scholarly journals PENGARUH PROGRESSIVE MUSCLE RELAXATION TERHADAP PENURUNAN KADAR GULA DARAH SEWAKTU PADA PASIEN DIABETES MELLITUS DI PUSKESMAS KELING 1 KABUPATEN JEPARA

2021 ◽  
Vol 12 (2) ◽  
pp. 411
Author(s):  
Rusnoto Rusnoto ◽  
Nur Laily Prasetyawati

Latar Belakang : Diabetes Melitus merupakan salah satu penyakit degenerative. Terdapat lebih dari 220 juta DM diseluruh dunia pada tahun 2011 dan 80% lebih penderita berada di negara berkembang termasuk Indonesia (Soegondo, 2009). Kurang lebih 5-10% pasien diabetes menderita DMT1, selebihnya sekitar 90-95% pasien diabetes menderita DMT2 (Smeltzer & Bare, 2002). Beberapa faktor yang dapat meningkatkan kejadian DM adalah umur, keturunan, pola makan yang salah, aktivitas fisik kurang gerak, obesitas, stres, dan pemakaian obat-obatan. Salah satu factor yang dapat meningkatkan kejadian DM yaitu stres. Stres yang menetap menimbulkan respon stres berupa aktivasi sistem saraf simpatis dan peningkatan kortisol. Kortisol ini akan meningkatkan konversi asam amino, laktat, dan piruvat di hati menjadi glukosa melalui proses glukoneogenesis, dengan demikian stres akan meningkatkan kadar glukosa darah.                                                                                                        Tujuan : Mengetahui pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Jepara Tahun 2021.                                                   Metode : Metode dalam penelitian ini adalah kuasi eksperimen dengan rancangan control group pre-test and post-test. Sampel 50 responden yang terdiri dari kelompok intervensi dan kelompok kontrol. Alat ukur yang digunakan glukometer digital, lembar observasi latihan PMR. Analisis data menggunakan uji wilcoxon.                                                                                                                   Hasil Penelitian : Hasil analisis uji wilcoxon signed rank test didapatkan bahwa p value = 0,001 (p value < α) maka dapat disimpulkan Ho ditolak dan Ha diterima yang berarti ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah sewaktu  pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021.                                                                                                                                 Kesimpulan : Ada pengaruh progressive muscle relaxation terhadap penurunan kadar gula darah  sewaktu pada pasien Diabetes Mellitus di Puskesmas Keling 1 Kabupaten Jepara Tahun 2021. Dengan penelitian ini diharapkan ada kelanjutan penelitian ini dengan metode lebih baik.

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Chilyatiz Zahroh ◽  
Khamida Khamida ◽  
Nanang Rokhman Saleh

Surgery is a medical action can cause stress on the patient. Stress patient who will undergo surgery must be well managed in order not to harm patients. The purpose of this study was to analyze the influence of Islamic progressive muscle relaxation (IPMR) against the patient's decrease cortisol levels. This research was experimental research with approach of pre-post test design. The population were all patients treated in Azzahra during September 2017, with research samples of 30 respondents obtained via simple random sampling techniques. Independent variables was Islamic progressive muscle relaxation, whereas cortisol levels was dependent variables. The data of Cortisol levels was collected through the patient's blood sample. Data were analyzed with a Wilcoxon signed rank test. Results of the study indicate that there are significant levels of cortisol after patient's IPMR. Cortisol levels in the normal range can modulate the immune system so as to strengthen the body's immune. Nurses can make the effort an effective, easy and cheap to reduce stress to patients who will undergo surgery with technique IPMR. Keywords: Islamic, Progressive, Muscle, Relaxation, Cortisol, Stress


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Fauziah Fauziah ◽  
Sri Lestari

Masa remaja akan diwarnai dengan perubahan fisik salah satunya adalah payudara   membesar.  Payudara   ini   memiliki   kemungkinan   akan   timbulnya penyakit salah satunya adalah kanker payudara. Namun kurangnya minat remaja dalam  mencari  informasi  mengenai  deteksi  dini  kanker payudara,  menjadikan remaja tidak paham akan penyakit kanker payudara. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan melalui peer group terhadap pengetahuan dan sikap remaja putri tentang SADARI. Jenis penelitian ini menggunakan desain quasi experiment dengan pendekatan pre and post test without control group. Dengan jumlah populasi 1028 remaja putri, sehingga jumlah sampel didapatkan sebanyak 91 responden. Teknik pengambilan sampel yang digunakan dalam penelitian ini menggunakan simple random sampling. Data diperoleh dengan cara wawancara, alat pengumpulan data menggunakan kuesioner dan dianalisis secara statistik menggunakan uji Wilcoxon Signed Rank Test. Hasil pengujian hipotesis menggunakan uji Wilcoxon signed ranktest diperoleh   nilai   probabilitas  (p-value)  sebesar 0,000  (p<   0,05)   sehingga kesimpulan uji adalah terdapat pengaruh pendidikan kesehatan melalui peer group terhadap pengetahuan dan sikap remaja putri tentang SADARI.Kata kunci : Pengetahuan, Sikap, Peer Group, Remaja   ABSTRACT Adolescence will be colored by physical changes, one of which is enlarged breasts. This breast has the possibility of disease, one of which is breast cancer. But the lack of interest in adolescents in seeking information about early detection of breast cancer, makes teenagers do not understand breast cancer.The purpose of this study was to determine the effect of health education through peer groups on the knowledge and attitudes of young women about their awareness. This type of research uses a quasi experiment design with a pre and post test without control group approach. With a population of 1028 young women, so the number of samples was 91 respondents. The sampling technique used in this study used simple random sampling. Data obtained by interview, data collection tools using questionnaires and statistically analyzed using the Wilcoxon Signed Rank Test. The results of hypothesis testing using the Wilcoxon signed ranktest test obtained a probability value (p-value) of 0,000 (p <0.05) so that the conclusion of the test was that there was an effect of health education through peer groups on the knowledge and attitudes of young women.Keywords : Knowledge, Attitude,Peer Group, Adoloscence


2020 ◽  
Vol 7 (1A) ◽  
pp. 171-175
Author(s):  
Moh Syaifulloh ◽  
Mujib Akhis Susanto ◽  
Minidian Fasitasari ◽  
Muhammad Aziz ◽  
Saras Pudjowati ◽  
...  

Latar belakang : Metode Wim Hoff merupakan kombinasi dari paparan dingin, tekhnik pernafasan, dan meditasi. Kombinasi antara terapi konvensional medis dengan terapi non farmakologis seperti pada Metode Wim Hoff yang berusaha mengkombinasikan antara yoga dengan pengaturan nafas sehingga memberi kesempatan pada peningkatan volume/kapasitas tidal paru menjadi stabil. Ada banyak variasi dari metode Wim Hoff meliputi mengontrol pernafasan,  menahan nafas, dan memulai pernafasan, ketiga fase tersebut dapat diulang dalam kurun waktu tiga kali secara berturut – turut atau lebih. Dengan dilakukan terus menerus sangat membantu peningkatkan sel darah merah, meningkatkan kapasitas tidal paru, meningkatkan sirkulasi, dan dapat dibuktikan secara klinis. Penelitian ini bertujuan untuk mengetahui pengaruh Metode Wim Hoff terhadap pola nafas, denyut jantung, dan SpO2 pasien Covid – 19 yang dirawat di Rumah Sakit Islam Sultan Agung Semarang. Metode : Metode yang digunakan dalam penelitian ini adalah quasi experiment dengan desain pre dan post test tanpa kelompok kontrol. Sampel pada penelitian ini dipilih secara consecutive, dan terdiri dari 25 responden dengan rincian 9 laki – laki dan 16 perempuan. Ditemukan hasil  bermakna antara intervensi sebelum dan sesudah terhadap pola nafas, dan SpO2, selanjutnya data diolah menggunakan uji paired T test dampak komparatif Wim Hoff dengan perbandingan respirasi, denyut jantung, SpO2 dan uji Wilcoxon signed rank test pada kelompok perlakuan didapatkan P = 0,0014 < ? = 0,05, sehingga H0 ditolak. Pada kelompok kontrol didapatkan P = 1,000 > ? = 0,05 sehingga H0 diterima, artinya bahwa ada pengaruh terhadap kemandirian responden kelompok perlakuan. Hasil : Hasil uji statistik adalah  p value 0,000 pada pola nafas dan SpO2, akan tetapi terhadap denyut jantung didapatkan p value 0,447. Simpulan : Metode Wim Hoff mampu menstabilkan pola nafas dan SpO2, akan tetapi tidak untuk denyut jantung. Kata kunci : Wim Hoff, Pola nafas, SpO2,  Denyut jantung   Background : Wim Hof Method (WHM) is combination of frequent cold exposure, breathing techniques and meditation. The combination of conventional medical therapy with non-pharmacological therapies such as the Wim Hoff Method which seeks to combine yoga with breath control so as to provide an opportunity for the increase in lung tidal volume / capacity to become stable.There are many types of breathing method including Controlled breathing, Breath retention, and Recovery. these three phases may be repeated for three or more consecutive rounds. By being done continuously it really helps increase red blood cells, increase lung tidal capacity, improve circulation, and can be proven clinically. This research aimed to explore the effect of Wim Hoff Method on respiration rate, heart rate, and SpO2 among Covid – 19 patients at Islamic Sultan Agung Hospital Semarang. Methods : Quasi experiment used in this study was pre and post test design without control group. Sampel were recruited using consecutive sampling. The samples of this study consists of 25 Covid – 19 patients including 9 male and 16 female. The study found significant result between pre and post test intervention for respiration rate and  SpO2. A meaningful result between the before and after intervention of the breath pattern, and the SpO2, subsequently the data was processed using a test paired T comparative impact of Wim Hoff with a ratio of respiration, heart rate, SpO2 and a test of Wilcoxon signed rank test on the treatment group obtained P = 0.0014 < ? = 0.05, so that H0 rejected. In the control group acquired P = 1.000 > ? = 0.05 so that H0 was accepted, meaning that there was an influence on the self-reliance of the group treatment. Result : The statistical test result was p value 0,000 for respiration rate and SpO2  but for the heart rate p value 0,447. Conclusion : Wim Hoff Method was effective on stabilizing respiration rate and increasing SpO2  but not for heart rate. Keyword : Wim Hoff Method, Respiration rate, SpO2, Heart rate.


2021 ◽  
Vol 12 (2) ◽  
pp. 87-91
Author(s):  
Erna Melastuti ◽  
Rika Viyanti ◽  
Suyanto Suyanto

Background: Cancer pain is caused by the growth of cancer mass that is getting bigger so that it suppresses bones, tissues and other organs around it. Cancer pain is a common complaint of post-treatment patients. Pain that is not further identified will have an impact on the patient's activity. Pain management can be done by pharmacological and nonpharmacological measures. Nonpharmacological therapies include progressive muscle relaxation and lemon aromatherapy. Aim : This study aimed to determine the effect of progressive muscle relaxation and lemon aromatherapy of cancer’s patient. Method : Pre Experiment used One Group With Pretest — Posttest Design. The sample consisted of 9 respondents using nonprobability sampling technique with purposive sampling method. Result : The results of this research is Wilcoxon Signed Rank Test with a maximum level of 95%, obtained p value of 0.006 less than the significant value of 0.05. Conclusion : There is an effect of progressive muscle relaxation and aromatherapy lemon on pain in cancer patients with a p value of 0.006. Keywords : Progressive muscle relaxation, lemon aromatherapy, pain, cancer


2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level


2017 ◽  
Vol 14 (4) ◽  
pp. 3950 ◽  
Author(s):  
Ahmet Gönener ◽  
Utku Gönener ◽  
Ozan Yılmaz ◽  
Tuğçe Horoz ◽  
Deniz Demirci

The aim of this study is to investigate 8 weeks Thera-Band trainings' effects on male swimmers' 100 m freestyle swimming performance.The study group is created by 20 (n = 20) licenced male athletes that had trained at least 3 days in a week and have been active in swimming sport at least 3 years in Gebze Genclerbirligi Swimming Club 20 (n = 20). Athletes were divided into experiment group (n = 10) and control group (n = 10) randomly. Training programme was applied to the study group for 55-60 minutes for 3 days on alternate days and times when the club does not have swimming training. 12 different Thera-Band trainings were applied for 40-45 mins and each set was 15 minutes.Mann-Whitney U test was used to analyze differences between groups and Wilcoxon signed rank test was applied for analyzing the differences of intra-groups. SPSS 21.0 Statistics package software was used for statistical analyzes. The results show that there are no significantly differences between experimental group's and control group's post test results. (p>0.05). Statistically significant differences are found as a result of intra-group comparison of the experimental group's pre-test and post-test results (p<0.05).Depending on the results obtained after reviewing the literature, it can be concluded that Thera-Band training is effective on the performance improvement of swimmers aged 13-15 years.


2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Lono Wijayanti ◽  
Ghady Anggun M

The type of sport suggested for Diabetes Mellitus patient is Diabetes Gym, but most societies, especially diabetes mellitus patients are lazy to do it. On diabetes mellitus type 2, diabetes gym acts as glycemic control which manages and control blood sugar rate. This research purposes to know diabetes gym influence toward the decrease of blood sugar rate on Diabetes Mellitus patient type 2 in Puskesmas Pakis Surabaya. This research used quasy experiment design. Total of the population of all Diabetes Mellitus patients type 2 is 28 respondents taken by probability sampling - simple random sampling technique; 14 respondents in control group and 14 respondents in treatment group. The independent variable is Diabetes Gym and the dependent variable is the decrease of blood sugar rate. Data are collected by using Glucometer, striptest, needle and observation sheet. Data are analyzed by using Wilcoxon signed rank test with α < 0.05. The result of this research shows that almost all of the respondents in the treatment group have a good category of blood sugar decrease after performing gym, meanwhile almost all of the respondents in control group that do not perform gym have an adequate category of blood sugar decrease. Then, the result is analyzed by Wilcoxon signed rank test and obtained ρ (0,019) < α (0,05) so H0 is refused. It means that there is an influence of diabetes gym to the decrease of blood sugar on the Diabetes Mellitus patients type 2 in Puskesmas Pakis Surabaya. Performing Diabetes Gym influences in decreasing blood sugar rate. Therefore, nurse can take a part in leading diabetes patients to perform diabetes gym so it can be used as the therapy in controlling and decreasing blood sugar rate.


Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 340
Author(s):  
Tintin Sukartini ◽  
Candra Panji Asmoro ◽  
Nandani Alifah

Background: Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. This researched aimed to analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients.Method: The study design used quasi-experimental pre-post test with control group. Samples were 28 respondents using purposive sampling and divided into two groups of 14 respondents each. The independent variable is diabetic foot training, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument was Weinstein Monofilament 10 g Semmes and a diabetic foot training checklist. Data analysis using the Wilcoxon-signed rank test and Mann Whitney test with α≤0.05.Result: The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment (p=0,000) and no difference in the control group (p=0.564). The Mann Whitney test results showed differences in sensory peripheral neuropathy between the treatment group and the control group after treatment p=0.039.Conclusion: Diabetic foot exercises can be used as an alternative measure to improve sensory peripheral neuropathy.


2020 ◽  
Vol 3 (1) ◽  
pp. 21-26
Author(s):  
Siti Sarah Bintang Sarah Bintang ◽  
Novi Wulandari Tinambunan ◽  
Sabirin Berampu ◽  
Miftahul Zannah ◽  
Isidorus Jehaman

The fitness condition of the elderly is an indicator that can be used to determine the health level of the elderly. The level of physical activity is one of the factors that determine body composition from childhood to old age, proper flexibility helps people to have a functional balance throughout their life and to participate fully in countless recreational and communitarian activities. Lack of reasonable flexibility a greater chance of developing lesions and functional problems. Gymnastics for the elderly is a sport that can be done regularly so that the fitness of the elderly can increase. The study was to determine the effect of elderly exercise on improving fitness and flexibility and speed in the elderly in Sionom Hudon Selatan Village in 2020. Method of research is Quasi Experiment or quasi-experimental research with the design or research design used is one group pre and post test conducted in the Village of Sionom Hudon Selatan.The sample consisted of 12 people in each action taken. The results of the hypothesis test with the Wilcoxon signed rank test test p value α = (0.002 <0.05) which means "There is an effect of Giving Elderly Gymnastics Against Improvement of Fitness and Flexibility and Speed in the Elderly in the Village of Zion South Hudon in 2020".


Jurnal NERS ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. 296
Author(s):  
Widodo Widodo ◽  
Sumardino Sumardino ◽  
Akhmad Rifai

Introduction: In the year 2014 there were 456 disasters in Indonesia, comprising 227 natural disasters, 197 non-natural disasters and 32 social disasters. The community is expected to be well prepared in accordance with their respective capacities, and this includes the Civil Service Police Unit (CSPU), which must be competent in providing emergency first aid. The aim of this study is to analyse the effect of emergency first aid training on the competence of CSPU in providing emergency first aid assistance in the Surakarta region. Methods: This study used a pre-experimental technique using a pre-post test group design. The sample consisted of 107 respondents who were recruited by total sampling. Variables in this study were competencies in handling emergency first aid assistance including knowledge, attitude and practice. Data were collected by questionnaire and analysed using Wilcoxon signed-rank test with a p-value of 0.05. Results: There were significant differences in scores on knowledge, attitudes, and practice in providing emergency first aid assistance, with a p-value of 0.012 for knowledge, 0.000 for attitude and 0.001 for practice, respectively. Conclusions: Emergency first aid training is urgently needed for CSPU members that are ever directly in charge in the community in any situation. The CSPU must have the first aid competence to support its performance.


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