83 research outputs found

    EFFECT OF MUSIC THERAPY ON PAIN, ANXIETY, AND CORTISOL LEVEL IN PRIMIGRAVIDA DURING ACTIVE PHASE OF FIRST STAGE LABOR BASED ON KOLCABA’S THEORY

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    Introduction: Labor pain and anxiety are closely interrelated with each other. Pain and anxiety together can increase level of cortisol, may result in a decrease uterine contractions so that the risk of causing prolonged labor.The purpose of this study were to examine the effect of music therapy in pain, anxiety, and cortisol level in primigravida during active phase of first stage labor. Method: This study was an experimental research approach with pre-test post-test design at Delivery room Puskesmas Jagir Surabaya. Research subjects of this study was recruited using simple random sampling who was included inclusion criterias. Research subjects in this study was of 32 people who were then divided into two groups, 16 mothers into intervention group and 16 mothers into control group. Data were collected by using observation with VAS and VAAPS, also took venous blood sampling for laboratory test of cortisol serum. Data were analyzed by using paired t-test and independent t-test. Result and Analysis: The results showed that: 1) Score of VAS in intervention group was less than control group (p= 0,000), 2) Score of VAAPS in intervention group was less than control group (p=0,000), 3) There was no significant differences cortisol level between intervention group and control group (p=0,305). Discuss and Conclusion:Music therapy could reduce pain and anxiety, but could not reduce levelof cortisol in primigravida during active phase of first stage labor.Further research, music therapy should be given from third trimester in order to relaxation effect of music therapy can be felt by the mother during labor. Keywords: pain, anxiety, cortisol, music therap

    The Effect Of Quartet Menarche Cards on Santriwati Knowledge about Menarche in Yayasan Nurul-Haqq Sidoarjo

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    Introduction: Menarche is the first menstrual period that can occur in the age range of 10-16 years or in the early teens. Menarche is a sign of a change in social status from children to adulthood. This change can lead to anxiety in young women, so it is necessary to be given the right health education to overcome these anxieties. The purpose of this study is to analyze the effect of quartet menarche cards on santriwati knowledge about menarche in Yayasan Nurul-Haqq Sidoarjo. Method: This research was a quasy experimental study with a pre-post test design without control approach. The study population was santriwati in Yayasan Nurul-Haqq Sidoarjo. The sample in this study were 38 santriwati in Yayasan Nurul-Haqq Sidoarjo who met the inclusion criteria as follows: 1) Experiencing puberty (age 10-16 years), 2) Physical and mental healthy, 3) Status as active santriwati. The research instrument used was an observation sheet. Data were analyzed by Wilcoxon Signed Rank Test Test. Results: The results of data analysis using the Wilcoxon Signed Ranks Test showed p = 0.00 (p <0.05), meaning that there were significant differences in the level of santiwati knowledge before and after being given health education through the menarche quartet card game. Conclusion: Health education through the menarche quartet card game could increase santriwati knowledge about menarche in Yayasan Nurul-Haqq Sidoarjo

    PENGARUH TERAPI MUSIK TERHADAP NYERI, KECEMASAN, DAN KADAR KORTISOL PADA PERSALINAN PRIMIGRAVIDA KALA I FASE AKTlF BERBASIS TEORI KOLCABA

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    Introduction: Labor pain and anxiety are cioseiy interreiated with each other. Pain and anxiety together can increase level of cortisol, may result in a decrease uterine contractions so that the risk of causing prolonged labor.The purpose of this study were to examine the effect of music therapy in pain, anxiety, and cortisol level in primigravida during active phase of first stage labor. Method: This study was an experimental research approach with pre-test post-test design at Delivery room PuskesmasJagir Surabaya. Research subjects of this study was recruited using simple random sampling who was included inclusion criterias. Research subjects in this study was of 32 people who were then divided into two groups, 16 mothers into intervention group and 16 mothers into control group. Data were collected by using observation with VAS and V AAPS, also took venous blood sampling for laboratory test of cortisol serum. Data were analyzed by using paired t-test and independent t-test Result and Analysis: The results showed that: 1) Score of VAS in intervention group was less than control group (p= 0,000), 2) Score of V AAPS in intervention group was less than control group (p=O,OOO), 3) There was no significant differences cortisol level between intervention group and control group (p=O,305) Discuss and Conclusion:Music therapy could reduce pain and anxiety, but could not reduce levelof cortisol in primigravida during active phase of first stage labor. Further research, music therapy should be given from third trimester in order to relaxation effect of music therapy can be felt by the mother during labor

    Kualitas Tidur Ibu Primigravida Trimester III Pada Pemberian Senam Hamil Di RSIA. Sitti Aisyah Surabaya (Penelltian Deskriptif Analitik)

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    The changes of phisiologic and psychologic were experienced at pregnant women during pregnancy. All of pregnant women in third trimester have poor sleep quality and it can harm the mother and fetus. Sleep Quality can be increase with doing regular exercise. One of the recommended exercise for pregnant women is pregnancy exercise. Analytical descriptive study with non probability sampling (purposive sampling) was used in this study. Samples consisted of 8 respondents who matched with the inclusion criteri

    Correlation between Menstrual Pain and Level of Cortisol among Nursing Student of Nahdlatul Ulama University, Surabaya

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    Background: The stress faced by the final student due to the demands of completing a thesis on time triggers the activation of the HPA axis so that it can increase the secretion of the cortisol produced by the adrenal cortex. Increased cortisol secretion increases uterine muscle contraction thereby aggravating menstrual pain.Objective: The purpose of this study was to analyze the correlation between cortisol levels and menstrual pain in nursing students of Nahdlatul Ulama University, Surabaya (UNUSA).Methods: This study is an analytic observational with cross sectional approach. Population of this study were all nursing students who met the inclusion and exclusion criteria. The subjects of this study were 46 people selected through purposive sampling. Data was collected through observations with VAS and cortisol laboratory results. Data were analyzed by using Spearman rank test.Results: The results showed that: 1) All students experience menstrual pain 2) Cortisol levels in all students are still in the normal range 3) There is a correlation between cortisol levels with menstrual pain (p = 0.009).Conclusion: Increasing cortisol levels are followed by aggravating menstrual pain. Future research is expected to examine other factors that cause menstrual pain in final semester students

    The Ergonomic Gymnastic On Blood Pressure Among Elderly

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    Background: Pre elderly and elderly experience uncontrolled hypertension due to disobedience to diet and not regularly taking medication (Padila, 2013). Uncontrolled hypertension can cause stroke, heart trouble, coronary heart disease and death (Laily, 2017). One of the non-pharmacological therapies to reduce blood pressure elderly with hypertension is ergonomic gymnastic (Wratsongko, 2010).Objectives: The purpose of this study was to analyze the effect of ergonomic gymnastic on blood pressure among elderly.Methods: This study was pre-experimental with one-group pre-posttest design approaches. Population in this study were all elderly in Suko Village who matched the inclusion and exclusion criteria as many as 25 people. The sample of this study were 23 respondents and were taken by simple random sampling technique. Respondents were given ergonomic exercises for twice a week with a duration of 30 minutes. Blood pressure measurement data were taken using a sphygmomanometer and a stethoscope. Wilcoxon sign rank test with significance value less than .05 were used to analyzed data.Results: The results of the study there were significant differences between before and after doing ergonomic gymnastic with p value = 0.00, meaning that there was an influence of ergonomic gymnastics on blood pressure among elderly in Suko Village.Conclusion: The Ergonomic gymnastic can reduce blood pressure among elderly in Suko Village. The role of nurses is needed as a provider of geriatric nursing care, especially in hypertension geriatri

    Efektifitas Penerapan Diabetes Self Management Education (DSME) Terhadap Motivasi Penderita Dalam Mencegah Kekambuhan dan Komplikasi Penyakit Diabetes Melitus

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    Diabetes mellitus is a chronic disease that is still a major problem in health both in the world and in Indonesia. Diabetes mellitus is a group of metabolic diseases with characteristics of hyperglycemia that occur due to abnormal insulin secretion, insulin action or both. The purpose of this study was to determine the effect of the application of Diabetes Self Management Education (DSME) on patient's motivation in preventing recurrence and complications of diabetes mellitus inRW01,WonokromoVillage,Surabaya. This research is a type of quantitative research using the Quasy Experimental design, Pre Test-Post Test Design Control Group. The population in this study were 24 people with diabetes mellitus. The sample in this study were some DM patients who met the criteria of 10 intervention groups and 10 control groups. The independent variable in this study was the application of DSME, the dependent variable in this study was the motivation of patients to prevent recurrence and complications of DM disease. Data analysis using the Mann Withney test. The results showed that the motivation of the treatment group before being given DSME had a good value of 0% where the value was smaller than the value of motivation after the respondent was given DSME that is equal to 60%. While the motivation of the control group when the initial observation has a good value of 0% and when the final observation has a good value of 10%. The increase in motivation value increased smaller than the assessment of the motivation value of the treatment group,whichwas60%. DSME application increases patient motivation in preventing recurrence and complications of diabetes mellitus. DSME can be used as a health promotion program to improve self-care capabilities of DM patients

    Hubungan Kualitas Tidur Dengan Postpartum Blues Pada Ibu Postpartum Di Puskesmas Jagir Surabaya

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    Introduction: Postpartum blues have been considered as a normal response to hormonal changes in the mother, but if left untreated can immediately lead to postpartum depression. One of the factors that caused postpartum blues is poor sleep quality. The purpose of this study was to analyze the correlation between sleep quality and postpartum blues among postpartum mothers in Puskesmas Jagir Surabaya. Method: This research is an analytic observational with cross sectional approach. The subjects of this study were all postpartum mothers who visited at Puskesmas Jagir in July 2019 and were selected through purposive sampling according to inclusion and exclusion criteria. The instruments used were PSQI (Pittsburgh Sleep Quality Index) and EPDS (Edinburgh Postnatal Depression Scale). Data were analyzed using the Wilcoxon test and Mann-Whitney U test. Result and Analysis: The results showed that: 1) Almost all postpartum mothers had poor sleep quality 2) There was no correlation between sleep quality and postpartum blues (p = 1). Conclusion: There was no relationship between sleep quality and postpartum blues among postpartum mothers at Puskesmas Jagir Surabaya. Future studies are expected to look for the factors that most influence postpartum blues and it is hoped that Puskesmas routinely conduct postpartum blues screening to prevent postpartum depression. Keywords: endorphin massage, menstrual pain, primary dysmenorrhe

    Pengembangan Bahan Ajar Keperawatan Dasar Berbasis E-learning

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    Pendidikan Era Revolusi Industri 4.0 mengintegrasikan pembelajaran dengan memanfaatkan Internet Of Things. Pemanfaatan metode e - learning dalam pembelajaran keperawatan memiliki dampak positif dalam mendorong mahasiswa aktif, memiliki motivasi belajar, dan independensi belajar yang memadai. Pembelajaran e - lea rning menggunakan bahan ajar bersifat mandiri yang disimpan di komputer/tablet sehingga dapat diakses oleh dosen dan mahasiswa kapan saja dan di mana saja. Tujuan penelitian ini adalah 1. Menghasilkan bahan ajar Keperawatan Dasar berbasis e - learning melalu i pemanfaatan e - sorogan , 2. Mendeskripsikan kualitas bahan ajar Keperawatan Dasar berbasis e - learning melalui pemanfaatan e - sorogan , 3. Mendeskripsikan efektifitas bahan ajar Keperawatan Dasar berbasis e - sorogan pada mahasiswa keperawatan Unusa. Penelitian ini adalah pengembangan . Instrumen yang digunakan adalah angket dan pedoman wawancara. Metode yang dipakai dalam penelitian pengembangan ini adalah model pengembangan yang diadopsi dari Dick & Carey, yang terdiri dari empat tahap, yaitu tahap pengumpulan data, tahap perencanaan, tahap pengembangan produk, tahap validasi dan uji coba. Data dianalisis dengan teknik analisis deskriptif kualitatif dan analisis statistik deskriptif kuantitatif. Hasil uji para ahli menyatakan buku ajar layak untuk di uji coba skala kecil dengan nilai 80. Uji coba skala kecil dilakukan pada 30 orang mahasiswa yang diambil secara acak dari total populasi 105 mahasiswa semester II tahun ajaran 2019/2020 Universitas Nahdlatul Ulama Surabaya. Hasil uji coba skala kecil menunjukkan bahan ajar berada pada kategori layak dengan predikat baik dengan nilai 85. Bahan ajar efektif untuk digunakan dalam pembelajaran keperawatan dasar
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