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EMPOWERMENT EDUCATION, PEER SUPPORT TERHADAP PERILAKU PENCEGAHAN CACAT DI RS KUSTA SUMBERGLAGAH Arif, Taufan; Haryanto, Joni; Yunitasari, Esty
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 (398.992 KB) | DOI: 10.33086/jhs.v10i2.138

Abstract

Leprosy disease is caused by Mycobacterium leprae which attacks the skin and peripheral nerves. Currently leprosy still remains a world problem. Leprosy patients should not experience severe structural and functional damage. The combination of the empowerment education, peer support can improve symptoms and signs of impairment, behavioral prevention defects. The objective of this study was describes empowerment education, peer support to behavior prevention of dissability. This study used true experimental randomized pre-post test control group design. The sampel was recruited using simple random sampling consisting of 16 respondents. The independent variable are empowerment education, peer support. The dependent variable are knowledge of disability prevention, attitude of disaility prevention, action of medication compliance. The data were collected by distributing questionnaires and check card patient treatment. Data were analized by Mann-Whitney Test and Wilcoxon Signed ranked Test. The result showed that 1) There is influence on knowledge, 2) There is influence on attitude , 3) There is influence on medication adherence. Supportive interventions through empowerment education, peer support can help leprosy patients in the treatment process. Proven knowledge, attitude, adherence to medication, and self efficacy intervention group increased after given intervention. Suggestions for further research is to examine the development of leprosy impairment prevention models based on other nursing theories and with a longer duration of study. 
Peningkatan Vaskularisasi Perifer dan Pengontrolan Glukosa Klien Diabetes Mellitus Melalui Senam Kaki Arif, Taufan
Journal of Ners and Midwifery Vol 7, No 1 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i1.ART.p082-088

Abstract

Pendahuluan: Diabetes Mellitus merupakan penyakit metabolik kronis. Diabetic foot ulcers merupakan komplikasi yang sering terjadi akibat kadar glukosa yang tidak terkontrol.  Tujuan penelitian menjelaskan pengaruh senam kaki terhadap status vaskularisasi perifer dan glukosa darah. Metode: Penelitian menggunakan quasy experimental pre-post test control group design. Populasi berjumlah 30 responden yang terbagi dalam kelompok perlakuan dan kontrol. Teknik sampling menggunakan purposive sampling. Kriteria inklusi meliputi klien DM berusia >45 tahun, DM tipe II, dan glukosa darah acak < 300 mg/dl. Kriteria eksklusi meliputi klien ulkus diabetikum, GDA >300 mg/dl, gout artritis. Intervensi senam kaki diberikan 3 kali seminggu selama 4 minggu. Pengukuran variabel capilarry refill time menggunakan observasi penekanan ujung jari. Pengukuran variabel glukosa menggunakan glukosa stick-test. Analisis data menggunakan Wilcoxon & mann whitney test digunakan mengukur variabel capillary refill time. Independent & paired t-test digunakan mengukur variabel glukosa. Hasil: Uji variabel CRT menggunakan Mann-Whitney test menunjukkan nilai p = 0.022 yang berarti ada pengaruh senan kaki tehadap capillary refill time. Hasil uji variabel Glukosa darah menggunakan paired t test menunjukkan p=0.004, dan independent t test menunjukkan p=0.012 yang berarti ada pengaruh senam kaki terhadap kadar glukosa darah. Diskusi: Senam kaki terbukti meningkatkan Nitric Oxode Syntesis, vasodilatasi arteri, terjadi pembakaran gula darah yang mengakibatkan turunnya gula darah, afinitas oksigen hemoglobin, dan viskositas darah. Sebaliknya, terjadi peningkatan sirkulasi darah, saturasi oksigen, perfusi jaringan, dan sistem imunitas sehingga dapat mencegah ulkus kaki diabetik. Dalam upaya preventif, sebaiknya dinas kesehatan khususnya puskesmas untuk menyediakan media promosi kesehatan melalui penyediakan booklet senam kaki kaki. Introduce: Diabetes Mellitus was a chronic metabolic disease. Diabetic foot ulcers were a complication that often results from uncontrolled glucose levels. This study was to explain the effect of foot exercises on the status of peripheral vascularization and blood glucose. Methods: The study was quasy experimental design. The population were 30 respondents divided into treatment and control group. The sampling technique uses purposive sampling. Inclusion criteria included client DM aged >45 years, DM type II, and random blood glucose <300 mg/dl. Exclusion criteria included respondents who had complications of diabetic foot ulcer, random blood glucose > 300 mg / dl, gout arthritis. Measurement of capillary refill time variables using fingertip emphasis observation. Measurement of random blood glucose variables using a glucose stick test.Data analysis using wilcoxon & mann whitney test was used to measure the capillary refill time variable. Independent & paired t-test was used to measure glucose variables. Interventions were given 3 times a week for 4 weeks. Result: In the CRT variable using the Mann-Whitney test showed a p value = 0.022 which means that there was an effect of foot exercises on the status of peripheral vascularization. On the blood glucose variable using paired t test showed p = 0.004, and independent t test showed p = 0.012 which means there is an influence of foot exercises on blood glucose levels. Discuss: Foot have been shown to increase Nitric Oxode Syntesis, arterial vasodilation, blood sugar burning which results in a decrease in blood sugar, oxygen affinity of hemoglobin, and blood viscosity. Conversely an increase in blood circulation, oxygen saturation, tissue perfusion, and immune system can prevent diabetic foot ulcers. In a preventive effort the health department, especially the puskesmas, should provide health promotion media through the provision of foot exercise exercises.
Peningkatan Vaskularisasi Perifer dan Pengontrolan Glukosa Klien Diabetes Mellitus Melalui Senam Kaki Taufan Arif
Journal of Ners and Midwifery Vol 7, No 1 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i1.ART.p082-088

Abstract

Pendahuluan: Diabetes Mellitus merupakan penyakit metabolik kronis. Diabetic foot ulcers merupakan komplikasi yang sering terjadi akibat kadar glukosa yang tidak terkontrol.  Tujuan penelitian menjelaskan pengaruh senam kaki terhadap status vaskularisasi perifer dan glukosa darah. Metode: Penelitian menggunakan quasy experimental pre-post test control group design. Populasi berjumlah 30 responden yang terbagi dalam kelompok perlakuan dan kontrol. Teknik sampling menggunakan purposive sampling. Kriteria inklusi meliputi klien DM berusia >45 tahun, DM tipe II, dan glukosa darah acak < 300 mg/dl. Kriteria eksklusi meliputi klien ulkus diabetikum, GDA >300 mg/dl, gout artritis. Intervensi senam kaki diberikan 3 kali seminggu selama 4 minggu. Pengukuran variabel capilarry refill time menggunakan observasi penekanan ujung jari. Pengukuran variabel glukosa menggunakan glukosa stick-test. Analisis data menggunakan Wilcoxon & mann whitney test digunakan mengukur variabel capillary refill time. Independent & paired t-test digunakan mengukur variabel glukosa. Hasil: Uji variabel CRT menggunakan Mann-Whitney test menunjukkan nilai p = 0.022 yang berarti ada pengaruh senan kaki tehadap capillary refill time. Hasil uji variabel Glukosa darah menggunakan paired t test menunjukkan p=0.004, dan independent t test menunjukkan p=0.012 yang berarti ada pengaruh senam kaki terhadap kadar glukosa darah. Diskusi: Senam kaki terbukti meningkatkan Nitric Oxode Syntesis, vasodilatasi arteri, terjadi pembakaran gula darah yang mengakibatkan turunnya gula darah, afinitas oksigen hemoglobin, dan viskositas darah. Sebaliknya, terjadi peningkatan sirkulasi darah, saturasi oksigen, perfusi jaringan, dan sistem imunitas sehingga dapat mencegah ulkus kaki diabetik. Dalam upaya preventif, sebaiknya dinas kesehatan khususnya puskesmas untuk menyediakan media promosi kesehatan melalui penyediakan booklet senam kaki kaki. Introduce: Diabetes Mellitus was a chronic metabolic disease. Diabetic foot ulcers were a complication that often results from uncontrolled glucose levels. This study was to explain the effect of foot exercises on the status of peripheral vascularization and blood glucose. Methods: The study was quasy experimental design. The population were 30 respondents divided into treatment and control group. The sampling technique uses purposive sampling. Inclusion criteria included client DM aged >45 years, DM type II, and random blood glucose <300 mg/dl. Exclusion criteria included respondents who had complications of diabetic foot ulcer, random blood glucose > 300 mg / dl, gout arthritis. Measurement of capillary refill time variables using fingertip emphasis observation. Measurement of random blood glucose variables using a glucose stick test.Data analysis using wilcoxon & mann whitney test was used to measure the capillary refill time variable. Independent & paired t-test was used to measure glucose variables. Interventions were given 3 times a week for 4 weeks. Result: In the CRT variable using the Mann-Whitney test showed a p value = 0.022 which means that there was an effect of foot exercises on the status of peripheral vascularization. On the blood glucose variable using paired t test showed p = 0.004, and independent t test showed p = 0.012 which means there is an influence of foot exercises on blood glucose levels. Discuss: Foot have been shown to increase Nitric Oxode Syntesis, arterial vasodilation, blood sugar burning which results in a decrease in blood sugar, oxygen affinity of hemoglobin, and blood viscosity. Conversely an increase in blood circulation, oxygen saturation, tissue perfusion, and immune system can prevent diabetic foot ulcers. In a preventive effort the health department, especially the puskesmas, should provide health promotion media through the provision of foot exercise exercises.
The Improvement of Eye Hand Foot Score of Disability through Empowerment Education, Home-Based Self Care, Peer Support Taufan Arif
Journal of Ners and Midwifery Vol 7, No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p314-319

Abstract

Introduction: Mycobacterium leprae infiltration results in inflammation of the nerves. This condition results in a progressive decline of nerve function of the eyes, hands and feet. The main burden of people with leprosy is a disability that will affect all aspects of their lives. The objective of this study was to explain the effect of empowerment education, home-based self care, and peer support for disability. Methods: True experimental randomized pre-post test control group design. The sampling technique used simple random sampling consisted 16 respondents. The independent variable was empowerment education, home-based self care, and peer support. The dependent variable was disability. The data were collected by in-vivo biological observation sheets. The data were analyzed by Mann-Whitney Test and Wilcoxon Signed test. Results: The result showed that there was an effect of intervention on disability with Wilcoxon Sign Rank Test 0.046. Discussion: Empowerment education interventions, home-based self care, peer support increase the knowledge of leprosy clients in self care. The key to disability prevention is 3M, which is checking, protecting, and caring for the eyes, hands and feet. These three interventions will increase patient confidence in self-care at home. The support of peers will also make it easier for clients to weigh the advantages and disadvantages when not complying with comprehensive treatment.
EMPOWERMENT EDUCATION, PEER SUPPORT TERHADAP PERILAKU PENCEGAHAN CACAT DI RS KUSTA SUMBERGLAGAH Taufan Arif; Joni Haryanto; Esty Yunitasari
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 (398.992 KB) | DOI: 10.33086/jhs.v10i2.138

Abstract

Leprosy disease is caused by Mycobacterium leprae which attacks the skin and peripheral nerves. Currently leprosy still remains a world problem. Leprosy patients should not experience severe structural and functional damage. The combination of the empowerment education, peer support can improve symptoms and signs of impairment, behavioral prevention defects. The objective of this study was describes empowerment education, peer support to behavior prevention of dissability. This study used true experimental randomized pre-post test control group design. The sampel was recruited using simple random sampling consisting of 16 respondents. The independent variable are empowerment education, peer support. The dependent variable are knowledge of disability prevention, attitude of disaility prevention, action of medication compliance. The data were collected by distributing questionnaires and check card patient treatment. Data were analized by Mann-Whitney Test and Wilcoxon Signed ranked Test. The result showed that 1) There is influence on knowledge, 2) There is influence on attitude , 3) There is influence on medication adherence. Supportive interventions through empowerment education, peer support can help leprosy patients in the treatment process. Proven knowledge, attitude, adherence to medication, and self efficacy intervention group increased after given intervention. Suggestions for further research is to examine the development of leprosy impairment prevention models based on other nursing theories and with a longer duration of study.
PENGARUH MOBILISASI DINI TERHADAP POST OPERATIVE NAUSEA AND VOMITTING PADA PASIEN POST OPERASI DENGAN GENERAL ANESTESI DI RUMAH SAKIT NGUDI WALUYO WLINGI Taufan Arif
Jurnal Ilmiah Kesehatan Media Husada Vol 11 No 1 (2022): April
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v11i1.288

Abstract

Abstract : Post Operative Nausea and Vommitting is one of the most commonly complained postoperative patients with general anesthesia. Provision of early mobilization will speed up metabolism in the body, and accelerate the expression of residual anesthesia that is released through sweating. Early mobilization is one way to reduce PONV. This research method uses quasy experimental design with pre-post-test research with control group design. Sampling uses the Frederer formula. The number of samples studied amounted to 36 respondents. This study uses the RINVR instrument to measure a patient's PONV, and uses an early SOP for mobilization as a reference in providing interventions. This research was conducted in January-February 2020. The results of the study in the treatment group were given early mobilization interventions showing changes before being given the intervention, the mean value showed 11.61 to 0.00 after being given the intervention, and the p value was 0,000. The results of the study in the control group were given pharmako intervention alone showed a change before being given an intervention the mean value showed 9.61 to 0.83 after being given the intervention and the p value was 0,000. The results of the study the effect of early mobilization on PONV showed a P value of 0.003. Early mobilization causes a smooth circulatory system so that the CVC system that was previously disrupted and excreted residual anesthesia through sweat. Suggestions for further researchers to examine the differences in the duration of early mobilization so as to reduce nausea and vomiting in postoperative patients.
PENGARUH SENAM KAKI DM TERHADAP PERUBAHAN NADI DORSALIS PEDIS KLIEN DIABETES MELLITUS DI PUSKESMAS Taufan Arif
Jurnal Ilmiah Kesehatan Media Husada Vol 7 No 2: November
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.418 KB) | DOI: 10.33475/jikmh.v7i2.27

Abstract

Perubahan gaya hidup terutama dikota besar,menyebabkanpeningkatan prevalensi penyakit degeneratif seperti Diabetes Mellitus.Tungkai bawah terutama kakisering bermasalah akibatnya perfusi jaringan bagian distal dari tungkai menjadi kurang baik dan timbul ulkus yang dapat berkembang menjadi nekrosis/gangren.Tujuan penelitian untuk menjelaskanpengaruh senam kaki DM terhadap perubahan nadi dorsalis pedis. Penelitian menggunakan Quasy-experimentalpre-post test design. Populasi penelitian ini berjumlah 30 responden yang terbagi dalam kelompok perlakuan dan kontrol. Analisis data menggunakan Wilcoxon sign ranked test untuk 2 sampel berpasangan, dan mann whitney test untuk 2 sampel bebas. Hasil uji pre test Mann-Whitneytestnilai p = 0.417sedangkan uji post test Mann-Whitneynilai p = 0.003. Hasil uji pre-post test kelompok perlakuan menggunakan Wilcoxon Signed ranked nilai p = 0.008sedangkan uji pre-post test kelompok kontrol menggunakan Wilcoxon Signed ranked nilai p = 0.564. Hasil penelitian ini menunjukkanada pengaruh senam kaki DM terhadap perubahan nadi dorsalis pedis. Senam kaki DM yang dilaksanakan minimal 3 kali seminggu dalam jangka waktu 3 minggu terbukti memberikan pengaruh pada vaskularisasi perifer dan kestabilan glukosa darah. Senam meningkatkan Nitric Oxode Syntesis dan vasodilatasi arteri.Saran penelitian adalahmengembangkan model pencegahan impairmentulkus diabetikum berdasarkan teori keperawatan lainnya.
THE THE CORRELATION OF GLUCOSE LEVELS AND DIABETIC FOOT ULCERS LEVEL BASED ON BATES-JENSEN WOUND ASSESSMENT-TOOLS Taufan Arif
Jurnal Ilmiah Kesehatan Media Husada Vol 9 No 2 (2020): November
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v9i2.223

Abstract

Introduce: Diabetic Foot Ulcers was a a pathological condition of the foot due to diabetes mellitus. Amputation cases of diabetic ulcers reach 1 million every year. This study was explain the correlation of glucose levels with the level of diabetic foot ulcers based on the Bates-jensen wound assessment tools in malang. Methods: The study was cross sectional design. The population were 60 respondents. The independent variables was glucose. The dependent variable was the level of diabetic foot ulcers based on the Bates-jensen wound assessment tools. Glucose instruments use glucometers. The diabetic foot ulcers instrument uses observation sheet based on bates-jensen wound assessment tools. Data were analyzed using the Pearson product moment test which was preceded by a normality test using the Kolmogorov-Smirnov Z test. Result: The normality test using kolmogorov-smirnov Z showed a result of 0.733 which means the data is normally distributed. Pearson product moment test results showed 0.017 which means there is a relationship between random glucose levels and the level of diabetic foot ulcers based on the bates-jensen wound assessment tools. Discussion: the condition of high blood glucose levels that occur in patients with diabetes mellitus affects the flexibility of red blood cells that release O2, so that O2 in the blood decreases and peripheral hypoxia occurs which makes peripheral tissue perfusion ineffective. When peripheral tissue perfusion is inadequate, the supply of nutrients and oxygen levels will decrease so that the condition will worsen the tissue ischemia until tissue death or necrosis eventually occurs.
HUBUNGAN TINGKAT STRESS KERJA PERAWAT DENGAN PELAKSANAAN SURGICAL SAFETY CHECKLIST DIKAMAR OPERASI Taufan Arif
Jurnal Ilmiah Kesehatan Media Husada Vol 10 No 2 (2021): November
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v10i2.269

Abstract

Introduction: Nurse work stress is a condition where nurses are faced with work demands that can result in physiological, psychological & behavioral disorders and can affect performance. The purpose of this study was to determine the relationship of nurses work stress levels with the implementation of Surgical Safety Checklist in the operating room. Methods: This research method uses correlational with cross-sectional approach and 18 respondents with a sampling technique using the entire population. The independent variable in this study is the level of work stress nurses with the dependent variable implementation of the Surgical Safety Checklist. The research instrument used a questionnaire on nurses' work stress levels and the Surgical Safety Checklist observation sheet. Scatterplot analysis results obtained negative direction which means that the increase in the variable level of work stress nurses will be followed by a decrease in the implementation of the Surgical Safety Checklist. Result: The results of the correlation coefficient 0.637 with strong interpretation and t count 3.24 more than the results of t table 1.76 means that there is a linear relationship of. Conclussion: There are relationship of nurses work stress levels with the implementation of Surgical Safety Checklist in the operating room. Discussion for the results of research where the increasing level of work stress nurses, the implementation of the Surgical Safety Checklist decrease. The recommendation for further research is to conduct research into work stress factors for nurses with the impact that can result from work stress with a higher number of respondents
PENGARUH PEMBERIAN EDUKASI PERSIAPAN PRE OPERATIF MELALUI MULTIMEDIA VIDEO TERHADAP TINGKAT KECEMASAN PADA PASIEN PRE OPERASI ELEKTIF Taufan Arif; Mita Nuur Fauziyah; Erlina Suci Astuti
Jurnal Ilmiah Kesehatan Media Husada Vol 11 No 2 (2022): November
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v11i2.331

Abstract

Abstrak: Tingkat kecemasan pre-operasi tinggi terbukti meningkatkan hemodinamika pasien sehingga terjadi penundaan operasi. Tujuan penelitian mengetahui pengaruh pemberian edukasi persiapan pre-operatif melalui multimedia video terhadap tingkat kecemasan pada pasien pre-operasi elektif. Desain penelitian menggunakan quasi eksperimental dengan pendekatan one group pre-test post-test design with control group. Variabel penelitian adalah video edukasi pre-operatif dan tingkat kecemasan. Metode pengambilan sampel yaitu purposive sampling dengan 32 responden sebagai sampel sesuai kriteria inklusi dengan 16 responden pada masing-masing kelompok. Uji paired t-test membandingkan rata-rata 2 sampel berpasangan. Uji independent t-test membandingkan 2 sampel tidak berpasangan. Ada pengaruh pemberian edukasi persiapan pre-operatif melalui multimedia video terhadap tingkat kecemasan pada pasien pre-operasi elektif dengan p-value = 0,000 pada paired t-test kelompok perlakuan, sedangkan pada kelompok kontrol menunjukkan p-value = 0,000. Uji independent t-test pra-intervensi menunjukkan p-value = 0,721, sedangkan post-intervensi menunjukkan p-value = 0,000. Edukasi melalui video dapat menurunkan kecemasan pre-operatif secara signifikan karena memanfaatkan lebih banyak indra. Informasi lebih mudah terserap melalui lobus frontal dan jalur korteks, menambah tingkat pengetahuan sehingga menurunkan kecemasan.