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The effect of chocolate consumption (Theobroma cacao L.) on level of blood cholesterol and triglyceride in hypertension patients at Jatiroto Health Center, Indonesia Ulkhasanah, Muzaroah Ermawati; Hadisaputro, Suharyo; Pujiastuti, Rr. Sri Endang
Global Health Management Journal Vol 3, No 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (722.423 KB)

Background: Hypertension is influenced by lifestyle factors such as high fat intake which has the potential for high blood cholesterol level. Cocoa products, which are rich sources of flavonoids, have been shown to reduce blood pressure and the risk of cardiovascular disease.Aims: The purpose of this research is to examine the dark chocolate consumption in decreasing the level of blood cholesterol and triglyceride in hypertension patients.Methods: This research is a quasi-experiment study with pre and post and control group design. There were thirty two (32) hypertensive patients selected from Jatiroto Health Center in June-July 2018 using a random sampling technique. The respondents were then divided to (1) a control group where patients were prescribed to a popular non-pharmacological therapy Simvastatin and (2) an intervention group where the respondents were prescribed with Simvastatin and also received an additional dark chocolate 60gr/day (given twice a day, each 30gr) for 15 days. A spectrophotometer glycerol phosphate oxidase (GPO-POD) with 546 nm wavelength was employed to measure the levels of blood cholesterol and triglyceride. The significant mean difference between pre and posttest, and the changes between control and intervention group were defined by statistical analysis T-test.Results: This study acknowledged that the prescribed simvastatin alone presents a significant contribution to decrease the cholesterol level at 14.40 point (p value = 0.041), however, the generic is not enough to deliver a significant effect to the decrease of triglyceride level in the hypertension patients (p value = 0.361). A great contribution to the depression of cholesterol and triglyceride level in the hypertensive respondent was observed if simvastatin prescription was combined with a provision of 60 gram dark chocolate, respectively to the level of 57.06 and 38.41 mg/dL with p value = 0.001. The addition of dark chocolate in the simvastatin prescription will significantly reduce the blood cholesterol level (p value = 0.020), but not really effective to reduce the triglyceride (p value = 0.560).Conclusion: The findings suggest that giving dark chocolate to the hypertensive patients who receive simvastatin prescription will decrease the cholesterol and triglyceride levels greater than the consumption of simvastatin drugs alone. Keywords: Dark chocolate, Simvastatin, Hypertension, Cholesterol, Triglyceride

ISOMETRIC HANDGRIP EXERCISE TERHADAP TEKANAN DARAH DAN NADI PADA HIPERTENSI : LITERATURE REVIEW Agung Widiastuti; Muzaroah Ermawati Ulkhasanah; Ady Irawan
Coping: Community of Publishing in Nursing Vol 9 No 6 (2021): Desember 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Background: Hypertension is still a health problem in the world. Hypertension if not controlled will lead to long-lasting complications and can be fatal such as heart failure, kidney failure and even stroke which can have an impact on a person's quality of life. Seeing this phenomenon requires both pharmacological and non-pharmacological handling. Objective: This study conducted a systematic review of isometric handgrip exercise on blood pressure and pulse in hypertensive patients. Methods: Searching for articles using a search strategy through the database, namely Pubmed, Ebsco, Google schoolar, Scientdirect using the keywords: Isometric Handgrip Exercise AND Blood pressure AND Hypertention, articles were analyzed according to inclusion and exclusion criteria. Results: The data used are 8 international articles. Based on the results of the review, giving isometric handgrip exercises can produce a decrease in blood pressure and pulse. Conclusion: Giving isometric handgrip exercise if done regularly can reduce the risk of developing hypertension in the future.

INTERVENSI AKUPUNTUR TERHADAP KEKUATAN OTOT PADA PASIEN STROKE: STUDI LITERATUR REVIEW Muzaroah Ermawati Ulkhasanah; Agung Widiastuti; Fakhrudin Nasrul Sani
Coping: Community of Publishing in Nursing Vol 9 No 6 (2021): Desember 2021
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Background: Stroke occurs when a blood vessel bursts which results in part of the brain not getting a blood supply that carries oxygen, resulting in cell and tissue death. Non-pharmacological modification therapy can be given with those that can improve the nervous system, improve body condition and increase muscle strength. Purpose: from this study to determine the effect of acupuncture intervention on increasing muscle strength in stroke patients by looking at several studies conducted Research Methods: with a literature study, the author conducted a literature study by conducting an internet-based search through PubMed, google bachelor and ProQuest on various written sources , both journals and articles that are relevant to the problems studied from 2012 to 2020. Results: what has been obtained from the provision of acupuncture therapy to increase muscle in stroke patients, as many as 7 journals have studied that acupuncture therapy is either single therapy or combination therapy can have an effect on increasing muscle strength. Conclusion: acupuncture has an effect on increasing muscle strength in stroke patients.

The effect of chocolate consumption (Theobroma cacao L.) on level of blood cholesterol and triglyceride in hypertension patients at Jatiroto Health Center, Indonesia Muzaroah Ermawati Ulkhasanah; Suharyo Hadisaputro; Rr. Sri Endang Pujiastuti
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31272

Background: Hypertension is influenced by lifestyle factors such as high fat intake which has the potential for high blood cholesterol level. Cocoa products, which are rich sources of flavonoids, have been shown to reduce blood pressure and the risk of cardiovascular disease.Aims: The purpose of this research is to examine the dark chocolate consumption in decreasing the level of blood cholesterol and triglyceride in hypertension patients.Methods: This research is a quasi-experiment study with pre and post and control group design. There were thirty two (32) hypertensive patients selected from Jatiroto Health Center in June-July 2018 using a random sampling technique. The respondents were then divided to (1) a control group where patients were prescribed to a popular non-pharmacological therapy Simvastatin and (2) an intervention group where the respondents were prescribed with Simvastatin and also received an additional dark chocolate 60gr/day (given twice a day, each 30gr) for 15 days. A spectrophotometer glycerol phosphate oxidase (GPO-POD) with 546 nm wavelength was employed to measure the levels of blood cholesterol and triglyceride. The significant mean difference between pre and posttest, and the changes between control and intervention group were defined by statistical analysis T-test.Results: This study acknowledged that the prescribed simvastatin alone presents a significant contribution to decrease the cholesterol level at 14.40 point (p value = 0.041), however, the generic is not enough to deliver a significant effect to the decrease of triglyceride level in the hypertension patients (p value = 0.361). A great contribution to the depression of cholesterol and triglyceride level in the hypertensive respondent was observed if simvastatin prescription was combined with a provision of 60 gram dark chocolate, respectively to the level of 57.06 and 38.41 mg/dL with p value = 0.001. The addition of dark chocolate in the simvastatin prescription will significantly reduce the blood cholesterol level (p value = 0.020), but not really effective to reduce the triglyceride (p value = 0.560).Conclusion: The findings suggest that giving dark chocolate to the hypertensive patients who receive simvastatin prescription will decrease the cholesterol and triglyceride levels greater than the consumption of simvastatin drugs alone. Keywords: Dark chocolate, Simvastatin, Hypertension, Cholesterol, Triglyceride

The effect of chocolate consumption (Theobroma cacao L.) on level of blood cholesterol and triglyceride in hypertension patients at Jatiroto Health Center, Indonesia Muzaroah Ermawati Ulkhasanah; Suharyo Hadisaputro; Rr. Sri Endang Pujiastuti
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31552

Background: Hypertension is influenced by lifestyle factors such as high fat intake which has the potential for high blood cholesterol level. Cocoa products, which are rich sources of flavonoids, have been shown to reduce blood pressure and the risk of cardiovascular disease.Aims: The purpose of this research is to examine the dark chocolate consumption in decreasing the level of blood cholesterol and triglyceride in hypertension patients.Methods: This research is a quasi-experiment study with pre and post and control group design. There were thirty two (32) hypertensive patients selected from Jatiroto Health Center in June-July 2018 using a random sampling technique. The respondents were then divided to (1) a control group where patients were prescribed to a popular non-pharmacological therapy Simvastatin and (2) an intervention group where the respondents were prescribed with Simvastatin and also received an additional dark chocolate 60gr/day (given twice a day, each 30gr) for 15 days. A spectrophotometer glycerol phosphate oxidase (GPO-POD) with 546 nm wavelength was employed to measure the levels of blood cholesterol and triglyceride. The significant mean difference between pre and posttest, and the changes between control and intervention group were defined by statistical analysis T-test.Results: This study acknowledged that the prescribed simvastatin alone presents a significant contribution to decrease the cholesterol level at 14.40 point (p value = 0.041), however, the generic is not enough to deliver a significant effect to the decrease of triglyceride level in the hypertension patients (p value = 0.361). A great contribution to the depression of cholesterol and triglyceride level in the hypertensive respondent was observed if simvastatin prescription was combined with a provision of 60 gram dark chocolate, respectively to the level of 57.06 and 38.41 mg/dL with p value = 0.001. The addition of dark chocolate in the simvastatin prescription will significantly reduce the blood cholesterol level (p value = 0.020), but not really effective to reduce the triglyceride (p value = 0.560).Conclusion: The findings suggest that giving dark chocolate to the hypertensive patients who receive simvastatin prescription will decrease the cholesterol and triglyceride levels greater than the consumption of simvastatin drugs alone. Keywords: Dark chocolate, Simvastatin, Hypertension, Cholesterol, Triglyceride Received: 25 August 2018, Reviewed: 04 September 2018, Received: in revised form 23 February 2019, Accepted: 26 February 2019 DOI: 10.35898/ghmj-31552

The Relationship of Anxiety Level with Quality of Life In Elderly Fakhrudin Nasrul Sani; Agostinha Morais Assis Belo; Yulia Susanti; Muzaroah Ermawati Ulkhasanah
Proceedings of the International Conference on Nursing and Health Sciences Vol 3 No 1 (2022): January-June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v3i1.1151

Elderly is an age that is vulnerable to a problem, both economic, health, psychological and social problems. Anxiety is a psychological problem faced by the elderly in their life experiences. Anxiety has a range of responses, namely adaptive to maladaptive responses. Quality of life is thought to be one of the problems that exist in the elderly, including anxiety. Anxiety is a psychological problem faced by the elderly in their life experiences. This study aims to determine whether there is a relationship between anxiety and quality of life in the elderly. This study uses quantitative methods with descriptive correlation. The approach used is cross-sectional. The sampling technique used was purposive sampling with a sample of 37 respondents. Analysis of the data in this study using Spearman rank. The results in this study showed that most of the anxiety in the elderly was in the category of severe anxiety as much as 17 (42.5%). The quality of life in the elderly is mostly good as many as 16 (40.0%). There is a relationship between anxiety and quality of life in the elderly with a correlation value of -0.413, the relationship between variables in the moderate category, with a p value of 0.011. The conclusion of this study shows that there is a relationship between anxiety and quality of life in the elderly. The relationship between the categorical variables is the opposite, the higher the anxiety, the lower the quality of life, this is because the average elderly experience severe anxiety even though their quality of life is good.

PENGARUH SENAM AEROBIK LOW IMPACT TERHADAP NILAI TEKANAN DARAH PENDERITA HIPERTENSI DI DESA GONILAN KARTASURA Ulkhasanah, Muzaroah Ermawati; Agung Widiastuti
Jurnal Perawat Indonesia Vol. 5 No. 3 (2021): November 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

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Pendahuluan: Berdasarkan data yang diperoleh, jumlah penderita hipertensi di dunia terus meningkat setiap tahunnya. Hipertensi merupakan faktor utama terjadinya stroke, gagal jantung yang menyebabkan kematian jika tidak ditangani dengan baik. Melakukan senam aerobik dapat menurunkan tekanan sistolik dan diastolik pada penderita hipertensi, dengan senam aerobik secara rutin mampu memberikan efek relaksasi pembuluh darah. Tujuan:Penelitian ini bertujuan untuk mengetahui aktivitas senam Aerobic Low Impact terhadap penurunan nilai tekanan darah pada penderita hipertensi di Desa Gonilan, Kartasura, Sukoharjo. Metode: Jenis penelitian ini adalah penelitian eksperimen dengan one group pre-test-post-test design, dengan jumlah sampel 30 responden dan teknik pengambilan sampel yang digunakan adalah consecutive sampling. Penelitian dilakukan dengan menggunakan analisis uji-t berpasangan. Hasil: Dapat diketahui bahwa pada responden penderita tekanan darah tinggi yang mendapatkan terapi latihan aerobik low impact, terjadi perubahan nilai tekanan darah setelah dilakukan pemeriksaan pasca latihan aerobik low impact. pada tekanan darah sistolik didapatkan p value < 0,001 dan tekanan darah diastolik 0,286. Kesimpulan: Dari hasil penelitian terkait pengaruh senam aerobik low impact terhadap tekanan darah pada penderita hipertensi didapatkan adanya pengaruh terhadap tekanan darah sistolik dan daistol, tetapi pada tekanan darah diastolik terdapat perubahan tetapi hasilnya tidak menunjukkan signifikan. Kata kunci: aerobik low impact, tekanan darah, hipertensi

Effleurage Massage Technique Berpengaruh terhadap Kualitas Hidup pada Lansia Penderita Hipertensi Fakhrudin Nasrul Sani; Muzaroah Ermawati Ulkhasanah; Sutiyo Dani Saputro
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 12 No 2 (2022): Jurnal Ilmiah Permas: jurnal Ilmiah STIKES Kendal: April 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

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Hipertensi pada lansia diakibatkan adanya perubahan struktur dan fungsional pada pembuluh darah. Pembuluh darah menjadi relaks dengan pemberian terapi relaksasi pada penderita hipertensi sehingga terjadi vasodilatasi yang menyebabkan tekanan darah kembali turun dan normal, salah satunya dengan cara pemberian massage effleurage technique. Tujuan penelitian ini untuk mengetahui apakah pemberian massage effleurage berpengaruh terhadap kualitas hidup pada lansia penderita hipertensi. Populasi dalam penelitian ini, merupakan lansia yang menderita hipertensi berdasarkan data yang diperoleh dari bidan desa dan kader Posyandu lansia, terdapat 42 lansia yang menderita hipertensi. Teknik pengambilan sampel dalam penelitian ini adalah total sampling. Jenis penelitian ini merupakan penelitian pre-eksperiment dengan rancangan the one group pre test-post test design untuk mengetahui pemberian massage effleurage technique apakah berpengaruh terhadap kualitas hidup lansia penderita hipertensi. Proses pengambilan data, lansia terlebih dahulu mengisi kuesioner kulitas hidup sebelum pemberian massage effleurage technique maupun setelah pemberian massage effleurage technique. Hasil uji Wilcoxon menunjukkan nilai p value 0,000 maka p value < 0,05 sehingga effleurage massage technique berpengaruh terhadap kualitas hidup lansia penderita hipertensi. Kesimpulan hasil penelitian ini menunjukkan ada pengaruh pemberian massage effleurage technique terhadap kualitas hidup lansia penderita hipertensi.

Effect of Consumption Chocolate (Theobroma Cacao L) on Cholesterol Levels in Patients With Hypercholesterolemia (study in the UPTD Puskesmas Jatiroto) Muzaroah Ermawati Ulkhasanah; Agung Widiastuti; Mita Agustina; Tsuluts Taufiq Hidayat; Mufarohah
Proceeding of International Conference on Science, Health, And Technology 2021: Proceeding of the 2nd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

The prevalence of hypercholesterolemia continues to increase every year and is a risk factor for heart disease which is the cause of global death to date. The use of compounds in an effort to prevent and reduce cholesterol levels is very important, namely by using chocolate which contains flavonoid compounds as antioxidants and is able to reduce cholesterol levels in the blood. This study aims to determine the effect of chocolate consumption on blood cholesterol levels in hypercholesterolemic patients. This study is a Quasi Experiment with a Pre and Post Test Design with Control Design Group with a total of 32 respondents. The control group was given simvastatin according to a doctor's prescription, while the intervention group was added 60 grams of chocolate per day for 15 days. The results of this study indicate that consuming 60 grams of chocolate per day for 15 days accompanied by consumption of simvastatin can affect blood cholesterol levels with results (p = 0.001). Consumption of 60 grams of chocolate per day for 15 days affects the decrease in blood cholesterol levels.

Emotional Support For Early Mobilization On day 0 Until 4 In Patient Post Operation Total Knee Replacement Agung Widiastuti; Muzaroah Ermawati Ulkhasanah; Amik Muladi; Niya Nurmawati; Muhammad Syaiful Anam
Proceeding of International Conference on Science, Health, And Technology 2021: Proceeding of the 2nd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Patients after Total Knee Replacement (TKR) surgery will experience physical mobility and pain obstacles, so that support is needed for these patients. Purpose: This study analyzes whether there is a relationship between emotional support and early mobilization from 0 to 4 days after TKR surgery. Research Methods: Bivariate analysis in this study using Spearman rho total sample of 47 respondents with consecutive sampling method. Results: The study showed that emotional support was associated with mobilization on the first day (p <0.001) and the fourth day (p <0.03). On the first day of mobilization, the patient still feels severe pain, so emotional support or assistance is needed when doing the mobilization. With the assistance, the patient feels confident in doing the exercises. Meanwhile, on the fourth day, the patient has started walking exercises so that emotional support is needed. With the emotional support, the patient feels comfortable and loved, thereby accelerating the healing process. Conclusion: There is a relationship between emotional support for mobilization on the first day and the fourth day post TKR surgery.

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