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All Journal Health Notions Indonesian Journal for Health Sciences (IJHS) Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Journal of Management Nursing
Agus Wiwit Suwanto
Poltekkes Kemenkes Malang
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Exercise Habits and Family Disease History as Determinant of Activity Intolerance and ECG Patterns of Patients with Acute Coronary Syndrome (ACS) Wiwiek Retti Andriani; Agus Wiwit Suwanto; Heru Wiratmoko; Agung Eko Hartanto; Sumy Dwi Antono; Endang Purwaningsih; Gandes Widya Hendrawati; Mirza Failasufi; Langgeng Cahyono
Health Notions Vol 6, No 4 (2022): April
Publisher : Humanistic Network for Science and Technology (HNST)

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

Abstract

Acute Coronary Syndrome (ACS) occurs due to blockage of coronary blood vessels which causes a decrease in oxygen flow and advanced conditions has an impact on physical activity. Factors associated with activity intolerance and ECG patterns suc as: sex, age, education, history of previous illnesses, exercise habits, family history of illness. The study involved all patients diagnosed with NSTEMI in the ICCU room at RSUD Dr. Harjono, a sample of 30 respondents was selected using a consecutive sampling technique. This research was analyzed by multivariate analysis.  The result of this research showed that factors that influence the tolerance of the activities of patients with coronary heart disease were sports habits and a history of previous illnesses. The respondent's habit of exercising affected the complaints that arise during the activity (each p-value was less tha 0.05). As conclusion, factors that affect the activity intolerance of coronary heart disease patients are physical exercise habits and family history of disease. Keywords: determinant factors; activity intolerance; ECG patterns; acute coronary syndrome
EFEKTIFITAS RELAKSASI BENSON DAN SLOW STROKE BACK  MASSAGE TERHADAP PENURUNAN KECEMASAN PADA PASIEN HEMODIALISA Agus Wiwit Suwanto; Esti Sugiyorini; Heru Wiratmoko
Indonesian Journal for Health Sciences Vol 4, No 2 (2020): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.108 KB) | DOI: 10.24269/ijhs.v4i2.2309

Abstract

Terapi hemodialisa yang diberikan kepada pasien gagal ginjal kronik dapat menimbulkan kecemasan. Kecemasan yang terjadi adalah cemas tingkat ringan, sedang dan berat. Kecaemasan ini terjadi pada semua kalangan usia pasien hemodialisa, baik pasien yang punya pekerjaan maupun tidak, dan pada pasien yang sudah lama maupun pasien baru. Kecemasan yang terjadi pada pasien hemodialisa merupakan suatu kondisi yang harus ditangani karena akan memperberat kerusakan sel ginjal. Penelitian ini dilakukan bertujuan memberikan solusi untuk menurunkan kecemasan pada pasien hemodialisa dengan menggunakan teknik relaksasi Benson yang dipadukan dengan pemberian slow stroke back massage pada daerah punggung. Metode penelitian ini menggunakan penelitian quasi eksperimen dengan one group pre-test dan post-test dengan intervensi teknik relaksasi Benson dan slow stroke back massage terhadap 22 orang sampel penelitian. Kecemasan pada responden diukur dengan instrument HARS dan hasil penelitan di analisis dengan peired t-test. Berdasarkan uji statistik, mean skore kecemasan post-test pasien hemodialisa di RSU Aisyiyah Ponorogo menunjukkan terjadinya penurunan jika dibandingkan dengan mean skore kecemasan pre-test dengan tingkat signifikansi 0.000. Dari hasil penelitian ini dapat disimpulkan bahwa relaksasi Benson dan slow stroke back massage efektif menurunkan kecemasan pasien hemodialisa di RSU Aisyiyah Ponorogo.
Asuhan Keperawatan pada Klien Pasca Stroke dengan Gangguan Komunikasi Verbal di Wilayah Puskesmas Jenangan Ponorogo Amelia Agnes Kartika; Agus Wiwit Suwanto; Heru Wiratmoko
Journal of Management Nursing Vol. 1 No. 4 (2022): Journal of Management Nursing
Publisher : Scipro Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jmn.v1i4.66

Abstract

Latar Belakang: Stroke merupakan penyakit serebrovaskular ditandai dengan adanya kematian jaringan otak akibat kekurangan suplai darah dan oksigen, sehingga dapat menimbulkan manifestasi klinis yaitu kesulitan berbahasa. Afasia merupakan gangguan berbahasa yang terjadi akibat adanya kerusakan otak di bagian kiri,  hal ini menyebabkan penderita sulit berbicara, membaca, dan menulis. Tujuan: Penelitian ini bertujuan untuk menganalisa asuhan keperawatan pada pasien pasca stroke dengan gangguan komunikasi verbal. Metode: Penelitian ini dirancang dengan metode deskriptif kualitatif berbentuk studi kasus. Asuhan keperawatan diberikan kepada Ny.S selama 7 hari. Teknik pengumpulan data diperoleh dari hasil wawancara, observasi, dan pemeriksaan fisik. Hasil: Hasil penelitian ini menunjukkan pasien mengalami afasia dibuktikan hasil skrining FAST ditemukan skor 16 pada usia 56 tahun, serta hasil komunikasi verbal pasien mengalami peningkatan dengan pemberian terapi wicara AIUEO selama 7x24 jam dengan penilaian DFCS didapatkan pada hari pertama total skor 12 dan mengalami peningkatan pada hari keenam hingga hari ketujuh dengan total skor 18. Hal ini menunjukkan terdapat pengaruh pemberian terapi wicara AIUEO dengan penilaian skala komunikasi fungsional derby (DFCS) pada pasien pasca stroke yang mengalami gangguan komunikasi verbal di wilayah Puskesmas Jenangan Ponorogo. Kesimpulan: Terapi wicara AIUEO dengan penilaian DFCS terbukti efektif dilakukan untuk meningkatkan kemampuan komunikasi verbal pada klien pasca stroke yang ditunjukkan adanya peningkatan dari afasia sedang menjadi afais ringan pada hari ke-6 hingga ke-7 setelah pemberian terapi wicara AIUEO berdasarkan penilaian skala komunikasi fungsional derby (DFCS). Sehingga asuhan keperawatan pada pasien pasca stroke dengan gangguan komunikasi verbal di wilayah puskesmas jenangan ponorogo dapat teratasi sebagian.
Survey peningkatan resiko penyakit DM di masa Pandemi covid-19 Di wilayah Kabupaten Ponorogo tahun 2021 Heru Wiratmoko; Agus Wiwit Suwanto; Endang Purwaningsih
Indonesian Journal for Health Sciences Vol 7, No 1 (2023): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v7i1.5158

Abstract

DM is a chronic disease that cannot be cured but can only be reduced and blood sugar levels controlled. Blood sugar levels of DM patients can be controlled and reduced by pharmacological and non-pharmacological measures. The impact of the Covid 19 pandemic that can increase the risk of DM is stress. Stress due to the declining level of the community's economy can be due to losing a job, increasing the burden of living and others. At times of stress can increase levels of the hormone cortisol which can increase blood sugar levels. During the pandemic, people are afraid to leave the house so that activity decreases so that it will reduce the use of blood sugar by cells so that blood sugar increasesThe method used in this research is a survey by distributing a google form questionnaire with the link https://forms.gle/EsCR4qnoj62LZFnv9 via WA Online media to the community in the Ponorogo district from 6-15 October 2021 so that the number of respondents who fit the sample criteria is as much as 122 respondents. Measurement of DM risk factors using the FINDRISC questionnaire is a questionnaire that helps to identify the risk of DM disease.The results of the Survey on Increasing the Risk of DM Disease During the Covid 19 Pandemic in the Ponorogo Regency Region in 2021 it is known that from 122 respondents, 60 (49%) low risk respondents, 45 (36%) risk respondents slightly increased, 8 (7%) risk respondents medium, 8 (7%) high risk respondents and 1 (1%) very high risk respondents.
EDUKASI TENTANG COVID-19 DAN ADAPTASI ERA NEW-NORMAL LIFE DI DESA KUTUWETAN KECAMATAN JETIS KABUPATEN PONOROGO Wiwiek Retti Andriani; Agus Wiwit Suwanto
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 5 No 1 (2021): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v(5)i(1)y(2021).page:11-19

Abstract

The government's policy of removing large-scale social restrictions (PSBB) and the existence of a new-normal life policy have generated mixed perceptions and responses in the people of Kutuwetan Village, Jetis District, Ponorogo Regency. Many residents do not comply with the health protocol regarding wearing masks and washing hands on the grounds that there are new-normal recommendations (normal life). This is related to public knowledge of Covid-19 and how to live healthy behavior in the new-normal life. Therefore, community empowerment is very necessary to increase knowledge so that there is a change in people's behavior to reduce the transmission of Covid-19. The purpose of this activity is to change people's behavior by increasing knowledge and empowering the community. The activities carried out are in the form of structured education in several sessions for sub-district and village officials, representatives of community leaders, representatives of TP-PKK mothers, and representatives of Karang Taruna in Kutuwetan Village. The results of the implementation of the activities were evaluated using a questionnaire that was measured pre-post, with the average result of the pre-test score being 95% in the category of sufficient knowledge, while the post-test results the test obtained 70% good knowledge category, then there is an increase in knowledge about Covid-19 and how to prevent it as well as changes in people's behavior in clean and healthy living which is seen from washing hands, wearing masks, keeping a distance. The output of the activity is in the form of journal publication. The follow-up evaluation was carried out with the Kutuwetan Village Satgas (task-force) Covid-19.
Co-Authors Agung Eko Hartanto Amelia Agnes Kartika Andriani, Wiwiek Retti Endang Purwaningsih Endang Purwaningsih Esti Sugiyorini Gandes Widya Hendrawati Heru Wiratmoko Heru Wiratmoko Langgeng Cahyono Mirza Failasufi Sumy Dwi Antono