Jurnal Kesehatan Medika Saintika
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EFEKTIFITAS MASSASE PUNGGUNG DAN KAKI TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI
Get PDFABSTRAKHipertensi adalah tekanan darah persisten dimana tekanan sistoliknya di atas 140 mmHg dan tekanan diastoliknya lebih dari 90 mmHg. Hipertensi berada pada peringkat 1 dari 10 penyakit lainnya dengan jumlah penderita hipertensi sebanyak 1.589 orang di Wilayah Kerja Puskesmas Andalas. Hipertensi disebabkan oleh beberapa faktor seperti usia, genetik, lingkungan. Penanganan hipertensi dapat dilakukan secara nonfarmakologi yaitu dengan terapi masase punggung dan masase kaki. Penelitian ini bertujuan untuk mengetahui efektifitas masase punggung dan kaki terhadap tekanan darah pada penderita hipertensi. Jenis penelitian ini yaitu Quasi Exsperiment, post test control grup design. Jumlah sampel sebanyak 16 orang penderita hipertensi, 6 orang perlakuan masase punggung, 6 orang perlakuan masase kaki dan 6 orang kontrol yang diambil dengan teknik purposive sampling. Pemberian masase dilakukan selama 7 hari berturut-turut dan pengukuran telkanan darah dilakukan pada hari ke 8. Data diolah dengan komputerisasi dengan analisa univariat mengguanakan mean dan analisa bivariat menggunakan uji T independen dengan tingkat kepercayaan 95%(α=0,05). Penelitian ini dilakukan pada tanggal 28 Agustus – 4 September 2018. Berdasarkan hasil penelitian, didapatkan rata-rata tekanan darah penderita hipertensi pada kelompok perlakuan masase punggung 147,50/92,00 mmHg. Rata-rata tekanan darah pada kelompok masase kaki yaitu dengan 127,50/76,25 mmHg. Tekanan darah pada kelompok kontrol 155,12/93,88 mmHg Hasil analisa bivariat didapatkan ada pengaruh masase punggung dengan nilai sistole p=0,000, diastole p= 0,001 . dan rata-rata tekanan darah pada kelompok masase kaki sistole dengan nilai p= 0,001 dan diastole dengan nilai p =0,000.Kesimpulan dari hasil penelitian ini adalah pemberian masase kaki lebih efektif dari pada dan masase punggung dilihat dari nilap value diastolenya terhadap tekanan darah pada penderita hipertensi. Diharapkan kepada petugas kesehatan khususnya perawat agar menerapkan terapi non farmakologi khususnya masase punggung dan masae kaki antihipertensi sebagai tindakan mandiri perawat untuk menurunkan tekanan darah pada penderita hipertensi. Kata Kunci : Hipertensi, massase kaki THE EFFECT OF GIVING BACK MASSAGE ON BLOOD PRESSURE IN PATIENTS OF HYPERTENSION IN THE WORKING AREA OF ANDALAS PADANG HEALTH CENTER ABSTRACT Hypertension is persistent blood pressure where the systolic pressure is above 140 mmHg and the diastolic pressure is> 90 mmHg. Hypertension is caused by several factors such as age, genetic, environment. Handling of hypertension can be done non-pharmacologically by foot massage therapy with fragrant citronella oil. The aims of this study is to know defoimine the effect of foot massage with fragrant cf citronella oil.This type of research is Quasi Exsperiment, post test control group design. The total sample of 16 people with hypertension, 8 treatment groups, 8 control groups were taken by purposive sampling technique. Data were processed by computerization with univariate analysis using descriptive statistics and bivariate analysis using independent T test with a 95% confidence level (≤ = 0.05). This research was conducted on August 28 to September 4. Based on the results of the study, obtaimed the average blood pressure of hypertensive patients in the treatment group namely 127.50 mmHg systolic and 76.25 mmHg diastolic and mean of blood pressure in to the control group with 142.50 systolic and 92.50 mmHg diastolic, there was an effect foot massage with fragrant citronella oil, with p = systolic 0,001 and diastolic 0,000 (p≤0,05).The conclusion of the results of this study is the effect of administering foot massage with fragrant citronella oil on blood pressure in patients with hypertension. It is expected that health workers, especially nurses, should include non-pharmacological therapies, especially foot massage with fragrant lemongrass oil as antihypertensive as an independent action for nurses to reduce blood pressure.Keywords : Hypertension, foot massage with fragrant citronella oil
Hubungan Pengetahuan dan Sikap dengan Perilaku Keluarga tentang Pemberantasan Sarang Nyamuk Deman Berdarah Dengue di Korong Sarang Gagak Wilayah Kerja Puskesmas Enam Lingkung Kabupaten Padang Pariaman.
No full textDemam Berdarah Dengue (DBD) masih merupakan salah satu masalah kesehatan masyarakat di Indonesia. Salah satu upaya yang paling tepat dalam pencegahan dan pemberantasan DBD adalah kegiatan pemberantasan sarang nyamuk (PSN). Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap dengan perilaku keluarga tentang PSN DBD. Jenis penelitian deskriptif analitik dengan desain penelitian cross sectional study pada 68 Kepala Keluarga dengan teknik pengambilan sampel adalah Simple Random Sampling. Penelitian ini dilakukan pada tanggal 29 Agustus sampai 9 September 2017 di korong Sarang Gagak wilayah kerja Puskesmas Enam Lingkung Kabupaten Padang Pariaman. Pengumpulan data dengan menggunakan kuesioner. Data diolah secara univariat dalam bentuk tabel distribusi frekuensi dan bivariat dengan uji chi- square. Hasil penelitian ini adalah 52,9% keluarga mempunyai pengetahuan yang rendah, 51,5% keluarga mempunyai sikap yang negatif dan 61,8% mempunyai perilaku yang kurang baik tentang PSN DBD. Terdapat hubungan yang bermakna antara pengetahuan (p=0,000) dan sikap (p=0,003) dengan perilaku keluarga tentang pemberantasan sarang nyamuk demam berdarah dengue di korong Sarang Gagak. Pengetahuan dan sikap mempengaruhi perilaku keluarga tentang PSN DBD. Diharapkan pada masyarakat hendaknya lebih me
PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN SISWA TENTANG KESIAPSIAGAAN BENCANA GEMPA BUMI
Get PDFABSTRAK Gempa bumi merupakan bencana yang menimbulkan korban luka-luka dan kematian tertinggi dibandingkan dengan lainnya. Tingginya korban jiwa pada gempa bumi Sumatera Barat September 2009 ditemukan 1.195 orang meninggal dunia dimana korban terbanyak adalah orang tua dan anak-anak. Ini diduga kurangnya pengetahuan dan kesiapsiagaan masyarakat dalam mengantisipasi bencana, sehingga memerlukan suatu upaya pengurangan resiko bencana melalui sosialisasi Pendidikan. Penelitian bertujuan untuk mengetahui pengaruh pendidikan kesehatan terhadap pengetahuan siswa tentang kesiapsiagaaan bencana gempa bumi. Jenis Penelitian adalah Quasi Eksperiment dengan pendekatan One-Group Pre-Test-Post-Test, yang dilakukan di SDN 12 Naras 1 Kota Pariaman mulai Juli - Agustus 2018, dengan populasi siswa/siswi kelas III dan IV sebanyak 48 orang yang semuanya dijadikan sampel (total populasi). Analisa data secara univariat dan bivariat dengan memakai uji T-Test dependent. Hasil penelitian menunjukkan rata-rata pengetahuan pretest 4,4, dan posttest 6,9. Uji statistik menunjukkan ada pengaruh pendidikan kesehatan tentang kesiapsiagaan bencana gempa bumi terhadap pengetahuan siswa dengan p value 0,01. Disimpulkan bahwa ada pengaruh pendidikan kesehatan terhadap pengetahuan siswa tentang kesiapsiagaan bencana gempa bumi. Sosialisasi Pendidikan Kebencanaan harus selalu ditingkatkan dan menjadikannya sebagai kurikulum inti dalam materi pembelajaran serta rutin melakukan pelatihan atau simulasi yang berkolaborasi pihak Badan Penanggulangan Bencana Daerah. Kata kunci: Pendidikan Kesehatan; Pengetahuan; Kesiapsiagaaan Bencana THE EFFECT OF HEALTH EDUCATION ON STUDENT KNOWLEDGE ABOUT PROSPERITYEARTHQUAKE DISASTER ABSTRACTAn earthquake causes the highest number of injuries and deaths compared to other disasters. The high number of fatalities in the September 2009 West Sumatra earthquake was found in 1,195 people who died where the majority of victims were parents and children. This was suspected of lack of knowledge and lack of preparedness in anticipating disasters, thus requiring an effort disaster risk reduction through education dissemination. This study aims to determine the effect of health education on students' knowledge of earthquake preparedness.The type of research is Quasi Experiment with the One-Group Pre-Test-Post-Test approach, which was conducted at SDN 12 Naras 1Pariaman City from March to August 2018, with a population of students of class III and IV as many as 48 people who were all sampled (total population). Data analysis used univariate and bivariate by using the dependent T-Test.The results showed that the average knowledge pretest was 4.4, and posttest was conducted to 6.9. Statistical tests showed that there was an effect of health education on earthquake disaster preparedness on students' knowledge with p value 0.01. It was concluded that there was an effect of health education on students' knowledge about earthquake disaster preparedness. Disaster Education Dissemination must always be improved and make it a core curriculum in learning material and routinely conduct training or simulations collaborating with the Regional Disaster Management Agency. Keywords: Health Education; Knowledge; Preparedness Disaste
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN DETEKSI DINI PRA SKRINING PERKEMBANGAN BALITA DI NAGARI KINARI WILAYAH KERJA PUSKESMAS MUARA PANAS KABUPATEN SOLOK
Get PDFABSTRACTToddlers period is the most important in the children growth, children growth did with early detection of pre-screening with pre-screening questioner. In Village Kinari early detection of pre-screening is very bad (18,1%). The purpose of this research is to determine the correlation knowledge, attitude and the support of health care staffs with early detection of pre screening.The research method of this study is analytical with research design is crosssectional study. The Populations of this study were 310 mothers with the samples used were 31 mothers taken with simple random sampling technique. The data analysis process used is computer system. Univariate analysis used frequency distribution table and bivariat analysis used is chi Square with 95% confidence level and significant meaning (α=0,05). According to univariate analysis result 20 (64,5%) result of detection is good, had good knowledge 16 (51,6%), had possitive attitude 19 (61,3%) and had support of health care staffs 23 (74,2%). The result of bivariate analysis showed that there was a correlation knowledge with early detection of pre-sreening with p=0,018, was a correlation with attitude p=0,015 and was a corelation support of health care staffs p=0,022.Based of the research, it can be concluded that there was a correlation between knowledge with early detection of pre-screening, was a correlation between attitude with early detection of pre-screening and was a correlation between support of health care staffs with early detection of pre-screening. Hopefully for health care staffs for increase the support and early detection of pre-screening continouslyKeyword :Early detection of pre-screening; knowledge; attitude and Support of health care staff
Hubungan Intensitas Kebisingan Dengan Gangguan Pendengaran Pada Pengemudi Boat Pancung Di Pulau Belakang Padang Kota Batam Tahun 2017
Get PDFHealth is a basic human need and capital to live productively and efficiently. Health is not everything, but without health everything becomes meaningless. This is in accordance with Law no. 36 of 2009 on health, which clearly states that every person has the same rights in order to obtain the optimal health degree, for it held various health efforts by using health promotion / promotion (promotif), prevention of disease (preventive), Healing (curative) , And health care (rehabilitative).The purpose of this study to determine the Relation of Noise Intensity With Hearing Loss In Boat Pancung Driver In Island Belakang Padang Batam City Year 2017.This type of research is conducted by analytical method with cross sectional design. The sample number is 55 respondents with Simple Random Sampling method. The result of the research shows that there is relationship between noise intensity with hearing loss with P value = 0.000 then P <0,05.The conclusion that there is a significant relationship between noise with hearing loss. It is expected that managers provide education and training related to knowledge due to noise and prevention either through joint discussions or at meetings and evaluations conducted by managers, so drivers understand the dangers of noise and managers should always disseminate information about safety, personal protective equipment and other Other safety-related issues in preventing deafness
Hubungan Motivasi dan Insentif Dengan Kinerja Kader Posyandu
Get PDFABSTRACT Performance was an accomplished or accomplished achievement. Based on the observation of the researcher, the reality shows that there are posyandu that have limited cadres so that the service is not running smoothly. The purpose of this research is to determine whether there is a relationship of Motivation and Incentives with Posyandu Nagari Aripan’s.The design of the research is Descriptive Analytic with Cross Sectional Study. The research conducted in Nagari Aripan, area of Puskesmas Singkarak on August 7thto15th2017. Sampling consist of 30 respondents with total sampling technique. Data collection was obtained from the primary data trough interviews using a questionnaire, processed by computerization. For the results of statistical analysis univariate and bivariate used the chi-square test. Univariate analysis prove that more than half 60,0% respondents had low performance, 56,7% respondents had low motivation, and 53,3% respondents were satisfied with the incentive. Bivariate analysis prove there is relationship between motivation and cadres performance with pvalue 0,013 <0,05 and there is relationship between incentives with cadre performance with pvalue 0,001<0,05. This research is expected to give an advice for puskesmas in guidance and planning to improve the performance of posyandu cadres, increase the posyandu cadres to remain active in posyandu activities.It is suggested that training activities for posyandu’s cadres are required, so that posyandu activities can do well
Pengaruh Stimulasi Bermain Puzzle Terhadap Perkembangan Motorik Halus Pada Anak Balita
Get PDFPertumbuhan dan perkembangan pada masa balita merupakan tahap dasar yang sangat berpengaruh dan menjadi landasan untuk perkembangan selanjutnya. Gangguan motorik pada usia balita khususnya motorik halus diperkirakan dari 3-5% dan sebanyak 60% dari kasus yang ditemukan terjadi secara spontan pada umur dibawah 5 tahun. Tujuan penelitian adalah: (1) mengetahui rata-rata perkembangan motorik halus pada Anak balita sebelum diberikan stimulasi bermain puzzle. (2) mengetahui rata-rata perkembangan motorik halus pada Anak balitasesudah diberikan stimulasi bermain puzzle. (3) mengetahui pengaruh Stimulasi bermain puzzle terhadap perkembangan motorik halus Anak balita. Jenis penelitian yang digunakan adalah penelitian Quasi eksperiment dengan pendekatan One group pre-test and post-test Design . Penelitian dilakukan diwilayah kerja Puskesmas Air Tawar Kota Padang. pada Bulan November 2017 sampai dengan Februari 2018. populasi adalah semua anak balita laki-aki dan perempuan yang berada diwiayah kerja puskesmas Air Tawar Padang, sampel diambil dengan teknik purposeve sampling. Data dianalisis dengan analisis univariat, bivariat.. Hasil penelitian yang ditemukan adalah ada hubungan yang bermakna antara stimulasi bermain puzzle terhadap perkembangan motorik halus pada anak balita . Kata Kunci: stimulasi, motorik halus, anak balita Abstrak Growth and development in infancy is a basic stage that is very influential and becomes the foundation for further developments. Motor disorders in toddlers, especially fine motoric, are estimated to be 3-5% and as many as 60% of cases found occur spontaneously at the age of under 5 years. The research objectives were: (1) to find out the average fine motor development in toddlers before being given stimulation to play puzzles. (2) find out the average fine motor development in children who have been given stimulation to play puzzles. (3) knowing the effect of stimulating puzzle playing on the development of fine motoric toddlers. The type of research used is research Quasi experiment with the approach of One group pre-test and post-test Design. The study was conducted in the working area of the Tawar Air Health Center in Padang City. from November 2017 to February 2018. the population is all boys and girls under five working at the Air Tawar Padang health center, the sample is taken using the purposeve sampling technique. Data were analyzed by univariate, bivariate analysis. The results of the study found that there was a significant relationship between stimulation of puzzle play to fine motor development in children under five. Keywords: stimulation, fine motor, toddler
Karakteristik, Beban, dan Kualitas Hidup pada Caregiver Klien Skizofrenia
Get PDFProses merawat klien skizofrenia menciptakan situasi yang penuh stress, ketidaksiapan caregiver dalam menghadapi masalah ini berdampak pada penurunan kualitas hidup. Penurunan kualitas hidup caregiver dipengaruhi oleh beberapa faktor diantaranya beban caregiver. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik (jenis kelamin, usia, status marital, pendidikan, pekerjaan, penghasilan, dan hubungan klien - caregiver), beban dengan kualitas hidup pada caregiver. Desain penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional study pada 186 caregiver dengan convenient technique sampling. Data dikumpulkan dengan kuesioner The Zarit Burden Interview dan World Health Organization Quality of Life (WHOQOL-BREF). Hasil uji chi-square menunjukkan ada hubungan semua karakteristik responden dengan beban dan kualitas hidup, ada hubungan antara beban dan kualitas hidup, ada hubungan beban dengan semua dimensi kualitas hidup (kualitas kesehatan fisik, psikologis, hubungan sosial, dan hubungan dengan lingkungan), serta ada hubungan antara dimensi benban ( beban mental dan sosial) dengan kualitas hidup. Hasil uji multivariat dengan Regresi Logistik Ganda menunjukkan bahwa status marital paling besar pengaruhnya dalam hubungan antara beban dengan kualitas hidup caregiver klien skizofrenia. Saran untuk Rumah Sakit Jiwa Tampan Pekanbaru untuk meningkatkan pelayanan keperawatan jiwa secara komprehensif terhadap klien dan keluarga, berupa program pendidikan kesehatan
Sensitivity and Specificity of BMI and Abdominal Circumference as Indicators of Diabetes Risks
Get PDFBackground: Increased prevalence of obesity has an impact on increasing the risk of diabetes mellitus. BMI (Body Mass Index) and abdominal circumference are measure to assess a person including obesity or not and the best indicator in determining the risk of developing diabetes. Objective: This study aims to assess sensitivity and specificity of BMI and abdominal circumference as an indicator of diabetes risk and using Receiver Operator Characteristic Curve (ROC). Design: The design of this study was observational (cross sectional). The data used are secondary data from the results of research metabolic syndrome on adults at Health Laboratory Hall, West Sumatera Province in 2014, with 58 people. inclusion criteria aged 30-60 years, blood glucose examination and exclusion criteria of pregnant women. Results: Shows that the average of BMI are 25,18 kg/m2. The test of sensitivity and specificity of BMI as both an indicator of diabetes risk was > 25 kg/m2 (Se 87% and Sp 76%) whereas, in both abdominal circumference as an indicator of diabetes risk was 90 cm in men and 80 in women (Se 91% Sp 58%). Analysis with ROC showed that the optimum sensitivity and specificity combination (> 0.8) was at 25.6 kg/m2 BMI with Se 87% and Sp 83% for diabetes risk. Conclusions: abdominal circumference is better than BMI when used as an indicator of diabetes risk. Anthropometric measurements of height, weight and abdominal circumference can be done regularly and periodically to detect the occurrence of metabolic syndrome or the risk of diabetes
PENGARUH PEMBERIAN RELAKSASI MAJINASI TERBIMBING TERHADAP TEKANAN DARAH PADA LANSIA YANG HIPERTENSI DI WILAYAH KERJA PUSKESMAS TIGO BALEH KOTA BUKITTINGGI TAHUN 2017
No full textIndonesia saat ini menghadapi pergesaran pola penyakit, dari penyakit menular menjadi penyakit tidak menular (PTM). Peningkatan terjadi akibat gaya hidup tidak sehat, modernisasi dan globalisasi, yaitu hipertensi. Hipertensi atau tekanan darah tinggi adalah suatu kondisi tekanan darah seseorang berada di atas normal yaitu sistol 120/80 mmHg dan tekanan darah diastoliknya mencapai nilai 80 mmHg atau lebih tinggi. Lansia adalah sebuah fase yang biasanya akan segera di lekati dengan segenap kondisi lemah, beruban, dan berpenyakit. Penyakit yang sering di alami oleh lansia menurut Dept Of Health Houshold Survei On Health yaitu hipertensi dengan persentase sebesar 15,7% di peringkat pertama. Data Depkes Sumbar menyebutkan 6 Kabupaten yang tertinggi angka hipertensinya sebanyak 4.846909 jiwa. Data 5 Puskesmas didapatkan data tertinggi hipertensi lansia di Wilayah Kerja Puskesmas Tigo Baleh dan akan melakukan pengobatan tanpa obat dengan teknik relaksasi imajinasi terbimbing yang belum pernah di lakukan sebelumnya. Penelitian ini bertujuan untuk mengetahui pengaruh Teknik Relaksasi Imajinasi Terbimbing terhadap penurunan tekanan darah penderita hipertensi Di Wilayah Kerja Puskesmas Tigo Baleh Bukittinggi. penelitian ini menggunakan metode Pre Experimental Design dengan metode rancangan One Group Pretest Posttest Without Control Sampel pada penelitian ini adalah 15 responden. Relaksasi imajinasi terbimbing dilakukan 2 kali dalam satu hari selama 2 minggu, teknik ini dilaksanakan 14 hari berturut-turut. Hasil penelitian didapatkan nilai p value = 0,002 denga