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The Efficacy of Stabilization Exercises for Chronic Low Back Pain: A Systematic Review
Get PDFBackground: Non-specifc low back pain (NSLBP) is described in a recent review of national guidelines as a diagnosis of exclusion, where pain caused by a suspected or confrmed serious pathology or presenting as a radicular syndrome have been ruled out. The treatment includes the correct body mechanics and ergonomics training, postural awareness training, strengtheningexercise, trunk stabilization exercise, stretching exercise. This systematic review aimed to explain the effectiveness of stabilization exercise against a decline in the level of pain and disability in patients with chronic nonspecific low back pain. Methods: The methods used by searching articles database SCOPUS, capping the results journals that do is the year of publication of the journal are restricted to start 2011-2017. Assessment of Risk of Bias on this review using a special Chocrane for research in methods of Randomized Control Trial (RCT). Results: This therapy can implied in medical surgical nursing especially musculoskeletal disorder. Stabilization exercise can be used as a option therapy to reduce the pain in chronic low back pain but must be with expert supervision. Conclusions: The results of this review indicate that stabilization exercise have significant influence towards a decrease in the level of pain and decrease disabilit
Effect of Bibliotherapy on Self-Concept in Children with Mental Retardation in SLB
Get PDFIntroduction: Children with mental retardation are children with special needs with a level of intelligence > 70. The self-concept of a child with mental retardation is influenced by their pattern of care as well as their environment. Rejection by the environment and deviations in care adjustments can cause the child to be unwilling to communicate and interact, to form a bad perception of development and self-concept. Thus, the researchers were interested in studying the effect of bibliotherapy on the self-concept of children with mental retardation in SLB. The purpose of this study was to investigate whether bibliotherapy had any influence on self-concept.
Method: This study was a quasi-experimental research study which involved 42 respondents as its population. The population was made up of 24 students of SLB Sasanti Wiyata and 18 students of SLB AKW Kumara II Surabaya. The sample of this study was made up of 36 respondents according to the inclusion criteria, gathered using a purposive sampling technique. The independent variable was bibliotherapy. The dependent variable was self-concept. The instruments used were the Robson Self-Concept Questionnaires. The data analysis used a Manova test in SPSS with a significant value α <0.05. Result: The results showed, in the treatment group via a Manova test, 0.005 for self-image, 0.033 for personal identity, 0.001 for self-esteem, 0.004 for self-ideal, 0.198 for role. With partial eta squared, the results indicated that bibliotherapy can affect self-esteem with a value of 0.302. The provision of bibliotherapy in this research was found to have a positive influence and improved self-concept in children with mental retardation in SLB.
Discussion: Bibliotherapy can improve self-concept in children mental retardation in SLB. With bibliotherapy, children will learn and also imagine according to circumstances and desires. Moreover, one of the session in bibliotherapy encourage the children express their feelings
MENDORONG PROGRAM INDONESIA SEHAT MELALUI PENINGKATAN KOMPETENSI PROFESIONAL DAN PENGUATAN PROFESIONALISME PERAWAT DI KABUPATEN SAMPANG – MADURA
Get PDFKabupaten Sampang merupakan salah satu kabupaten di wilayah Jawa Timur yang memiliki banyak permasalahan yang dihadapi, khususnya dalam bidang kesehatan. Dengan jumlah penduduk 947.614 jiwa Kabupaten Sampang menghadapi persoalan profesionalisme SDM/tenaga kesehatan, jenjang karir perawat yang belum banyak tersosialisasi, permasalahan kasus Tb yang masih tinggi prevalensinya, hingga permasalahan tingginya kejadian bencana (banjir) di Kabupaten Sampang yang memerlukan kesiapan dan kemampuan perawat dalam kejadian gawat daurat/emergency. Perawat puskesmas sebagai garda terdepan pelayanan kesehatan di Puskesmas dituntut mampu
menunjukkan profesionalismenya melalui keefektifan dan keberhasilan tindakan yang dilakukan. Kegiatan ini bertujuan untuk meningkatkan profesionalisme dan mendorong perawat meningkatkan
kompetensinya melalui media dan wahana pendidikan dan pelatihan. Tim pelaksana bekerjasama dengan Dinas Kesehatan Kabupaten Sampang mengadakan kegiatan seminar dan pendidikanpelatihan sesuai dengan bidang keahlian tim dengan topik: (1) Profesionalisme Perawat: Tinjuan Aspek Legal dan Etik Keperawatan; (2) Jenjang Karir Perawat; (3) Penanganan Tuberkulosis secara komprehensif meliputi bio-psiko-sosio-spiritual; (4) Perawatan Luka; dan (5) Update Basic Life Support berdasarkan AHA Guidelines 2015. Sasaran kegiatan ini adalah 152 perawat Puskesmas di wilayah kerja Dinkes Kabupaten Sampang yang dipilih dan diidentifikasi sesuai
kompetensi dan kebutuhan oleh pihak Dinas kesehatan Kab. Sampang. Rangkaian kegiatan pengabdian kepada masyarakat dilakukan dalam kurun waktu bulan Juli-Agustus 2018. Serangkaian pendidikan dan pelatihan yang dilaksanakan menghasilkan luaran berupa
meningkatnya pengetahuan dan sikap tentang profesionalisme dan jenjang karir perawat, meningkatnya pengetahuan dan sikap tentang penanganan penderita Tuberkulosis, dan peningkatan kompetensi profesional perawat dalam perawatan luka serta BLS (Basic Life Support). Ke depan, diperlukan kegiatan pendidikan dan pelatihan untuk perawat dan tenaga kesehatan lainnya yang berkelanjutan sesuai perkembangan ilmu pengetahuan dan teknologi kesehatan terkini agar tercipta tenaga perawat/kesehatan professional yang mendorong tercapainya program Indonesia Sehat di berbagai lapisan masyarakat
Exclusive Breastfeeding Associated with the Reduction of Acute Respiratory Tract Infections in Toddlers with High-Risk Factors
Get PDFIntroduction: Acute respiratory tract infections (ARI) is a disease that is the primary cause of death, especially in children. Toddlers can be prevented from developing ARI with increased immunity. Giving breast milk can increase children's immunity, but there are still children who experience ARI. This study aimed to explain the differences in Acute Respiratory Tract Infections (ARI) events in toddlers who are exclusively and non-exclusively breastfed.
Methods: The research design used was descriptive-comparative with a retrospective design. The population in this study were all children one to three years of age. A sample of 158 toddlers was recruited by a purposive sampling technique. Data retrieval was done with the criteria that the child had visited a public health centre (puskesmas) or integrated health care service post (posyandu), and does not suffer from a disease such as asthma or have any allergies. The variables were measured using a questionnaire and observation sheet. Data analysis was done by a chi-square test and binary logistic regression.
Results: The results showed that there were differences in ARI incidence in toddlers (one to three years) who were exclusively and non-exclusively breastfed with a value of p = 0.003. The air pollution factor proved to be significant, dominantly affecting the incidence of ARI.
Conclusion: Differences in ARI incidence in toddlers who are exclusively and non-exclusively breastfed is possible due to air pollution factors. Key implications for nursing practice from this research are improving services, and prevent the occurrence of AR
FAKTOR YANG BERHUBUNGAN DENGAN PERSONAL HYGIENE SAAT MENSTRUAS
Get PDFAdolescents are a transition to adulthood with changes in growth and development, adolescents are at risk of reproductive health especially during menstruation. Personal hygiene during menstruation is the issue
of determinants of adolescent health that affect the life of old age. Management of disorders at the time of menstruation is to familiarize themselves hygienic behavior. The aim of this research is to know factors related to Personal hygiene during menstruation. Such as
knowledge, peer communication, menarche age and belief in mythology at siswi in MI Miftahul Ulum Pamekasan. Quantitative research type with cross sectional approach. Respondents in the study were MI Miftahul Ulum Pamekasan as many as 117 student. The measuring tool used is questionnaire and tested using Chi Square Sampling is done by purposive sampling method. The results showed that 76.1% of respondents have enough Personal hygiene categories and as many as 23.9% of respondents into the category of Personal hygiene is less. The Chi Square test shows that there is a relationship between knowledge (p = 0.001), peer communication (p = 0.002), and mythic belief (p= 0.001)
with Personal hygiene during menstruation, and menarche age (p= 0.473) Personal hygiene during menstruation. Teenagers are expected to increase Personal hygiene during menstruation by providing knowledge gained from mass media, parents, health workers and books. Schools apply health education methods to improve Personal hygiene during
menstruation like SGD (Small Group Discussion)
Effect of Pursed Lips Breathing for Oxygen Saturation and Peak Expiratory Flow Rate : Systematic Review
Get PDFBackground: Pursed Lips Breathing is a pulmonary rehabilitation therapy that can be reduce peak expiratory flow rate, mean expiratory flow rate, airway resistance decrease and improve lung elasticity. This systematic review aims to determine the effect of pursed lip breathing on
peak expiratory flow rate, oxygen saturation, dynamic hyperinflation. Methods: Information relating to this study was found in several journal databases such as MEDLINE, PubMed, Ebsco, CINAHL, Elsevier Science Direct, which are respiratory journals and a collection of research abstracts identified from 2000 to 2017. Results: Pursed lip
breathing is an effective therapy against an increase in PEFR and oxygen saturation. Conclusion: Pursed lip breathing is an easy and inexpensive therapy, which may be applicable in solving gas exchange problems and breathing patterns disorders
Development of the Mind-Body-Spiritual Nursing Care Model (MBS) for Coronary Heart Disease Patients
Get PDFIntroduction: Patients with coronary heart disease (CHD) may experience various physical, psychological or spiritual issues. A holistic mind-body spiritual nursing care (MBS) model is needed to help patients' cope with the issues. This
study aimed to develop an MBS nursing care model for CHD patients.
Method: The study employed a crossectional design with 110 CHD patients participated in the study. Respondents were asked to fill out questionnaires to gather the required data. Criteria for respondent selection were Moslem, aged
40-75 year, medical diagnosis of CHD, and haemodynamically stable. The independent variables were focal, contextual and residual stimuli, while the dependent variables were coping and spirituality. Data were analyzed using partial least square. Results: The results show that the mind-body-spiritual nursing care formed focal stimuli. Spirituality is formed by focal, contextual, residual stimuli and
coping style. Nursing care significantly affects spirituality, shown by T-statistics of 6.795. Spirituality can be explained by patience, endeavour toward wellness,
and offer the results only to the God by 72%, while the rest is explained by other factors.
Conclusion: MBS nursing care model has a strong relationship with spirituality.
This model needs to be applied in a further research to see its effectiveness in improving spirituality and expression of cardiovascular risk inflammatory marker
Nurses’ Spirituality Improves Caring Behavior
Get PDFCaring is a behavior of giving holistic assistance to individuals. In fact, this important behavior still has not routinely performed in current nursing practice. Personality and sipirituality are important factors in forming one’s caring behavior. Spirituality is a passion or impulse to perform noble action. The objective of this study was to explain the relationships of nurses’spirituality and caring behavior. This study was an observational research with cross sectional design. Study participants were ward nurse in three hospitals. The participants were recruited consecutively from untill
the desired quota satisfied. Questionnaires on caring behavior and spirituality were used to collect primary data. Multivariate data analysis with Structural Equation Modeling- Partial Least Square (PLS-SEM) was used to analyze the data. The results showed no significant relationships between nurses’ demographic characteristics (education, working experience, and wards type)
and their spirituality or caring behavior. However, we found significant relationship of nurses’ spirituality and caring behavior. In conclusion, nurses spirituality could affect caring behavior in positive ways and potentially improve nursing practice
Konsep Komunikasi Efektif Dalam Keperawatan
Get PDFPasien atau keluarga adalah manusia, dia mempunyai perasaan, ego atau harga diri,
serta kemampuan untuk melindungi dirinya sendiri. Salah besar jika petugas kesehatan
dokter, perawat, tenaga analis, atau tenaga kesehatan lain menganggap pasien adalah orang
yang tidak berdaya. Bahkan pasien yang mengalami gangguan jiwa sekalipun juga masih
mempunyai unsur-unsur kesadaran diri.
Pasien yang datang ke rumah sakit bukan berarti orang yang tidak peduli dengan
kesehatannya, tetapi pasien akan mencari pertolongan ke rumah sakit, apabila kondisi
tersebut sudah diluar kemampuannya. Hal ini terkait dengan konsep homeostasis, bahwa
apapun kondisinya manusia akan berusaha untuk menjaga keseimbangan di dalam dirinya.
Sebelum pasien ke rumah sakit, individu tersebut sudah berusaha mencari cara untuk
menyeimbangkan atau mengatasi masalah kesehatannya. Entah itu minum obat yang di beli
di warung, minum jamu, atau pergi ke dukun, atau ketempat pelayanan kesehatan lain.
Kondisi tersebut harus dipahami oleh tenaga kesehatan, salah besar apabila pada saat pasien
baru datang ke rumah sakit, petugas kesehatan sudah mengeluarkan kata “Kok...baru
sekarang di bawah ke sini?” Kalimat ini sangat menyinggung perasaan pasien atau keluarga,
seolah-olah mereka berbuat kesalahan menelantarkan pasien. Apabila pasien atau keluarga
mendapat sambutan kalimat seperti ini, maka akan timbul perasaan bersalah atau malu,
sehingga dapat mengganggu proses komunikasi selanjutnya. Kalimat yang tepat adalah
“Sebelum berobat ke sini, upaya apa yang bapak sudah lakukan?” Kalau kita telaah, kalimat
ini tidak menghakimi, tetapi petugas kesehatan akan memperoleh informasi upaya yang
sudah dilakukan sebelumnya. Pasien atau keluarga akan memberikan penilaian pertama
kepada petugas kesehatan baik dokter maupun perawat, dari komunikasi verbal atau non
verbal yang ditunjukkan oleh petugas disaat pertama kontak atau menyambut pasien. Hal
tersebut tidak bisa ditipu, atau dimanipulasi, insting pasien akan mengatakan, apakah dokter
atau perawat “care” terhadap dirinya
Correlation of Physical Activity and Menopause Symptoms
Get PDFMenopausal women often experience a decrease in the production of Estrogen, progesterone and other sex hormones. The most common symptoms that occur during perimenopause period, for example; hot flashes, insomnia, irritability, and mood instability, thinning of vaginal mucosa with decreased lubrication. The purpose of this study was to identify a correlation between physical activity and Menopause symptoms in women aged 41-50 years. Design used was correlational research. Population comprised women aged 41-50 years at Village Gogik district of Ungaran Barat. The sample was taken by simple random sampling technique, obtaining as many as 117 respondents. Physical activity as independent variable and menopause symptoms as the dependent variable. Their physical activity levels were assessed using the General Practice Physical Activity Questionnaire
(GPPAQ). The Menopause Rating Scale (MRS)questionnaire was used to assess menopause symptoms. Data obtained were processed using Spearman's Rho with α≤0.05. Results showed that p(Sig.)=0.000, r=-0.950, indicating that physical activity variables had a negative very strong correlation with menopause symptoms In women aged 41-50 years. In
conclusion, physical activity correlates with menopause
symptoms in women aged 41-50 years. Nurses can provide
health education about the importance of exercise to minimize the effect of menopause symptoms.
Keywords: physical activity, menopausal symptoms,
women aged 41-50 year