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Journal : JKKI : Jurnal Kedokteran dan Kesehatan Indonesia

Comparison the level of Standard Deviation of N-N interval (SDNN) among Adolescent in Non Smokers and Smokers in Yogyakarta Nurfazrin H. Akuba; Nurvita Risdiana
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 1, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol9.Iss1.art6

Abstract

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’. 
Effects of progressive muscle relaxation technique on affective and somatic signs in nursing students taking objective structured clinical examination Nurvita Risdiana; Jefry Leo Sandy; Johan Johan
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 12, No 1, (2021)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol12.Iss1.art10

Abstract

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.