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Pengaruh Penerapan Ayah ASI (Breastfeeding-Father) terhadap Produksi dan Pengeluaran ASI pada Ibu Postpartum Thatit Nurmawati; Nawang Wulandari; Ulfa Husnul Fata
Journal of Ners and Midwifery Vol 1, No 3 (2014)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v1i3.ART.p212-215

Cholesterol is needed to stabilize the double layer ( bilayer ) of phospholipids in the membrane . Cholesterol is also a precursor of steroid hormones . High cholesterol levels can cause need to watch out for deep vein thrombosis , especially when high LDL levels . Control of cholesterol in the body is absolutely necessary to regulate the levels of fat consumed each day . Carrots ( Daucus Carota ) as a source of fiber and antioxidants ( carotenoids , polyphenols and vitamin C ) that contribute to protection against cardiovascular disease . Raw carrots have tough cell walls so that less than 25 % of beta - carotene is converted to vitamin A. However, the cooking process can dissolve cellulose by breaking down the cell wall so as to facilitate absorption . The purpose of research to determine the speed difference between the cholesterol-lowering treatment with ripe raw carrots .This study used a true experimental design with control. White rat ( Rattus norvegicus ) were given a high cholesterol diet is used as experimental animals were divided into a control group and the treatment group . The treatment group were treated raw and cooked carrots . Simvastatin for the control group . Incubation 8 weeks to determine changes in cholesterol levels . Data were analyzed using parametric statistical test Kruskal Wallis test .The results showed no differences at all cholesterol-lowering treatment . Allegedly content of β -carotene in carrots is low . In a variety of carotenoid compounds , β -carotene will have lower antioxidant activity . Pectin also suffered damage to the heating activity . It is necessary to further test of the difference in the treatment of raw and cooked

Community Attitudes Towards People with Mental Disorders (ODGJ) in terms of information sources and experiences of meeting ODGJ in RW 9 Kelurahan Tanggung, Blitar City Nawang Wulandari; Danang Candra Wiratama
Journal of Ners and Midwifery Vol 7, No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p326-331

Negative knowledge and experience of people with mental disorder (ODGJ) tend to form negative attitude. Many residents still discriminate, such as social isolation. This research aimed to determine people’s attitude towards ODGJ in terms of meeting experienced and the sources of information they get. This research was observational analytic with cross sectional approach. The population of this research was all households in RW 9 Kelurahan Tanggung Blitar City of 199 households, with a sample size of 120 households taken by purposive sampling technique. Attitude data were collected using the Community Attitudes toward Mentally III (CAMI III) questionnaire and analyzed using the Spearman rho correlation test. The results of the analysis showed that attitudes of towards ODGJ in terms of sources of information they have obtained with p value 0,890, and attitudes of households with experience meeting ODGJ with p value 0,470, p value>0.05 which meant that there was no correlation between attitudes and information sources experience meeting ODGJ in RW 9 Kelurahan Tanggung Blitar City. Based on these results, it is necessary to carry out promotional activities in mental health services to form a positive attitude towards people with ODGJ.

The Effect of Yacon Leaf Powder (Smallanthus Sonchifolius) on White Rats (Rattus norvegicus) Blood Glucose Levels with High Sugar Diet Thatit Nurmawati; Sandi Alfa Wiga Arsa; Nawang Wulandari; Agus Saparudin
Journal of Ners and Midwifery Vol 8, No 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i2.ART.p217-220

Maintaining a lifestyle can reduce the incidence of DM (diabetes mellitus). DM occurs due to insulin disorders so that blood glucose levels increase, which can lead to various complications. The management of blood glucose levels by activating the insulin function can be done by using natural ingredients such as the Yakon (Smallanthus sonchifolius) plant. Yakon leaves contain phenol which can reduce blood glucose. The design of this study was experimental with a pre-posttest approach with control-group design, using male and healthy white rats (Rattus norvegicus). Rats were divided into 3 groups, treatment dose 1, treatment dose 2 and control. The rats were given a high carbohydrate diet during 9 weeks to make the rats hyperglycemic. In the treatment group, dose 1 was 150 mg/kg BW, dose 2 was 300 mg kg BW, and was given for 3 days. The results showed that the rats in the treatment group dose 1 had decreased in the average blood sugar level of 114.10 mg / dl (p 0.002) and dose 2 was 105.27 mg / dl (p 0.005). This showed that there was an effect of treatments on blood sugar levels. The comparison results showed that there was a significant difference between the dose 1, the dose 2 group and the control (Sig. (2-tailed) = 0.001 (α) = 0.05). There was no significant difference in the treatment group dose 1 and treatment dose 2 (Sig. (2-tailed) = 0.693, (α) = 0.05). Yakon leaves can be used alternative to lower to control blood glucose levels in rats receiving a high-carbohydrate diet

Pengaruh Terapi Okupasi terhadap Kemampuan Sosial pada Klien Skizofrenia dengan Isolasi Sosial Rendra Sukmana; Nawang Wulandari
Journal of Ners and Midwifery Vol 1, No 2 (2014)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v1i2.ART.p081-086

Occupational therapy is a healing effort against someone who is experiencing mental and physical disorders by giving liveliness job. The purpose of the study to determine the effect of Occupational Therapy on social skills in schizophrenia with social isolation, using Quasy Control Group Pre-test Posttest Design. Sampel used in this experiments were 10 respondents that are divided into 2 groups: treatment and control. The treatment group was given occupational therapy 2 times a week for 3 weeks. Observations by 12 questions was conducted to determine the level of social skills of respondents. The results of this study showed no increase on the level of social skills before and after given granted Occupational Therapy. The level of social capability of 5 respondents in the treatment group before given an Occupational Therapy were 7 and while after given an occupational therapy were 10.2. This result have contrast to the control group which showed level of social capability were 7 . Statistic Analized using Wilcoxon Sign Rank Test showed significant is 0.0205 in the group between pre and post treatment, while the treatment and control group comparisons with Mann Whitney U test showed 0.029 ≤ 0.05. With these results Occupational Therapy can improve social skills clients with social isolation.

Hubungan Tingkat Kecacatan dan Lama Menderita Kusta dengan Depresi Penderita dan Mantan Penderita Kusta Nawang Wulandari; Muhammad Su'udi
Journal of Ners and Midwifery Vol 6, No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p357-363

Sifat penyakit yang kronis dan kecacatan yang ditimbulkan dari penyakit kusta dapat mengganggu penampilan dan fungsi tubuh penderitanya, ditambah persepsi yang negatif dari masyarakat menimbulkan dampak negatif dalam kesehatan jiwa. Penderita akan merasa rendah diri, tekanan batin dan merasa tidak berguna baik dalam lingkungan keluarga maupun masyarakat, kondisi ini yang dapat mencetuskan depresi. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat kecacatan dan lama menderita dengan depresi penderita dan mantan penderita kusta di Kecamatan Ponggok Kabupaten Blitar. Jenis penelitian ini adalah analitik observasional dengan pendekatan cross sectional. Sampel yang digunakan sebanyak 26 responden diambil dengan teknik purposive sampling. Metode pengambilan data menggunakan kuesioner Zung Self-Rating Depression Scale (ZSDS) dan dianalisis menggunakan uji korelasi Spearman. Hasil analisis tingkat kecacatan dan lama menderita dengan depresi sama-sama didapatkan nilai p<0,05 yang berarti ada hubungan antara tingkat kecacatan dan lama menderita dengan depresi penderita dan mantan penderita kusta. Depresi dipengaruhi oleh banyak faktor diantaranya pendidikan, jenis kelamin, status perkawinan, dukungan, pendapatan, dan karakteristik penyakit sendiri. Peningkatan ketahanan terhadap depresi melalui self efficacy sangat diperlukan untuk meningkatkatkan kepercayaan diri penderita dan mantan penderita dalam mengatasi masalahnya. The chronic nature of disease and disability resulting from leprosy can disrupt the appearance and function of the sufferer's body, and the negative perception of the community has a negative impact on mental health. Patients will feel inferior, inner pressure and feel useless in both the family and community environment, this condition can trigger depression. This study aims to determine the relationship between the level of disability and length of suffering with depression sufferers and former leprosy sufferers in Ponggok District Blitar. This type of research is observational analytic with cross sectional approach. The sample used by 26 respondents was taken by purposive sampling technique. The data collection method uses the Zung Self-Rating Depression Scale (ZSDS) questionnaire and analyzed using the Spearman correlation test. The results of the analysis of the level of disability and duration of suffering with depression both obtained p values <0.05 which means there is a relationship between the level of disability and duration of suffering with depression sufferers and former leprosy sufferers. Depression is influenced by many factors including education, gender, marital status, support, income, and the characteristics of the disease itself. Increased resistance to depression through self-efficacy is needed to increase the confidence of sufferers and former sufferers in overcoming their problems.

Gambaran Family Care Giver Burden dalam Merawat Anggota Keluarga dengan Skizofrenia di Wilayah Kerja Puskesmas Sutojayan Kabupaten Blitar Nawang Wulandari
Journal of Ners and Midwifery Vol 3, No 2 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i2.ART.p127-130

When someone is diagnosed with positive schizophrenia, there will be changes toward their life. Patients who previously have the ability to perform daily activities, in this conditions will always need help and assistance in fulfilling their life, especially the family members who are in charge in the caring. Various changes will certainly have impact on the patients themselves and for those around them, especially their family care giver. Care giver are expected to use most of their time to care and to provide social support for the sake of better conditions. This research aimed to describe the family care giver burden in the caring of their family members with schizophrenia in Puskesmaas Sutojayan Blitar. The research design used descriptive approah with purposive sampling. The total sample was 24 respondents. The data collectionused questionnaires. The results showed that 10 people (41.7%) of the Family Care giver experiencing hard burden and average burden in the care of family members with schizophrenia. People should have good understanding and concern so that there would be negative stigma in people with schizophrenia so that the burden of the care giver is not increase because of the social burden obtained. When this kind of things were done, it would reduce the risk of relapse in people with scizofrenia

Pengaruh Relaksasi Otot Progresif terhadap Penurunan Ansietas dan Peningkatan Kualitas Tidur Pasien Neurosa di Wilayah Kerja Puskesmas Kepanjen Kidul Kota Blitar Nawang Wulandari; Titin Andri Wihastuti; Lilik Supriati
Journal of Ners and Midwifery Vol 2, No 2 (2015)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v2i2.ART.p154-163

Neurosa a psychic reaction with typical anxiety where clients are in fear that unconsciously displayed in various forms of behavior. Anxiety can leads physical imbalance such as increased blood pressure, insomnia, muscle tension and palpitations. Muscle tension and sleep difficulties are often experienced anxiety response. Some psychotherapy can be given to clients of anxiety one of which is progressive muscle relaxation therapy. The aims of this study was to determine the effect of progressive muscle relaxation therapy to decrease anxiety and improve the quality of sleep in patients neurosa in Health Center Area Kepanjen Kidul Blitar. Research design was quasy experimental Pre-Post Test With Control Group with purposive sampling. Number of samples 26 respondents were divided into control and treatment groups. Collecting data using questionnaires that have tested the validity and reliability. Results of analysis of anxiety and sleep quality was obtained p <0.05 in the treatment group and control before and after treatment, the difference in scores of anxiety and sleep quality of patients neurosa between the treatment group and the control group after a given intervention p <0.05. There is no correlation between the anxiety with the quality of sleep with p> 0.05. Therapy progressive muscle relaxation and deep breathing therapy can be used to reduce anxiety and improve sleep quality in patients neurosa.

Perbedaan Kemandirian Dalam Pemenuhan ADL (Activity Daily Living) Anak Usia Prasekolah Ditinjau Dari Tipe Keluarga Di Poli MTBS UPTD Puskesmas Kecamatan Kepanjenkidul Kota Blitar Thatit Nurmawati; Nawang Wulandari
JURNAL CITRA KEPERAWATAN Vol 8 No 1 (2020): JURNAL CITRA KEPERAWATAN
Publisher : Poltekkes Kemenkes Banjarmasin

Kemandirian bukanlah keterampilan yang muncul tiba-tiba tetapi perlu diajarkan pada anak. Tanpa diajarkan, anak tidak mengetahui bagaimana harus membantu dirinya sendiri sehingga anak akan selalu tergantung pada orang lain bahkan sampai dewasa. Kemandirian ini ditentukan oleh tipe keluarga dalam pengasuhan, pengasuhan yang terlalu longgar dalam disiplin dan tidak konsisten akan cenderung membuat anak manja dan kurang mandiri. Penelitian ini bertujuan untuk mengetahui perbedaan kemandirian anak usia prasekolah dalam pemenuhan Activity Daily Living ditinjau dari tipe keluarga di Poli MTBS UPTD Puskesmas Kecamatan Kepanjenkidul Kota Blitar. Jenis penelitian ini adalah comparative. Populasi penelitian ini adalah semua pasien MTBS yang berusia 4-5 tahun sebanyak 61 orang. Sampel yang digunakan sebanyak 42 orang yang memenuhi kriteria inklusi dan diambil dengan teknik purposive sampling. Data kemandirian dalam pemenuhan ADL diambil dengan lembar wawancara terstruktur. Hasil analisis perbedaan kemandirian didapatkan nilai p 0,033 dimana p<0,05 yang berarti ada perbedaan kemandirian dalam pemenuhan ADL antara antara anak yang diasuh dalam keluarga nuclear dengan keluarga extended family. Apapun tipe keluarga, diharapkan keluarga memiliki pemahaman yang sama tentang pentingnya stimulasi untuk membentuk kemandirian sehingga anak akan tumbuh dan berkembang sesuai dengan tahapan tumbuh kembangnya.

Improving Adolescent Reproductive Health Through Dysmenorrhea Gymnastics Education at The PSBR Dormitory, Blitar City Anita Rahmawati; Thatit Nurmawati; Nawang Wulandari; Dita Yanuar; Suprajitno Suprajitno
Journal of Community Service for Health Vol 2, No 1 (2021)
Publisher : STIKes Patria Husada Blitar

Dysmenorrhea is often occurred at the beginning of menstruation, especially in adolescents. If left untreated, pain experienced by adolescents with primary dysmenorrhea could lead to serious problems that ultimately require health services and could also reduce quality of reproductive health and general body health. The aim of gymnastics activity is to improve the reproductive health of adolescent women through the provision of dysmenorrhea gymnastics education. The activity was divided into 2 sessions, lecture and practice. The first session were explanations, questions and answers about the menstrual cycle, dysmenorrhoea and how to prevent or treat dysmenorrhoea pain using dysmenorrhea gymnastics. The second one was gymnastics practice in the same time between community service team and all of the participants, where the service team was divided as gymnastics instructor and the others as facilitator who correct participants' exercise movements that were not right. This activity was carried out on young women at the PSBR dormitory in Blitar City. Implementation was in the March 2021 and followed by 35 teenagers. The results of this activity indicated that all of the participants were able to follow and carry out activities that have been planned properly. Dysmenorrhea gymnastics were an easy, cheap and safe way to reduce and prevent dysmenorrhea pain so that it could be an independent dysmenorrhea therapeutics option for adolescents, especially teenagers in the PSBR dormitory in Blitar City.

The Application of Booklet for Providing Mental and Psychosocial Support (MHPSS) to Elderly during COVID-19 Pandemic Thatit Nurmawati; Nawang Wulandari; Anita Rahmawati; Aurizal Ahmad Aziz; Lutvi Febriana; Intan Permatasari; Ida Parwati
Journal of Community Service for Health Vol 2, No 1 (2021)
Publisher : STIKes Patria Husada Blitar

The condition of the COVID-19 Pandemic which is full of uncertainty makes the elderly easily plagued by feelings of excessive anxiety which has an impact on physical health conditions. The purpose of the community service was to provide mental and psychosocial support (MHPSS) during Covid-19 pandemic through booklets. The method used health education by distributing booklets. The activity was conducted in Blitar district area through the online network on February 2021 with 21 elderly people as the respondents. The results showed that the elderly were able to follow all the activities given and able to re-practice physical activities that could be done to deal with anxiety as a psychological impact of COVID-19 properly. Batik activity is one form of occupational therapy for People with mental disorders to continue to be carried out so that independence and entrepreneurial spirit can increase, so they will be more productive. The Mental and Psychosocial Support (MHPSS) for all elderly groups in the community needs to be continuously carried out by involving elderly cadres as an effort to control anxiety as a result of the COVID-19 Pandemic.

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