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Deep Breathing Exercise and Active Range of Motion Influence Physiological Response of Congestive Heart Failure Patients Nirmalasari, Novita; Mardiyono, Mardiyono; Dharmana, Edi; Arifin, Thohar
Nurse Media Journal of Nursing Vol 10, No 1 (2020): (April 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.316 KB) | DOI: 10.14710/nmjn.v10i1.25318

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Background: Dyspnea and physiological changes are clinical manifestations of Congestive Heart Failure (CHF) due to respiratory failure. Deep breathing exercise combined with active range of motion increases respiratory muscles and blood circulation. As a result, it reduces breathing effort and decreases blood pressure.Purpose: This research aimed to analyze the influence of deep breathing exercise and active range of motion (ROM) on physiological response of CHF patients.Methods: This study used a quasi-experiment with pretest-posttest control group design recruiting 32 respondents by stratified random sampling technique. The intervention was done three times a day for three days. Deep breathing exercise for thirty times and continued with active range of motion for five times each movement was given. Digital sphygmomanometer and digital watch were used as measuring instruments. Data were analyzed using independent and paired t-tests.Result: The results showed that there were significant differences in the systole (p=0.000), diastole (p=0.000) and respiratory rates (p=0.003) after the intervention compared to the control group. There was also a significant difference in systolic blood pressure between the intervention and the control group (p=0.003). However, no significant difference in diastole and respiratory rates was found.Conclusion: Deep breathing exercise combined with active range of motion decreases the systole in CHF patients. Further research is expected to lengthen the time of intervention to allow better significance.
TOPICAL AGENTS USED BY HOUSEWIVES AS FIRST AID BURNS IN SLEMAN DISTRICT YOGYAKARTA INDONESIA Nofiyanto, Muhamat; Nirmalasari, Novita
Jurnal Keperawatan Respati Yogyakarta Vol 7, No 2 (2020): MEI 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.024 KB) | DOI: 10.35842/jkry.v7i2.470

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Burns are the most potential type of injury experienced by housewives. The use of topical agents for first aid burns that are inappropriate or not standardized can worsen the condition. This purpose of this study was to determine the used of topical first aid agents for burns to housewives. This was a descriptive observational study, included 84 respondents were selected using simple random sampling technique with the criteria of housewives who are still actively doing activities in the kitchen, as well as other household activities. Questionnaire was used to collecting the data. The data was analysis descriptively. The average age of respondents was 43.63 years (SD 11.46), most burns occurred while cooking 61 (73.5%), the most common cause was exposure to hot oil 54 (64.3%), the highest frequency was less than 5 times a year 50 (60.2%), most suffered injuries in the hand area of 49 (59%), with the most injuries being 1-3 cm 42 (50.6%), the wound condition was mostly 58 (69.9%), and recovered well, with little trace of 65 (78.3%). The most risky household activity is cooking 69 (82.1%). Nearly all 82 respondents (97.6%) practiced the use of topical agents for burns, with the most use being toothpaste 34 (41.5%), while the herbs commonly used were Aloe vera, as many as 19 (23.2% ). There is still the practice of using topical agents for burns that have not been standardize /not quite right on housewives in the Sleman district.
Preparedness among Family Caregivers of Patients with Non-Communicable Diseases in Indonesia Sari, Ike Wuri Winahyu; Nirmalasari, Novita
Nurse Media Journal of Nursing Vol 10, No 3 (2020): (December 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v10i3.31954

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Background: Family caregivers spend 24 hours a day looking after and assisting patients. However, they are not always adequately prepared for all the problems they face. There is a lack of evidence exploring caregivers’ preparedness among family caregivers of patients with non-communicable diseases in Indonesia.Purpose: This study aimed to identify caregivers’ preparedness among family caregivers of patients with non-communicable diseases.Methods: This was a cross-sectional study conducted on 120 Indonesian family caregivers for patients with non-communicable diseases, who were selected using a purposive sampling technique. Data were collected using the Indonesian version of the Preparedness for Caregiving Scale (PCS) which had been validated before its use. The possible scores of this tool ranged from 0.00 to 4.00. The higher the score, the more prepared the family caregivers were. Data were analyzed using one way ANOVA .Results: Family caregivers reported feeling of moderately prepared for caregiving. The score of family caregiver preparedness for patients with diabetes, cancer, and chronic kidney disease were 2.97±0.42; 2.83±0.40; 2.89±0.49, respectively with possible range from 0.00 to 4.00. There were no differences on the caregivers’ preparedness among family caregivers of patients with non-communicable diseases (p=0.387).Conclusion: Caregivers’ preparedness is an essential element of patient care. Nurses have to be proactive in assessing each family caregiver’s preparedness to enhance the quality of life of both the family caregivers and the patients themselves, so that they can be empowered as a source of nursing care.
PRAKTIK PENANGANAN PERTAMA LUKA BAKAR PADA IBU RUMAH TANGGA DI WILAYAH SLEMAN YOGYAKARTA Nofiyanto, Muhamat; Nirmalasari, Novita
MEDIA ILMU KESEHATAN Vol 9 No 1 (2020): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v9i1.323

Abstract

Background: Burns are the most potential type of injury experienced by housewives. Improper first aid burns can worsen the condition. Objective: To determine the first aid practice of burns incidents among housewives in Sleman region Yogyakarta. Methods: Descriptive design with a naturalist approach was used in this study. A total of 84 respondents were selected using simple random sampling technique with the criteria of housewives who are still actively doing activities in the kitchen, as well as other household activities. Data collection uses a questionnaire with closed and open combination question types. Data analysis was performed descriptively. Results: A total of 5 aspects of the first aid of burns are appropriate (Running immediately during a fire in the house (47.6%); releasing jewelry (58.3%); splashing the wound with cold running water (54.8%); not watering if more than 3 hours (86.9%); and let the bullae break apart (66.7%)). There are still 3 aspects that are not yet right (running while ducking when trapped (47.6%); removing clothes (42.9%); and length of time watering <5 minutes (50%)). Conclusion: Not all aspects of the first aid are done properly. Health education and health promotion efforts are needed to improve better practice of burns first aid.
Hubungan Kualitas Tidur Dengan Kejadian Premenstrual Syndrome (PMS) di SMAN 1 Godean Sleman Lutfiyati, Afi; Masta Hutasoit; Novita Nirmalasari
Jurnal Kesehatan Madani Medika (JKMM) Vol 12 No 1 (2021): Jurnal Kesehatan Madani Medika
Publisher : Sekolah Tinggi Ilmu Kesehatan Madani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.138 KB) | DOI: 10.36569/jmm.v12i1.142

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Abstrak Masalah reproduksi remaja akan menyebabkan malnutrisi atau kurang gizi, pertumbuhan terlambat, penyakit, dan stres. Selama masa pubertas, sekitar 80-90% wanita akan mengalami gejala PMS. Faktor penyebab terjadinya PMS dari faktor gaya hidup salah satunya berkaitan dengan kualitas tidur. Pola tidur yang buruk dapat meningkatkan keparahan dari gejala PMS yang dirasakan. Perempuan yang memiliki kualitas tidur yang buruk berpeluang mengalami PMS gejala sedang hingga berat. Tujuan Penelitian untuk mengetahui hubungan kualitas tidur dengan kejadian premenstrual syndrome. Metode penelitian dengan Desain penelitian Kuantitatif dengan menggunakan pendekatan cross-sectional. Sampel diambil dengan teknik stratified random sampling yaitu 99 siswi kelas XI di SMAN 1 Godean. Pengambilan data menggunakan google form yaitu pada bulan Juli 2020. Instrumen penelitian adalah kuesioner. Hasil penelitian dianalisis secara bivariat dengan menggunakan uji Somer’s. Hasil penelitian menunjukkan pada kararteristik responden sebagian besar siswi berada pada usia 17 tahun sejumlah 62 orang (62,6%), kebiasaan menstruasi sebagian besar pada kategori rutin sejumlah 87 orang (87,9%). Kualitas tidur sebagian besar adalah buruk sebanyak 70 (70,7%) siswi Sedangkan kejadian PMS paling banyak pada kategori tidak ada gejala-gejala ringan sebanyak 73 (73,7%). Ada hubungan antara kualitas tidur dengan kejadian premenstrual syndrome dengan nilai p=0,001 (OR=7,043; 95%CI=1,542-32,164). Dengan kata lain siswi dengan kualitas tidur buruk akan berisiko7,043 mengalami PMS dengan gejala sedang-gejala berat. Saran peneliti kepada siswi di SMAN 1 Godean jika mempunyai masalah kualitas tidur yang buruk dapat berkonsultasi kepada petugas kesehatan untuk menjaga dan memperbaiki kualitas tidur sebagai upaya pencegahan terjadinya PMS.
Penurunan Stres Ibu Pada Saat Masa Pandemi Covid 19 Di Posyandu Kunir V Wirobrajan Melalui Terapi Relaksasi Hipnosis 5 Jari dan Musik Hidayati, Rizqi Wahyu Hidayati; Nirmalasari, Novita; Susilowati, Latifah
The Journal of Innovation in Community Empowerment Vol 3 No 1 (2021): JICE
Publisher : Journal of Innovation in Community Empowerment

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.697 KB) | DOI: 10.30989/jice.v3i1.582

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Stres di masa pandemi merupakan ketakutan dan kecemasan tentang kesehatan diri maupun kesehatan orang lain yang disayangi. Seseorang yang mengalami stress akan timbul gejala seperti perubahan pola tidur, pola makan, dan kesulitan konsentrasi. Faktor penyebab stres pada ibu antara lain adanya double burden yang terdiri pengasuhan anak, ibu rumah tangga, dan ibu bekerja. Sehingga manajemen stres dibutuhkan untuk mengurangi stres tersebut. Manajemen yang digunakan yaitu hypnosis lima jari dan terapi musik. Sehingga, pengabdian ini bertujuan untuk menurunkan level stres ibu selama masa pandemi. Pengabdian ini menggunakan metode pengajaran langsung dengan dibantu video terapi pada ibu. Sebelum dan sesudah kegiatan nilai stres ibu diukur menggunakan Perceived Stress Scale (PSS). Rata-rata itu mengalami stres sedang baik sebelum dan sesudah terapi. Selain itu, nilai p value juga menunjukkan 0, 802 (p > 0,05). Hal ini berarti bahwa terapi relaksasi yang dilakukan tidak memberikan penurunan secara bermakna. Maka, perlu dilakukan kegiatan tindak lanjut untuk mengatasi masalah tersebut.
Gangguan Psikologis pada Pasien Diabetes Melitus Di Masa Pandemi Covid-19 Dusun Kanoman, Pleret, Bantul Hidayati, Rizqi Wahyu; Susilowati, Latifah; Nirmalasari, Novita
The Journal of Innovation in Community Empowerment Vol 3 No 2 (2021): JICE
Publisher : Journal of Innovation in Community Empowerment

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.062 KB) | DOI: 10.30989/jice.v3i2.632

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ABSTRAK Pandemi Covid-19 menyebabkan berbagai masalah psikologis, terutama pada pasien dengan penyakit komorbid, salah satunya yaitu diabetes melitus. Hal ini terbukti bahwa sebanyak 65% orang mengalamai masalah tersebut, antara lain depresi, cemas, gangguan tidur, hingga sindrom pasca trauma. Namun, hingga saat ini, gangguan psikologis tersebut masih dianggap sebelah mata. Hal ini juga terjadi di Dusun Kanoman, Pleret, Bantul. Sehingga pengabdian ini bertujuan untuk memeriksa status psikologis masyarakat yang menderita Diabetes Melitus di masa pandemic Covid. Kegiatan pengabdian meliputi pemeriksaan psikologis dengan menggunakan kuesioner Depression, Anxiety, and Stress 21 Scale (DASS 21) dan konsultasi. Kuesioner ini memeriksa depresi, cemas, dan stress yang dialami penderita diabetes melitus. Kemudian, hasil dianalisis menggunakan SPSS 25. Berdasarkan hasil diketahui bahwa 20% penderita mengalami depresi sedang, 13,3% mengalami cemas sedang, dan 6,7% mengalami stress ringan. Setelah pemeriksaan, peserta diarahkan ke meja konsultasi. Di meja tersebut, peserta diajarkan cara-cara untuk manajemen relaksasi seperti nafas dalam dengan disertai afirmasi positif, spiritual relaxation techniques, dan terapi musik. KATA KUNCI: Gangguan Psikologis; Covid-19; Diabetes Melitus ABSTRACT The Covid-19 pandemic caused various psychological problems, especially in patients with comorbid diseases, such as diabetes mellitus. It was proven that as much as 65% of people who experience these problems, including depression, anxiety, sleep disorders, and post-traumatic syndrome. However, until now, this psychological disorder is not still considered. This also happened in Kanoman, Pleret, Bantul. So that this service aimed to examine the psychological status of people suffering from Diabetes Mellitus during the Covid pandemic. Service activities include psychological examinations using the Depression, Anxiety, and Stress 21 Scale (DASS 21) questionnaire and consultation. This questionnaire examines depression, anxiety, and stress experienced by people with diabetes mellitus. Then, the results were analysed using SPSS 25. Based on the results, it was found that 20% of patients had got moderate depression, 13.3% moderate anxiety, and 6.7% mild stress. After the examination, participants were directed to the consultation table. At the table, participants had mental health promotion about relaxation management techniques such as deep breathing accompanied by positive affirmations, spiritual relaxation techniques, and music therapy.
Edukasi Manajemen Latihan Pasien Diabetes Melitus Melalui Senam Kaki Diabetikum Pada Warga di Dusun Kanoman, Pungkuran, Pleret, Bantul Ike Wuri Winahyu Sari; Novita Nirmalasari; Rizqi Wahyu Hidayati
The Journal of Innovation in Community Empowerment Vol 3 No 2 (2021): JICE
Publisher : Journal of Innovation in Community Empowerment

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (443.78 KB) | DOI: 10.30989/jice.v3i2.646

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ABSTRAK Senam kaki merupakan latihan yang dilakukan bagi penderita Diabetes Melitus (DM) atau bukan penderita untuk mencegah terjadinya luka dan membantu melancarkan peredaran darah bagian kaki. Perawat selain berperan dalam memberikan edukasi kesehatan juga dapat berperan dalam membimbing penderita DM untuk melakukan senam kaki sampai dengan penderita dapat melakukan senam kaki secara mandiri. Menurut hasil wawancara dengan ketua RT 2 Dusun Kanoman, di wilayah tersebut belum pernah diadakan penyuluhan tentang penyakit DM dan warga juga belum pernah diajarkan tentang senam kaki diabetikum. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan masyarakat tentang senam kaki diabetikum dan agar masyarakat mampu mendemonstrasikan gerakan senam kaki diabetikum secara mandiri. Kegiatan dilaksanakan di RT 1 dan 2 Dusun Kanoman, Pungkuran, Pleret, Bantul yang diawali dengan evaluasi awal pada masyarakat dengan diminta mempraktikkan gerakan senam kaki diabetikum dilanjutkan dengan penyuluhan dan demonstrasi. Selanjutnya evaluasi akhir dari penyuluhan dengan mendemonstrasikan senam kaki diabetikum secara mandiri dan diobservasi oleh penyuluh. Seluruh rangkaian kegiatan berlangsung dari Bulan Maret s.d. April 2021. Terdapat peningkatan keterampilan melakukan senam kaki DM dengan peningkatan rata-rata keterampilan sebesar 92%. Dengan kegiatan ini peserta diharapkan dapat memberikan informasi yang telah diberikan oleh tim pengabdi kepada masyarakat lainnya di lingkungan tempat tinggal tentang penyakit DM dan senam kaki DM dan menerapkan hasil penyuluhan pada kehidupan sehari-hari sebagai langkah manajemen diri penyakit DM.
Perbedaan Tingkat Stres Mahasiswa Perantauan dan Bukan Perantauan Eka Handayani; Novita Nirmalasari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus Mei-Juni 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11nk311

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The students who study in the Faculty of Health of Universitas Jenderal Achmad Yani Yogyakarta come from various area in Indonesia. Various socio-cultural aspects and academic aspects may cause some problems. It can make difficult for them to adapt with the environment which eventually make them stressful. This study aimed to find out the stress level difference between overseas students and domestic students. This study used a comparative descriptive design recruiting 188 respondens by stratified random sampling technique. Data were collected by using perceived of stress scale questionnaire. Data were analyzed using Chi square test. The results of this study showed that of 13(6,92%) female respondens who had severe stress. Domestic students tend to experience mild stress, which is 76 (80.85%) but overseas student more often severe stress 10 (10.64%). Students from Medical Records had more often mild stress 33 (17.55%). Data were analyzed using Chi Square test. The results showed that there were no significant differences in the stress level between overseas students and domestic students (p>0.05) Keywords: domestic students; overseas students; stress ABSTRAK Mahasiswa Fakultas Kesehatan Universitas Jenderal Achmad Yani Yogyakarta berasal dari berbagai daerah di Indonesia. Perbedaan sosial, budaya dan sistem pembelajaran akan menimbulkan masalah bagi mahasiswa perantauan dan bukan perantauan. Masalah tersebut dapat memicu stres pada mahasiswa. Penelitian ini bertujuan untuk mengetahui perbedaan tingkat stres mahasiswa perantauan dan bukan perantauan. Penelitian ini menggunakan desain deskriptif komparatif. Teknik pengambilan sampel menggunakan stratified random sampling dengan jumlah 188 mahasiswa. Teknik pengambilan data menggunakan kuesioner Perceived of Stress Scale. Uji statistik menggunakan Chi square. Hasil penelitian didapatkan bahwa responden berjenis kelamin perempuan mengalami stres berat sebanyak 13(6,92%). Mahasiswa bukan perantauan mengalami stres sedang sebanyak 76(80,85%). Mahasiswa perantauan lebih banyak mengalami stres berat sebanyak 10(10,64%). Jurusan Rekam Medis merupakan jurusan dengan mahasiswa yang paling banyak mengalami stres sedang sebanyak 33(17,55%). Hasil penelitian menunjukkan bahwa tidak ada perbedaan tingkat stres mahasiswa perantauan dan bukan perantauan di Fakultas Kesehatan Unjani Yogyakarta (p>0,05). Keywords: mahasiswa bukan perantauan; mahasiswa perantauan; stres
GAMBARAN TINGKAT PENGETAHUAN TENTANG PENANGANAN PERTAMA CEDERA OLAHRAGA PADA UNIT KEGIATAN MAHASISWA (UKM) OLAHRAGA DI UNIVERSITAS JENDERAL ACHMAD YANI YOGYAKARTA Jovi Hardyanto; Novita Nirmalasari
Jurnal Kesehatan Mesencephalon Vol 6, No 1 (2020): Jurnal Kesehatan Mesencephalon - April 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.733 KB) | DOI: 10.36053/mesencephalon.v6i1.195

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Sport injuries are those injuries experienced during the sportexercise, during the sport match, or after the sport match. Injuries can be caused by physical forces, technical errors, physical collision, or excessive physical activities.This research aims at finding out the knowledge level description of sport injuries management in AchmadYani Sport Centre. first-aid on the students of sport UKM (Unit Kegiatan Mahasiswa/Students’ Activities Unit) in JenderalAchmadYani Yogyakarta University.The research used quantitative research with descriptivedesign. The number of the sample was 69. The data collection method was through the distribution of questionnaire on the knowledge level of first-aid. The data analysis used was univariate.The majority of male sex (59%), aged 20 – 21 years old (56.6%), volly ball UKM (24.7%), and the knowledge level of first-aid is categorized as good (79.7%). The students’ knowledge against RICE first-aid method in terms of: Rest is good (42.0%), of Ice is good (53.6%), of Compress is very good (66.7%), and of Elevation is fair (50.7%). The knowledge level description of sport injuries first-aid on the students of sport UKM is categorized as good. Keywords: Sport injuries, First-aid, Knowledge level Abstrak: Sport Injuries atau cedera olahraga adalah bentuk cedera yang timbul, baik pada waktu latihan, maupun pada waktu berolahraga (bertanding), atau pun sesudah pertandingan. Cedera disebabkan oleh tekanan fisik, kesalahan teknis, benturan atau aktivitas fisik yang melebihi beban latihan. Tujuan penelitian untuk mengetahui gambaran tingkat pengetahuan tentang penanganan cedera olahraga pada mahasiswa UKM olahraga di Universitas Jenderal Achmad Yani Yogyakarta. Penelitian ini merupakan kuantitatif dengan deskriptif eksploratif. Sample berjumlah 69 responden. Metode pengumpulan menggunakan kuesioner tingkat pengetahuan penanganan cedera. Analisis data yang digunakan adalah univariat. Karakteristik respon den berdasarkan jenis kelamin terbanyak yaitu laki-laki (59%), usia 20-21 tahun (56,6%), UKM volly (24,7%), dan tingkat pengetahuan penanganan cedera terbanyak dalam kategori baik (79,7%). Pengetahuan mahasiswa terhadap penanganan cedera tentang metode RICE menggunakan rest yaitu baik (42,0%), ice dalam kategori baik (53,6%), compress dalamkategori sangat baik (66,7%), dan elevation dalam kategori cukup (50,7%). Gambaran pengetahuan penanganan pertama cedera olahraga di UKM olahraga dalam kategori baik. Kata kunci: cedera olahraga; penanganan pertama; tingkat pengetahuan