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Journal : Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)

Pemberian Feedback pada Home Learning CPR untuk Meningkatkan Kemampuan Bystander CPR Girianto, Pria Wahyu Romadhon
Journal of Ners and Midwifery Vol 7, No 1 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i1.ART.p030-036

Abstract

Penyakit kardiovaskuler masih menjadi penyebab kematian tertinggi di negara maju maupun negara berkembang, hal ini dikarenakan risiko Sudden Cardiac Arrest pada orang dengan penyakit jantung sangat tinggi. Peran bystander CPR pada pasien henti jantung sangat penting, oleh karena itu kemampuan dan jumlah bystander perlu ditingkatkan. Penelitian ini bertujuan untuk mengetahui efektifitas feedback pada metode Home Learning CPR untuk meningkatkan kemampuan bystander CPR. Metode penelitian komparatif, dengan responden pengunjung Car Free Day di Kota Tulungagung sebanyak 47 responden periode September-Oktober 2018 dengan teknik Accidental sampling. CPR dipelajari secara mandiri oleh responden menggunakan video dan guidebook dirumah, dipertemuan selanjutnya dilakukan evaluasi kemampuan responden melakukan Hands-only CPR pada phantom. Hasil penelitian didapatkan  adanya perbedaan pada kemampuan responden dalam melakukan Hands-only CPR menggunakan metode Home Learning dan kemampuan responden melakukan Hands-only CPR pada phantom setelah mendapatkan feedback dari peneliti. Uji Wilcoxon didapatkan p-value : 0,000; α : 0,05. Metode Home Learning CPR belum sesuai digunakan untuk pelatihan Hands-only CPR di Kota Tulungagung karena berbagai faktor yang mempengaruhi proses pembelajaran. Metode demonstrasi dan praktik lebih tepat digunakan untuk pelatihan CPR. Cardiovascular disease was the highest cause of death in developed country, because the risk of Sudden Cardiac Arrest in people with heart disease was very high. Bystander CPR role was very important to patient with Sudden Cardiac Arrest, therefore the ability and number of bystander CPR need to be increased. This study aims to determine the effectiveness of feedback on Home Learning CPR method to increase the competence of bystander CPR. Method was used comparative, sample was 47 respondents in Tulungagung Car Free Day on September-October 2018 by Accidental sampling. Video and guidebook was used to learn Hands-only CPR at home, then evaluated by doing Hands-only CPR on Adult CPR Mannequin with feedbcak from researcher. The result showed there was a difference on respondents abilities doing Hands-only CPR after Home Learning CPR, and respondents abilities doing Hands-only CPR on Adult CPR mannequin and getting feedback from researcher. Wilcoxon signed rank test showed p-value : 0,000; α : 0,05. It was conclude that Home Learning CPR method was unconvenient to use in Hands-only CPR training in Tulungagung. Demonstration and practice method are more appropriate for CPR Training.
The Effectiveness of Durante Hemodialysis Packed Red Cells (PRC) Transfusion on Hemoglobin Levels Girianto, Pria Wahyu Romadhon; Mulyasari, Mega Wahyu
Journal of Ners and Midwifery Vol 8, No 1 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i1.ART.p013-018

Abstract

Renal Disease was a chronic disease that the most attacking people in Indonesia. Damage to this vital organ in the human body greatly affected a person's health condition, one of which was anemia. This study aimed to determine the effectiveness of Durante hemodialysis PRC transfusions on hemoglobin levels. The method used was Pre-experimental design, with the One group pre-post test design approach. With a sample of 49 patients who underwent regular hemodialysis at RSUD dr. Iskak Tulungagung. Data were obtained by direct observation. Processed by computerized methods with a statistical t-test, the significance level (α) was 0.05. The study results showed that the hemoglobin levels of the pre-Durante hemodialysis PRC transfusion patients were 4-5 mg/dl (53.06%), and the hemoglobin levels of the post-Durante hemodialysis PRC transfusion patients were 6.1-7 mg/dl (34.69%). The results of statistical tests showed that there was an increase in hemoglobin levels in patients who received Durante hemodialysis PRC transfusion by 1.22 mg/dl because p-value = 0.000 < 0.05 (α) means that there was an effect. It could be concluded that the delivery of Durante hemodialysis PRC transfusion could help increase hemoglobin levels. This finding was very helpful for chronic Renal Disease patients undergoing hemodialysis, who have been using erythropoietin preparations because PRC transfusions were cheaper and more effective when compared to using erythropoietin preparations
Butterfly Hug Reduce Anxiety on Elderly Pria Wahyu Romadhon Girianto; Dhina Widayati; Syahdila Sabrina Agusti
Journal of Ners and Midwifery Vol 8, No 3 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i3.ART.p295-300

Abstract

The problem that often occurs in the elderly is anxiety. Anxiety can lead to cognitive impairment, mood disorders, and other emotional disabilities. Butterfly Hug is a non-pharmacological therapy to reduce anxiety levels. This study aims to determine the effectiveness of the butterfly hug on the level of anxiety in the elderly. The research design was a pre-experimental design with a one-group pre and post test design approach. The study population was 60 people and a sample of 18 respondents was used using a purposive sampling technique. Anxiety level instrument using the GAI questionnaire. Data analysis using the Wilcoxon test. The results of the pre-test showed that half of the respondents (50.0%) experienced severe anxiety, half of the respondents (50.0%) experienced moderate anxiety. The post-test results showed that half of the respondents (50.0%) experienced moderate anxiety and half of the respondents (50.0%) experienced mild anxiety. p-value 0.003 and = 0.05 (0.003 0.05) meaning that there is an influence of the Butterfly Hug on the level of anxiety in the elderly. The Butterfly Hug is done by gently clapping hands, which gives a comfortable sensation while breathing. This method can activate LHPA, stimulate the hypothalamus and CRH hormone secretion. ACTH is activated and stimulates the production of serotonin and endorphin hormones which make you feel relaxed and safe, so that anxiety decreases. It is recommended to use the Butterfly Hug as an alternative to reduce the level of anxiety in the elderly at UPT PSTW Jombang-Kediri.