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INTERVENSI MUSIK GAMELAN JAWA DALAM MENINGKATKAN NILAI KOGNITIF PADA LANSIA DENGAN PREDEMENSIA DI DESA KLESEM KEBONAGUNG Hasnah, Kholifah; Nuryanti, Aprilia
Jurnal Kesehatan Kusuma Husada Vol. 15 No. 1, Januari 2024
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v15i1.1277

Fungsi kognitif merupakan kemampuan mental dan intektual serta memori, perhatian, persepsi, penalaran dan kondisi kesadaran secara umum yang dapat diukur untuk melihat nilai dari kognitif. Nilai kognitif akan menurun saat memasuki fase lansia dan mengakibatkan lansia menjadi mudah lupa, bingung dan terdapat gangguan bahasa. Salah satu implementasi yang dapat diberikan pada lansia dengan penurunan nilai kognitif adalah memberikan stimulasi music gamelan. Tujuan dari penelitian ini adalah mengetahui peningkatan nilai kognitif lansia setelah diberikan stimulasi music gamelan jawa. Metode yang digunakan pada penelitian ini adalah quasy eksperimental dengan one group pretest and posttest design. Jumlah subjek dalam penelitian ini adalah 20 lansia yang akan diberikan implementasi musik gamelan jawa dan diukur nilai kognitif dengan kuisioner Mini Mental State Examination sebelum dan sesudah diberikan implementasi music gamelan jawa. Hasil analisa menunjukkan bahwa ada peningkatan nilai kognitif dengan kategori dari gangguan kognitif berat menjadi gangguan kognitif ringan dengan selisih nilai rata rata sebesar 6,7 pada nilai pre test dan post test. Kesimpulan terapi music gamelan dapat meningkatkan nilai kognitif pada lansia. Saran perlu adanya penelitian selanjutnya yang berkaitan dengan penyakit degenerative pada lansia. Cognitive function is mental and intellectual abilities as well as memory, attention, perception, reasoning and general states of consciousness that can be measured to see the value of cognition. Cognitive values will decrease when entering the elderly phase and result in elderly people becoming easily forgetful, confused and experiencing language problems. One implementation that can be given to elderly people with cognitive decline is providing gamelan music stimulation. The aim of this research is to determine the increase in the cognitive value of the elderly after being given Javanese gamelan music stimulation. The method used in this research was quasi-experimental with one group pretest and posttest design. The number of subjects in this study were 20 elderly people who would be given the implementation of Javanese gamelan music and their cognitive scores would be measured using the Mini Mental State Examination questionnaire before and after being given the implementation of Javanese gamelan music. The results of the analysis show that there is an increase in cognitive scores in categories from severe cognitive impairment to mild cognitive impairment with an average difference of 3.1 in the pre-test and post-test scores. Conclusion Gamelan music therapy can improve cognitive values in the elderly. Suggestions require further research related to degenerative diseases in the elderly

MENOPAUSE RATING SCALE (MRS) PADA USIA 45-59 TAHUN DITINJAU DARI RIWAYAT KONTRASEPSI Trisnowati, Tatik; Nuryanti, Aprilia
KOSALA : Jurnal Ilmu Kesehatan Vol 13 No 1 (2025): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v13i1.388

Menopause merupakan proses alami yang terjadi saat seorang wanita bertambah tua. Seiring usia bertambah, indung telur akan makin sedikit memproduksi hormon kewanitaan dan menyebabkan indung telur tidak lagi melepaskan sel telur sehingga menstruasi akan berhenti. Penggunaan kontrasepsi hormonal dapat menimbulkan efek negatif pada kehidupan seksualitas wanita. Durasi dan tingkat keparahan gejala yang timbul bisa berbeda-beda pada tiap wanita. Penelitian ini bertujuan untuk mengetahui hubungan penggunaan kontrasepsi hormonal dengan gejala menopause. Metode penelitian ini adalah penelitian korelasional dengan pendekatan Cross Sectional. Sampel penelitian ini menggunakan non probability sampling jenis consecutive sampling. Besar sampel pada penelitian ini adalah 60 orang. Analisis data menggunakan analisa bivariat dengan uji Pearson Correlation. Hasil penelitian menunjukkan bahwa ada hubungan antara gejala menopause dengan penggunaan kontrasepsi (p=0,000). Kesimpulan penelitian ini adalah terdapat hubungan antara gejala menopause dengan penggunaan kontrasepsi. Kata kunci : hormonal; kontrasepsi; Menopause Rating Scale (MRS) Menopause is a natural process that occurs as a woman grows older. As a woman ages, her ovaries produce fewer female hormones, causing the ovaries to no longer release eggs and menstruation to stop. The use of hormonal contraceptives can have a negative effect on a woman's sexual life. The duration and severity of symptoms can vary from woman to woman. This study aims to determine the relationship between hormonal contraceptive use and menopausal symptoms. This research method is correlational research with a Cross Sectional approach. The sample of this study used non probability sampling type consecutive sampling. The sample size in this study was 60 people. Data analysis using bivariate analysis with Pearson Correlation test. The results showed that there was a relationship between menopausal symptoms and the use of contraceptives (p=0.000). The conclusion of this study is that there is a relationship between menopausal symptoms and the use of contraceptives. Keywords : contraception; hormonal; Menopause Rating Scale (MRS)

Pencegahan Shivering Pada Pasien Dengan Anestesi Spinal Di Instalasi Bedah Sentral: Sequential Explanatory Model Nuryanti, Aprilia; Ayuning Tias, Serli; Setyaningsih, Rahayu; Sudarmono, Andang
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1386

Shivering, or Post-Anesthesia Shivering (PAS), is one of the most common side effects of spinal anesthesia. Preventing shivering is crucial to avoiding complications such as patient discomfort, increased wound pain, delayed wound healing, elevated oxygen consumption, increased carbon dioxide production, and a higher metabolic rate. This study aims to identify both pharmacological and non-pharmacological interventions for shivering prevention. A mixed-method study with a sequential explanatory model was conducted in the Operating Theatre of a Type B hospital in Central Java over one month. The study involved 30 patients as respondents for the observational study and 9 anesthesia practitioners for the qualitative study. Data collection was carried out through patient observations and in-depth interviews with anesthesia practitioners. Shivering prevention interventions included pharmacological methods, with Pethidine (76.7%) as the most commonly used drug, followed by Tramadol, Dexamethasone, Ketamine, and Fentanyl. Additionally, non-pharmacological methods were implemented, including room temperature regulation (93.3%) and warmer blanket administration (93.3%). The qualitative study revealed that Pethidine was the preferred pharmacological choice for shivering prevention. Meanwhile, non-pharmacological strategies, such as warm infusions, oxygen administration, additional layers on the operating table, head caps, covering non-operated body parts, radiation, relaxation techniques, and deep breathing exercises, also played a significant role in reducing the incidence of shivering in spinal anesthesia patients. The findings of this study can serve as a guideline for shivering prevention management in IBS. Further research with a larger sample size, stricter control of shivering-related factors, and comparative studies on the effectiveness of various pharmacological and non-pharmacological interventions is recommended for a more comprehensive understanding.

Perilaku Perawat Anestesi Dalam Pencegahan Cedera Pada Pasien Di Instalasi Bedah Sentral Nuryanti, Aprilia; Trisnowati, Tatik
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1891

Anaesthesia-related injuries are a critical issue that can occur during procedures, whether in general, local, or regional anaesthesia. These complications can lead to physical injury, such as nerve injury, airway injury, or even death. Anaesthesia nurses play a strategic role in preventing injuries through the implementation of safe and standardised anaesthesia practices. This study used a quantitative descriptive design with a survey approach to describe the behaviour of anaesthesia nurses in preventing anaesthesia injuries in the Central Surgical Unit (CSU). The population in this study were nurses/anaesthesia technicians working in the central surgical units of hospitals in Indonesia. Sampling was conducted using quota sampling of 100 nurses/anaesthetists who completed an online electronic questionnaire. The results of the anaesthesia injury prevention behaviour measuring indicated that most respondents (76%) were in the ‘very good’ category, with the highest score on the indicator of checking the completeness and functionality of anaesthesia machines before the procedure (94%). Other indicators that were also high were checking anaesthesia equipment (91%) and preparing drugs/fluids according to the type of anaesthesia (91%). Meanwhile, compliance with anaesthesia protocol safety procedure received the lowest percentage in the very good category among other behavioural indicators (77%). Improvement efforts can be conducted through continuous training, workload management improvements, strengthened team communication, and adjustments to the ratio of anaesthesia personnel to the number of operations.

Studi Penggunaan Analgesia Multimodal Intra Anestesi Pada Pasien Bedah Orthopedi Septian, Ristiva Arzaq Nur; Nuryanti, Aprilia
Medika: Jurnal Ilmiah Kesehatan Vol 5 No 2 (2025): Medika: Jurnal Ilmiah Kesehatan
Publisher : Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/medika.v5i2.1005

Nyeri pada patah tulang dapat terjadi karena cedera, beberapa retakan terjadi secara opsional pada siklus penyakit seperti osteoporosis yang menyebabkan retakan neurotik. Sensasi nyeri timbul karena adanya rangsangan trauma atau stimulasi kimia, termal, dan mekanis yang berpotensi menimbulkan kerusakan. Berdasarkan patofisiologi nyeri maka kontrol yang baik dikaitkan dengan morbditas serta mortilitas yang lebih rendah. Analgesia multimodal telah menjadi pilihan manajemen nyeri yang lebih disukai dalam prosedur ortopedi dengan memanfaatkan lebih dari satu cara untuk mengatasi nyeri pasca bedah. Penelitian ini berupa studi kasus yang cenderung memperhatikan kajian farmakologi penatalaksanaan analgesia multimodal yang diberikan dan respon hemodinamik yang ditunjukkan. Analgesia multimodal didasarkan pada prinsip bahwa menggabungkan analgesik dengan berbagai mode akan menghasilkan pengendalian nyeri yang lebih baik dan lebih minimal efek samping melalui penghematan opioid. Upaya analgesia multimodal telah menunjukkan hasil yang menjanjikan dalam mencapai pengendalian nyeri yang memadai dan mengurangi penggunaan opioid.

Penyuluhan Kesehatan Senam Leher Pada Pengguna Smartphone Setyaningsih, Rahayu; Nuryanti, Aprilia
Cahaya Pengabdian Vol. 1 No. 1 (2024): Juni 2024
Publisher : Apik Cahaya Ilmu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61971/cp.v1i1.100

The process of changing the position of the neck when using a smartphone will position the head down to look at the cellphone screen and maintain that position for a relatively long time. This condition will cause muscle problems and if left untreated, it will become chronic pain. Frequency of smartphone use, purpose of using the smartphone, flexion movements when using the smartphone, and body position are the main factors that can cause neck pain. Some of the problems that arise from using smartphones include the effects of addiction, anti-social behavior, and health problems such as neck pain, muscle fatigue and muscle stiffness. Neck pain is a perception of pain involving the cervical region including spinal structures in the form of invertebral discs, ligaments, muscles, acet joints and the nervous system which is caused by repetitive and accumulative trauma from excessive use of the neck. Global Burden Disease states that neck pain is one of the fourth musculoskeletal problems that causes life suffering due to disability, while neck exercises can overcome one of the complaints caused by smartphone use. The aim is to determine the factors associated with complaints of neck pain when using a cell phone. The method is carried out through face-to-face meetings by the Service team and then discussions are held regarding pain management material. Before being given the counseling material, a pre-test was carried out to determine the initial knowledge of the residents, after that health education was given, then a post-test was carried out to measure the increase in knowledge of Dawis Cempaka residents. The results show that there is an increase in health knowledge regarding neck exercises among smartphone users to reduce pain symptoms. Conclusion The health education activities ran smoothly and the aim of the activity was achieved, namely increasing the knowledge of the Dawis Cempaka community.

Hubungan Durasi Pemberian N2o Kombinasi Sevoflurane Dengan Insiden Post Operative Nausea And Vomiting (PONV) Septian, Ristiva Arzaq Nur; Muladi, Amik; Nuryanti, Aprilia
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 11 (2025): Volume 12 Nomor 11
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i11.21645

PONV adalah insiden yang muncul dalam 24 jam setelah prosedur anestesi yang disebabkan adanya peningkatan distensi abdomen. Insiden PONV berkisar 20% sampai 30%. Pemberian N2O kombinasi sevoflurane >60 menit akan meningkatkan risiko PONV. Tujuan penelitian ini adalah untuk mengetahui hubungan antara durasi pemberian N2O kombinasi sevoflurane dengan PONV pada pasien yang menjalani general anestesi dengan teknik anestesi imbang ETT dan LMA di RS X. Penelitian ini menggunakan rancangan cross sectional, dengan jumlah sampel sebanyak 30 responden diambil secara quota sampling. Instrumen penelitian menggunakan lembar observasi untuk menilai durasi pemberian N2O kombinasi sevoflurane, dan lembar observasi penilaian gordon untuk menilai skor PONV. Analisis data menggunakan analisis pearson corellate dan regresi linear berganda. Analisis pearson correlation didapatkan hubungan yang signifikan antara durasi pemberian N2O kombinasi sevoflurane dengan PONV, nilai signifikasi sebesar 0.001 <0.05 sedangkan nilai r sebesar 0.555. Hasil analisis regresi linear berganda menunjukkan nilai koefisien regresi sebesar 0.499, maka variabel durasi pemberian N2O kombinasi Sevoflurane menjadi faktor penyebab paling kuat dalam mempengaruhi PONV. Penelitian ini menunjukkan adanya hubungan antara durasi pemberian N2O dengan kombinasi Sevoflurane dengan PONV. Durasi pemberian N2O kombinasi sevoflurane menjadi prediktor PONV paling kuat.

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