scholarly journals Manfaat Relaksasi Otot Progresif Bagi Klien DM Tipe II Untuk Mengurangi Gejala Fatigue

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Veronica Silalahi

Objective: to identify the effectiveness of health education about menarche using audiovisual media and leaflets on the attitudes of teenage girls Methods: This article used a quasi-experimental non-equivalent control group design. This study divided the subjects into two groups, the intervention group and the control group with 31 respondents each, that is class III and IV in Sawunggaling 1 primary school, Surabaya. This article used a simple random sampling. Data processing was carried out by pretest and posttest and health education interventions using audiovisuals and leaflets for the intervention group, and for the control group using leaflet. Data analysis used the Mann Whitney test to assess the mean increase in attitudes in both groups, and the Wilcoxon test to see an increase in attitudes after the intervention in both groups.Results: The results showed p-value = 0.000 (p <0.05) in the intervention groups. This means that there is a significant increase in the attitude of teenage girls before and after being given health education which shows the effectiveness of health education about menarche using audiovisual media and leaflets. Whereas in the control group data obtained that 0.754 (p> 0.005), this means that there is no significant difference from the attitudes of teenage girls before and after being given health education about menarche with media leafletsConclusion : health education using audiovisuals and leaflets that are effective in improving the attitudes of teenage girls in facing menarche 


Author(s):  
KASRON KASRON ◽  
SUSILAWATI SUSILAWATI

Introduction : Patients with hypertension patients can have sleep disorders such as dizziness or headache, feeling tired during the day, anxiety, decreasing concentration and irritability. This study aimed to evaluate the effect of progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. Method : The research used quasi-experiment with pre-post test without control group. Respondents werw patients with hypertension in South Cilacap City, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done PMR regularly for 7 days, and the exclusion criteria was patients with impaired osteoarthritis and rheumatoid arthritis. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions PMR. Statistic analysis used wilcoxon test. 16 respondents included in the criteria. Result : The quality of sleep before treatment PMR was 7 people (43.8%) poor, 9 people (56.3%) very bad. After treatment PMR was 3 people (18.8%) rather good, 13 people (81.3%) less good. The analysis shown the sleep quality was difference between before and after PMR with p-value <0.001. Discussion : The study shows there is difference between before and after PMR in hypertensive patients in South Cilacap. PMR can be used to improve the sleep quality of hypertensive patients.


2020 ◽  
Vol 1 (1) ◽  
pp. 44
Author(s):  
Sulastri , ◽  
Andi Thahir ◽  
Rohayati ,

Introduction: A person who has low self-esteem sees the environment in a negative way and considers it a threat. Schizophrenias patients with negative symptoms generally show a feeling of inferiority, this condition is a problem because of the cause of other problems, such as social isolation. The purpose of this research was to analyze the effect of giving thought stopping to self-esteem people with schizophrenia. Methods : This research uses quantitative approach the method used was the experimental design of pretest-posttest with control design. The population is the patient who was treated at the Custody. Sampling method in this research is by purposive sampling. Total sample is 90 respondents, divided into two groups, Intervention group 30 and control group 60 respondents. Measurement of data with client's self-esteem observation sheets before and after therapy. Results : The result of bivariate analysis was done using t-test obtained by p-value <0,005.  There is a significant difference in patient self-esteem in the control group and intervention group after thought stopping. Conclusion: These results suggest there is influence of thought stopping with patient self esteem. Sex, length of illness and treatment history are not confounding factors. It is recommended to use thought stopping as one of the actions of nursing, especially on clients with self esteem problems. 


2021 ◽  
Vol 1 ◽  
pp. 413-420
Author(s):  
Fauzan Kukuh Permadi ◽  
Dafid Arifiyanto

AbstractIt is commonly hypertension is a non-communicable disease which is one of the main causes of premature death in the world. The management of this disease includes a non-pharmacological and pharmacological matter. One of the non-pharmacological alternatives for reducing the problem is by applying a technique of progressive muscle relaxation. To examine the effect of progressive muscle relaxation therapy in controlling blood pressure in hypertensive patients. Since it is a literature review, it has searched articles published during 5 years. from 2017 to 2021 in Scilit and Garba Garuda. It obtained 5 articles with 163 respondents and the were according to the keyword and inclusion criteria. Then, it was analyzed by Discern instrument then processed using the Mann-Whitney test and concluded. After analyzing process, it started that the characteristics of the majority of respondents with hypertension are female and >45 years old, there is a significant difference in mean different systolic blood pressure between the control group and the intervention group with a p-value , 0.001. Beside, there is a significant difference in the mean different diastolic blood pressure between the control group and the intervention group with a p-value, 0.001. The results of the analysis and synthesis showed that progressive muscle relaxation therapy was effective in lowering blood pressure.Keywords: Hypertension, progressive muscle relaxation, blood pressure AbstrakHipertensi merupakan penyakit tidak menular yang menjadi salah satu penyebab utama kematian dini di dunia. Penatalaksanaan hipertensi meliputi non farmologis dan farmologis. Salah satu terapi non farmologis alternatif untuk menurunkan tekanan darah yaitu dengan teknik relaksasi otot progressif. Untuk mengetahui pengaruh terapi relaksasi otot progresif dalam mengontrol tekanan darah pada pasien hipertensi. Metode yang digunakan dalam penelitian ini adalah korelasi dengan pengumpulan data literature review, pencarian artikel pada rentang waktu 5 tahun yaitu dari tahun 2017-2021 melalui penelusuran Scilit dan Garba Garuda. Didapatkan 5 artikel dengan 163 responden. Hasil pencarian didapatkan sesuai kata kunci dan kriteria inklusi, dianalisa menggunakan instrument Discern yang kemudian diolah menggunakan uji Mann-Whitney lalu disimpulkan. Hasil Analisa dari kelima artikel didapatkan hasil penelitian pada karakteristik responden mayoritas penderita hipertensi berjenis kelamin perempuan dan berusia >45 tahun, ada perbedaan yang signifikan mean different tekanan darah sistole antara kelompok kontrol dengan kelompok intervensi dengan nilai..p-value..0,001 dan ada perbedaan yang signifikan mean different tekanan darah diastole antara kelompok kontrol dengan kelompok intervensi dengan nilai..p-value..0,001. Hasil analisa dan sintesa menunjukkan terapi relaksasi otot progresif efektif dalam menurunkan tekanan darah.Kata kunci: Hipertensi, relaksasi otot progessif, tekanan darah


2020 ◽  
Vol 2 (2) ◽  
pp. 52-67
Author(s):  
Anggi Vina Hariyati ◽  
Cahyaningrum ◽  
Adil Zulkarnain

Anemia is one of the public health problems that need more attention of the female because they experience menstruation and they are in the growth phase. From the data of Semarang City Health Office  in 2011, it is shown the incidence of anemia in adolescents aged 10-19 years old are 68.24%. The prevention effort of the case is by measuring hemoglobin and prescribing blood supplement. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. This research used pre-experimental design with the two group pretest posttest. The population in this Study were all Merchant Marine Polytechnique Semarang at the 4th semester of female students  amounting to 50 with the total respondents 34 respondents taken with purposive sampling technique. The data were collected by performing Hemoglobin examination. The results of the study show that the average Hemoglobin before being prescribed Fe on the intervention and control group was 11.29 g/dl. After being prescribed Fe to the intervention group, it is found the average increased to 13.69 g/dl, while in the control group it is found averaged 11.72 g/dl. Bivariate Analysis uses an independent t test, the value of t is 6.136 with a p-value of   0.000. It shows that the p-value is 0,000 <((0.05), this indicates that there is a significant difference in the decrease in Hemoglobin levels in the population after being prescribed blood supplement between the intervention and control groups in The Semarang Merchant Marine Politechnique Students. It is suggested that the female adolescents to consume more iron-containing foods or consume Fe supplements such as Fe, during menstruation. ABSTRAK  Anemia merupakan salah satu masalah kesehatan masyarakat yang perlu khusus nya pada remaja  putri yang perlu mendapatkan perhatian khusus karena remaja putri mengalami mestruasi tiap bulan dan dalam masa pertumbuhan . Hasil Data Dinas Kesehatan Kota Semarang tahun 2011.  Kejadian anemia pada remaja usia 10-19 sebanyak 68,24%. Untuk menangani masalah tersebut pencegahan yang dilakukan yaitu dengan cara mengukur hemoglobin dan pemberian suplemen tablet tambah darah . Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Jenis penelitian ini menggunakan  pre-eksperimen design dengan rancangan Two group pretest posttest. Populasi dalam penelitian iniadalah seluruh taruni politeknik ilmu pelayaran semarang semester 4 berjumlah 50 taruni dengan jumlah sempel 34 responden dengan tehnik pengambilan sempel purposive sampling. Pengambilan data dengan melakukan pemeriksaan Hemoglobin.  Penelitian menunjukan bahwa rata-rata Hemoglobin sebelum diberikan pada taruni kelompok intervensi  dan  kontrol sama yaitu  11,29 g/dl.  Dan setelah diberikan pada kelompok intervensi  rata-rata meningkat menjadi 13,69 g/dl, sedangkan  kelompok kontrol rata-rata sebesar 11,72 g/dl. Analisis bivariate Menggunakan uji t independen, didapatkan nilai t hitung 6,136 dengan p-value sebesar 0,000. Terlihat bahwa p-value 0,000 <a (0,05), ini menunjukkan bahwa ada perbedaan secara signifikan penurunan (selisih) kadar Hemoglobin b pada taruni sesudah diberikan tablet penambah darah antara kelompok intervensi dan kontrol pada taruni Politeknik Ilmu Pelayaran Semarang.  Hendaknya bagi remaja putri lebih banyak mengomsumsi makanan yang mengandung zat besi atau mengomsumsi suplemen yang mengandung besi seperti Fe terutama saat mestruasi


2020 ◽  
Vol 8 (01) ◽  
pp. 144-158
Author(s):  
Vervando Janter Sumilat ◽  
Prabawati Prabawati ◽  
Sudibyo Supardi

Abstract Background: Cancer patients with chemotherapy experience fatigue as cancer effects and cell destruction due to the toxicity of chemotherapy drugs. Objective: Determine the effectiveness of relaxation breathing exercises to fatigue cancer patients who undergoing chemotherapy. Methode: This research used quasi experiment pretest and posttest method. There were 92 respondents who examined using purposive sampling technique and divided into 46 respondents as intervention group and 46 respondents as control group. Relaxation breathing exercise was given four weeks for intervention group on April-July 2018 in Siloam Hospital Manado. Result: The majority of cancer patients were age 45-65 years 69,9%, 54,3% were diagnosed cancer ≤1 year and 79,3% received combination chemotherapy. The result of Wilcoxon test revealed there was significant difference before and after intervention to fatigue (p value = 0,00), with mean rank of reduction 21,97% on fatigue. The result of Mann Whitney test revealed that there was significant difference in fatigue between intervention and control groups (p value = 0,00). Multivariate logistic regression revealed that there was an effect of relaxation breathing exercise on fatigue (p value = 0,00) and relaxation breathing exercise may reduce 60,46 times of fatigue on patients who undergoing chemotherapy. Conclusion: Relaxation Breathing Exercise can reduce fatigue in cancer patients who undergoing chemotherapy in Siloam Hospital Manado. It is recommended to perform relaxation breathing exercise as a routine exercise for cancer patients during chemotherapy to minimize fatigue. Keywords: Relaxation Breathing Exercise, Fatigue, Chemotherapy, Cancer


2018 ◽  
Vol 1 (2) ◽  
pp. 74-80
Author(s):  
Zuhrotul Umaroh ◽  
Elsye Maria Rosa

Background: The injury is still a major public health problem throughout the country, where two-thirds occur in developing countries, including Indonesia. In Indonesia, recorded injury cases in 2013 reached 84,277 people (8.2%). The negative impacts caused by the fracture appears, which includes; psychological, social, and spiritual. The Department of Health reported that 15% of patients experiencing psychological stress fractures to depression. Psychoeducation efficient in the treatment process and decrease the symptoms of depression that is a component in the psychological response on the existence of a disability condition. Aim: the research aimed todetermine the effectiveness of psychoeducation to the physical adaptation among fracture patients in public hospital of Jombang Method: this is a quasi-experiment research with pre-test and post-test control group design. There were 16 respondents in control group and another 16 respondents for intervention group which was gathered with consecutive sampling. The data were analyzed with parametric analysis using paired sample t-test dan independent t-test. For testing the data normality distribution, Shapiro-wilk analysis was operated. Result: Paired t test sample stated that there was significant difference in the physical adaptation among fracture patients before and after the intervention of psychoeducation (p value = 0,000 ; CI 95% <alpha = 0,05). In the unpaired t test was obtained p value = 0.000; CI 95% <alpha = 0.05, which indicates a significant difference of fracture patients’ adaptation who has given psychoeducation intervention and who has not. Conclusion: the psychoeducation intervention  increasedphysical adaptation among fracture patients. Nurses must continue to develop and apply the procedures for implementing psychoeducation fractures primarily in patients with the aim to improve the adaptability of fracture patients.


2019 ◽  
Vol 4 (2) ◽  
pp. 81-88
Author(s):  
Akhmad Rifai ◽  
Sugiyarto Sugiyarto

Background: Airway management is the most important thing in resuscitation and requires special skills in the management of emergencies, therefore the first thing that must be assessed is the smoothness of the airway, which includes airway examinations that can be caused by foreign bodies. The lack of oxygen is a cause of rapid death. Research Objectives The general objective of this research is to improve the ability of airway management skills ordinary people in Kateguhan, Sawit, Boyolali. Methods: This research is an experimental study with a Pre-Test-Post Test one Group control design approach. through testing research hypotheses. The population of this research is the cloud community of 50 respondents which are divided into two groups,  25 respondents in the intervention group and 25 respondents as a control group. Statistical test in the paired group uses the nonparametric Wilcoxon test and the non-paired uses Mann-Whitney. Results: Based on the results of the Wilcoxon analysis test it can be concluded that the 25 respondents who conducted training in simulation measures by way of air way management training specifically airway obstruction can be drawn the conclusion that the majority of ordinary people have good knowledge in terms of emergency handling abilities, especially in air way management measures p value 0.001 which means that there are significant differences between before and after training. In the control group there were also significant differences with a P value of 0.001. Based on the Mann-Whitney test analysis, there were significant differences between the intervention and control groups with a p value of 0.001. Conclusion: Airway management education and training courses for lay people continue to be held to improve the ability of the action skills.


2019 ◽  
Vol 19 (3) ◽  
pp. 714
Author(s):  
Rika Roza ◽  
Budhi Mulyadi ◽  
Yonrizal Nurdin ◽  
Mahathir Mahathir

Chephalgia is grievance that is often felt like discomfort in head, Chephalgia can bother activity and productivity. One of complementary therapy that can reduce Chephalgia is acupressure. This study aims to determine the effect of acupressure by family member on pain level of Chephalgia patient in Padang Panjang conducted february-September 2019. The study is an experimental design and a pretest-posttest with control group design with 116 of samples and it uses simple random sampling. Different levels of pain before and after the administration of acupressure by family members used the Wilcoxon test. Whereas to see the comparison of the intervention group and the control group used to test two different groups used the mann withney test.. Satistic test result get p value = 0.0000 that means there is significant effect between before and after acupressure on intervention group, but there is no significant effect on control group get p value = 0,771. This therapy acupressure is recomended for solving Chephalgia, it means that we can give nursing complementary therapy for minimizingC.


2019 ◽  
Vol 8 (2) ◽  
pp. 71
Author(s):  
Claudia Fariday Dewi

Introduction: Stress among teachers has a significant relationship with the psychosomatic and depressive symptoms. Community nurses need to make efforts in preventing the adverse effects of stress on teachers. Progressive muscle relaxation with music and aromatherapy is an alternative intervention which can be practiced to reduce the level of stress among teachers. This study aimed to investigate the effects of progressive muscle relaxation which was combined with music and aromatherapy on decreasing the level of stress in teachers.Methods:This study employed a pre-post test quasi-experimental design with a control group. The samples were 46 teachers recruited by purposive sampling and were assigned to the intervention group (n=23) and the control group (n=23). The intervention of progressive muscle relaxation with music and aromatherapy was given to the intervention group for four sessions in four days; each session lasted for 20 minutes. The data were analyzed using the t-test to know the effects of the intervention on decreasing the stress level.Results:The results showed that the average level of stress of the teachers in the intervention group decreased from 50.65 ± 3.761 to 32.78 ± 8.426 after the intervention. Meanwhile, in the control group, the average stress level slightly decreased from 49.87 ± 3.348 to 49.17 ± 4.868. The result of the t-test obtained a p-value of 0.000 (<0.,05), indicating that there were significant differences in the stress levels between the intervention and the control group.Conclusion:Progressive muscle relaxation with music and aromatherapy could reduce the level of stress in school teachers. Based on the findings, it is recommended that the school teachers perform this relaxation therapy to decrease the stress level. The teachers could practice the therapy by the help of training from the community nurses.


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