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<![CDATA[Hubungan antara Gangguan Pola Tidur dengan Keseimbangan Sistem Saraf Otonom pada Usia Dewasa Muda ]]>
<![CDATA[Risdiana, Nurvita]]>;
<![CDATA[Rozy, Mohamad Fachrur]]>
<![CDATA[ Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 19 No 1: January 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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<![CDATA[Gangguan pola tidur yang buruk berdampak negatif pada kesehatan yaitu ketidakseimbangan sistem saraf otonom. Ketidakseimbangan sistem saraf otonom akan berdampak pada rendahnya nilai Heart Rate Variability (HRV). Rendahnya nilai HRV akan berdampak pada mortalitas dan morbiditas. Heart Rate Variability terdiri atas time domain dan frekuensi domain. Standard Deviation of All N-N Intervals (SDNN) merupakan bagian dari HRV yang bisa digunakan untuk mengidentifikasi keseimbangan sistem saraf otonom. Usia dewasa muda rentan mengalami gangguan pola tidur, sehingga pada usia tersebut berisiko terjadi ketidakseimbangan SDNN. Penelitian ini bertujuan untuk mengetahui hubungan antara pola tidur dengan keseimbangan saraf otonom pada dewasa muda. Jenis penelitian ini merupakan penelitian kuantitatif non eksperimen dengan desain Cross sectional. Uji statistik menggunakan Spearman Rho. Sampel penelitian 31 orang dewasa muda dengan teknik purposive sampling. Data untuk gangguan pola tidur diambil menggunakan kuesioner, sedangkan pengukuran SDNN menggunakan Electrocardiogram (EKG). Didapatkan hasil 64,5% pola tidur pada dewasa muda dalam kategori baik, 35,5% pola tidur mahasiswa dalam kategori cukup, 87,1% mahasiswa memiliki SDNN yang sangat baik dan 9,7% mahasiswa memiliki SDNN tinggi. Hasil uji statistik menggunakan Spearmen Rho diperoleh nilai p= 0,11 (p > 0,05). Disimpulkan bahwa tidak ada hubungan antara gangguan pola tidur dengan kesimbangan saraf otonom.]]>
<![CDATA[Faktor-Faktor Yang Mempengaruhi Peran Serta Keluarga Dalam Perawatan Klien Skizofrenia di Unit Rawat Jalan RS Grhasia DIY ]]>
<![CDATA[Permatasari Istanti, Yuni]]>;
<![CDATA[Risdiana, Nurvita]]>;
<![CDATA[Hendarsih, Sri]]>
<![CDATA[ Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 6, No 1 (2006) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/mmjkk.v6i1.1881
<![CDATA[Schizophrenia is a mental disorder with the hallucination symptom, waham, inappropriate affect. There a some factors that influence Family role in order to treat clients, because family role can protect family member. The study was done among the schizophrenia s clients of grhasia s hospital. The crossectional study was done to 30 schizophrenic s clients in grhasia s hospital, using Chi Square to know about the factors which influence the role and also family in treatment of schizophrenia s client in take care.The result of this study in economic factor show the Flo accepted with the value of significance level: 0,05 and probabilities : 0,283 ( 0,05). This indicated that there is no influence which significant between economic factor to role and also family in treatment of schizophrenia s client. The test of Chi Square of knowledge factor show that the Ho accepted with the value of significant level: 0,05 and probabilities : 0,788 ( 0,05). This indicated that there is no influence which significant between knowledge factor to role and also family in treatment of schizophrenia s client.Skizofrenia merupakan gangguan mental yang disertai dengan gej ala halusinasi, waham dan gangguan afek. Dalam perawatannya diperlukan peran serta keluarga karena keluarga merupakan unit terdekat dengan klien. Beberapa factor dapat mempengaruhi peran serta keluarga dalam perawatan klien skizofrenia diantaranya adalah factor ekonomi dan factor pengetahuan.Penelitian ini menggunakan pendekatan crossestional dengan 30 responden klien skizofrenia di unit rawat jalan RS Grhasia untuk mengetahui factor-faktor yang berpengaruh terhadap peran serta keluarga dianalisis dengan menggunakan Chi square.Penelitian ini menunjukkan hasil bahwa factor ekonomi tidak berpengaruh terhadap peran serta keluarga, begitu juga dengan factor pengetahuan, dengan tingkat signifikansi 0.05.Sehingga bias disimpulkan bahwa tidak ada pengaruh yang signifikan antara factor ekonomi dan pengetahuan terhadap peran serta keluarga dalam perawatan klien skizofrenia.]]>
<![CDATA[Perbedaan Tingkat Ketergantungan Merokok Antara Perokok Remaja Dengan Perokok Lansia ]]>
<![CDATA[Risdiana, Nurvita]]>;
<![CDATA[Proboningrum, Bikassari Wahyu]]>
<![CDATA[ IJNP (Indonesian Journal of Nursing Practices) Vol 3, No 1 (2019): Indonesian Journal Of Nursing Practices ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/ijnp.3190
<![CDATA[AbstrakLatar Belakang: Ketergantungan merokok yang tinggi akan menyebabkan semakin sulitnya berhenti merokok. Ketergantungan merokok rendah akan semakin mudah berhenti merokok. Remaja dan perokok lansia mempunyai riwayat lama waktu penggunaan nikotin yang berbedaTujuan: Tujuan penelitian ini adalah mengetahui perbedaan tingkat ketergantungan merokok antara perokok remaja dengan perokok lansia.Metode: Jenis penelitian ini descriptive comparative dengan pendekatan cross sectional. Sampel penelitian berjumlah 76 responden yang terdiri atas 38 responden perokok remaja dan 38 responden perokok lansia dengan menggunakan metode purposive sampling sampling. Instrumen dalam penelitian ini berupa kuesioner merokok yaitu Fagerstrom Test for Nicotine Dependence (FTND). Uji statistik menggunakan Mann Whitney.Hasil: Penelitian ini mendapatkan hasil berupa tingkat ketergantungan merokok pada lansia lebih tinggi dari pada remaja (3.16 ± 1.82 Vs. 5.42 ± 2.18; P-Value 0.001).Kesimpulan: berdasarkan hasil penelitian ini maka dapat disimpulkan ada perbedaan tingkat ketergantungan merokok antara perokok remaja dengan perokok lansia. Sehingga pada perokok remaja lebih mudah dalam berhenti merokok. AbstractBackground: The high of smoking dependency will be more difficult to stop smoking. The low of smoking dependence will be easier to stop smoking. Adolescent and elderly have the differences of length of use the nicotine. Objective: The objective of this study wants to identify the difference of smoking dependence level between adolescent with elderly smokers. Method: This research was descriptive comparative with cross sectional design. The research sample was 76 respondents with 38 adolescent smokers and 38 elderly smokers which chosen by purposive sampling techniques. The instrument in this research used The Fagerstrom Test for Nicotine Dependency (FTND). The data was analyzed by Mann Whitney. Result: The mean and standard deviation of adolescent smokers was 3.16 ± 1.824 and elderly smokers were 5.42 ± 2.17. The results of statistical tests with Mann Whitney are P-Value 0,000 (P 0.05) which means there are significant difference. Conclusion: The smoking dependence level in elderly smokers higher than adolescent smokers. Therefore, adolescent smokers are easier to stop smoking.]]>
<![CDATA[Faktor-Faktor Yang Mempengaruhi Peran Serta Keluarga Dalam Perawatan Klien Skizofrenia di Unit Rawat Jalan RS Grhasia DIY ]]>
<![CDATA[Yuni Permatasari Istanti]]>;
<![CDATA[Nurvita Risdiana]]>;
<![CDATA[Sri Hendarsih]]>
<![CDATA[ Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 6, No 1 (2006) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/mmjkk.v6i1.1881
<![CDATA[Schizophrenia is a mental disorder with the hallucination symptom, waham, inappropriate affect. There a some factors that influence Family role in order to treat clients, because family role can protect family member. The study was done among the schizophrenia s clients of grhasia s hospital. The crossectional study was done to 30 schizophrenic s clients in grhasia s hospital, using Chi Square to know about the factors which influence the role and also family in treatment of schizophrenia s client in take care.The result of this study in economic factor show the Flo accepted with the value of significance level: 0,05 and probabilities : 0,283 ( 0,05). This indicated that there is no influence which significant between economic factor to role and also family in treatment of schizophrenia s client. The test of Chi Square of knowledge factor show that the Ho accepted with the value of significant level: 0,05 and probabilities : 0,788 ( 0,05). This indicated that there is no influence which significant between knowledge factor to role and also family in treatment of schizophrenia s client.Skizofrenia merupakan gangguan mental yang disertai dengan gej ala halusinasi, waham dan gangguan afek. Dalam perawatannya diperlukan peran serta keluarga karena keluarga merupakan unit terdekat dengan klien. Beberapa factor dapat mempengaruhi peran serta keluarga dalam perawatan klien skizofrenia diantaranya adalah factor ekonomi dan factor pengetahuan.Penelitian ini menggunakan pendekatan crossestional dengan 30 responden klien skizofrenia di unit rawat jalan RS Grhasia untuk mengetahui factor-faktor yang berpengaruh terhadap peran serta keluarga dianalisis dengan menggunakan Chi square.Penelitian ini menunjukkan hasil bahwa factor ekonomi tidak berpengaruh terhadap peran serta keluarga, begitu juga dengan factor pengetahuan, dengan tingkat signifikansi 0.05.Sehingga bias disimpulkan bahwa tidak ada pengaruh yang signifikan antara factor ekonomi dan pengetahuan terhadap peran serta keluarga dalam perawatan klien skizofrenia.]]>
<![CDATA[Hubungan antara Gangguan Pola Tidur dengan Keseimbangan Sistem Saraf Otonom pada Usia Dewasa Muda ]]>
<![CDATA[Nurvita Risdiana]]>;
<![CDATA[Mohamad Fachrur Rozy]]>
<![CDATA[ Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 19, No 1 (2019): January ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/mm.190120
<![CDATA[Gangguan pola tidur yang buruk berdampak negatif pada kesehatan yaitu ketidakseimbangan sistem saraf otonom. Ketidakseimbangan sistem saraf otonom akan berdampak pada rendahnya nilai Heart Rate Variability (HRV). Rendahnya nilai HRV akan berdampak pada mortalitas dan morbiditas. Heart Rate Variability terdiri atas time domain dan frekuensi domain. Standard Deviation of All N-N Intervals (SDNN) merupakan bagian dari HRV yang bisa digunakan untuk mengidentifikasi keseimbangan sistem saraf otonom. Usia dewasa muda rentan mengalami gangguan pola tidur, sehingga pada usia tersebut berisiko terjadi ketidakseimbangan SDNN. Penelitian ini bertujuan untuk mengetahui hubungan antara pola tidur dengan keseimbangan saraf otonom pada dewasa muda. Jenis penelitian ini merupakan penelitian kuantitatif non eksperimen dengan desain Cross sectional. Uji statistik menggunakan Spearman Rho. Sampel penelitian 31 orang dewasa muda dengan teknik purposive sampling. Data untuk gangguan pola tidur diambil menggunakan kuesioner, sedangkan pengukuran SDNN menggunakan Electrocardiogram (EKG). Didapatkan hasil 64,5% pola tidur pada dewasa muda dalam kategori baik, 35,5% pola tidur mahasiswa dalam kategori cukup, 87,1% mahasiswa memiliki SDNN yang sangat baik dan 9,7% mahasiswa memiliki SDNN tinggi. Hasil uji statistik menggunakan Spearmen Rho diperoleh nilai p= 0,11 (p 0,05). Disimpulkan bahwa tidak ada hubungan antara gangguan pola tidur dengan kesimbangan saraf otonom.]]>
<![CDATA[Pengaruh Pemeberian Ekstrak Etanol Delphinium Grandifl orum Terhadap Tanda Somatik dan Tanda Afektif Nicotine Withdrawal Syndrome pada Tikus Sprague Dawley Betina yang Diberi Nikotin Peroral ]]>
<![CDATA[Nurvita Risdiana]]>
<![CDATA[ IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 1 (2014): Muhammadiyah Journal of Nursing ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/ijnp.v1i1.400
<![CDATA[Background. Nicotine abstinence will lead nicotine withdrawal syndrome in somatic signs and aff ective signs. Somatic signs such as body weight change. Aff ective signs such as sign of anxiety. Nicotine withdrawal syndrome will increasing the desire to use nicotine. Delphinium grandifl orum is a plant with methyllcyaconitine (MLA). Methyllcyaconitine (MLA) is antagonist competitive which block α7 nAChRs. It will lowering the desire to use nicotine without induce nicotine withdrawal syndrome. Objective. To know the eff ect of ethanolic extract Delphinium grandifl orum in somatic signs and aff ective signs of nicotine withdrawal syndrome in Sprague Dawley female rats treated with oral nicotine.Methods. This study was quasi experiment with pre and post control group design. Rats were grouped into 4 groups. The groups are OO (control), NO (nicotine+aquabides), ND 3 (nicotine+ D. grandifl orum 3 mg/kg), ND 6 (nicotine+ D. grandifl orum 6 mg/kg). Nicotine was given ad libitum. Nicotine was given via drinking water with a step wise increase of dosage every 4 days until 15 days. Somatic signs and aff ective signs were observed during 24 hours period after abstinentia (16th and 20th days) on dark cycle. Light cycle on 18.00- 06.00, dark cycle on 06.00-18.00. Aff ective signs was observed with open spent time and open arm entries by Elevated Plus Maze.Result. There is no signifi cant diff erences between group for body weight, open spent time and open arm entries on day 16 and 20. Conclution. There is have no eff ect of ethanolic extract Delphinium grandifl orum and nicotine administration for somatic signs, aff ective signs of nicotine withdrawal syndrome in Sprague dawley female rats.Keywords. Nicotine, nicotine withdrawal syndrome, somatic signs, aff ective signs.]]>
<![CDATA[Peningkatan Sistem Imun Keluarga Di Era Pandemi Covid-19 ]]>
<![CDATA[Sri Nabawiyati Nurul Makiyah]]>;
<![CDATA[Nurvita Risdiana]]>
<![CDATA[ Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 2 Nomor 2 Tahun 2021 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Surakarta ]]>
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DOI: 10.37341/jurnalempathy.v0i0.52
<![CDATA[Background: The Covid-19 pandemic has triggered public awareness to stay at home, so that community gathering activities are canceled, including routine community gymnastics activities. The aim of its community service activity is to increase public awareness of the Salakan hamlet regarding health protocols by increasing the family's immune system and physical activity during the Covid-19 pandemic for women in the Salakan, Trihanggo, Gamping, Sleman. Methods: this community services activity used lectures on improving the family's immune system and appropriate physical activity in the era of the Covid-19 pandemic. The lectures and discussions both offline and online course. It is done offline at the residents' meeting building on March 1, 2021 with 20 Health Cadres whose members are the same as the Salakan women's gymnastics board. MS Teams meeting online on Sunday, February 7, 2021. Evaluation is done by measuring the level of knowledge of participants about the immune system and the level of knowledge about physical activity is done through posttest with google form. Results: this community service activity showed that the participants were very enthusiastic and there was a warm discussion about the topic given. Post-test results showed that the level of knowledge of participants about the immune system was 80.00 ± 10.34 (very good) and the level of knowledge about physical activity was 76.25 ± 15.00 (good). Conclusion: the women of the Gymnastics group after being given socialization about the immune system and physical activity experienced an increase in knowledge about how to improve the immune system and what physical activities were good to do during the Covid-19 pandemic.]]>
<![CDATA[The experience of nicotine dependence among adolescent smokers ]]>
<![CDATA[Nurvita Risdiana]]>;
<![CDATA[Yanuar Fahrizal]]>;
<![CDATA[Wahyulianto Wahyulianto]]>
<![CDATA[ International Journal of Public Health Science (IJPHS) Vol 11, No 3: September 2022 ]]>
Publisher : <![CDATA[Intelektual Pustaka Media Utama ]]>
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DOI: 10.11591/ijphs.v11i3.21174
<![CDATA[A cigarette contains nicotine substance that can cause smokers to become dependent on nicotine. Smokers who are already addicted will experience withdrawal syndrome. The earlier age people smoke at, the higher level of dependence they have. The adverse effect of nicotine dependence is that smokers will find it difficult to stop smoking. This study aimed to investigate the experiences of adolescent smokers who are dependent on nicotine. This was a qualitative study conducted with a phenomenological approach. Data were collected through an in-depth interview with five informants who were selected through purposive sampling technique. Triangulation was employed to enhance the credibility of the study. Data were analyzed using a phenomenological approach. This study resulted in four main themes, namely: age to start smoking; the causes of smoking; perceptions of smoking; experience of smoking cessation. Conclusion that can be drawn for this study was smoking abstinence led to anxiety, decreased concentration and craving to cigarette. The smokers need to educate about the nicotine withdrawal symptoms that they can anticipate it when symptoms appeared.]]>
<![CDATA[Comparison the level of Standard Deviation of N-N interval (SDNN) among Adolescent in Non Smokers and Smokers in Yogyakarta ]]>
<![CDATA[Nurfazrin H. Akuba]]>;
<![CDATA[Nurvita Risdiana]]>
<![CDATA[ JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 1, (2018) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Islam Indonesia ]]>
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DOI: 10.20885/JKKI.Vol9.Iss1.art6
<![CDATA[Background: Smoking has a negative impact on health. It makes an imbalance of the autonomic nervous system (ANS). It influenced the standard deviation of N-N interval (SDNN). SDNN has a duty as indicator for ANS controlled, consequently, SDNN in smokers is lower than non smokers because of ANS imbalance. Therefore, smokers have high risk for non communicable disease (NCD) in the future.Objective: This research’s purpose was to know the comparison of SDNN level among smokers and non smokers adolescent.Methods: This research was non-experimental study with descriptive comparative design and cross sectional approach. The samples divided into 2 groups with each of group consists of 20 students. They were chose by purposive sampling techniques. SDNN level was measured by electrocardiogram (ECG) for 5 minutes with the provision that they should no tea, caffeine, alcohol consumption and no heavy exercise within 2 hours before data collected, feel free from desire to go to bathroom, feeling relax when data collection were performed. The data was analyzed by Mann Whithey test.Results: There was a significant difference of between smokers’ SDNN and non smokers’ with p= 0.038 (p<0.05). Smokers’ SDNN was lower than non smokers’.Conclussion: Smokers’ SDNN level was lower than non smokers’. ]]>
<![CDATA[Effects of progressive muscle relaxation technique on affective and somatic signs in nursing students taking objective structured clinical examination ]]>
<![CDATA[Nurvita Risdiana]]>;
<![CDATA[Jefry Leo Sandy]]>;
<![CDATA[Johan Johan]]>
<![CDATA[ JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 12, No 1, (2021) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Islam Indonesia ]]>
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DOI: 10.20885/JKKI.Vol12.Iss1.art10
<![CDATA[Background: Objective Structured Clinical Examination (OSCE) is an instrument for an evaluation test to asses observable skills. However, this situation of the test can lead to anxiety for students expressed in affective and somatic signs. Progressive muscle relaxation technique is one of non-pharmacology therapies and can be used to decrease the affective and somatic signs in the students. Objective: This study aims to determine effects of the progressive muscle relaxation technique on affective and somatic signs in nursing students when taking the OSCE. Methods: This study was a quasi-experimental with a pre-test and post- group design. Fifty eight participants were selected by inclusion criteria and divided into two groups (a treatment group and a control group). The progressive muscle relaxation before the OSCE was conducted for 30 minutes. Zung’s self-rating anxiety (ZSAS) was applied to measure the affective signs. A sphygmomanometer, manual heart rate palpation, and thorax inspection were used to measure the somatic signs. The data were analysed by using a Wilcoxon test.Results: The Wilcoxon test showed that the effects of progressive muscle relaxation technique on the affective signs indicated p-value of 0.0001 (p<0.005). Then it also affected the somatic signs as occurred in systolic blood pressure with p-value of 0.00, diastolic blood pressure with p-value of 0.004, heart rate with p-value of 0.00, and respiration rate with p-value of 0.00. The affective and somatic signs in the treatment group decreased after the treatment was given. However, they were not found in the control group.Conclusion: There are effects of progressive muscle relaxation technique on affective and somatic signs in nursing students when taking the OSCE. The affective and somatic signs in the treatment group were lower than in the control group.]]>
