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

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The Combination of Benson Relaxation and Pelvic Tilting on the Scale of Low Back Pain in Pregnant Women Rinda Harwidiana Rani; Harmayetty Harmayetty; Tiyas Kusumaningrum
Pediomaternal Nursing Journal Vol. 6 No. 2 (2020): VOLUME 6 NO 2 SEPTEMBER 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v6i2.19396

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Introduction: Lower back pain in pregnant women trimester II and III causes difficulty in standing or even moving from bed, and the lousy impact is difficulty in walking if it has spread to the lumbar or pelvic region. The study aimed to know the effects of the combination of Benson relaxation and pelvic tilting on back pain in pregnant women.Methods: The research was Quasi-experiment. The population is second-trimester pregnant women who experience lower back pain in the Public Health Center Mojo and Public Health Center Gading, Surabaya. Purposive sampling was used to gain 56 respondents. The independent variable of this study was the second trimester pregnant women with low back pain treated for two weeks. The dependent variable was the intensity of the pain level. Research data obtained by pre-test and post-test with VAS questioner. Analyzed using the Wilcoxon sign rank test and Mann- Whitney test.Results: As a result of the combination of Benson's relaxation and pelvic tilting, there was an influence on the back pain of second-trimester pregnant women. Based on the Mann-Whitney test, there were significant differences in the treatment group or the control group with p = 0.000.Conclusion: The combination of Benson relaxation and pelvic tilting decreases the scale of low back pain in pregnant women. Pelvic tilting is more influential because it can reduce the pain scale.
The Effect of Dzikir on Stress and Random Blood Sugar in Patients with Diabetes Mellitus Novilia Qurotun Nisbah; Harmayetty Harmayetty; Lingga Curnia Dewi
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa) Vol. 2 No. 1 (2020): March, 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.696 KB) | DOI: 10.20473/pnj.v2i1.19475

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Introduction: Diabetes Mellitus is one of the causes of stress on chronic diseases. Stress affects blood glucose control, compliance, treatment costs, and death. Dhikr is one of the therapeutic alternatives that can be used to reduce stress and blood sugar levels. The purpose of this study is to analyze the effect of dzikir on stress and random blood sugar in patients with diabetes mellitus.Method: The study used a quasi-experimental pre-test approach with control group design with a sample of 60 Diabetes Mellitus patients aged 40-60 years, divided into two groups of treatment group 30 people and intervention 30 people and using methods Purposive sampling. Variables consist of dhikr, stress and random blood sugar levels. This research uses Diabetes Distres Scale (DDS) Questionnaire instruments as well as glucometers to measure random blood sugar levels. The statistical test used was the Wilcoxon Signed Rank Test and the Mann Whitney Test with a significance of α ≤ 0.05.Results:  The results showed that the level of stress before and after the administration of Dhikr in the treatment group had a difference in value with significance p = 0.000. Whereas on blood sugar levels random group treatment acquire significance value P = 0,047.Conclusion: Dhikr and prayer reduce stress and anxiety by helping individuals form perceptions other than fear that is the belief that any stressor can be dealt with well with the help of God. Dhikr affects stress and blood sugar in patients with diabetes mellitus. But in addition to dhikr, acceptance of diseases and compliance with treatment will maximize the treatment that is being lived
Diabetes Self Management Education (DSME) Improve Knowledge, Attitude, And Self Efficacy of Diabetes Mellitus Type 2 Patients Melan Apriaty Simbolon; Ninuk Dian Kurniawati; Harmayetty Harmayetty
Indonesian Journal of Community Health Nursing Vol. 4 No. 2 (2019): AGUSTUS 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v4i2.14687

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Pendahuluan: Penderita Diabetes masih kesulitan melakukan perawatan mandiri dari informasi kesehatan yang sudah di dapat dan didengar. Salah satu satu aspek yang memegang peranan penting dan efektif dalam pengelolaan diabetes melitus adalah pemberian edukasi dalam bentuk Diabetes Self Management Education (DSME). Tujuan penelitian ini untuk mengetahui pengaruh penerapan Diabetes Self Management Education (DSME) terhadap pengetahuan, sikap dan self efficaccy penderita DM Tipe 2Metode: Penelitian berdesain Quasy Experimental. Teknik sampling menggunakan purposive sampling. Total Populasi 75 responden dan didapat sampel 37 responden. Variabel independen adalah Diabetes Self Management Education (DSME). Variabel dependen adalah pengetahuan, sikap, dan self efficacy. Data diambil dengan menggunakan kuesioner. Data dianalisis menggunakan uji statistik Wilxocon Signed Rank Test dan Mann Whitney U rest dengan kemaknaan α≤0,005.Hasil: Hasil analisis statistik Uji Wilcoxon rank test didapatkan pada pre post test kelompok perlakuan dan kelompok kontrol yaitu pengetahuan dari (p=0,000) menjadi (p=0,317), sikap dari (p=0,000) menjadi (p=0,046) dan self efficacy dari (p=0,000) menjadi (p=1,000). Uji statistik Mann Whitney U rest didapatkan nilai p = 0,000 pada kelompok perlakukan dan kelompok kontrol.Kesimpulan: Diabetes Self Management Education (DSME) dapat meningkatkan pengetahuan, sikap, dan self efficacy penderita DM tipe 2. Peneliti selanjutnya diharapkan dapat melakukan penelitian lebih lanjut untuk membandingkan pengaruh Diabetes Self Management Education (DSME) dengan media booklet dan media lain dengan menggunakan kelompok kontrol.
The Effect of Alevum Plaster (Zibinger Officinalea and Allium Sativum) Intervention on Joint Pain in Elderly with Osteoartritis 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.
Compliance of the Nurse for Fall Risk Re-Assessment Base on Theory of Planned Behaviour Ade Putrina; Harmayetty Harmayetty; Ilya Krisnana
Fundamental and Management Nursing Journal Vol. 2 No. 2 (2019): VOLUME 2 ISSUE 2 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v2i2.12846

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Introduction: Increasing the workload of nurses caused the re-assessment of patients fall risk to be rare and can affect the value and quality of the Hospital. This study aims to determine the factors associated with patient compliance with re-assessment of the risk of falls in IRNA Bedah RSUD Dr. Soetomo Surabaya.Method: This study uses a descriptive correlation design with a cross-sectional approach. Samples in this research was nurses obtained with simple random sampling. Independent variables were attitudes, subjective norms, perceived behavior control, and intention. The dependent variable was compliance with re-assessment of the patient's fall risk. Data were obtained by attitude, subjective norms, perceived behavior control, intention, and compliance with re-assessment questionnaires and analyzed with Spearman's Rho with α = 0,05%.Result: Statistical test results showed that there was a significant relationship (p = 0.010) between attitudes and nurses' intentions in re-assessment of risky patients with weak correlation levels (r = -0.292), there was a significant relationship (p = 0.001) between Subjective norms with nurse intentions on re-assessment of falling risk patients with weak correlation levels (r = 0.281), there is a significant relationship (p = 0.007) between perceived behavioral control and nurses' intentions on re-assessment of falling risk patients with weak correlation levels ( r = 0.237), there is a significant relationship (p = 0,000) between intention and nurse adherence in re-assessment of patients' risk of falling with a fairly strong correlation level (r = 0.541).Conclussion: Intention has the strongest relationship in reassessing falling risk patients. Attitudes, subjective norms, and perceived behavioral control also be a factor in increasing nurse participation in reassessing a patient's risk of falling. Supervision and control of nurses' approval is needed in reassessing patients at risk of falling. 
The Effect of Turmeric Drink and Lavender Aromatherapy Combination on Neck Pain in Batik Craftsmen in Tuban Indriani Dwi Wulandari; Harmayetty Harmayetty
Fundamental and Management Nursing Journal Vol. 4 No. 2 (2021): VOLUME 4 ISSUE 2 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v4i2.31357

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Neck pain in batik craftsmen causes discomfort to work so the efficiency and productivity decrease. Neck pain in batik craftsmen is caused by a bent position when sitting for a long time and done by sitting in a small chair which is usually called a dingklik. The process of canting takes 6-8 hours per day so that the batik craftsmen have a short rest time which causes fatigue and muscle tension. The research objective was to analyze the effect of the combination of turmeric water and lavender aromatherapy on neck pain in batik craftsmen. The research design used was pre-experimental using one- group pre-post test data collection method with a sample size of 74 respondents. Samples were taken using probability sampling techniques. The independent variable in this study is the combination of turmeric water and lavender aromatherapy. The dependent variable in this study was neck pain in batik craftsmen. The instrument in this study used a demographic data questionnaire, a numeric rating scale pain measurement sheet and standard operating procedures for making turmeric water and lavender aromatherapy. The research data obtained were analyzed by Wilcoxon Signed Rank Test α≤0.05. There is an effect of a combination of turmeric water and lavender aromatherapy on neck pain in batik craftsmen in Tuban with a value of α≤0.05, p = 0.000. The combination of turmeric water and lavender aromatherapy can reduce the level of neck pain in batik craftsmen with neck pain complaints.
PENGARUH AKTIVITAS PERLINDUNGAN KAKI TERHADAP SENSASI PROTEKSI DAN RANGE OF MOTION KAKI PADA PENDERITA DIBETES MELITUS TIPE 2 DENGAN NEUROPATI PERIFER Istiroha Istiroha; Elyana Asnar STP; Harmayetty Harmayetty
Jurnal Ilmiah Kesehatan Vol 10 No 2 (2017): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

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.
Factors Related to Nurses' Moral Distress in the Era of the COVID-19 Pandemic: A Literature Review Siti Zulaihah; Harmayetty Harmayetty; Tiyas Kusumaningrum
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 11 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.503 KB) | DOI: 10.20473/cmsnj.v11i1.33487

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Introduction: The global COVID-19 pandemic posed challenges to healthcare systems and professionals with the potential moral distress. The purpose of this review was to describe the risk factors associated with the moral distress of nurses in the era of the COVID-19 pandemic. Methods: The search for literature review articles was carried out in three databases (Scopus, Science Direct, and PubMed) with a publication span of 2019-2020. The PRISMA checklist was used to guide this review. Analysis and data tabulation were carried out in the article. Title, abstract, full-text and methodology were assessed to determine study eligibility. Result: A total of eight studies that fit the inclusion criteria were discussed based on internal and external factors of the risk of moral distress by nurses. Internal factors for the risk of nurses' moral distress include experience, decision making, perceptions of job dissatisfaction, patient care, coping with maladaptive strategies, failure to successfully care for patients, and limitations in take action. External factors for the risk of moral distress for nurses include lack of teamwork, unfavorable work environment and situations, conflicts of interest, excessive work demands, lack of resources, and loss of control over work situations. Conclusion: The risk factors for nurses' moral distress can be explained based on internal and external factors. The experience of nurses is important in dealing with the COVID-19 pandemic because this pandemic is a new disease and no treatment has yet been found, so other factors are associated with experience.
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

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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.
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.