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TINGKAT PENGETAHUAN SISWA SMU TENTANG NARKOBA DI WILAYAH BATURADEN DAN PURWOKERTO TIMUR Sumarwati, Made; Purnawan, Iwan; Mursiyam, Mursiyam
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7481.65 KB)

Abstract

The drugs abuse is teenagers are complex problem. It is not only about teenagers, but also about another aspects like family, enviroment, school, friend. Health?s provider and laws government officer. Sub-province of Banyumas is region which have most drugs abuse?s case that can be exposed. According to Kasat Narkoba Banyumas, at 2006, they can catch 36 drugs abuser. Ten among others are students of senior high school. One of the action for drugs abuser?s handling is preemptive way. This way is done by socialization of drugs to increase the knowledge of teenanger about drug abuse. The aim of research is to know knowledge?s level of Senior High School?s student about drug abuse at the districts of Baturraden by cluster sampling. The students as respondents who involve in this research are from class three till class seven. The amount of respondents in this research is 395. The processing data?s method that use is data?s tabulation pursuant to cumulative frequency. The research?s result conclude that knowledge?s level of Senior High School?s student about drug abuse in region of Purwokerto Timur is Baturraden included in good category. It?s show by score more than 26, namely 27,67.
Perbedaan Pengaruh Terapi Murottal Selama 15 Menit Dan 25 Menit Terhadap Penurunan Skala Nyeri Pada Pasien Kanker Pascabedah Mulyani, Nani Sri; Purnawan, Iwan; Upoyo, Arif Setyo
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.964 KB) | DOI: 10.20884/bion.v1i1.12

Abstract

Background: Surgery in cancer patients can cause pain. Pain can be overcome through pharmacological and non-pharmacological therapy. One of non-pharmacological therapies to reduce pain is murottal therapy because it can stimulate extraction of ?-endorphin.Objective: This research aimed to determine the difference in effect of murottal therapy for 15 minutes and 25 minutes on reduction of pain scale in post-surgery cancer patients.Method: This research used quasi experimental research design with non-randomized pretest-posttest with control group design approach. The sampling in this research used consecutive sampling. The sample size in this research was 30 respondents. This amount was divided into 2 groups: 15 respondents of 15 minutes murottal therapy group and 15 respondents of 25 minutes murottal therapy group. Data analysis used the Wilcoxon and Mann Whitney test.Result: The majority of respondents aged 40-60 years old, female, and suffering from breast cancer. The result indicated that there was a significant difference in the pain scale in 15 minutes group (p=0.002) and 25 minutes group (p=0.000). But, there was no significant difference in the reduction of pain scale in both groups (p=0.167). However, the average reduction of pain scale in 25 minutes group was greater (2.00±0.66) than 15 minutes group (1.53±1.06).Conclusion: Murottal therapies for 15 minutes and 25 minutes were equally effective for reducing pain in post-surgery cancer patients.
The Effect of Acupressure at Lr 3 And Sp 6 Point on The Pain Scale Among Post Sectio Caesarea Patient at Regional Public Hospital of Banyumas Tuswati, Tuswati; Purnawan, Iwan; Anggraeni, Mekar Dwi
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.174 KB) | DOI: 10.20884/bion.v1i1.6

Abstract

Background. Pain is the major complaint felt by mothers with post sectio caesarea that they are afraid making any mobilization. Early mobilization of post sectio caesarea are highly necessary to accelerate the wound healing. Acupressure is one of non-pharmacological therapies to reduce pain. Acupressure has the ability to release endorphins. Accupressure at  LR 3 and SP 6 point stimulate the endorphin expulsion. Objective. This research aimed to examine the effect of acupressure at LR 3 and SP 6 point on the pain scale of the post sectio caesarea patient at Regional Public Hospital of Banyumas.Method. The research was a quasi-experimental and pretest-posttest design with control group. Sample were collected using a consecutive sampling technique. The samples were 40 patients consisting of 20 patients classified into the intervention group and 20 patients classified into the control group. The pain was measured using a numeric rating scale. The intervention group was administered with acupressure performed at LR3 and SP 6 point for 30 times on each point while the control group was administered with internal respiration for 10 minutes. The data were analyzed using Wilcoxon and Mann Whitney test with the significance level of ? ? 0.05.Result. The results of Wilcoxon test showed that accupressure at LR 3 and SP 6 point influenced the pain scale of those classified into the intervention group with the value of p = 0.000 (? < 0.05) but does not influence those classified into the control group with the value of p = 0.157 (? > 0.05). Meanwhile, the result of Mann Whitney test showed that there was an significant difference between the intervention and control group post test score with the value of p = 0.000 (? < 0.05).Conclusion. acupressure at LR 3 and SP 6 point significantly effect the pain scale of post sectio caesarea patient.
Perbedaan Efektivitas Aromaterapi Lavender Dan Aromaterapi Peppermint Terhadap Nyeri Pada Pasien Post Sectio Caesarea Di Rsud Ajibarang Safaah, Siti; Purnawan, Iwan; Sari, Yunita
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (315.63 KB) | DOI: 10.20884/bion.v1i1.10

Abstract

Background: Options delivery birth process through the SC in Indonesia is increasing, so the risk of complications post SC also growing. One complication that arises is wound pain post SC. Treatment of pain in post SC are 2 kinds, which are pharmacological and non-pharmacological. One handling non-pharmacological use aromatherapy. Aromatherapy that popularly used are lavender and peppermint. Both of these aromatherapy can reduce pain and have few side effects.Objective: This study aims to determine differences in the effectiveness aromatherapy lavender and peppermint. Methodology: This experimental study applied experiment with pre- and post-test control group design. Samples taken were 32 with consecutive sampling. This study was divided into 2 groups : intervention group (lavender) and control group (peppermint). The data were analyzed using Wilcoxon test and Mann Whitney. Results: Characteristics of respondents in the age range 26-35 years by 68.8% in the peppermint group and 75% in the group of lavender. Test Wilcoxon showed that there is significant pain reduction both in the group of lavender or peppermint group, this is indicated by the value of p= 0.000. But the Mann-Whitney test showed a decrease in pain on lavender larger group than the group of peppermint, which is the value of p= 0.005.Conclusion: Aromatherapy lavender is more effective than peppermint aromatherapy in reducing pain post SC.
Quality of Life and Associated Factors in Indonesian Diabetic Patients with Foot Ulcers Sari, Yunita; Purnawan, Iwan; Taufik, Agis; Sumeru, Annas
Nurse Media Journal of Nursing Vol 8, No 1 (2018): (JUNE 2018)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.511 KB) | DOI: 10.14710/nmjn.v8i1.16815

Abstract

Background: Diabetic foot ulcer will cause a reduction in quality of life (QOL), high care burden, and even mortality. An assessment of QOL and associated factors in patients with diabetic foot ulcer is important to provide evidence for establishing a care plan program for such patients. However, up to the present, there is no evidence of a published study that investigates the QOL and its associated factors in patients with diabetic foot ulcer in Indonesia.Purpose: The purpose of this study was to investigate the QOL in patients with diabetic foot ulcer in each domain and investigate the factors associated with this condition.Methods: The design of this study was a cross-sectional study. The total sample for this study was 55 patients. The QOL data were collected using a Diabetic Foot Ulcer Scale questionnaire. Statistical analyses were conducted using Mann-Whitney U-test and Kruskal-Wallis test.Results: The result showed that the QOL in the domains of emotions, positive compliance, family life, and friend were high, while the QOL in the domains of daily activities, physical health, leisure, finances, positive attitude, and treatment ranged from low to average. Significant differences were found between income (p=0.004), grade of the wound (p=0.047), number of wounds (p=0.029), and blood glucose (p=0.013) with QOL of patients. Other variables did not have a significant relationship with QOL, but marital status had a significant correlation with the domain of leisure (p=0.004) and duration of the ulcer had a significant correlation with the domain of emotions (p=0.001)Conclusion: There is a correlation between income, grade of the wound, the number of wounds, and blood glucose with QOL of patients with a diabetic foot ulcer. This study recommends to take into account economic status, grade and number of wound, and blood glucose level in order to improve the QOL of patients for an effective patient care plan.
GAMBARAN PERAN PERAWAT TERHADAP PEMENUHAN KEBUTUHAN SPIRITUAL PASIEN DI RUANG ICU Nurhanif, Nurhanif; Purnawan, Iwan; Sobihin, Sobihin
Journal of Bionursing Vol 2, No 1 (2020)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.902 KB) | DOI: 10.20884/bion.v2i1.27

Abstract

Background. ICU patients ' spirituality is very important. Spirituality will be the way the patient searches for the meaning of life, including a disease-related affliction. In spiritual needs, nurses who view the patient holistically play an important role.Methods. This research is a phenomenologically approached qualitative descriptive form. While the collection of participants by purposeful sampling method.Results. The results of this study found the 8 themes of 5 special purposes. These themes are: 1) definition of spirituality, 2) function of spirituality, 3) the factors of spiritual distres, 4) the characteristics of patients with spiritual distres, 5) the act of independent nurse in fulfillment spiritual needs, 6) the act of collaboration nurse in fulfillment spiritual needs, 7) the obstacles fulfillme.Conclusion. Eight topics describe nurses ' understanding of spirituality, nurses ' effort in meeting spiritual needs, obstacles in meeting spiritual needs, and awareness of the role of nurses in meeting the spiritual needs of patients in the ICU.
Hubungan Indeks Massa Tubuh dengan Kadar Asam Urat Darah pada Penduduk Desa Banjaranyar Kecamatan Sokaraja Kabupaten Banyumas Kumalasari, Tyas Sitaresmi; Saryono,; Purnawan, Iwan
Jurnal Keperawatan Soedirman Vol. 04 No. 3 (2009)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2009.4.3.240

Abstract

Uric acid is a weak acid that distributed throughout the extracellular fluid as a sodium urate . The amount of uric acid on the blood is influenced by dietary intake of purines, uric acid biosynthesis of the body and rate of uric acid excretion. Indonesian had nutrient problems on the globalization, where human lifestyle and meal pattern have canged. The result of body mass index of survey on the 1995-1997 at the 27 of province show that prevalence of obessity is 6,8% on man and 13,5% on woman.The aim this study was to know the correlation between body mass index with blood uric acid levels of the society Banjaranyar Sokaraja of Banyumas. The cross sectional study used to assess body mass index, and blood uric acid in 52 respondent that fulfill in inclution criteria. Sample research taken by simple random sampling.The average of body mass index and blood uric acid were normal cathegory, it was 27 respondent (51,92%), and normal blood uric acid levels cathegory was 41 respondent (78,85%). The correlation between body mass index with blood uric acid levels on man was r=-0,09 with p=0,70>?=0,05 and on woman was r=0,05 with p=0,80>?=0,05. There was no correlation between body mass index with blood uric acid levels of the society Banjaranyar Sokaraja Banyumas.
Pengaruh Terapi Mandi Uap terhadap Respon Fisiologis Stress Penderita Hipertensi Purnawan, Iwan; Upoyo, Arif Setyo; Awaludin, Sidik
Jurnal Keperawatan Soedirman Vol. 10 No. 1 (2015)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2015.10.1.593

Abstract

Hipertensi merupakan permasalahan kesehatan yang paling sering dijumpai diberbagai diberbagai negara, termasuk Indonesia. Hipertensi merupakan pemicu berbagai kerusakan organ di dalam tubuh seperti jantung, otak, dan ginjal. Kondisi stress menimbulkan efek yang merugikan karena memperberat hipertensi itu sendiri. Perubahan tanda vital (nadi dan pernafasan) merupakan respon fisiologis terhadap kondisi stress tersebut. Tujuan penelitian adalah untuk mengidentifikasi pengaruh mandi uap terhadap respon fisiologis stress pada penderita hipertensi. Desain penelitian adalah quasi eksperimen dengan pendekatan pre and post tes one group without control design. Jumlah responden yang dilibatkan dalam penelitian ini sebanyak 44 orang yang diambil secara random.  Hasil uji statistik menunjukan adanya perbedaan yang signifikan antara rerata frekuensi pernafasan sebelum dan sesudah perlakuan (nilai p =0,000). Demikian pula dengan rerata frekuensi denyut nadi permenit, sebelum dan sesudah perlakuan menunjukan perbedaan yang bermakna (nilai p = 0,000). Rerata frekuensi pernafasan dan nadi setelah perlakuan menunjukan kenaikan yang signifikan dibandingkan dengan sebelum perlakuan. Dengan demikian dapat simpulkan bahwa terdapat pengaruh yang bermakna terapi mandi uap dalam meningkatkan respon fisiologis stress. 
Comparison of Listening Mozart Music With Murotal Al Quran on the Pain of Hypertension Patients Wirakhmi, Ikit Netra; Utami, Tin; Purnawan, Iwan
Jurnal Keperawatan Soedirman Vol 13, No 3 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.3.813

Abstract

AbsstractThe number of people with hypertension is increasing over time. The most frequest complaint experienced by people with hypertension is pain. Complications of pain can be avoided through correct pain management. Listening to music and murotal Al Quran on some researches can provide a relaxation effect that potentially reduces pain. This study was aimed to identify differences effect in listening mozart music with murotal Al Quran in order to purifying pain of hypertensive sufferers. This research was quasi experiment with pre-test and post-test with two groups design. Data were collected using consecutive sampling technique with 15 respondents for each group. Pain measurement was taken twice before and after listening to music mozart or murotal Al Quran for 15 minutes. Statistic test using mann whitney showed that there was significant mean difference of pain before and after treatment in the murotal group of Al Quran (value p = 0,002). While in the mozart group the difference of pain before and after treatment was not significant (p = 0,051). Listening to murotal Al Quran is more effective in reducing pain in hypertensive sufferers compared to that in mozart music.AbstrakJumlah penerita hipertensi terus mengalmi peningkatan. Salah satu keluhan yang sering dialami oleh penderita hipertensi adalah rasa sakit. Komplikasi dari nyeri dapat dihindari melalui manajemen nyeri yang benar. Mendengarkan musik dan murotal Al Quran pada beberapa penelitian dapat memberikan efek relaksasi yang berpotensi mengurangi rasa sakit. Penelitian ini bertujuan untuk mengidentifikasi perbedaan dalam efek mendengarkan musik mozart dengan murotal Al Quran dalam memurnikan rasa sakit penderita hipertensi. Penelitian ini merupakan eksperimen semu dengan pre test dan post test dengan dua desain kelompok. Data dikumpulkan menggunakan teknik consecutive sampling dengan 15 responden untuk setiap kelompok. Data nyeri masing-masing responden diambil dua kali sebelum dan sesudah mendengarkan musik mozart atau murotal Al Quran selama 15 menit. Uji statistik menggunakan mann whitney menunjukkan bahwa ada perbedaan rerata nyeri sebelum dan sesudah perlakuan pada kelompok murotal Al Quran (nilai p = 0,002). Sedangkan pada kelompok mozart perbedaan nyeri sebelum dan sesudah perlakuan tidak signifikan (p = 0,051). Mendengarkan murotal Al Quran lebih efektif dalam mengurangi rasa sakit penderita hipertensi dibandingkan dengan musik mozart.
Pengaruh Terapi Murottal Al Qur’an terhadap Kualitas Tidur Lansia di Unit Rehabilitasi Sosial Dewanata Cilacap Oktora, Sasongko Priyo Dwi; Purnawan, Iwan
Jurnal Keperawatan Soedirman Vol 11, No 3 (2016)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2016.11.3.710

Abstract

One of Elderly problems is a bad quality of sleep. Sircadian Rhythme change in elderly is caused by the decreation of serotonin production. The murottal Al Qur’an Therapy use a rhythmical and harmonious melody so that it can stimulates serotonin productions. So it is one of therapy that probably solve elderly bad quality of sleep. The study aim to identify the effect of murottal Al Qur’an therapy on elderly quality of sleep. This study used quasi experiment design. Simple random sampling applied to 40 respondents that divided into two groups, intervention and control group. Quality of sleep was measured with PSQI. Inclusion criteria were good hearing respondent, 60 till 80 years old, and wanted to follow this research. Exclusion criteria were mental health diseae, smooking and used sleep medications.Statistic analysis with paired t test showed that there was a significant difference between before and after gived murottal Al Qur’an therapy in intervention group (p value = 0,000  : α = 5%). But the other side there was no significant difference between before and after observation in control group (p value = 0,083).. It conclouded Murottal Al Qur’an therapy is effective to increase eldery quality of sleep.