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<![CDATA[PENGARUH AKTIVITAS PERLINDUNGAN KAKI TERHADAP SENSASI PROTEKSI DAN RANGE OF MOTION KAKI PADA PENDERITA DIBETES MELITUS TIPE 2 DENGAN NEUROPATI PERIFER ]]>
<![CDATA[Istiroha, Istiroha]]>;
<![CDATA[Asnar STP, Elyana]]>;
<![CDATA[Harmayetty, Harmayetty]]>
<![CDATA[ Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 10 No 2 (2017): AUGUST ]]>
Publisher : <![CDATA[Unusa Press ]]>
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DOI: 10.33086/jhs.v10i2.125
<![CDATA[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. ]]>
<![CDATA[PENGARUH PEMBERIAN MODEL LATIHAN ISOMETRIK TERHADAP KADAR GLUKOSA DARAH PADA MENCIT (MUS MUSCULUS) DIABETES MELLITUS ]]>
<![CDATA[Hadiyanti, Sonia]]>;
<![CDATA[Harmayetty, Harmayetty]]>;
<![CDATA[Widyawati, Ika Yuni]]>
<![CDATA[ Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 1, No 1 (2019): APRIL ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Mataram ]]>
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DOI: 10.32807/jkt.v1i1.21
<![CDATA[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.]]>
<![CDATA[Pengaruh Intervensi Alevum Plaster (Zibinger Officinale dan Allium Sativum) terhadap Nyeri Sendi pada Lansia dengan Osteoarthritis ]]>
<![CDATA[Zuraiyahya, Isnaini Via]]>;
<![CDATA[Harmayetty, Harmayetty]]>;
<![CDATA[Nimah, Lailatun]]>
<![CDATA[ Indonesian Journal of Community Health Nursing Vol 5, No 2 (2020): AGUSTUS 2020 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/ijchn.v5i2.19059
<![CDATA[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.]]>
<![CDATA[(RETRACTED) Pengaruh Pemberian Model Latihan Isometrik Terhadap Kadar Glukosa Darah Pada Mencit (Mus Musculus) Diabetes Mellitus ]]>
<![CDATA[Sonia Hadiyanti]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Ika Yuni Widyawati]]>
<![CDATA[ Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 1, No 1 (2019): APRIL ]]>
Publisher : <![CDATA[Jurusan Keperawatan, Poltekkes Kemenkes Mataram ]]>
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DOI: 10.32807/jkt.v1i1.87
<![CDATA[AbstrakTHIS ARTICLE IS RETRACTED DUE TO REDUNDANT PUBLICATION. 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.]]>
<![CDATA[Karakteristik Pasien Multidrug Resistant Tuberculosis (MDR-TB) di RSUD Makassar ]]>
<![CDATA[Nur Arifah]]>;
<![CDATA[Tintin Sukartini]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 4 (2019): Oktober 2019 ]]>
Publisher : <![CDATA[FORIKES ]]>
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DOI: 10.33846/sf10401
<![CDATA[The case of multidrug resistant tuberculosis (MDR-TB) has become a threat to world health security. MDR / RR-TB causes 230,000 deaths in 2017 and most cases and deaths occur in Asia including Indonesia. MDR-TB cases that fail or are lost to treatment are one of the problems controlling MDR-TB because they can be a source of spread of treatment-resistant Mycobacterium Tuberculosis. This study aims to describe the characteristics of MDR-TB patients undergoing treatment at Makassar Hospital. This study uses qualitative studies with a phenomenological approach. The participants in this study were 18 people using purposive sampling. The study was conducted in February until April 2019. The results of this research show that there are no gender differences and productive age is more at risk of MDR-TB. Low education levels do not guarantee the risk of transmission of MDR-TB depends on the willingness to be able to obtain health information such as the internet or conventional information (leaflets or health education). The duration of treatment makes participants unable to work because they have to focus on routine treatment every day for up to 18-20 months. Families living with patients have a greater risk of contracting but are a source of patient support for completing treatment. description of patient characteristics can be a source of data to find out groups at risk of infection so that they can develop MDR-TB prevention interventions that are right on target. Keywords: characteristics; multidrug tuberculosis; qualitative. ABSTRAK Kasus MDR-TB menjadi ancaman keamanan kesehatan dunia. MDR/RR-TB menyebabkan 230.000 kasus kematian 2017 dan sebagian besar kasus dan kematian terjadi di Asia termasuk Indonesia. Kasus MDR-TB yang gagal atau mangkir dari pengobatan menjadi salah satu masalah pengendalian MDR-TB karena dapat menjadi sumber penyebaran Mycobacterium Tuberculosis yang resisten terhadap pengobatan. Penelitian ini bertujuan untuk mendekripsikan karakteristik pasien MDR TB yang sedang menjalani pengobatan di RSUD Makassar. Penelitian ini menggunakan studi kualitatif deskriptif. Partisipan dalam penelitian ini sebanyak 18 orang dengan menggunakan purposive sampling. Penelitian dilakukan pada februari hingga april 2019. Hasil penelitioan ini menunjukkan bahwa tidak adaperbedaan jenis kelamin sedangkan partisipan usia produktif lebih beresiko MDR-TB. Tingkat pendidikan rendah tidak menjamin resiko penularan MDR-TB tergantung kemauan untuk dapat memperoleh informasi kesehatan seperti internet ataupun informasi konvensional (leaflet atau penyuluhan kesehatan). Lamanya pengobatan membuat partisipan tidak dapat bekerja karena harus fokus dengan pengobatan rutin setiap hari hingga 18-20 bulan. Keluarga yang tinggal bersama penderita memiliki resiko yang lebih besar untuk tertular tetapi menjadi sumber dukungan pasien untuk dapat menyelesaikan pengobatan. gambaran karakteristik pasien dapat menjadi sumber data untuk mengetahui kelompok beresiko terinfeksi sehingga dapat mengembangkan intervensi pencegahan kejadian MDR-TB yang tepat sasaran Kata kunci: karakteristik; multidrug resistant tuberculosis; kualitatif.]]>
<![CDATA[Strategi Koping Terhadap Kepatuhan Minum Obat pada Pasien TB Paru ]]>
<![CDATA[Yuly Abdi Zainurridha]]>;
<![CDATA[Tintin Sukartini]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus Maret-April 2020 ]]>
Publisher : <![CDATA[FORIKES ]]>
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DOI: 10.33846/sf11nk218
<![CDATA[Most tuberculosis germs attack the lungs, but can also affect other organs. Factors that allow a person exposed to tuberculosis bacteria are the concentration of sparks in the air and the length of time inhaled the air. The purpose of this study is to describe coping strategies for adherence to taking medication from pulmonary TB patients. This type of research was descriptive. The study population was all pulmonary TB patients in RSUD dr. Abdoer Rahem Situbondo from May to June 2019, with a population size of 102 people. The sample size was 100 patients selected by purposive sampling technique. Data was collected through filling out questionnaires and focus group discussions, then analyzed descriptively. In general, the results of the study indicate that coping potential and future expectations are high, social support obtained by TB patients is good, and their coping strategy is effective. Keywords: tuberculosis; taking medication; coping strategies; adherence]]>
<![CDATA[Psycoeducative Family Therapy Mempengaruhi Pengetahuan, Dukungan Keluarga dan Stigma Kusta ]]>
<![CDATA[Mega Arianti Putri]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Budi Utomo]]>
<![CDATA[ Jurnal Ners Vol. 11 No. 1 (2016): April 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v11i1.1701
<![CDATA[Introduction: A person with leprosy present disability and lesions caused by related nerve damage. Without treatment leprosy can permanently damage skin, feet and eyes. Leprosy-related documents show that stigma is typically a very deep rooted social process. It refers to unfavourable attitudes and beliefs directed toward someone or something. The stigma against leprosy not only burdens the affected individuals but also their family members. This research aims was to analyze the influence of family on knowledge psychoeducative intervention, family support and the self stigma.Methods: The design was a quasy experiment. The samples were the intervention and the comparison group each of 30 respondents. The sample consisted of respondent and respondent's family. Sampling technique is using purposive sampling. The research instrument was a questionnaire used by researchers.Results: The result showed that not only psychoeducative family influence level of knowledge, support family and self stigma. The other factor are family characteristics and respondent characteristics. The statistical result shown that a significant relationship between psychoeducative family with knowledge (p=0,000), family support (p=0,000) and the stigma of leprosy (p=0,004).Conclusion: Level of knowledge, family support and self stigma have relations to each other. Families who have less knowledge about leprosy will influence to be given family support. Leprosy patients who have high self stigma caused by lack of knowledge and they feel there have not symphaty, attention and support from their families.]]>
<![CDATA[The Incidence of VAP after VAP Bundle Intervention Among Patients with Mechanical Ventilation ]]>
<![CDATA[Diah Susmiarti]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Yulis Setiya Dewi]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2106
<![CDATA[Introduction: Ventilator Associated Pneumonia (VAP) is a nosocomial infection in patients who use ventilator for more than 48 hours. The aimed of the study was to determine VAP incidence after VAP bundle application.Methods: This study used one-shot case study posttest only designed with samples of 6 individuals beginning on December 31, 2013 up to January 31, 2014. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP.Results: The results showed that the application of VAP bundle has infl uence in preventing VAP incidence. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP.Conclusion: This study need to be backed up furthermore with a larger sample size and continuous CPIS assessment is needed to identify VAP caused by bacteria, especially the late-onset bacteria, in patients using mechanical ventilation in longer a time.]]>
<![CDATA[Intervensi Keperawatan Truncal Control Exercise terhadap Fungsi Ekstremitas Atas, Keseimbangan, dan Berjalan pada Klien Pascastroke ]]>
<![CDATA[Kusnanto Kusnanto]]>;
<![CDATA[Ganda Ardiansyah]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v11i2.2617
<![CDATA[Introduction: Poststroke clients will have impaired postural body that can have affect to their balance, ability to gait and function of the upper limb. Truncal control exercise can improve and maintain body postural be good. Rehabilitation poststroke still focusing on upper and lower limbs exercise of hemiplegia compared postural body’s repair.Methods: This type of research used experimental with quasy control group pretest – postest design. The number of samples obtained with consecutive sampling techniques that appropriate criteria research consists of 20 respondents (n = 10 treatment-and n-control = 10). The independent variable is the truncal control exercise. The dependent variable is the function of the upper limb, balance, and gait. Data were collected by using observation and checklist sheets. Data were analyzed using independent t-test and paired t-test with α = 0,05.Results: The results of statistical tests performed in the treatment group and the control was obtained p-value of the functional capabilities of the upper limb = 0.270 and p-value of performance of upper limb function = 0.289. The results of statistical tests performed in the treatment group and the control was obtained p-value of balance = 0.017. The results of statistical tests performed in the treatment group and the control was obtained p-value of gait = 0.026.Discussion: Nursing interventions truncal control exercise have less effective results to changes in upper limb function, but it is effective to balance and walk clients pascastroke. Nursing interventions truncal control exercise can be continued as a form of collaborative action for medical-surgical nurse with physiotherapy to optimize rehabilitation programs of posstroke clients with balance and gait problems in clinic or home’s client.]]>
<![CDATA[Jigsaw Puzzle Improve Fine Motor Abilities of Upper Extremities in Post-Stroke Ischemic Clients ]]>
<![CDATA[Kusnanto Kusnanto]]>;
<![CDATA[Eska Dwi Prajayanti]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.2790
<![CDATA[Introduction: Ischemic stroke is a disease caused by focal cerebral ischemia, where is a decline in blood flow that needed for neuronal metabolism, leading to neurologic deficit include motor deficit such as fine motor skills impairment. Therapy of fine motor skills disorders is to improve motor function, prevent contractures and complications. These study aimed to identify the effect of playing Jigsaw Puzzle on muscle strength, extensive motion, and upper extremity fine motor skills in patients with ischemic stroke at Dr. Moewardi Hospital, Surakarta.Methods: Experimental Quasi pre-posttest one group control. The number of samples were 34 respondents selected using purposive sampling technique. The samples were divided into intervention and control groups. The intervention group was 17 respondents who were given standard treatment hospital and played Jigsaw Puzzle 2 times a day for six days. Control group is one respondent given by hospital standard therapy without given additional Jigsaw Puzzle game. Evaluation of these research is done on the first and seventh day for those groups.Results: The results showed that muscle strength, the range of joint motion and fine motor skills of upper extremities increased (p = 0.001) significantly after being given the Jigsaw Puzzle games. These means playing Jigsaw Puzzle increase muscle strength, the range of joint motion and upper extremity fine motor skill of ischemic stroke patients.Conclusion: Jigsaw puzzle game administration as additional rehabilitation therapy in upper extremity fine motor to minimize the occurrence of contractures and motor disorders in patients with ischemic stroke. Jigsaw puzzle game therapy capable of creating repetitive motion as a key of neurological rehabilitation in Ischemic Stroke. This study recommends using jigsaw puzzle game as one of intervention in the nursing care of Ischemic Stroke patients.]]>
