 24-48 jam, yang menyusahkan bagi pasien dan dapat memperpanjang masa tinggal, serta meningkat resiko komplikasi pasca operasi. Puasa sebelum operasi diperlukan untuk meminimalkan risiko aspirasi selama prosedur anestesi. Tujuan penelitian ini adalah menganalisa hubungan antara waktu lama puasa dengan kejadiaan mual dan muntah pada pasien post operasi. Metode: Jenis penelitian ini adalah analisa korelasi dengan desain cross-sectional. Populasi pasien di unit anestesi yang menjalani seksio sesaria dengan anestesi SAB spinal. Sampel berjumlah 64 metode konsekutif sampling periode bulan April 2023. Variable bebas waktu lama puasa dan variable terikat kejadian mual dan muntah yang diukur menggunakan lembar observasi, Skala data rasio dan analisa data menggunakan uji korelasi one way anova dengan data berpasangan. Hasil: Hasil uji hipotesis hubungan antara lama puasa dengan kejadian mual dan muntah pada pasien operasi sexcio caesarea dengan spinal anestesi didapatkan nilai significan 0.23 yang berarti tidak ada hubungan antara lama puasa dengan kejadian mual dan muntah pada pasien dikarenakan kejadian mjual dan muntah paska operasi dengan spinal anastesi kemungkinan disebabkan oleh faktor lain yaitu: hipotensi mengakibatkan hipoperfusi, aerophagi, pemberian obat, teknik operasi (banyak manipulasi organ usus, dan faktor-faktor lainnya. Kesimpulan: Bagi peneliti berikutnya menganalisa hubungan kejadian mual muntah pada faktor yang lain atau mengendalikan variabel perancu.
Kata kunci: Lama Puasa, Post Operative, Nausea and Vomitin
PENGARUH PENDIDIKAN KESEHATAN DENGAN MEDIA VIDEO TENTANG SPINAL ANESTESI TERHADAP TINGKAT KECEMASAN PASIEN YANG AKAN DILAKUKAN TINDAKAN OPERASI SPINAL ANESTESI
No full textIntroduction: Surgery involves invasive procedures using anesthesia, this can cause anxiety and fear in patients and their families. Anesthesia aims to relieve pain, fear and discomfort so that patients feel more comfortable during medical procedures. Pre-operative preparation is very important to ensure the patient's physical and psychological condition is ready to undergo anesthesia and surgical procedures. More than 50% of pre-operative patients experience anxiety worldwide, with 5-25% of them over the age of 20 years. In Indonesia, around 11.6% of the population experiences anxiety. Anxiety can cause delays in surgery, lengthen recovery time, and increase the risk of complications. Health education through videos about spinal anesthesia is considered an effective method because it can be done anytime and anywhere, and can increase patient knowledge and skills. The aim of this study was to analyze the effect of patient education using spinal anesthesia training videos on reducing anxiety levels. Methods: Prae experimental research design, one group pre-post test design, in the population of patients admitted via outpatient who will undergo surgery with spinal anesthesia totaling 30 respondents, the research was carried out in the waiting room of the operating room within a two week research period. Independent variable: provision of health education using video media about spinal anesthesia. Dependent variable: anxiety level. Data were collected using the observation method, carried out pre and post providing health education using video media about spinal anesthesia. The instrument uses The Amsterdam Preoperative Anxiety and Information Scale (APAIS) and is recorded on an observation sheet. Bivariate data analysis, namely by using the Independent T-Test of data, was carried out to determine the difference in the average value of anxiety levels between pre and post treatment, and the data obtained was processed using the SPSS 22 computer application. Results: Hypothesis testing, the significance value is 0.000, which is 0.000. which is less than 0.05. Conclusion: therefore the decision made for this test is that providing health education using video media about spinal anesthesia has an effect on reducing the anxiety level of patients who will undergo surgery with spinal anesthesia and the effect is very strong.
Keywords: Video Media, Health Education, Spinal Anesthesia, Anxiety Level.Pendahuluan: Pembedahan melibatkan prosedur invasif dengan memnggunakan anestesi, hal ini dapat menimbulkan kecemasan dan takut pada pasien dan keluarganya. Anestesi bertujuan untuk menghilangkan rasa nyeri, takut, dan ketidaknyamanan sehingga pasien merasa lebih nyaman selama prosedur medis. Persiapan pra-operasi sangat penting untuk memastikan kondisi fisik dan psikis pasien siap menjalani prosedur anestesi dan pembedahan. Lebih dari 50% pasien pra-operasi mengalami kecemasan di seluruh dunia, dengan 5-25% di antaranya berusia di atas 20 tahun. Di Indonesia, sekitar 11,6% populasi mengalami ansietas. Kecemasan dapat menyebabkan penundaan tindakan operasi, memperpanjang waktu pemulihan, dan meningkatkan risiko komplikasi. Pendidikan kesehatan melalui video tentang spinal anestesi dianggap sebagai metode yang efektif karena dapat dilakukan kapan saja dan di mana saja, serta dapat meningkatkan pengetahuan dan keterampilan pasien. Penelitian ini menganalisa pengaruh edukasi pasien menggunakan video tebtabg spinal anestesi terhadap penurunan tingkat kecemasan. Metode: Desain penelitian pre eksperimental one group pre-post test design, pada populasi pasien yang masuk lewat rawat jalan yang akan dilakukan tindakan operasi dengan spinal anestesi berjumlah 30 responden, penelitian dilaksanakan di ruang tunggu kamar operasi dalam waktu penelitian dua minggu. Variabel bebas: pemberian pendidikan kesehatan dengan media video tentang spinal anestesi. Variabel terikat: tingkat kecemasan. Pengumpulan data menggunakan metode observasi, dilakukan pre dan post pemberian pendidikan kesehatan dengan menggunakan media video tentang spinal anestesi. Instrument menggunakan The Amsterdam Preoperative Anxiety and Information Scale (APAIS) dan dicatat pada lembar observasi. Analisis data bivariate yaitu dengan menggunakan Uji Beda T-Test Independent data yang dilakukan untuk mengetahui perbedaan nilai rata – rata tingkat kecemasan antara pre dan post perlakukan, dan data yang diperoleh diolah menggunakan komputer aplikasi SPSS 22. Hasil: Pengujian hipotesa nilai signifikansi adalah 0.000 yang mana kurang dari 0.05. Kesimpulan: oleh karena itu pengambilan keputusan untuk pengujian ini bahwa: pemberian pendidikan kesehatan dengan media video tentang spinal anestesi berpengaruh terhadap penurunan tingkat kecemasan pasien yang akan dilakukan tindakan operasi dengan spinal anestesi dan pengaruhnya sangat kuat.
Kata kunci: Media Video, Pendidikan Kesehatan, Spinal Anestesi, Tingkat Kecemasan
PENGARUH DRY NEEDLING TERHADAP PENURUNAN NYERI PADA PASIEN KASUS SPASME UPPER TRAPEZIUS DI RW 1 DESA GURAH KECAMATAN GURAH KABUPATEN KEDIRI
No full textBackground: Spasm is an informal, non-specific term often used to describe musculoskeletal pain. Pain is an uncomfortable and unpleasant feeling associated with tissue damage. Pain is also a subjective feeling that is felt. Spasm pain that often occurs is pain in the upper trapezius muscle area which is caused by work, stress and posture. Dry needling is a method that uses dry and sterile needles which is often used to help reduce pain in muscle trigger points. The aim of this study was to determine the effect of dry needling on reducing pain in patients with cases of upper trapezius spasm. Methods: The research design used was quasi experimental with a pre and post-test one group design research type with a total of 17 respondents who met the exclusion and inclusion criteria using a purposive sampling technique. Pain was measured using a visual analog scale (VAS) which was carried out before and after physiotherapy treatment in 1 group, namely; dry needling with 1 administration. Statistical tests use the Wilcoxon test. Results: When giving dry needling, the median value was pre 6 to post 2 with a P value = 0.00. Conclusion: it can be concluded that dry needling is effective in reducing upper trapezius spasm pain.
Keywords: Dry Needling, Pain, SpasmPendahuluan: Spasme adalah istilah informal dan tidak spesifik yang sering digunakan untuk menjelaskan nyeri musculoskeletal. Nyeri adalah suatu kondisi rasa yang tidak nyaman dan tidak menyenangkan yang berhubungan dengan kerusakan jaringan. Nyeri juga merupakan rasa yang subjektif yang dirasakan. Nyeri spasme yang sering terjadi adalah nyeri pada area otot upper trapezius yang diakibatkan karena pekerjaan, stress, dan postural. Dry needling adalah suatu metode yang menggunakan jarum kering dan steril yang banyak digunakan untuk membantu mengurangi nyeri pada trigger point otot. Tujuan penelitian ini untuk mengetahui pengaruh dry needling terhadap penurunan nyeri pada pasien kasus spasme upper trapezius. Metode: Rancangan penelitian yang digunakan adalah quasi experimental dengan jenis penelitian pre dan post-test one group design dengan total 17 responden yang memenuhi kriteria eksklusi dan inklusi dengan teknik purposive sampling. Pengukuran nyeri mengggunakan visual analog scale (VAS) yang dilakukan sebelum dan sesudah treatment fisioterapi dalam 1 kelompok yaitu; dry needling dengan 1 kali pemberian. Hasil: Uji statistik menggunakan uji Wilcoxon. Pada pemberian dry needling hasil nilai median pre 6 menjadi post 2 dengan nilai P= 0,00. Kesimpulan: Pemberian dry needling efektif terhadap penurunan nyeri spasme upper trapezius.
Kata kunci: Dry Needling, Nyeri, Spasme
HUBUNGAN KELENGKAPAN PENGISIAN DISCHARGE SUMMARY RAWAT INAP DENGAN MUTU REKAM MEDIS
No full textIntroduction: Some health care facilities regarding medical resumes are still often incomplete, one of which is at Aisyiyah Siti Fatimah Sidoarjo Hospital, where the completeness of medical record files has not yet reached 100% complete. This study aims to analyze the relationship between the completeness of the inpatient discharge summary and the quality of medical records. Methods: This type of research uses quantitative analytical correlation, with a cross sectional approach, the number of samples used is 164 in the inpatient discharge summary form, the sampling used is consecutive sampling. And using a research instrument check list sheet and data analysis using the chisquare test. Results: Research obtained on the discharge summary of hospitalization with an incomplete category of 77.4%. The quality of medical records with the category is quite good 86.0%, there is a relationship with a Pvalue of 0.000. Conclusion: From the results of the study that there is still an incomplete inpatient discharge summary, and the quality of medical records is quite good. This shows that there is a relationship between the completeness of the inpatient discharge summary and the quality of medical records, it is advisable to make a special SOP regarding the completeness of the discharge summary.
Keywords: Discharge Summary, Completeness, Quality of Medical RecordsPendahuluan: Beberapa fasilitas pelayanan kesehatan mengenai resume medis masih sering terjadi ketidaklengkapan, salah satunya di Rumah Sakit Aisyiyah Siti Fatimah Sidoarjo, dimana kelengkapan berkas rekam medis masih belum mencapai 100% lengkap. Penelitian ini bertujuan untuk menganalisis hubungan kelekapan discharge summary rawat inap dengan mutu rekam medis. Metode: Jenis penelitian menggunakan kuantitatif analitik korelasi, dengan pendekatan cross sectional, jumlah sampel yang digunakan 164 pada formulir discharge summary rawat inap, pengambilan sampel yang digunakan yaitu consecutive sampling. Serta menggunakan instrument penelitian lembar chek list dan analisis data menggunakan uji chisquare. Hasil: Penelitian di peroleh pada discharge summary rawat inap dengan kategori tidak lengkap 77,4%. Mutu rekam medis dengan kategori cukup baik 86.0%, terdapat hubungan dengan nilai Pvalue 0,000. Kesimpulan: Dari hasil penelitian bahwasanya masih terdapat discharge summary rawat inap yang belum lengkap, dan mutu rekam medis cukup baik. Hal itu menunjukkan adanya hubungan antar kelengkapan discharge summary rawat inap dengan mutu rekam medis, disarankan untuk membuat SOP khusus mengenai kelengkapan discharge summary.
Kata kunci: Discharge Summary, Kelengkapan, Mutu Rekam Medis
Hubungan Kebugaran Fisik dengan Fungsi Kognitif pada Mahasiswi Penghafal Al-Qur'an di Kota Malang: HUBUNGAN TINGKAT KEBUGARAN FISIK DENGAN FUNGSI KOGNITIF PADA MAHASISWI PENGHAFAL AL-QUR’AN DI PONDOK PESANTREN KOTA MALANG
No full textIntroduction: College students need sufficient physical fitness to be able to think and use their cognitive abilities to the fullest so that they do not get tired quickly after doing busy activities such as lectures and memorizing the Qur’an. These activities also require thinking skills related to cognitive function. Good physical fitness will increase Brain-Derived Neutrophic Fcator (BDNF) protein levels which function to stimulate brain nerve cells to improve cognitive abilities. The research aims to understand the relationship between the level of physical fitness and the cognitive function of female student at the Nurul Furqon Islamic Boarding School, Malang City as a memorizer of the Al-qur’an. Methods: The research will use an observational analytical approach with a cross-sectional study, as many as 30 respondents were obtained using a purposive sampling technique. Data were taken using the YMCA Step Test and MoCA-Ina (Montreal Cognitive Function). Next, data processing uses the Fisher's Exact Test method. Results: The results of the statistical test produce a p value of 0.029 < 0.05. Conclusion: There is a relationship between the level of physical fitness with cognitive function in students who memorize the Qur’an in Malang City.Pendahuluan: Mahasiswi memerlukan kebugaran fisik yang cukup untuk dapat berpikir dan menggunakan kemampuan kognitifnya secara maksimal agar tidak cepat lelah setelah melakukan aktivitas padat seperti kuliah dan menghafal Al-Qur’an. Kegiatan ini juga memerlukan keterampilan berpikir yang berkaitan dengan fungsi kognitif. Kebugaran fisik yang baik akan peningkatan kadar protein Brain-Derived Neutrophic Factor (BDNF) yang berfungsi untuk menstimulasi sel-sel saraf otak guna meningkatkan kemampuan kognitif. Penelitian berkeinginan untuk memahami hubungan tingkat kebugaran fisik dengan fungsi kognitif terhadap mahasiswi di Pondok Pesantren Nurul Furqon Kota Malang sebagai penghafal Alqur’an. Metode: Dalam penilitian akan menggunakan pendekatan analitik observasional dengan cross-sectional study sebanyak 30 responden diperoleh dengan teknik purposive sampling. Data diambil menggunakan YMCA Step Test dan MoCA-Ina (Montreal Cognitive Assessment). Selanjutnya pengolahan data menggunakan metode uji Fisher’s Exact Test. Hasil: Perolehan dari uji statistic menghasilkan p value sebesar 0,029 < 0,05. Kesimpulan: Terdapat hubungan antara tingkat kebugaran fisik dengan fungsi kognitif pada Mahasiswi Penghafal Al-Qur’an di Kota Malang.