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Non-Invasive Treatment To Reduce Low Back Pain Among Treatment Acupunture, Massage, Spinal Manipulation, Yoga, And Tai Chi A Systematic Review Cecep Eli Kosasih; Tetti Solehati; Agus Cakrahayat
Journal of Maternity Care and Reproductive Health Vol 1, No 1 (2018): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Background: Low back pain (LBP) is one of the many spinal cord-positioning conditions commonly experienced by adults. Age factors affect the seriousness of trauma to the spine as in patients with osteoporosis under unusual conditions caused by radiculopathy or spinal stenosis, fracture, tumor or infection. This article aimed to identify the most effective non-invasive treatment in treating pain in Low Back Pain (LBP). Methods: cirtical review was used in making this article. Articles were collected through Medline, Google Scholar, Science Direct, Pubmed databases using the keywords: treatment, non-invasive, Low Back Pain from the quantitative studies. The selected articles were those that met the criteria based on PICO, published in the 2010-2017, and used English language. Articles were then evaluated using critical appraisal and PRISMA guides. Based on the evaluation, there are 6 (six) articles that match the purpose and criteria of review. From the literature search results found ways to reduce pain through non-invasive treatment such as Acupunture, Massage, Spinal Manipulation and Yoga can reduce LBP pain. Conclusion: The result of the literature that the most effective method of reducing pain is spinal manipulation where the effect of reducing pain can be maintained for a long time and is more applicable because without the use of aids, nevertheless treatment combined with other treatments and done on an ongoing basis will better results.Keywords: treatment, non infasif, Low Back Pain

PENGARUH ACUPRESSURE TERHADAP NILAI GCS PADA PASIEN CEDERA KEPALA SEDANG DI RSUP DR HASAN SADIKIN BANDUNG Iwan Purnawan; Hartiah Haroen; Cecep Eli Kosasih
Majalah Keperawatan Unpad Vol 13, No 2 (2011): Majalah Keperawatan Unpad
Publisher : Fakultas Keperawatan Universitas Padjadjaran

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Iwan Purnawan*Hartiah Haroen**Cecep Eli Kosasih** ABSTRAKPenurunan kesadaran pada cedera kepala yang di ukur secara objektif oleh Glasgow Comma Scale (GCS) merupakan salah satu penentu prognosis dan indikator kegawatan. Beberapa penelitian menunjukan bahwa stimulasi acupressure mampu memberikan efek neuroprotektif yang mencegah kerusakan sel-sel otak dari iskemik yang ditimbulkan cedera kepala. Penelitian ini bertujuan untuk mengidentifikasi pengaruh acupressure terhadap nilai GCS pada pasien cedera kepala sedang di RSUP dr Hasan Sadikin Bandung.Jenis penelitian ini adalah Quasy Experimental dengan menggunakan teknik Control Group pre-test and post-test design. Pengambilan sampel dilakukan secara random. Jumlah sampel dalam penelitian ini adalah 37 responden yang terbagi dalam dua kelompok, yaitu kelompok kontrol (16 responden) dan perlakuan (21 responden). Kelompok perlakuan, selain mendapatkan terapi standar, ia juga mendapatkan acupressure selama 5 menit dalam 3 hari. Perbedaan nilai GCS pada kelompok kontrol dan perlakuan dianalisis dengan uji Wilcoxon. Sedangkan perbedaan peningkatan nilai rata-rata GCS pada kelompok kontrol dengan kelompok perlakuan dianalisis menggunakan uji Mann Whitney. Hasil uji statistik menunjukkan adanya perbedaan bermakna rata-rata nilai GCS antara sebelum dan sesudah perlakuan baik pada kelompok kontrol (p=0,07) maupun perlakuan (p=0,01). Namun demikian, peningkatan rata-rata nilai GCS pada kelompok perlakuan lebih tinggi dari kelompok kontral. Hal ini ditunjukan dengan nilai p pada uji Mann Whitney sebesar 0,037 (p<0,05). Implikasi dari penelitian ini adalah acupressur sebagai terapi non-farmakologi bisa dipertimbangkan menjadi terapi komplementer bagi terapi farmakologi dalam penanganan pasien cedera kepala sedang. Kata Kunci : Acupressure, Cedera kepala sedang, Penurunan kesadaran ABSTRACTImpairment of consciousness in head injury that is measured objectively by Glasgow Comma Scale is one of prognosis determinants and severity indicators. Several studies have shown that stimulation of acupressure can provide neuroprotective effect that prevents damage to brain cells from ischemic injury. This study aims to identify the effect of acupressure on the value of GCS in patients with head injuries in the Hospital of dr. Hasan Sadikin Bandung. The type of this study was quasy experimental that used pre test and post test control group design. Sampling was done randomly. The number of samples in this study was 37 respondents who were divided into two groups, namely the control group (16 respondents) and intervention group (21 respondents). Besides having standard therapy, the intervention group also got therapy of acupressure for 5 minutes in 3 days. The differences of GCS score in the control group and the intervention group were analyzed with the Wilcoxon test. The differences of the increase of the GCS average of the control group and intervention group were analyzed by using Mann Whitney test. The results of statistical tests showed significant difference of the average value of GCS both before and after treatment in those two groups, namely: in the control group (p=0.07) and the intervention (p = 0.01). However, the increase of the GCS average value of the intervention group was higher than the control group. This was evidenced by the p-value on Mann Whitney test of 0.037 (p <0.05). The implication of this study is that acupressure as a non-pharmacological therapy can be considered as a complementary therapy to pharmacological therapy in the treatment of patients with moderate head injury. Keywords: Acupressure, Moderate head injury, Decreased consciousness

GAMBARAN KUALITAS TIDUR PADA PENDERITA HIPERTENSI QUALITY OF SLEEP AMONG HYPERTENSION PATIENTS Putwi Rizki Sakinah; cecep eli kosasih; Eka Afrima Sari
Media Kesehatan Politeknik Kesehatan Makassar Vol 13, No 2 (2018): Media Kesehatan
Publisher : Politeknik Kesehatan Makassar

AbstractPeople with hypertension experience symptoms of dizziness, headache, obstructive sleep apnea, shortness of breath, nocturia, and restless legs syndrome which disturb sleep and reduce its quality. This research’s objective was to describe the sleep quality overview of Puskesmas Rancaekek’s hypertension patients. Using descriptive quantitative method with purposive sampling technique, this research aimed at 79 Puskesmas Rancaekek’s patients who had been diagnosed with hypertension for at least one month long. The data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and analysed using the total score resulted; ≤5 was good while >5 was poor. Results showed 94.6% of respondents had poor sleep quality. The dimensions that contribute to the poor sleep quality included >30 minutes sleep latency, <5 hours sleep duration, <65% of sleep efficiency, sleep disturbance due to waking up at midnight or early morning and waking up to toilet, and activity disturbance at daylight. The conclusion was that Puskesmas need to develop preventive and promotive efforts to minimize the complication of hypertension patients and optimize their quality of life by helping them improve their quality of sleep. Meanwhile, the self-management that should be done by the patients were avoiding the consumption of coffee and cigarettes, limiting physical activities, and doing physical exercise and relaxation therapies. Key Words: Hypertension, Sleep Quality, PSQI AbstrakPenderita hipertensi mengalami gejala pusing, nyeri kepala, obstructive sleep apnea, sesak napas, nokturia, restless legs syndrome yang mengganggu tidur dan berdampak pada kualitas tidur serta mempengaruhi kualitas hidup dan tekanan darah. Penelitian bertujuan untuk melihat gambaran kualitas tidur pada penderita hipertensi di Puskesmas Rancaekek. Metode penelitian menggunakan deskriptif kuantitatif dengan teknik purposive sampling sebanyak 79 penderita hipertensi di Puskesmas Rancaekek yang telah didiagnosis dokter minimal 1 bulan. Pengambilan data menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI) dan dianalisis menggunakan total skor, jika skor ≤ 5 baik dan skor > 5 buruk. Hasil menunjukan 94,6% responden memiliki kualitas tidur buruk. Dimensi yang berkontribusi terhadap kualitas tidur buruk yaitu latensi tidur tidak dapat tertidur dalam waktu 30 menit, durasi tidur <5 jam, efisiensi kebiasaan tidur <65%, gangguan tidur karena terbangun tengah malam atau pagi sekali dan terbangun karena ingin ke toilet, serta gangguan aktivitas pada siang hari. Puskesmas perlu mengembangkan upaya preventif dan promotif untuk meminimalisir komplikasi penderita hipertensi dan pencapaian kualitas hidup optimal salah satunya dengan membantu meningkatkan kualitas tidur. Dengan mengedukasi penderita untuk menghindari konsumsi kopi dan rokok, membatasi aktivitas fisik, melakukan latihan fisik, dan terapi relaksasi. Kata Kunci: Hipertensi, Kualitas Tidur, PSQI

Intervensi selama kehamilan untuk mencegah kelahiran prematur: Systematic literature review Tetti Solehati; Hana Giriutami; Meideline Chintya; Siti Haiva Alawiyah; Selvia Nurfauzan; Riftania Aulia Puri; Muhammad Iqbal Assafa; Cecep Eli Kosasih
Holistik Jurnal Kesehatan Vol 14, No 2 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Interventions during pregnancy to prevent preterm birth: A systematic literature review Background: Premature birth is a major factor that contributes to mortality of newborns globally and impacts long-term to health problems for survivors. Premature births have increased in the last 20 years where the phenomenon is equivalent to 1 in 10 births each year. Therefore, prevention of preterm labor is important given to pregnant women.Purpose: This study aimed to find out effectiveness interventions during pregnancy to preventing preterm birth.Method: The design used literature review, articles were collected using search engines such as Academic Search Complete (EBSCO) as many as 78 articles, CINAHL (EBSCO) 36 articles, Science Direct 593 articles, and PUBMED 55 articles. From the predetermined article criteria, it found 3 articles from 762 that correspond to different interventions, namely consumption of progesterone supplements, cognitive behavior to reduce cigarette smoke exposure, and early detection in pregnant women at high risk of preterm delivery.Results: The result showed that there were 3 interventions in the effort to prevent preterm birth, namely: progesterone supplementation therapy, the intervention to reduce exposure to cigarette smoke in the environment, and identification and management of early detection of fast on pregnant women at high risk of preterm birth.Conclusion and Recommendation: several interventions can use in preventing preterm birth of pregnant women effectively, such as progesterone supplementation, reduction in cigarette smoke exposure in pregnant women, and early detection of pregnancy. Further research is suggested by involving the role of the family in preventing premature birthKeywords: Intervention; Pregnant women; Premature birth; Prevention Pendahuluan: Kelahiran prematur merupakan faktor mayor yang berkontribusi terhadap kematian bayi baru lahir secara global dan berdampak pada masalah kesehatan jangka panjang untuk bayi yang selamat. Kelahiran prematur mengalami peningkatan pada 20 tahun terakhir dimana fenomenanya setara dengan 1 dari 10 kelahiran tiap tahunnya. Oleh karena itu pencegahan persalinan prematur penting diberikan kepada ibu hamil.Tujuan: untuk mengetahui intervensi efektif selama kehamilan dalam mencegah persalinan prematur.Metode: Desain yang digunakan adalah literature review, artikel dikumpulkan menggunakan mesin pencarian seperti Academic Search Complete (EBSCO) 78 articles, CINAHL (EBSCO) 36 articles, Science Direct 593 articles, dan PUBMED 55 articles. Dari kriteria inklusi artikel yang telah ditentukan, ditemukan 3 artikel dari 762 yang sesuai dengan intervensi yang berbeda.Hasil: menunjukan bahwa ada 3 intervensi dalam upaya mencegah kelahiran prematur yaitu: terapi suplementasi progesteron, intervesi pengurangan paparan asap rokok pada lingkungan, dan identifikasi dan penatalaksanaan deteksi dini secara cepat terhadap ibu hamil yang berisiko tinggi lahir prematur.Simpulan dan Saran: Intervensi pemberian suplemen progesteron, pengurangan paparan asap rokok di lingkungan ibu hamil, dan deteksi dini pada kehamilan terbukti efektif dalam mencegah kelahiran prematur pada ibu hamil. Disarankan penelitian lebih lanjut dengan melibatkan peran keluarga dalam mencegah kelahiran prematur.

Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Deteksi Dini Dan Pencegahan Anemia Dalam Upaya Menurunkan Aki Pada Kader Posyandu Tetti Solehati; Citra Windani Mambang Sari; Mamat Lukman; Cecep Eli Kosasih
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 4 No. 1 (2018): JURNAL KEPERAWATAN KOMPREHENSIF (COMPEREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

ABSTRAKLatar belakang: salah satu faktor penyebab masih tingginya angka mortalitas pada ibu antara lain anemiaÂ ibu hamil. Peran kader masyarakat yang tergabung dalam posyandu sangat diperlukan untuk ibu hamil dalam bentuk pendidikan kesehatan kepada ibu hamil untuk mengetahui pengaruh edukasi deteksi dini anemia terhadap pengetahuanÂ kader posyandu. Tujuan Penelitian: penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan terhadap pengetahuan deteksi dini dan penceghan anemia pada kader posyandu. Metode: desain penelitian yang digunakan adalah quasi eksperimen dengan pretest dan post test without control. Pengambilan sampel dilakukan dengan metode total sampling sebanyak 21 kader kesehatan posyandu di Cipamokolan Kelurahan Mekarjaya Kecamatan Rancasari Bandung. Analisis data meliputi univariat dan bivariat dengan menggunakan uji t test. Hasil penelitian menunjukkan rata-rata tingkat pengetahuan sebelum intervensi dalam kategori kurangÂ (19%), cukup (76,2%), baik (4,8%) meningkat setelah intervensi menjadi cukup (14,3%) dan baik (85,7%). Pada analisis lanjut ditemukan rata-rata tingkat pengetahuan sebelum intervensi dari 60 menjadi 90 (p= 0.001). Kesimpulan: pendidikan kesehatan berpengaruh dalam meningkatkan tingkat pengetahuan kader kesehatan. Â Â tingkat pengetahuan kader kesehatan. Â ABSTRACTBackground: one of the contributing factors of high maternal mortality rate is pregnant mother's anemia. The role of community cadres incorporated in Posyandu is very necessary for pregnant women in the form of health education to pregnant women. Research Objectives: this study aimed to determine the effect of health education on knowledge of early detection of anemia and prevention of anemia of Posyandu cadres. Methods: the quasi experiment with pre test and post test without control design was used in this study. Sampling was collected by total sampling method as many as 21 health cadres of posyandu in Cipamokolan Kelurahan Mekarjaya, Rancasari District of Bandung. Data analysis included univariate and bivariate by using t-test. The results showed that the average level of knowledge before the intervention was in the category of less (19%), enough (76.2%), good (4.8%), it increased after intervention to enough (14.3%) and good (85.7 %). In the advanced analysis found that the average level of knowledge before the intervention was 60 to 90 (p = 0.001). Conclusion: health education is influential in increasing the level of health cadre knowledge

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