Harmayetty, Harmayetty
Faculty Of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia

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Perbedaan Communication Back Massage dan Back Massage dalam Menurunkan Tekanan Darah Pada Klien dengan Lansia dengan Hipertensi Rizal Arifin; Harmayetty Harmayetty; Sriyono Sriyono
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 1 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.355 KB) | DOI: 10.20473/cmsnj.v1i1.11969

Abstract

Introduction: There are many drugs in the effort to cure hypertension for the old that in fact have bad influence because they cause dependence and are risky with misestimated doses. Communication back massage and back massage are two of complementary therapies recommended to lower blood pressure due to each relaxation effects are good. This study aims to clarify the difference of communication back maassage and back massage to reduce blood pressure. Method: This study was used quasy experimental design. The total samples in this study were 14 old patients who got hypertension. They were divided into 2 groups, one of the groups was treated with communication back massage and the other one was only treated with back massage. The independent variable was communication back massage and back massage. The dependent variable was blood pressure, which was observed for 5 days. Data were collected using aneroid sphygmomanometer and observation paper then analysis was implemented using Paired t-test with level significance α≤0.05 and Independent t-test with level significance α≤0.05. Result: The result showed that blood pressure decrease in significantly both in group one and group two (p=0.04 in group one and p=0.046 in group two). Between the group one and the group two, there was no difference on blood pressure reduction (p=0.315). Discussion: Communication back massage and back massage have a same effect on blood pressure reduction in old patient who get hipetension. The possible explanation for these findings is that communication back massage and back massage have a relaxation effect that can decrease norepinefrin, decrease ADH and increase endorphine. The decrease of norepinephrine can widen blood vessel. The decrease of ADH can reduce excessive fluid in the blood circulation. The increase of endhorphine can reduce sympathetic nerve activity. Therefore, blood pressure level will be decreased.
Efektifitas Pemberian Self Help Group dengan Acceptance and Commitment Therapy terhadap Interdialytic Weight Gain Heriberta Tuto Suban; Harmayetty Harmayetty; Lailatun Ni'mah
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (47.906 KB) | DOI: 10.20473/cmsnj.v8i1.12373

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ABSTRAKPendahuluan: permasalahan yang sering terjadi pada klien yang menjalani hemodialisis (HD) adalah terjadinya  penambahan berat badan atau Interdialytic Weight Gain (IDWG) karena  ketidak patuhan klien dalam pembatasan cairan. Untuk itu diterapkan Self help Group (SHG) dan Acceptance and Commitment Therapy (ACT).Tujuan penelitian adalah mengetahui perbedaan efektifitas pemberian Self Help Group dengan Acceptance and Commitment Therapy terhadap penurunan IDWG klirn yang menjalani HD.Metode: desain penelitian quasy experimental the pretest-posttest one control group disgn. Jumlah responden 57 orang dengan menggunakan purposive sampling. Variabel independen adalah SHG dan ACT, sedangkan variabel dependen IDWG. Untuk variabel independen menggunakana instrumen Satuan Acara Kegiatan,  sedangkan untuk variabel dependen menggunakan instrumen timbangan BB dan lembar observasi IDGW. Uji statistik untuk SHG dan pembanding  menggunakan Wilcoxon Signed­_Rank Test dengan tingkat kemaknaan p≤0,005, untuk ACT menggunakan  Paired T Test dengan tingkat kemaknaan p≤0,005 dan untuk perbandingan antara  SHG, ACT dan Pembanding menggunakan Mann Withney dengan tingkat kemaknaan p ≤ 0,005.Hasil: Wilcoxon Signed Rank Test  kelompok SHG p=0,002, hasil Paired T Test kelompok ACT p= 0,000, hasil Wilcoxon Signed Rank Test   kelompok pembanding p= 0,224. Hasil statistik Mann Whithney antara SHG- ACT didapatkan nilai p= 0,838, uji Mann Whithney SHG-pembanding p= 0,044 uji Mann Whithney ACT-pembanding p=0,015. Hasil uji statistik ini menunjukan bahwa antara SHG dan ACT keduanya efektif terhadap penurunan IDWG namun pemberian ACT lebih efektif terhadap IDWG dengan p=0,015.Diskusi: Penerapan SHG dan ACT efektif terhadap penurunan IDWG pada klien yang menjalani HD, sehingga diharapkan SHG dan ACT dapat diterapkan untuk mengantisipasi IDWG yang berlebihan pada klien yang menjalani HD. Kata Kunci: Self Help Group, Acceptance and Commitment Therapy, Penyakit Ginjal Kronis, Interdialytic Weight Gain , Hemodialisis        ABSTRACTIntroduction: Problem  that often occurs in hemodialysis clients is the occurrence of Interdialytic Weight Gain (IDWG) due to client’s nonadherence in fluid restrictions. For this reason, Self Help Group (SHG) and Acceptance and Commitment Therapy (ACT) are applied. The purpose of the study is to determine the differences in the effectiveness of SHG with ACT towards the decrease of IDWGs in clients hemodialysis Method: the study used the quasi-experimental method with the pretest-posttest one control group design. The number of respondents is 57 people who were determined by using purposive sampling. The independent variables are SHG and ACT, while IDWG is the dependent variable. The instrument used for independent variables is activity event unit, while weight scale and IDGW observation sheets were used for the dependent variable. Statistical test using Wilcoxon Signed_Rank Test with significance level p≤ 0.005 to compare between SHG and the comparator, Paired T Test with significance level p≤ 0.005 for ACT, and Mann Withney with significance level p ≤ 0.005 to compare between SHG, ACT, and the comparator.Result: Wilcoxon Signed Rank Test of SHG’s group obtained p = 0.002, Paired T Test of ACT’s group obtained p = 0.000, Wilcoxon Signed Rank Test of comparator’s group obtained p = 0.224. Statistical test using Mann Whithney between SHG-ACT obtained p = 0.838, Mann Whithney test between SHG-comparator obtained p = 0.044, while Mann Whithney test between ACT-comparator obtained p = 0.015. The results of these statistical tests show that both SHG and ACT are effective against the decline of IDWG, but ACT is more effective than SHG with p= 0.015Discussion: the application of SHG and ACT is effective against the decrease of IDWG in clients Hemodialysis, therefore it is expected that both SHG dan ACT can be applied to anticipate excessive IDWG in clients who undergo HD.    
KADAR GLUKOSA DARAH MENCIT (MUS MUSCULUS) DIABETES MELLITUS PASKA PEMBERIAN MODEL LATIHAN ISOMETRIK Sonia Hardiyanti; Harmayetty Harmayetty; Ika Yuni Widyawati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 1 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.036 KB) | DOI: 10.20473/cmsnj.v1i1.11971

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Introduction: Based on the latest research, exercise had significant effect to decrease blood glucose. The aimed of this study was to investigate the effect of isometric exercise model on blood glucose in Diabetic Mice (Mus musculus).Methodes: This research was used a true experimental study with randomize post-test only control group design. The sample was male mice (Mus musculus) in 20-27 grams weight. 27 male mice were divided into three groups; the first group was normal group (control) that injected by NaCl as placebo, the second group was diabetic mice and the third group was diabetic mice with exercise. Both second group and third group were injected by streptozotocin (STZ) to induce Diabetes Mellitus. After 2x24 hours injected, all groups were given oral glucose (Dextrose-40% or D40). One hour after they given by D40, the third group was treated by isometric exercise used treadmill for 23.31 minutes with 21 cm/second speed and 0° elevation angle. Then the blood samples of all groups were taken to measure the blood glucose level. Data were analyzed by One Kolmogorov-Smirnov test, ANOVA test, and Least Significance Difference (LSD) with significance level of α<0.05.Result: The result of One Kolmogorov-Smirnov test showed that there was p=0.94 in normal group, p=0.50 in diabetic group, and p=0.19 in diabetic with exercise group. The result of ANOVA test was p=0.08. The result of LSD for blood glucose revealed was p=0.23 for diabetic group and diabetic with exercise group. The researcher had an assumption that probably it happened because of in second group there were two mice that had normal blood glucose levels and in the third group the initial blood glucose levels were unknown, hence they probably could had normal blood glucose levels too. Discussion: It can be concluded that there is no effect of isometric exercise to decrease blood glucose. Further research should investigate more about the frequency and intensity of isometric exercise that could has effect to decrease blood glucose.
PERBANDINGAN LATIHAN NAPAS BUTEYKO DAN UPPER BODY EXERCISE TERHADAP ARUS PUNCAK EKSPIRASI PADA PASIEN DENGAN ASMA BRONKIAL Fawas Murtadho Santoso; Harmayetty Harmayetty; Abu Bakar
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 2 No. 2 (2014): APRIL 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.572 KB) | DOI: 10.20473/cmsnj.v2i2.12385

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Introduction: Asthma is a disease that often found in the community, according to the data from the World Health Organization in 2006, as many as 300 million people suffered from asthma and 225 thousand people died from asthma worldwide.Patients with asthma often use asthma exercise, pranayama yoga, deep breathing, Buteyko and upper body exercise as a way to help reduceasthma. Effectiveness of each of these exercises to improve expiratory lung capacity has not been identified.Methods: This study used quasi-experimental pre-post test design. The population consisted of 21peoples divided into 9 individuals each in Buteyko breathing exercises and upper body exercise. Samples were collected with purposive sampling. The independent variables were Buteyko exercises and upper body exercise, and the dependent variable was the peak expiratoryflow. Data were collected through the observation of peak expiratory flow using a peak flow meter. Data processing used T test with significance <0.05 and comparison of two techniques used independent T test with significance <0.05.Result: The result of T test analysis showed that p=0.000 indicating there was correlation between the two techniques in improving peak expiratory flow inbronchial asthma, and independent T test obtained p=0.078, indicating there was no difference between the two techniques in improving peak expiratory flow in bronchial asthma.Discussion: It can be concluded that Buteyko breathing exercises and upper body exercise has no different function in increasing the value of peak expiratory flow. In patients with bronchial asthma,can useone or both of the breathing techniques, because it has the same effectiveness to increase peakexpiratory flow in assisting the prevention of bronchial asthma.
EKSTRAK LIDAH BUAYA TOPIKAL MEMBERIKAN PENGARUH PADA KONSISTENSI SKAR HIPERTROFIK PASKA LUKA BAKAR Laila Mainur; Harmayetty Harmayetty; Deni Yasmara
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 6 No. 2 (2018): APRIL 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v6i2.12829

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Introduction: Post-traumatic burns that already heal, very often happens that an ugly scar in the form of hypertrophic scarring, keloids and are often accompanied by the presence of contractures. Hypertrophic and keloid scar is fibroproliferation abnormalities in the dermis that is unique to humans that may arise as a result of burns. While contractures occur because of the shortening of the pathological scarring that causes deformities and movement disorders such as the limited movement of a body part. cases of burns caused 195,000 deaths/year worldwide, especially in poor and developing countries. This aim of this study was to analyze the effect of topical aloe extract against consistency, height, and pigmentation scarring after burns hypertrophic Poly Plastic Surgeon Dr. Soetomo.Methods: This research was used in the pre-experimental design. The population was all patients with burns and 10 patient samples. It used consecutive sampling. The independent variable was aloe vera topical and the dependent variable was the quality of the hypertrophic scar. Data were collected using the Vancouver Scar Scale and then analyzed using Wilcoxon Signed Ranks and Paired T-Test.Result: The results showed that there was significant effect before and after basting of topical aloe vera on the value of consistency (p=0.005). No significant effect before and after the aloe vera in the pigmentation scores (p=0.317) and height. There was a difference significant hypertrophic scar consistency before and after aloe vera extract. No differences in height and pigmentation significant hypertrophic scars before and after extract of aloe vera extract topical effect on the consistency, but not in height and pigmentation in hypertrophic scarring after burns.Conclusions: Further studies with more samples to determine the substances contained in aloe vera that can accelerate changes in consistency, pigmentation, and height.
Manfaat Aromaterapi Lavender Terhadap Penurunan Insomnia pada Lansia Kusnanto Kusnanto; Harmayetty Harmayetty; Ira Suarilah; Ninuk Dian Kurniawati; Ulin Marliana
Jurnal Ners Vol. 2 No. 1 (2007): April 2007 - September 2007
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.796 KB) | DOI: 10.20473/jn.v2i1.4949

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Introduction: Insomnia is the primary sleeping problem experienced mostly by elderly. The objective of this study was to examine the effect of lavender aromatherapy for insomnia reduction in elderly.Methods: This study used pre-experimental design, with 15 samples, recruited by using total sampling. The independent variable was aromatherapy and the dependent variable was insomnia. Data were collected by using structured interview with questionnaire and observation. Data were analyzed by using Wilcoxon Signed Rank Test with significance level of p≤0.05.Results:The results showed that lavender aromatherapy given to elderly had beneficial effect on sleep quality and quantity of this age group. The sign and symptoms of insomnia become reduced with significance level of p=0.001.Conclusion: Lavender aromatherapy can be used as alternative intervention for overcoming insomnia in elderly. 
PENGARUH PEMBERIAN MODEL LATIHAN ISOMETRIK TERHADAP KADAR GLUKOSA DARAH PADA MENCIT (MUS MUSCULUS) DIABETES MELLITUS Hadiyanti, Sonia; Harmayetty, Harmayetty; Widyawati, Ika Yuni
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 1, No 1 (2019): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (21.315 KB) | DOI: 10.32807/jkt.v1i1.21

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Berdasarkan penelitian terbaru, olahraga/ latihan mempunyai efek yang signifikan dalam menurunkan glukosa darah penelitian ini bertujuan untuk mengidentifikasi efek dari model latihan isometrik terhadap kadar glukosa darah pada mencit yang dikondisikan mengalami diabetes mellitus. Penelitian ini adalah penelitian eksperimen murni (True Experiment). Menggunakan rancangan eksperimen The Randomise Post Test Only Control Group Design. Sampel adalah mencit jantan dengan berat 20-27 gram. 27 ekor mencit jantan dibagi menjadi tiga kelompok yaitu kelompok control terdiri dari mencit normal yang diinjeksi NaCl sebagai placebo. Kelompok kedua adalah mencit diabetes yang tidak diberikan latihan isometrik dan kelompok ketiga adalah mencit diabetes diberikan latihan isometrik. Kelompok kedua dan ketiga diinjeksi streptozotocin (STZ) untuk meginduksi DM. Setelah 48 jam diinjeksi, kedua kelompok diberikan glukosa oral (Dextrose-40%). Kelompok ketiga diberikan latihan isometrik menggunakan treadmill selama 23.31 menit dengan kecepatan 21 cm/detik dan sudut elevasi 0°. Data dianalisa menggunakan One Kolmogorov-Smirnov test, ANOVA test dan Least Significance Difference (LSD) dengan α<0.05. Analisa One Kolmogorov-Smirnov test p=0.94 pada kelompok kontrol, p=0.50 pada kelompok mencit diabetes, and p=0.19 pada kelompok perlakuan. Hasil ANOVA tes adalah p=0.08. Hasil LSD untuk gluksa darah adalah p=0.23 untuk kelompok perlakuan. Hal ini mungkin terjadi karena pada kelompok kedua terdapat 2 mencit dengan glukosa darah normal dan pada kelompok ketiga kadar glukosa darah awal tidak diketahui. Sehingga, mungkin saja kelompok tersebut juga memiliki kadar glukosa darah normal. Dapat disimpulkan bahwa tidak ada efek latihan isometrik dalam menurunkan kadar glukosa darah. Penelitian selanjutnya disarankan mengidentifikasi lebih jauh tentang frekuensi dan intensitas latihan isometrik yang dapat mempengaruhi penurunan kadar glukosa darah.
PENGARUH AKTIVITAS PERLINDUNGAN KAKI TERHADAP SENSASI PROTEKSI DAN RANGE OF MOTION KAKI PADA PENDERITA DIBETES MELITUS TIPE 2 DENGAN NEUROPATI PERIFER Istiroha, Istiroha; Asnar STP, Elyana; Harmayetty, Harmayetty
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 10 No 2 (2017): AUGUST
Publisher : Unusa Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.192 KB) | DOI: 10.33086/jhs.v10i2.125

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The somatosensory deficit in diabetic peripheral neuropathy can include loss of movement perception at the ankle joint and loss of plantar cutaneous sensation. Foot protection activities can maintain balance and strength of the legs. The purpose of this study was to determine the effect of foot protection activity on foot sensation, ROM of ankle and 1st MTP joint in type 2 diabetes with peripheral neuropathy. This research used pretest-postest control group design. Subjects used are patients with type 2 diabetes outpatient in RSUD Ibnu Sina Gresik as many as 28 patients. The subjects of the treatment group were given foot protection activity for 30 minutes, 2 times each week for 4 weeks. The variables measured were sensation of protection, ROM of ankle and 1st MTP joint. The instruments used are Semmes-Weinstein Monofilament Test (SWMT) 10g and goniometer. After 4 weeks of treatment, paired t test showed an increase in foot protection sensation, ROM of ankle and 1st MTP joint in the treatment group with p value SWMT = 0,000, ROM of ankle dorsiflexion p = 0,005, plantarflextion ankle p = 0,006, ankle eversion p = 0.002, ankle inversion p = 0,000, 1st MTP flexion p = 0.009 and 1st MTP extension p = 0.002. The independent t test value of foot protection sensation, ROM of ankle and 1st MTP joint between treatment and control group also showed significant differences in treatment group than control group. This study shows the effect of foot protection activity on the sensation of foot protection and ROM of the foot joint so that it can be used as an alternative intervention to prevent diabetic foot ulcers either independently or in health services.&nbsp;
Pengaruh Intervensi Alevum Plaster (Zibinger Officinale dan Allium Sativum) terhadap Nyeri Sendi pada Lansia dengan Osteoarthritis Isnaini Via Zuraiyahya; Harmayetty Harmayetty; Lailatun Nimah
Indonesian Journal of Community Health Nursing Vol. 5 No. 2 (2020): AGUSTUS 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v5i2.19059

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Pendahuluan: Osteoartritis (OA) merupakan penyakit degeneratif yang menyebabkan peradangan kronis akibat dari gesekan antar ujung tulang penyusun sendi. Osteartritis disebabkan oleh banyak faktor, yaitu usia, jenis kelamin, hormon, genetik dan diet. Gejala yang timbul berupa nyeri sendi, kekakuan, kelemahan otot dan pembengkakan tulang. Penggunaan analgesik untuk lansia dapat memberikan efek samping jangka panjang. Alevum plaster yang terdiri dari jahe dan bawang putih memiliki kandungan analgesik, dan antiinflamasi yang dapat membantu dalam mengurangiMetode: Desain penelitian yang digunakan adalah Quasy Experimental. Populasi yaitu pasien osteoarthritis Puskesmas Pacar Keling Surabaya. Sampel yang digunakan sebesar 50 responden secara purposive sampling. Variabel independen pada kelompok perlakuan adalah alevum plaster, sedangkan variabel dependen adalah nyeri sendi. Pada kelompok kontrol variabel independen yaitu kompres air hangat, sedangkan variabel dependen adalah nyeri sendi. Instrumen yang digunakan yaitu WOMACHasil: Hasil sebelum intervensi menunjukkan pada kelompok perlakuan sebagian besar mengalami nyeri sedang dan hasil paska tes kelompok perlakuan menunjukkan bahwa sebanyak 24 orang berada pada kategori nyeri ringan. Pada kelompok kontrol hasil pra  tes dan paska tes hampir sama yaitu sebagian besar lansia mengeluh nyeri sedang. Berdasarkan uji Mann-Whitney, terdapat perbedaan yang signifikan pada kelompok perlakuan dan kelompok kontrol dengan p=0,000.Kesimpulan: Intervensi alevum plester (jahe dan bawang putih) secara signifikan dapat memberikan pengaruh terhadap penurunan nyeri sendi osteoarthritis dibanding kompres air hangat. Alevum plaster lebih berpengaruh karena dari segi skala nyeri dan rentang nyeri dapat menurunkan nyeri sendi.
HUBUNGAN DUKUNGAN KELUARGA DAN KEPATUHAN REHABILITASI DENGAN KEMANDIRIAN PASIEN PASCA STROKE Abyan Shafly Nur Firdaus; Harmayetty Harmayetty; Lailatun Ni’mah
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 9 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.076 KB) | DOI: 10.20473/cmsnj.v9i1.19068

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Introduction: Families who do not support patients can influence the level of rehabilitation adherence, which in turn will reduce the level of independence of patients after stroke. The purpose of the study was to explain the relationship between family support and rehabilitation adherence with the independence of stroke patients. Methods: This study used a cross-sectional type with a sample size of 73 post-stroke patients out of a total of 126 people. Samples were taken by consecutive sampling technique. The independent variable is the level of family support and the level of rehabilitation compliance. The dependent variable is the level of independence of patients after stroke. The research data obtained were analyzed with Spearman's Rho α ≤0.05. Results and Analysis: There was a relationship between family support and the independence of post-stroke patients with a value of α≤0.05, p = 0.001 and r = 0.384. There is a relationship between rehabilitation adherence with the independence of post-stroke patients with a value of α≤0.05, p = 0.000 and r = 0.473. Conclusion: Family support and good rehabilitation adherence do not affect post-stroke patients with severe degrees of disability and cognitive changes.