Gunardi Pome
Poltekkes Kemenkes Palembang

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PENGARUH TEKNIK RELAKSASI PROGRESIF TERHADAP PENURUNAN TINGKAT KECEMASAN PADA PASIEN HIPERTENSI DI PUSKESMAS MAKRAYU PALEMBANG Gunardi Pome; Sri Endriyani; Fahmi Rizal
Jurnal Keperawatan Sriwijaya Vol 6, No 2 (2019)
Publisher : Universitas Sriwijaya

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Abstract

AbstrakTujuan: Kecemasan merupakan masalah psikososial yang banyak dialami pasien hipertensi.Kecemasan yangdialami berupa kekhawatiran yang tidak jelas dan menyebar, yang berkaitan dengan perasaan tidak pasti dantidak berdaya. Tujuan penelitian ini adalah untuk mengetahui pengaruh teknik relaksasi progresif terhadappenurunan tingkat kecemasan pada pasien hipertensi di Puskesmas Makrayu Palembang.Metode: Desain yang digunakan dalam penelitian ini adalah Quasy experiment pre-post test with controlgroup dengan intervensi relaksasi progresif. Penelitian dilakukan untuk mengetahui perbedaan tingkatkecemasan pada pasien hipertensi sebelum dan sesudah diberikan perlakuan berupa relaksasi progresif.Hasil: Ada hubungan yang signifikan antara lamahipertensi dengan tingkat kecemasan responden. Padakejadian kecemasan penderita hipertensi, respon fisiologis terjadinya stres terutama pada sistemkardiovaskular, stimulasi adrenergik mengakibatkan vasokonstriksi perifer dan peningkatan tekanan darahsistemik.Simpulan: Terdapat penurunan tingkat kecemasan pasien hipertensi di Puskesmas Makrayu lebih besarpada kelompok yang intervensi yang mendapatkan terapi relaksasi progresif daripada kelompok kontrol (pvalue <0,05).Kata kunci: Relaksasi Progresif, Hipertensi, KecemasanAbstractAim: Anxiety is a psychosocial problem that many hypertensive patients experience. Anxiety is experienced inthe form of vague and pervasive worries, which are associated with feelings of uncertainty and helplessness.The aims of this study was to determine the effect of progressive relaxation techniques on reducing anxietylevels in hypertensive patients at the Makrayu Public Health Center in Palembang.Method: The design used in this study was the Quasy experiment pre-post test with control group withprogressive relaxation interventions. The study was conducted to determine differences in anxiety levels inhypertensive patients before and after treatment in the form of progressive relaxation.Results: There was a significant relationship between patient's hypertension and respondent's anxiety level.In the case of anxiety sufferers of hypertension, physiological responses to stress, especially in thecardiovascular system, adrenergic stimulation results in peripheral vasoconstriction and an increase insystemic blood pressure.Conclusion: There was a decrease in the level of anxiety of hypertensive patients at the Makrayu PublicHealth Center in the intervention group receiving progressive relaxation therapy than the control group (pvalue <0.05).Keyword: Progressive Relaxation, Hypertension, Anxiety
Hubungan Kekerasan Selama Kehamilan Dengan Kelahiran Bayi Berat Lahir Rendah Di RSUD DR IBNU SOETOWO Baturaja Kabupaten OKU Tahun 2011 Eni Folendra Rosa; Gunardi Pome; Marwan Baits
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 1 No 11 (2012): Jurnal Kesehatan
Publisher : POLITEKNIK KESEHATAN KEMENKES PALEMBANG

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Abstract

Background: Low birth weight (LBW) is a risk factor which contributes to infant mortality during perinatal period and the greatest contributor to neonatal mortality in Indonesia. Some studies show that there is significant relationship between violence during pregnancy and LBW delivery. At District of Ogan Komering Ulu (OKU) there were 18 cases of violence domestic (2010) whereas the prevalence of LBW in 2010 was 7.1%. Objective: To identify the relationship between violence during pregnancy and LBW delivery at District of OKU. Method: This was an observational study which used unmatched case control study design and both quantitative and qualitative approaches. Subject of the study consisted of intervention group and control group at a comparison 1:2. Data analysis used univariable, bivariable with chi square (x), stratification and multivariable with logistic regression. Result: The result of bivariable analysis showed that the group of LBW had physical violence 3 times greater during pregnancy than the group with normal birth weight; and the group of mothers having LBW infants had psychological violence 2.5 times greater than the group with normal birth weight. Sexual violence, age, education and economic status statistically had no significant relationship with LBW; whereas frequency of antenatal care (ANC) had relationship with LBW delivery. The result of stratification analysis showed that the frequency of ANC was a modified effect and was not assumed as confounding variable. The result of multivariable analysis showed that the group of mothers with LBW infants had 2.5 times greater for violence during pregnancy than the group with normal birth weight infants. Conclusion: The group of mothers with LBW infants had more violence during pregnancy than the group with normal birth weight infants. Frequency of ANC, apart from violence during pregnancy, independently had significant relationship with the LBW delivery.