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Kadar Gula Darah dan Senam Sehat Diabetes Melitus Dian Yuniar Syanti Rahayu; Sumirah Budi Pertami; Budiono Budiono
Health Information : Jurnal Penelitian Vol 9 No 2 (2017): Digitalisasi Versi Cetak
Publisher : Poltekkes Kemenkes Kendari

Diabetes mellitus is the second largest non-communicable diseases as hypertension. This study aims to determine the influence of diabetes mellitus exercise decrease blood sugar levels in diabetes mellitus clients. This research is a Quasi-experiment. The population is all patients who visited the health center-Lepo Lepo period January to December 2015 amounted to 374 people and a sample of 12 people, the data obtained using questionnaires and tested using independent t-test. The results showed that the blood sugar levels prior to exercise healthy diabetes mellitus are 12 (100.0%) in the category rose, with average blood sugar levels client is 252 mg / dl. Then the blood sugar levels after doing gymnastics healthy diabetes mellitus most of which 7 (58.3%) in the category down, and 5 (41.7%) in the category rose, with the average blood sugar level, was 220.25 mg client / dl and there is a healthy exercise influence diabetes mellitus to decrease blood sugar levels in diabetes mellitus clients with a value of p = 0.041. Suggestions in this study in order to increase the frequency of diabetes mellitus and healthy exercise examination routine blood sugar checks to clients in order to reduce blood sugar levels of diabetes mellitus alternative therapy.

Pengaruh Pemberian Contrast Bath dengan Elevasi Kaki 30 Derajat terhadap Penurunan Derajat Edema pada Pasien Congestive Heart Failure Budiono Budiono; Rini Slamet Ristanti
Health Information : Jurnal Penelitian Vol 11 No 2 (2019): Juli-Desember
Publisher : Poltekkes Kemenkes Kendari

Congestive heart failure, which is the inability to pump blood around the body which causes the walls to be unable to pump adequately. The aim of this study was to ascertain the effect of a contrast bath with a foot elevation of 30 º on edema reduction in patients with congestive heart failure at Wafa Husada Hospital, Kepanjen. The design in this study is quasi experimental with the control group design is not equivalent. The population was patients with congestive heart failure, the sample was used consecutive sampling. 34 respondents divided into two groups, 17 respondents 'intervention groups and 17 respondents' control groups. The resulting Mann-Whitney P value = 0.027 (P <0.05) represented a significant reduction in Bath contrast edema with 300 feet elevation in the intervention group and control group patients with congestive heart failure. Based on the results of this study, it is expected to apply a bath contrast with an elevation of 30 º in nursing services to reduce the degree of edema in patients with congestive heart failure.

Provision of Technical Effectiveness Jelly In Cath Installation By Nurse On The Level Catheterization Urine Pain In Patients In Hospital Care Space Dr. R. Ismoyo Kendari Budiono Budiono; Sumirah Budi Pertami
Jurnal Keperawatan Vol 1 No 1 (2014): JURNAL KEPERAWATAN: Jurnal Keperawatan Medikal Bedah, Ilmu Keperawatan Anak, dan
Publisher : STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46233/jk.v1i1.295

Action catheterization is invasive and can cause pain, so if done in the wrong way will cause permanent damage to the urethra. Pain is the main complaint that is often experienced by patients with catheterization because of the actions insert a catheter into the bladder hose has a risk of infection or trauma to the urethra. This study aims at providing technical effectiveness jelly Knowing the catheter by a nurse on the level of pain in patients with urinary catheterization in a hospital 2013.Variabel Kendari year in this study are freely giving techniques jelly on the catheter consists of a jelly that is applied to the tip catheter and jelly sprayed directly on the meatus uretra.Variabel dependent in this study was the level of pain. This research is case control, by taking on the primary data on the effectiveness of the use of catheters and jelly on the level of pain after doing catheter respondents through the questionnaire. The population in this study were all patients who will be paired catheters. The samples in this study were nurses on duty in the hospital ward Ismoyo Kendari who perform catheter as many as 10 people and all the patients who will be the installation of a catheter. Sample size in this study as many as 20 people. The samples were taken by non-random sampling with accidental sampling technique. Data processing was performed using univariate and bivariate analysis were then presented in tabular form, followed by an explanation narasi.Hasil and conclusions in this research that there are methods of giving jelly smeared obtained by moderate and severe levels of pain respectively by 5 people (25.0 %) while for the method of administration by way of lubrication jelly or sprayed directly on urethral meatus obtained mild pain levels by 6 people (30%) and were as much as 4 people (20.0%) and technical provision of jelly that is sprayed on the urethral meatus is more effective against decreased levels of pain compared to administration of jelly that is applied to the tip of the catheter in patients with urinary catheterization. The advice can be given that researchers are expected to nursing personnel should use the jelly lubrication by entering into the urethra (lubrication method) because this can cause the sensation of pain with a lighter intensity and speed of installation is faster than on the way jelly stain on edge catheter. Keywords: Jelly Provision, Installation Catheter, Pain Levels

Hubungan Pencegahan Osteoporosis Pada Lansia Dengan Perubahan Fisik Di Posyandu Lansia Wundudopi Sumirah Budi Pertami; Budiono Budiono
TERAPEUTIK JURNAL : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas Vol 3 No 01 (2017): Terapeutik Jurnal : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas
Publisher : LPPM STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Jumlah penduduk lansia di Indonesia saat ini mencapai 28 juta jiwa. Menurut perkiraan dari united state bureau of Census 2006, populasi lanjut usia di Indonesia diproyeksikan antara tahun 1990-2023 akan naik 4,14%, suatu angka tertinggi di seluruh dunia pada tahun 2020 Indonesia akan merupakan urutan ke empat jumlah usia lanjut paling banyak sesudah Cina, India, dan Amerika Serikat. Meningkatnya populasi lanjut usia ini menyebabkan perlunya antisipasi meningkatnya jumlah pasien lanjut usia yang memerlukan bantuan untuk mengatasi masalah kasus gangguan muskuloskeletal seperti osteoporosis. Penelitian ini untuk mengetahui hubungan pencegahan osteoporosis pada lansia dengan perubahan fisik di Posyandu lansia Wundudopi. Penelitian ini termasuk penelitian retrospective yang menggunakan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh lansia Di Posyandu Lansia Wundudopi Wilayah Kerja Puskesmas Lepo-Lepo Kota Kendari sebanyak 40 orang lansia dan sampel diambil secara total sampling dengan jumlah 40 orang serta di uji menggunakan uji statistik chi-square. Hasil Penelitian menunjukan bahwa pencegahan osteoporosis dalam penelitian ini sebesar 55% sampel memiliki kategori terjadi, dan perubahan fisik dalam penelitian ini baik kategori berubah maupun tidak berubah sebanyak 50%. Dari hasil analisis statistik dengan menggunakan uji chi-square diperoleh nilai p=0,011 sehingga dapat disimpulkan bahwa ada hubungan pencegahan osteoporosis pada lansia dengan perubahan fisik di Posyandu Lansia Wundudopi Wilayah Kerja Puskesmas Lepo-Lepo Kota Kendari. Kesimpulan pada penelitian ini yaitu ada hubungan pencegahan osteoporosis dengan perubahan fisik ditandai dengan hasil analisis statistik menggunakan uji chi-square diperoleh nilai p = 0,011. Perlu dilakukan penelitian lebih lanjut tentang faktor-faktor penyebab terjadinya osteoporosis pada manula dan menganalisis lebih mendalam variabel-variabel penelitian yang lebih kompleks khususnya faktor-faktor risiko penyebab perubahan fisik dan osteoporosis. Bagi manula agar sedini mungkin mulai mengenali penyebab terjadinya osteoporosis dan melakukan pencegahan osteoporosis. Abstract Background : The elderly population in Indonesia has reached 28 million. According to estimates from the united state bureau of Census 2006, the elderly population in Indonesia between the years 1990 to 2023 is projected to rise 4.14%, the highest rate in the world by 2020 Indonesia will be the order of the number of elderly fourth most after China , India, and the United States. The increasing aging population is causing the need to anticipate the increasing number of elderly patients who need help to overcome the problem of musculoskeletal disorders such as osteoporosis cases. Methods : This study for the prevention of osteoporosis in older relationships with physical changes in Posyandu erderly Wundudopi. This research retrospective using a cross sectional study. The population in this study were all elderly. Posyandu erderly Wundudopi job districk lepo-lepo comunity health center Kendari city elderly people and as many as 40 samples were collected by simple total sampling as well as the number of 40 people tested using chi-square statistical test. Result : Research Shows that the prevention of osteoporosis in this study was 55% of the sample had happened categories, and physical changes in the study both categories changed or not changed as much as 50%. From the results of statistical analysis using the chi-square test p = 0.011 values obtained so that it can be concluded that there is a relationship There prevention of osteoporosis in the elderly with physical changes in the Posyandu erderly Wundudopi job districk lepo-lepo comunity health center Kendari city. Conclusions : The conclusion of this research is the prevention of osteoporosis There is a relationship with the physical changes indicated by the results of statistical analysis using the chi-square test p-value = 0.011 is obtained. Need to do more research on the factors that cause the occurrence of osteoporosis in the elderly and more in-depth analysis of research variables are more complex in particular the risk factors and osteoporosis causes physical changes. For seniors as early as possible in order to begin to recognize the causes of osteoporosis and the prevention of osteoporosis.

Changes In The Strength Of The Muscle Of Extremity Through Rom (Range Of Motion) Exercise In Stroke Patients In The Working Area Of Karangploso Health Center Of Malang District Hanifatus Sabira Astrid; Sumirah Budi Pertami; Budiono Budiono
TERAPEUTIK JURNAL : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas Vol 5 No 02 (2019): Terapeutik Jurnal : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas
Publisher : LPPM STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Stroke merupakan gangguan pada sistem saraf ditandai dengan serangan akut / mendadak yang mengakibatkan kelumpuhan pada salah satu sisi badan secara persisten dan menimbulkan kematian sel saraf (neuron). Stroke dapat menimbulkan dampak salah satunya terjadi gangguan muskuloskeletal yaitu penururnan kekuatan otot. Salah satu terapi alternatif dalam proses rehabilitasi pada pasien stroke yaitu Range Of Motion Exercise merupakan gerakan pada segmen tubuh terjadi sebagai akibat kontraksi otot atau gaya dari luar (external forces) yang menggerakkan tulang. Terapi ini sudah dikenal oleh terapis maupun tenaga kesehatan namun pada beberapa rumah sakit. Tujuan penelitian ini untuk mengetahui pengaruh ROM Exercise terhadap perubahan kekuatan otot ekstremitas atas pada pasien stroke. Desain penelitian ini adalah studi kasus deskripsi dengan jumlah sampel 2 subjek responden. Hasil observasi menunujukan kekuatan otot yaitu >3 dalam kategori baik, menunjukan adanya peningkatan signifikan antara skala kekuatan otot sebelum dan sesudah dilakukan ROM Exercise disebabkan oleh kontraksi otot dan pergerakan yang sering dilakukan sehingga masa otot bertambah dan membuat kekuatan otot meningkat serta memelihara mobilitas persendian. Diharapkan hasil penilitian ini, ROM Exercise bisa dijadikan petugas kesehatan sebagai salah satu tindakan perawatan yang efektif untuk pasien stroke yang mengalami kelemahan kekuatan otot pada bagian ekstremitas dan bertujuan untuk mempercepat pemulihan dengan teknik yang sesuai dan terjadwal. Abstract Stroke is a disorder of the nervous system characterized by an acute attack resulting in paralysis of one side of the body persistently and causing death of nerve cells (neurons). Stroke can cause one of the effects of musculoskeletal disorders that is the reduction of muscle strength. One alternative therapy in the rehabilitation process in stroke patients is the Range Of Motion Exercise is a movement in the body segment occurs as a result of muscle contraction or force from the outside (external forces) that move the bone. This therapy is already known by therapists as well as health workers but in some hospitals The purpose of this study to determine the effect of ROM Exercise on changes in upper extremity muscle strength in stroke patients. The design of this study is a case study description with a sample size of 2 subjects of respondents. The observation result showed that muscle strength was> 3 in good category, showed a significant increase between muscle strength scale before and after done ROM Exercise caused by muscle contractions and frequent movements so that muscle mass increases and increases muscle strength and maintains joint mobility. It is expected that the results of this study, ROM Exercise can be used as health care workers as one of the effective treatment measures for stroke patients who experience weakness of muscle strength in the extremities and aims to speed recovery by appropriate and unscheduled techniques.

Optimizing the Endorphin and Oxytocin Massage to Increase Breast Milk Production among Postpartum Mother in Indonesia Sumirah Budi Pertami; Budiono Budiono; Ira Rahmawati
NurseLine Journal Vol 5 No 1 (2020): May 2020
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i1.16825

Exclusive breastfeeding is the gold standard of infant feeding in the first six months of their life. In Indonesia, breastfeeding practice has become a social norm among women. However, some women have experienced inadequate breast milk production especially in the first and second days after birth. This study aimed to investigate the effect of endorphin and oxytocin massage on breast milk production among primiparous postpartum women and their baby weight. a quasi-experimental design was utilized with pre-test and post-test control group design. The population in this study were 175 postpartum mothers in Lawang Primary Health Care Indonesia. Forty postpartum mothers were selected and allocated to the intervention and control groups. Ten women were received endorphin massage, ten were given oxytocin massage, ten mothers were received the combination of endorphin and oxytocin massage and the remaining ten were allocated into the control group. The dependent variables were breast milk production and infant body weight, whereases the independent variables were endorphin massage, oxytocin massage and combination of endorphin and oxytocin massages. Data were analyzed by using t-test followed by One Way ANOVA Test with α = 0.05. The results indicated differences between the four group regarding the breast milk production and an increase in baby weight with p = 0, 00<α = 0, 05 and p = 0.046 <α = 0.05 respectively. According to the results, the combination of endorphin and oxytocin massage is the most effective technique to increase breast milk production among postpartum women and therefore, facilitating the baby weight gain in the first six months of their life.

Peningkatan Perkembangan Kognitif Anak Usia Dini dengan Kebiasaan Menonton Video Kartun Pembelajaran Rifa Aulia; Kissa Bahari; Nurul Pujiastuti; Erlina Suci Astuti; Sumirah Budi Pertami; Budiono Budiono
Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini Vol 6, No 6 (2022)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/obsesi.v6i6.3558

Gadget merupakan salah satu bukti berkembangnya teknologi dan informasi yang sangat pesat. Anak menggunakan gadget untuk menonton video kartun yang dapat memengaruhi perkembangan kognitif anak. Tulisan ini menjelaskan bagaimana kaitan antara kebiasaan menonton vidio kartun pembelajaran dengan perkembangan kognitif anak usia dini di RA Perwanida 01 Pancir Kab. Blitar. Desain penelitian yang digunakan adalah deskriptif korelasi. Pendekatan menggunakan cross sectional dengan uji pearson correlation dan kruskal wallis. Instrumen penelitian yaitu kuisioner dan observasi. Besar sampel yaitu 46 anak yang diambil menggunakan tehnik purposive sampling. Hasil penelitian yaitu tidak terdapat hubungan antara intensitas waktu menonton vidio kartun pembelajaran dengan perkembangan kognitif anak dengan p-value 0,198. Namun ditemukan adanya perbedaan perkembangan kognitif anak usia dini berdasarkan jenis vidio kartun dengan p-value 0,000 dan rata-rata paling tinggi adalah menonton kartun pembelajaran “Upin-ipin”. Diharapkan pada orangtua untuk memonitor anak saat menonton video kartun dan memilih tontonan pembelajaran yang bermanfaat untuk perkembangan kognitif.

CHANGES IN THE STRENGTH OF THE MUSCLE OF EXTREMITY THROUGH ROM (RANGE OF MOTION) EXERCISE IN STROKE PATIENTS IN THE WORKING AREA OF KARANGPLOSO HEALTH CENTER OF MALANG DISTRICT Hanifatus Sabira Astrid; Sumirah Budi Pertami; Budiono Budiono
TERAPEUTIK JURNAL : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas Vol 4 No 02 (2018): Terapeutik Jurnal : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas
Publisher : LPPM STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Stroke is a disorder of the nervous system characterized by an acute attack resulting in paralysis of one side of the body persistently and causing death of nerve cells (neurons). Stroke can cause one of the effects of musculoskeletal disorders that is the reduction of muscle strength. One alternative therapy in the rehabilitation process in stroke patients is the Range Of Motion Exercise is a movement in the body segment occurs as a result of muscle contraction or force from the outside (external forces) that move the bone. This therapy is already known by therapists as well as health workers but in some hospitals The purpose of this study to determine the effect of ROM Exercise on changes in upper extremity muscle strength in stroke patients. The design of this study is a case study description with a sample size of 2 subjects of respondents. The observation result showed that muscle strength was> 3 in good category, showed a significant increase between muscle strength scale before and after done ROM Exercise caused by muscle contractions and frequent movements so that muscle mass increases and increases muscle strength and maintains joint mobility. It is expected that the results of this study, ROM Exercise can be used as health care workers as one of the effective treatment measures for stroke patients who experience weakness of muscle strength in the extremities and aims to speed recovery by appropriate and unscheduled techniques. Stroke merupakan gangguan pada sistem saraf ditandai dengan serangan akut / mendadak yang mengakibatkan kelumpuhan pada salah satu sisi badan secara persisten dan menimbulkan kematian sel saraf (neuron). Stroke dapat menimbulkan dampak salah satunya terjadi gangguan muskuloskeletal yaitu penururnan kekuatan otot. Salah satu terapi alternatif dalam proses rehabilitasi pada pasien stroke yaitu Range Of Motion Exercise merupakan gerakan pada segmen tubuh terjadi sebagai akibat kontraksi otot atau gaya dari luar (external forces) yang menggerakkan tulang. Terapi ini sudah dikenal oleh terapis maupun tenaga kesehatan namun pada beberapa rumah sakit. Tujuan penelitian ini untuk mengetahui pengaruh ROM Exercise terhadap perubahan kekuatan otot ekstremitas atas pada pasien stroke. Desain penelitian ini adalah studi kasus deskripsi dengan jumlah sampel 2 subjek responden. Hasil observasi menunujukan kekuatan otot yaitu >3 dalam kategori baik, menunjukan adanya peningkatan signifikan antara skala kekuatan otot sebelum dan sesudah dilakukan ROM Exercise disebabkan oleh kontraksi otot dan pergerakan yang sering dilakukan sehingga masa otot bertambah dan membuat kekuatan otot meningkat serta memelihara mobilitas persendian. Diharapkan hasil penilitian ini, ROM Exercise bisa dijadikan petugas kesehatan sebagai salah satu tindakan perawatan yang efektif untuk pasien stroke yang mengalami kelemahan kekuatan otot pada bagian ekstremitas dan bertujuan untuk mempercepat pemulihan dengan teknik yang sesuai dan terjadwal.

TINGKAT KEPATUHAN TENAGA KESEHATAN RUMAH SAKIT DALAM UPAYA PENCEGAHAN DAN PENULARAN CORONAVIRUS DISEASE 2019 Lia Savira Febriani; Budiono Budiono; Hurun Ain
Jurnal Pendidikan Kesehatan Vol 10 No 2 (2021): Jurnal Pendidikan Kesehatan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v10i2.2774

Coronavirus disease 2019 or COVID 19 is a virus that is spreading in China with a very rapid rate of infection. According to WHO life report, the death toll from COVID 19 in Indonesia reached 12,000 people. Health care as a front end in hospital management should also optimize the performance of its duties according to established operational procedures. The purpose of this research is to explain the level of healthcare professional commitment to the prevention and transmission of coronavirus disease 2019 or COVID 19. The literature review search uses three electronic databases, namely PubMed, Scient direct and google scholar. The average number of respondents is 500 Responders. Articles selected by paying attention to the PEOS Framework then the articles analyzed one by one. Of the 10 articles analyzed, the results were articles that discussed handwashing obedience with n equal 7 and masking obedience with n equal 3. Ten articles were found that met the criteria of inclusiveness and exclusivity. Seven articles on health care compliance in hand washing and three articles on the use of masks with the highest level of compliance. In the COVID 19 pandemic, the level of health care compliance in the effort to wash hands and use face masks increases with the hand washing guidelines 7 moment in accordance with the WHO recommendation and using masks in accordance with the CDC guidelines

Gambaran Tanda Gejala Diabetes Mellitus Tipe II pada Pasien Sebelum dan Sesudah Pemberian Terapi Air Putih (Hydrotherapy): Studi Kasus Dwi Anggraini; Esti Widiani; Budiono Budiono
Indonesian Journal of Nursing and Health Sciences Vol 4 No 2 (2023): Indonesian Journal of Nursing and Health Sciences: October 2023
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v4i2.2118

Penatalaksanaan penyakit diabetes mellitus kebanyakan menggunakan obat karena dianggap merupakan cara yang mudah dan simple, tetapi dapat dikombinasikan dengan terapi komplementer seperti terapi air putih (hydrotherapy) agar tanda gejala dapat terkendali dengan baik. Tujuan penelitian ntuk mengetahui gambaran tanda gejala diabetes mellitus pada pasien sebelum dan sesudah pemberian terapi air putih (hydrotherapy) di RSUD Karsa Husada Batu. Penelitian ini adalah penelitian deskriptif dengan pendekatan studi kasus yang dilakukan dengan 2 subjek penelitian. Penelitian dilakukan dengan berfokus pada hasil wawancara dan observasi tanda gejala diabetes mellitus sebelum dan sesudah menjalani terapi air putih (hydrotherapy) pasien. Penelitian menunjukkan sebelum diberikan terapi air putih (hydrotherapy) kepada responden 1 dan 2 yang memiliki penyakit diabetes mellitus tipe 2 didapatkan hasil mengalami gejala sukar kenyang meski tidak sedang menjalani aktivitas berat, sering buang air kecil, sering kesemutan atau perasaan tertusuk-tusuk, mudah merasa lemas, serta hasil gula darah sesaat â‰¥ 200 mg/dL. Setelah menjalani terapi tanda gejala yang dirasakan responden seperti pola makan kedua responden menjadi lebih terkontrol, perasaan ingin berkemih menjadi berkurang, sensasi kesemutan jarang dirasakan, serta hasil gula darah sesaat yang terkendali. Kedua responden mengalami perubahan yang lebih baik pada tanda gejala diabetes mellitus setelah diberikan terapi air putih (hydrotherapy).

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