1,720,962 research outputs found
Penurunan Tekanan Darah dan Kecemasan Melalui Latihan Slow Deep Breathing Pada Pasien Hipertensi Primer
Get PDFAbstrakTujuan penelitian untuk mengidentifikasi penurunan tekanan darah dan tingkat kecemasan pasien hipertensi primer setelah melakukan latihan slow deep breathing antara kelompok intervensi dan kelompok kontrol. Penelitian menggunakan desain kuasi eksperimen Pretest-Posttest Control Group melibatkan 28 responden untuk setiap kelompok. Hasil menunjukkan perbedaan penurunan rata-rata tekanan darah sistolik sebesar 15,5 mmHg, perbedaan penurunan rata-rata tekanan darah diastolik sebesar 9,9 mmHg dan perbedaan penurunan rata-rata skor tingkat kecemasan sebesar 3,2. Analisis lebih lanjut menunjukkan ada perbedaan penurunan yang signifikan rata-rata tekanan darah sistolik, tekanan darah diastolik dan tingkat kecemasan antara kelompok intervensi dengan kelompok kontrol (p= 0,000, α= 0,05). Latihan Slow deep breathing dalam pelayanan keperawatan dapat digunakan sebagai intervensi keperawatan mandiri dalam memberikan asuhan keperawatan pada pasien hipertensi primer. AbstractThe purpose of this study is to identify the reduction of blood pressure and anxiety level in patients with primary hypertension after slow deep breathing exercise between intervention and control groups. This research utilized a Quasi-Experimental Pre – post test Control Group design involved 28 subjects for each group. The result indicated that there is a decrease of 9.9 mm Hg in the average of systolic blood pressure and the anxiety level of 3.2 after the intervention. Further result demonstrated that there is a significant reduction of the average systolic and diastolic pressure, and anxiety level between intervention and control groups (p= 0,000, α= 0,05). Therefore, the slow deep breathing exercise can be applied as one of the independent nursing therapies in nursing care of patients with primary hypertension
CHANGES IN BREATHING SOUND AND BREATHING FREQUENCY OF CLIENTS WHO HAVE CHRONIC OBSTRUCTION PULMONARY DISEASE (COPD) WITH CHEST PHYSIOTHERAPY IN MARDI WALUYO HOSPITAL, BLITAR: PERUBAHAN SUARA NAPAS DAN FREKUENSI PERNAPASAN PADA KLIEN YANG MENDERITA PENYAKIT PARU OBSTRUKSI KRONIK (PPOK) DENGAN FISIOTERAPI DADA DI RSUD MARDI WALUYO KOTA BLITAR
Get PDFFisioterapi dada merupakan tindakan keperawatan yang dilakukan untuk membersihkan paru-paru dari sekret. Tujuan penelitian ini untuk mendeskripsikan perubahan suara napas dan frekuensi pernapasan sebelum dan sesudah fisioterapi dada. Desain penelitian menggunakan rancangan penelitian deskriptif dengan sampel 11 orang. Pengumpulan data dengan menggunakan lembar kuesioner dan observasi. Hasil penelitian menunjukkan bahwa rata-rata frekuensi pernapasan pada pasien PPOK sebelum dan sesudah fisioterapi dada kunjungan I sampai dengan kunjungan III terjadi penurunan 11 point yakni dari 31x/menit menjadi 20x/menit, dan terjadi perunanan letak lobus yang terdapat suara napas tambahan yaitu ronkhi sebelum dan sesudah fisioterapi dada, pada kunjungan I sampai dengan kunjungan III turun sebanyak dua point yaitu dari tiga lobus atau 46% (5 pasien) menjadi satu lobus yaitu 78% (7 pasien). Tindakan fisioterapi dada mampu meningkatkan pengeluaran sekret. Pelaksanaan fisioterapi dada sebaiknya dilakukan 2x/hari agar diperoleh hasil yang maksimal.
Chest physiotherapy is a nursing action performed to clean the lungs from secretions. The purpose of this study was to describe changes in breathing sounds and breathing frequency before and after chest physiotherapy. The study design used a descriptive research design with a sample of 11 people. Data collection using questionnaire sheets and observation. The results showed that the average breathing frequency in COPD patients before and after chest physiotherapy visits I to visit III decreased by 11 points, from 31x / minute to 20x / minute, and the lobe location occurred with additional breathing sounds, ronkhi before and after chest physiotherapy, on visit I to visit III it dropped by two points, from three lobes or 46% (5 patients) to one lobe, 78% (7 patients). Chest physiotherapy on being able to increase secret expenditure. The implementation of chest physiotherapy should be done 2x/day in order to obtain maximum results
Faktor-Faktor yang Mempengaruhi Kejadian Hipoglikemia pada Pasien Diabetes Melitus Tipe II
Get PDFHipoglikemia merupakan salah satu komplikasi yang harus diperhatikan pada pasien diabetes melitus tipe 2 karena menjadi suatu penyebab kematian terutama pada usia lansia sehingga harus diketahui faktor yang memengaruhi hipoglikemia. Tujuan penelitian ini adalah mengetahui tentang faktor-faktor yang memengaruhi hipoglikemia pada pasien diabetes melitus tipe 2. Penelitian ini menggunakan metode Literatur Review dengan desain Tradisional Review yang pencariannya melalui database Google Scholar, Pubmed, dan Science Direct yang ditemukan 6 artikel dengan kriteria inklusi artikel terbitan 6 tahun terakhir (2015-2021), fulltext, menggunakan kata kunci Faktor Risiko or Risk Factor, Hipoglikemia or Hypoglycemia, Diabetes Melitus Tipe 2 or Type 2 Diabetes. Penelususan literatur menggunakan PEOS (P= pasien diabetes melitus tipe 2 dengan hipoglikemia, E= tidak ada, O= faktor-faktor yang memengaruhi hipoglikemia, S= Cross Sectional, Case-Control, dan Cohort). Hasil penelitian menunjukkan faktor yang memengaruhi hipoglikemia meliputi, jenis kelamin, pekerjaan, pendidikan, usia, sikap, pengetahuan, BMI yang rendah, terapi insulin+sulfonylurea+anti hiperglikemik agen, monitoring gula darah mandiri, HDL-C, LDL-C, TG, durasi lamanya diabetes, adanya infeksi dan komorbid, olahraga yang berlebih, HbA1c, dan pola makan. Kesimpulannya, faktor sikap paling dominan karena ketika seseorang menerima hal baru maka ia akan menyikapinya dengan positif atau pun negatif sehingga akan menimbulkan terjadinya suatu perilaku tertentu. Saran bagi penderita hipoglikemia agar menjaga kesehatan, rutin kontrol, dan kebugaran diri serta pada fasilitas kesehatan perlu diadakan edukasi untuk mencegah risiko dan tanda gejala penyakit hipoglikemia.Hipoglikemia merupakan salah satu komplikasi akut pasien diabetes melitus tipe 2 yang dapat terjadi berulang dan mengakibatkan kematian. Tujuan penelitian ini adalah mengetahui tentang faktor-faktor yang memengaruhi kejadian hipoglikemia pada pasien diabetes melitus tipe 2. Desain literatur review adalah Tradisional Review. Penelusuran literatur melalui database Google Scholar, Pubmed, dan Science Direct menggunakan strategi PEOS framework yang terdiri dari P (population): Pasien DM tipe 2 dengan hipoglikemia, E (Exposure): faktor yang mempengaruhi kejadian hipoglikemia, O (Outcome): Faktor yang mempengaruhi kejadian hopiglikemia, S (Study Design): cross sectional, case-control, dan cohort. Penelusuran dengan kata kunci faktor risiko or risk factor, hipoglikemia or hypoglycemia, DM tipe 2 or type 2 Diabetes. Hasil penelitian menunjukkan faktor yang memengaruhi kejadian hipoglikemia adalah jenis kelamin, pekerjaan, pendidikan, usia, sikap, pengetahuan, BMI yang rendah, terapi insulin+sulfonylurea+anti hiperglikemik agen, monitoring gula darah mandiri, HDL-C, LDL-C, TG, durasi lamanya diabetes, adanya infeksi dan komorbid, olahraga yang berlebih, HbA1c, dan pola makan. Kesimpulannya, faktor sikap paling dominan karena ketika seseorang menerima hal baru maka ia akan menyikapinya dengan positif atau pun negatif sehingga akan menimbulkan terjadinya suatu perilaku tertentu. Saran bagi penderita hipoglikemia agar menjaga kesehatan, rutin kontrol, dan kebugaran diri serta pada fasilitas kesehatan perlu diadakan edukasi untuk mencegah risiko dan tanda gejala penyakit hipoglikemia.
Hypoglycemia is one of the acute complications of type 2 diabetes mellitus that can occur repeatedly and result in death. The purpose of this study was to find out about the factors that influence the incidence of hypoglycemia in patients with type 2 diabetes mellitus. The design of the literature review is a traditional review. A literature search through the Google Scholar, Pubmed, and Science Direct databases used the PEOS framework strategy consisting of P (population): Type 2 DM patients with hypoglycemia; E (exposure): factors that influence the incidence of hypoglycemia; O (outcome): factors that influence the incidence of hypoglycemia; and S (study design): cross-sectional, case-control, and cohort. Search with keywords such as risk factor or risk factor, hypoglycemia or hypoglycemia, and type 2 DM or type 2 diabetes. " The results showed that the factors that influence the incidence of hypoglycemia are gender, occupation, education, age, attitude, knowledge, low BMI, insulin therapy + sulfonylurea + anti-hyperglycemic agents, self-monitoring of blood sugar, HDL-C, LDL-C, TG, duration of diabetes, presence of infections and comorbidities, excessive exercise, HbA1c, and diet. In conclusion, the attitude factor is the most dominant because when a person accepts something new, he will react positively or negatively so that it will lead to a certain behavior. Suggestions for hypoglycemia sufferers to maintain health, routine control, and self-fitness, as well as education at health facilities to prevent the risks and signs of hypoglycemia, because when a person accepts something new, he will react positively or negatively so that it will lead to a certain behavior. Suggestions for hypoglycemia sufferers to maintain health, routine control, and self-fitness, as well as education at health facilities to prevent the risks and signs of hypoglycemia
Hubungan Faktor Jenis Kelamin, Pekerjaan dan Pengalaman Menjalani Operasi terhadap Kecemasan pada Pasien Pre Operasi Fraktur Ekstremitas Bawah di Instalasi Bedah Sentral RSUD Mardi Waluyo Blitar
Get PDFObjective: The general objective of this study was to determine the factors that influence anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar. The specific objectives of this study were 1. to analyze gender factors on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar, 2. to analyze occupational factors on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar, 3. to analyze factors of surgical experience on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar.
Methods: : Cross-sectional research design, research population 30 lower extremity fracture patients, independent variables (gender, occupation, experience of undergoing surgery) and dependent variables (anxiety), Observation research instruments and APAIS questionnaires, research location premedication room central surgical installation RSUD Mardi Waluyo Blitar, research time 26 March - 19 April 2025, research data processing editing coding, data entry and cleaning, data analysis statistical test SPSS using chi square test and descriptive analysis.
Results: 1. The significance value (Sig. 2-tailed) is 0.003, which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (gender factor) and variable Y (anxiety level). 2. The significance value (Sig. 2-tailed) is 0.006 which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (job factor) and variable Y (anxiety level). 3. The significance value (Sig. 2-tailed) is 0.008 which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (operation experience factor) and variable Y (anxiety level).
Conclusion: 1. The gender factor is related to anxiety with a p value of 0.004, < of (p < 0.05). 2. There is a relationship between work factors and anxiety with a p value of 0.006, < of (p < 0.05). 3. The experience of undergoing surgery has a relationship with anxiety with a p value of 0.008, < of (p < 0.05).Tujuan: Tujuan umum dari penelitian ini untuk mengetahui faktor yang mempengaruhi kecemasan pada pasien pre operasi fraktur ekstremitas bawah di IBS RSUD Mardi Waluyo Blitar. Tujuan khusus dari penelitian ini adalah 1. menganalisis faktor jenis kelamin terhadap kecemasan pada pasien pre operasi fraktur ekstremitas bawah di IBS RSUD Mardi Waluyo Blitar, 2. menganalisis faktor pekerjaan terhadap kecemasan pada pasien pre operasi fraktur ekstremitas bawah di IBS RSUD Mardi Waluyo Blitar, 3. menganalisis faktor pengalaman menjalani operasi terhadap kecemasan pada pasien pre operasi fraktur ekstremitas bawah di IBS RSUD Mardi Waluyo Blitar
Metode: Desain penelitian cross-sectional, populasi penelitian 30 pasien fraktur ekstremitas bawah, variabel independen (faktor jenis kelamin, pekerjaan, dan pengalaman menjalani operasi) dan variabel dependen (kecemasan), Instrumen penelitian observasi, dan kuesioner APAIS, tempat penelitian di ruang premedikasi instalasi bedah sentral RSUD Mardi Waluyo Blitar, waktu penelitian 26 maret – 19 april 2025, pengolahan data penelitian editing coding, entry data dan cleaning, analisa data uji statistik SPSS menggunakan uji chi squere serta analisa deskriptif.
Hasil: 1. Nilai signifikansi (Sig. 2-tailed) sebesar 0,003, yang lebih kecil dari α = 0,05 (p < 0,05). Hal ini menunjukkan bahwa terdapat hubungan yang signifikan antara variabel X (faktor jenis kelamin) dengan variabel Y (tingkat kecemasan). 2. Nilai signifikansi (Sig. 2-tailed) sebesar 0,006 yang lebih kecil dari α = 0,05 (p < 0,05). Hal ini menunjukkan bahwa terdapat hubungan yang signifikan antara variabel X (faktor pekerjaan) dengan variabel Y (tingkat kecemasan). 3. nilai signifikansi (Sig. 2-tailed) sebesar 0,008 yang lebih kecil dari α = 0,05 (p < 0,05). Hal ini menunjukkan bahwa terdapat hubungan yang signifikan antara variabel X (faktor pengalaman menjalani operasi) dengan variabel Y (tingkat kecemasan).
Kesimpulan: 1. Faktor jenis kelamin terdapat hubungan terhadap kecemasan dengan p value sebesar 0,004, < dari (p < 0,05). 2. Faktor pekerjaan terdapat hubungan terhadap kecemasan dengan p value sebesar 0,006, < dari (p < 0,05). 3. Faktor pengalaman menjalani operasi terdapat hubungan terhadap kecemasan dengan p value sebesar 0,008, < dari (p < 0,05).
 
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Asuhan Keperawatan pada Pasien Gastritis di RS Wonolangan Probolinggo: Studi Kasus
Get PDFBackground: Gastritis is a state of inflammation of the gastric mucosa that can be acute and chronic due to the inattention of sufferers to health, one of which is the application of an unhealthy lifestyle.
Aim: Identify an overview of nursing care case studies in patients with gastritis problems at Wonolangan Probolinggo Hospital.
Method: This qualitative research uses a case study design specifically designed to study in detail and depth about a case and include various sources of information.
Results: Studies that have been done on Mr. A found that nutritional deficits are associated with nausea. After the act of foster care, the nausea experienced by Mr. A was reduced marked by an increase in his appetite of Mr. A.
Conclusion: The problem of nursing deficit nutrition has been resolved. Motivation and health education are needed for people with gastritis, including maintaining oral hygiene, eating with small but frequent portions, and maintaining a good dietLatar belakang: Gastritis merupakan suatu keadaan peradangan mukosa lambung yang dapat bersifat akut dan kronik diakibatkan kurangnya perhatian penderita terhadap kesehatan salahs satunya penerapan pola hidup yang tidak sehat.
Tujuan: Mengidentifikasi gambaran mengenai Studi Kasus Asuhan Keperawatan Pada Pasien Dengan Masalah Gastritris di RS Wonolangan Probolinggo.
Metode: Penelitian kualitatif ini menggunakan desain studi kasus yang dirancang khusus untuk mempelajari secara rinci dan mendalam mengenai sebuah kasus dan menyertakan berbagai sumber informasi.
Hasil: Pengkajian yang telah dilakukan terhadap Tn. A didapatkan bahwa defisit nutrisi berhubungan dengan mual. Setelah dilakukan tindakan asuhan keperawataan, mual yang dialami Tn. A berkurang ditandai dengan meningkatnya nafsu makan Tn. A.
Kesimpulan: Bahwa masalah keperawatan difisit nutrisi pada telah teratasi. Motivasi dan pendidikan kesehatan sangat diperlukan untuk penderita gastritis diantaranya dengan menjaga oral hygiene, makan dengan porsi sedikit tapi sering, dan menjaga pola makan yang bai
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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