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Implementasi Terapi Pijat Swedia untuk Menurunkan Tingkat Kecemasan dan Menstabilkan Tanda-Tanda Vital Pada Pasien Di Ruang Intensive Care Unit (ICU) Rumah Sakit Prof. Dr. Margono Soekarjo: Case Study Muslimah, Nida; Awaludin, Sidik; Kurniawan, Aji
Journal of Bionursing Vol 1, No 2 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.638 KB) | DOI: 10.20884/bion.v1i2.25

Abstract

Background. Intensive Care Unit (ICU) is an inpatient room with patients who has critical disease and must be monitored every hour, attached devices, and intensive treatment. When the patient has woken up to a different room and attached devices such as ETT, OPA, mechanical ventilator, and others can cause anxiety to the patient. This anxiety can enhance the hemodynamic status, therefore it is necessary to have an independent nurse action, namely Swedish massage therapy to reduce the level of Anxiety and stabilize vital signs.Method. The method of implementation was used a case study with a cross sectional design. Total respondents were 6 respondents and divided into two groups, namely the intervention group 3 respondents and the control group 3 respondents. The implementation was conducted in ICU RSUD Prof. Dr. Margono Soekarjo.Result. There was a differentiation in anxiety level in the intervention group, respondents who feel quite anxious became a less anxious. The differentiation in hemodynamic status were more stable in the intervention group than in the control group.Conclusion. Swedish massage therapy can reduce anxiety levels and stabilize vital signs in patients in the ICU.
Correlation between the levels of urea serum, creatinine, and haemoglobin with fatigue in patient with Chronic Kidney Disease at Haemodialisa Unit, dr. R. Goeteng Taroenadibrata General Hospital Purbalingga Arhamawati, Sufia; Saryono, Saryono; Awaluddin, Sidik
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.279 KB) | DOI: 10.20884/bion.v1i1.8

Abstract

Background : Chronic kidney disease is a progressive destruction of renal structure and continuously. Fatigue is one of the few complaints that often felt by patients with chronic kidney disease. Prevalence of fatigue in patients with chronic kidney disease is high. Patients with chronic kidney disease characterized by elevated levels of serum urea, creatinine, and decreased levels of haemoglobin.Objective : To determine correlation between the levels of serum urea, creatinine, and haemoglobin with fatigue in patients with chronic kidney disease at Haemodialisa Unit, dr. R. Goeteng Taroenadibrata General Hospital Purbalingga.Method : This research using observational analytic design with cross sectional study conducted in dr. R. Goeteng Taroenadibrata General Hospital Purbalingga. The samples used were 30 patients with total sampling technique. The research instrument used secondary data from laboratory test result and questioner with interview.Result : Characteristics of respondents for the ages at most between 50-57 years that was 33,00%. For gender, male sex more than female, male 17 respondents female 13 respondents. And private sector workers had the highest number with 11 respondents (36,67% ). Mean of the serum urea levels as much as 158,09; creatinine levels 12,00; haemoglobin levels 8,19; and the fatigue?s score 29,90. The result of this study, there was no correlation between the serum urea levels with fatigue (p = 0,928 ; ? = 0,05), there was no correlation between creatinine with fatigue ( p = 0,863 ; ? = 0,05 ), and there was significant correlation between haemoglobin with fatigue with negative moderate correlation between the variables (p = 0,021 ; ? = 0,05; r = -0,419).Conclusion : The lower haemoglobin levels the increase fatigue scores.
Implementasi Reorientasi Pasien Delirium Melalui Rekaman Suara Keluarga di Ruang ICU RSUD Prof. Dr. Margono Soekarjo: Case Study Choirunnisa, Dicha; Awaludin, Sidik; Kurniawan, Aji
Journal of Bionursing Vol 1, No 2 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (513.11 KB) | DOI: 10.20884/bion.v1i2.20

Abstract

Background. Delirium in critically ill patients who have decreased consciousness is a case that?s found in the ICU. Disorientation and anxiety are common characteristics shown in delirium patients. Collaboration between nurses and patients can be done by giving reorientation through voice recording of family members in delirium patients in the ICU.Methods. Implementation is carried out using experimental studies with a pre-post control group. Six patients were selected by simple random sampling technique which was divided into three groups. The criteria for patients in implementation included, patients aged > 18 years, entering the ICU within ? 24 hours, and positive delirium based on the score of the Confusion Assessment Method for the ICU (CAM-ICU) assessment.Results. There was a change in the family voice intervention group with an RASS rating scale. But in the three groups, patients were still diagnosed with delirium positive after being given an implementation based on the CAM-ICU rating scale.Conclusion. Giving reoriented message recordings using family voice can be used to reduce symptoms of delirium in patients undergoing treatment in the ICU.
Pengaruh Terapi Mandi Uap terhadap Respon Fisiologis Stress Penderita Hipertensi Purnawan, Iwan; Upoyo, Arif Setyo; Awaludin, Sidik
Jurnal Keperawatan Soedirman Vol. 10 No. 1 (2015)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2015.10.1.593

Abstract

Hipertensi merupakan permasalahan kesehatan yang paling sering dijumpai diberbagai diberbagai negara, termasuk Indonesia. Hipertensi merupakan pemicu berbagai kerusakan organ di dalam tubuh seperti jantung, otak, dan ginjal. Kondisi stress menimbulkan efek yang merugikan karena memperberat hipertensi itu sendiri. Perubahan tanda vital (nadi dan pernafasan) merupakan respon fisiologis terhadap kondisi stress tersebut. Tujuan penelitian adalah untuk mengidentifikasi pengaruh mandi uap terhadap respon fisiologis stress pada penderita hipertensi. Desain penelitian adalah quasi eksperimen dengan pendekatan pre and post tes one group without control design. Jumlah responden yang dilibatkan dalam penelitian ini sebanyak 44 orang yang diambil secara random.  Hasil uji statistik menunjukan adanya perbedaan yang signifikan antara rerata frekuensi pernafasan sebelum dan sesudah perlakuan (nilai p =0,000). Demikian pula dengan rerata frekuensi denyut nadi permenit, sebelum dan sesudah perlakuan menunjukan perbedaan yang bermakna (nilai p = 0,000). Rerata frekuensi pernafasan dan nadi setelah perlakuan menunjukan kenaikan yang signifikan dibandingkan dengan sebelum perlakuan. Dengan demikian dapat simpulkan bahwa terdapat pengaruh yang bermakna terapi mandi uap dalam meningkatkan respon fisiologis stress. 
The Effect of Quarter Turn from Prone on Oxygen Saturation among Premature Babies with Respiratory Distress Syndrome Lestari, Puji; Susmarini, Dian; Awaludin, Sidik
Jurnal Keperawatan Soedirman Vol 13, No 1 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.1.754

Abstract

The rate of death and illnesses on premature babies is mostly respiratory distress syndrome (RDS). Desaturated-period frequently occurs on premature babies with RDS. One intervention to prevent it is a quarter turn from prone position. The research design was pre-experimental study with one group pre- and post-test design. This study involved 20 respondents that were selected with consecutive sampling technique. The setting of the research was in Perinatology ward at Prof. Dr. Margono Soekarjo. The oxygen saturation was examined before and after 2 hours of intervention. Data was then analyzed with Wilcoxon test. The results showed that median value of SpO2 before quarter turn from prone position was 94%, and its value after two hours of intervention was 96.5%. It was found that there was a significant effect in giving quarter turn from prone position to oxygen saturation on premature babies with RDS. Quarter turn from prone position was able to increase oxygen saturation on premature babies with RDS and is possible to be implemented in perinatology room.
Humor Therapy is Effective to Reduce Headache Related to Hypertension Awaludin, Sidik; Purnawan, Iwan; Alivian, Galih Noor
Jurnal Keperawatan Soedirman Vol 13, No 1 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.1.765

Abstract

Hypertension can lead to the heart disease, kidney, and stroke if the blood pressure is not controlled. Various complementary therapies are developed to reduce pain due to high blood pressure. Humor therapy can cause a relaxation response and reduce a headache. The purpose of this research was to identify the impact of humor therapy to reduce headache caused by hypertension. This research used a quasi-experimental design of pre and post control group design. The number of samples was 40 people with primary hypertension in Mersi village Purwokerto. The sampling technique used was purposive sampling. Numeric rating scale was applied to measure the pain scale. The difference of pain scale before and after the intervention was tested using Mann Whitney test. Statistical analysis result showed that humor therapy has a significant impact to reduce headache due to hypertension (p value = 0.000). Humor therapy is able to reduce headache due to hypertension significantly..
PENGABDIAN MASYARAKAT BERBASIS HASIL RISET: KELAS TENSI (KELOMPOK LANSIA SADAR HIPERTENSI) SEBAGAI UPAYA PREVENTIF PENYAKIT JANTUNG KORONER Awaludin, Sidik -
Jurnal Abdimas Vol 24, No 2 (2020): September
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LP2M), Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Kejadian hipertensi di Indonesia cukup tinggi. Mayoritas penderitanya tidak menyadari bahwa dirinya memiliki tekanan darah tinggi. Tekanan darah yang tinggi berisiko terjadi penyakit jantung koroner bahkan serangan jantung. Permasalahan Posyandu lansia RW 01dan kelompok hipertensi “Sehati” antara lain tidak menyadari sakit hipertensi, belum mengetahui cara pencegahan penyakit jantung koroner, belum mengetahui cara menurunkan tekanan darah tanpa obat kimia, dan belum mengetahui cara menghilangkan nyeri kepala sebagai keluhan utama yang dirasakan penderitanya tanpa menggunakan obat kimia. Permasalahan tersebut diperlukan solusi yang tepat untuk mencegah terjadinya penyakit jantung koroner. Solusi yang ditawarkan yaitu (1) Menyadarkan lansia bahwa dirinya sedang mengalami hipertensi melalui pendidikan kesehatan tentang hipertensi, mendampingi dan coaching sadar hipertensi (2) Membentuk “Kelas Tensi” (Kelompok Lansia Sadar Tensi) (3) Pendidikan kesehatan tentang  cara menurunkan tekanan darah tanpa obat kimia (4) Pendidikan kesehatan tentang  cara menghilangkan nyeri kepala akibat hipertensi tanpa menggunakan obat kimia (5) Memberikan terapi komplementer (terapi humor) untuk menghilangkan nyeri kepala akibat hipertensi (6) pendidikan kesehatan tentang  cara pencegahan penyakit jantung koroner.Target yang dicapai yaitu peningkatan sadar hipertensi 90%, Terdapat perbedaan tang bermakna sebelum dan setelah diberikan pendidikan kesehatan tentang cara menurunkan tekanan darah tanpa obat kimia dan cara menghilangkan nyeri kepala akibat hipertensi (p <0,01) terbentuknya Kelas Tensi 100%, anggota kelas tensi menjalani terapi terapi humor100 %. Terdapat perbedaan yang bermakna tekanan darah sistolik pada pemantauan awal dan akhir kelas tensi (p=0,012). Luaran dari kegiatan pengabdian kepada masyarakat ini yaitu leaflet sadar tensi, metode sadar tensi, paten kelas tensi
PENGABDIAN MASYARAKAT BERBASIS HASIL RISET: KELAS TENSI (KELOMPOK LANSIA SADAR HIPERTENSI) SEBAGAI UPAYA PREVENTIF PENYAKIT JANTUNG KORONER Awaludin, Sidik -
Jurnal Abdimas Vol 24, No 2 (2020): September 2020
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/abdimas.v24i2.16741

Abstract

Kejadian hipertensi di Indonesia cukup tinggi. Mayoritas penderitanya tidak menyadari bahwa dirinya memiliki tekanan darah tinggi. Tekanan darah yang tinggi berisiko terjadi penyakit jantung koroner bahkan serangan jantung. Permasalahan Posyandu lansia RW 01dan kelompok hipertensi “Sehati” antara lain tidak menyadari sakit hipertensi, belum mengetahui cara pencegahan penyakit jantung koroner, belum mengetahui cara menurunkan tekanan darah tanpa obat kimia, dan belum mengetahui cara menghilangkan nyeri kepala sebagai keluhan utama yang dirasakan penderitanya tanpa menggunakan obat kimia. Permasalahan tersebut diperlukan solusi yang tepat untuk mencegah terjadinya penyakit jantung koroner. Solusi yang ditawarkan yaitu (1) Menyadarkan lansia bahwa dirinya sedang mengalami hipertensi melalui pendidikan kesehatan tentang hipertensi, mendampingi dan coaching sadar hipertensi (2) Membentuk “Kelas Tensi” (Kelompok Lansia Sadar Tensi) (3) Pendidikan kesehatan tentang  cara menurunkan tekanan darah tanpa obat kimia (4) Pendidikan kesehatan tentang  cara menghilangkan nyeri kepala akibat hipertensi tanpa menggunakan obat kimia (5) Memberikan terapi komplementer (terapi humor) untuk menghilangkan nyeri kepala akibat hipertensi (6) pendidikan kesehatan tentang  cara pencegahan penyakit jantung koroner.Target yang dicapai yaitu peningkatan sadar hipertensi 90%, Terdapat perbedaan tang bermakna sebelum dan setelah diberikan pendidikan kesehatan tentang cara menurunkan tekanan darah tanpa obat kimia dan cara menghilangkan nyeri kepala akibat hipertensi (p 0,01) terbentuknya Kelas Tensi 100%, anggota kelas tensi menjalani terapi terapi humor100 %. Terdapat perbedaan yang bermakna tekanan darah sistolik pada pemantauan awal dan akhir kelas tensi (p=0,012). Luaran dari kegiatan pengabdian kepada masyarakat ini yaitu leaflet sadar tensi, metode sadar tensi, paten kelas tensi
PERBEDAAN TEKANAN DARAH SEBELUM DAN SETELAH TERAPI HUMOR DI KELURAHAN MERSI PURWOKERTO Dwi Novitasari; Sidik Awaludin
Viva Medika Vol 9 No 2 (2016)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.521 KB) | DOI: 10.35960/vm.v9i2.132

Abstract

Uncontrolled hypertension can lead to heart disease, kidney failure and stroke.Various complementary therapies developed to reduce high blood pressure. Joketherapy can cause a relaxation response and lowers blood pressure. The purpose ofthis study was to identify the impact of joke therapy on blood pressure.This study used the research design of One Group Pretest-Posttest Design. Theamount of samples of this study were 20 patients with hypertension in Mersi. Thesampling technique used purposive sampling.The results of the study showed a significant differences of the blood pressure beforeand after joke therapy humor therapy (p value sistolic = 0,000 dan p value = 0,004) Keyword: joke therapy, blood pressure, hypertension
PENGARUH PIJAT TERHADAP INTENSITAS NYERI PASCABEDAH JANTUNG Sidik Awaludin; Dwi Novitasari
Viva Medika Vol 10 No 1 (2017)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.496 KB) | DOI: 10.35960/vm.v10i1.143

Abstract

Pain is the main problem of patient with postoperative cardiac surgery, so it needs to be intervented pharmacological and non-pharmacological therapy. One of non-pharmacological therapy that can be used to treat pain postoperative cardiac surgery is massage. The massage is able to reduce pain through the gate control mechanism and the stimulation of the natural analgesic. The purpose of this study is to identify the influence of massage on pain intensity of postoperative cardiac surgery. The design of this study is quasi-experimental with non-equivalent control group design. The samples in this study were 36 patients with postoperative cardiac surgery. The massage reduced pain intensity significantly through pre and post-treatment (p value <0.05). The massage showed significant effect in reducing postoperative pain scale in cardiac surgery patients. The massage can be used as a part of nursing intervention in reducing postoperative cardiac surgery pain . Keyword: massage; pain; postoperative cardiac surgery