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EFEKTIFITAS PROGRESSIVE MUSCLE RELAXATION (PMR) DAN RELAXATION BREATHING EXERCISE (RBE) TERHADAP TINGKAT FATIGUE DAN SELFCARE PASIEN GGK fari, aniska indah; Sofiani, Yani; Warongan, Wardy
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol 2 No 1 (2019): Jurnal Kesehatan Saelmakers Perdana
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (704.065 KB) | DOI: 10.32524/jksp.v2i1.487

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Chronic kidney failure is a progressive and irreversible kidney disorder to maintain fluid and electrolyte balance and metabolism, with treatment given by hemodialysis. Long-term hemodialysis patients can cause fatigue in the patient's inability to fulfill selfcare needs. The intervention is in the form of non-pharmacological therapy in the form of relaxation. The purpose of this study was to determine the effectiveness of progressive muscle relaxation and relaxation breathing exercise on the level of fatigue and self care of patients with chronic renal failure. With the design of Randomized Clinical Trial (RCT) pre and post group three test, a sample of 30 respondents. Data collection tools are the Piper Fatigue Scale (PFS) questionnaire (Cronbach alpha = 0.646) and Fatigue Selfcare Management (Cronbach alpha = 0.930). The results showed that PMR intervention had different levels of fatigue (pvalue = 0,000) while selfcare (pvalue = 0.017) had no difference, in the RBE intervention there were differences in fatigue levels (pvalue = 0,000) while selfcare (pvalue = 0.048) had no difference, at PMR + RBE interventions have different levels of fatigue (pvalue = 0,000) and selfcare (pvalue = 0,000). PMR and RBE interventions are more effective to reduce fatigue and improve selfcare, so that it can be recommended for patients undergoing hemodialysis Keywords : fatigue, selfcare, progressive muscle relaxation, relaxation breathing exercise.
PENGARUH TERAPI ELECTRICAL MUSCLE STIMULATION (VEINOPLUS ARTERIAL) TERHADAP PROSES PENYEMBUHAN LUKA PADA PASIEN UKD DI KLINIK KITAMURA PONTIANAK amrullah, syahid; Jais, Suriadi; Sofiani, Yani
Jurnal Keperawatan dan Kesehatan Vol 9 No 1 (2018): JK2
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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

Abstract

  Abstract: Diabetic Foot ulcer (UKD) is a chronic complication of Diabetes Mellitus with incidence rate of 15%, to increase the wound healing process one of the methods that can be done is to use Electrical Muscle Stimulation (EMS) therapy which is a procedure by producing short electric waves aimed to imitate the movement normal body and stimulates wound healing. The aim of this study was to identify the effect of EMS on calf muscle on wound healing in UKD patients. This research uses pure experimental design (true-experiment) with randomized controlled trials (RCT). The total sample involved 60 respondents divided into two groups respectively 30 respondents. Analysis of data by using Wilxocon Test analysis on mean comparison of Ankle Bracial Index (ABI) and Dependent T-test analysis on mean comparison of MUNGS score. Multivariate data analysis used was MANOVA with GLM-RM method on repeated measurement of dependent variable. EMS therapy on calf muscle using Veinoplus Arterial tool obtained P value 0.00 <0.05, which means there is significant difference between before and after treatment (control and intervention) to ABI value and MUNGS score. Multivariate test results were obtained by p value 0.00 <0.05, which means that there are significant differences between multiple measurements of ABI and MUNGS scores, but the plot graph shows no optimal time in EMS therapy. The researchers advise that EMS therapy can be applied as one of the management of UKD patients. Further research needs to tighten the inclusion criteria of respondents with ABI <0.9, and add time> 7 days to be able to assess the optimum time of EMS therapy. Keywords: Diabetic foot ulcers, electrical muscle stimulation, ankle brachial index, wound healing   Abstrak: insiden 15%, untuk mempercepat proses penyembuhan luka salah satu metode yang dapat dilakukan adalah menggunkan terapi Electrical Muscle Stimulation (EMS) yang merupakan prosedur dengan menghasilkan gelombang elektrik yang pendek bertujuan meniru pergerakan tubuh yang normal dan menstimulasi penyembuhan luka. Tujuan penelitian ini untuk mengidentifikasi efek dari EMS pada otot betis terhadap penyembuhan luka pada pasien UKD. Penelitian ini menggunakan desain Eksperimen murni (true-experiment) dengan randomised controlled trials (RCT). Total sampel yang terlibat 60 responden dibagi dalam dua kelompok masing-masing 30 responden. Analsis data dengan menggunakan analisis Wilxocon Test pada perbandingan rerata nilai Ankle Bracial Index (ABI) dan analisi T-tes Dependent pada perbandingan rerata Skor MUNGS. Analisis data multivariat yang digunakan adalah MANOVA dengan metode GLM-RM pada pengukuran berulang variabel dependen. Terapi EMS pada otot betis dengan menggunakan alat Veinoplus Arterial diperoleh hasil P value 0.00 < 0.05, yang artinya terdapat perbedaan yang signifikan antara sebelum dan sesudah perlakuan (kontrol dan intervensi) terhadap nilai ABI dan Skor MUNGS. Hasil uji multivariat di dapatkan p value 0.00 < 0.05, yang artinya terdapat perbedaan yang signifikan antara beberapa kali pengukuran terhadap nilai ABI dan Skor MUNGS, namun pada grafik plot menunjukkan belum ditemukan waktu yang optimal dalam pemberian terapi EMS. Peneliti memberikan saran agar terapi EMS dapat diterapkan sebagai salah satu penatalaksanaan pasien UKD. Penelitian lebih lanjut perlu memperketat kriteria inklusi responden dengan ABI < 0.9, serta menambahkan waktu > 7 hari untuk dapat menilai waktu optimum terapi EMS. Kata kunci: Ulkus kaki diabetik, electrical muscle stimulation, ankle brachial index, penyembuhan luka.
Efektivitas Konseling Seksual untuk Keharmonisan Keluarga Pasien Penyakit Ginjal Kronis Usia Reproduktif Yang Menjalani Hemodialisis di Rumah Sakit Haji Jakarta Siti Aminah; Yani Sofiani; Wati Jumaiyah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12 (2021): Nomor Khusus Januari 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12nk116

Abstract

Sexual dysfunction in patients with chronic kidney disease does not only occur in male patients, but also occurs in female patients. Patients who experience sexual dysfunction due to chronic kidney disease undergoing hemodialysis will feel inferior, frustrated, irritable, irritable, stressed, depressed, and even avoid having sex with their partners. These problems can affect the harmony in the family. One of the efforts to overcome sexual dysfunction in hemodialysis patients needs the role of nurses in providing sexual counseling. The purpose of this study was to determine the effectiveness of sexual counseling on family harmony of reproductive age chronic kidney disease patients undergoing hemodialysis. This research used quantitative research using pre-experimental one group pretest postest design with a total sample of 33 people. The results of this study showed an increase in family harmony scores before and after sexual counseling as much as 5.87 points with a p-value = 0.000 (p
PENGARUH SENAM KAKI TERHADAP KADAR GULA DARAH PASIEN DIABETES MELITUS DI RSU SERANG PROVINSI BANTEN Elang Wibisana; Yani Sofiani
Jurnal JKFT Vol 2, No 2 (2017): Jurnal JKFT
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31000/jkft.v2i1.698

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ABSTRAK Diabetes Mellitus merupakan gangguan metabolik yang dikarakteristikkan dengan hiperglikemi bersama dengan gangguan metabolisme karbohidrat, lemak, dan protein yang disebabkan oleh defek sekresi insulin dan aksi insulin. Tujuan penelitian ini adalah untuk mengetahui pengaruh senam kaki terhadap kadar gula darah pada pasien diabetes mellitus di RSU Serang. Penelitian ini menggunakan desain quasi eksperimental one group pretest-posttest dengan melibatkan 22 responden. Penelitian ini menggunakan t test, diperoleh hasil adanya perbedaan rata-rata kadar gula darah sebelum dan setelah dilakukan senam kaki (p=0.001; α=0.05). Tidak hanya itu, faktor usia (p=0.001; α=0.05), intensitas melakukan senam (p=0.002; α=0.05), konsumsi obat (p=0.000; α=0.05) sebagai confounding variabel dilihat pengaruhnya terhadap perubahan kadar gula darah setelah dilakukan senam kaki. Saran untuk penelitian ini bahwa senam kaki diabetes dapat dijadikan salah satu standar asuhan keperawatan yang dapat diaplikasikan dalam pelayanan keperawatan, baik di rumah sakit dan komunitas. Dan untuk penelitian selanjutnya, sebaiknya variable lamanya terkena diabetes harus disertakan dan waktu penelitian harus lebih diperhatikan untuk mengetahui secara pasti efek dari senam kaki diabetes. Hasil dari penelitian ini diharapkan bisa menjadi salah satu bahan kajian, dan rujukan dalam penelitian sejenis. Kata Kunci: senam kaki; kadar gula darah
Pengaruh metode biblioterapi terhadap perubahan tingkat depresi dan cemas pada pasien kanker payudara di RSUD Arifin Achmad Provinsi Riau: Metode biblioterapi bayu saputra; Yani Sofiani; Diana Irawati
Jurnal Kesehatan Komunitas Vol 5 No 3 (2019): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (728.617 KB) | DOI: 10.25311/keskom.Vol5.Iss3.466

Abstract

Patient with breast cancer who get chemotheraphy has an side effect, one of this effect is psychological problem. The psychological problem among breast cancer patient is about depression and anxiety. The implementation of biblioteraphy has a positive effect on psychological condition. The aim of this research was to identify the effect biblioteraphy method on the level of depression and anxiety of breast cancer patient. The method was used quasy experimental pretest-postest with intervention control group design. The sampel was 32 respondents using purposive sampling technique wich divided into 2 groups, the intervention group received biblioteraphy story telling method and pray of Prophet Ayyub Alaihisalam while the control group without intervention.The evaluation of psychological aspect depression and anxiety used Hospital Anxiety Depression Scale (HADS) in bahasa. The analysis of depression and anxiety changes measured using independent t-test. The result: There was a significant relationship between level of depression and anxiety in pre and post on respondents who received intervention and without intervention. Conclusion: the applying of intervention of biblioteraphy method with frequency as much as 5 time and maximum in 45 minutes proved in lowering level of depression and anxiety. It is suggested for applying bibliotheraphy when giving nursing care of breast cancer patient. The future research should investigate other aspect such as education and environment against level of depression and anxiety.
PERBANDINGAN BUERGER ALLEN EXERCISE DENGAN FOOT SPA DIABETIC TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS TIPE II Iksan Ibrahim; Yani Sofiani; Diana Irawati
Journal of Islamic Nursing Vol 5 No 2 (2020): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v5i1.13673

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Hyperglycemia is one of the problems of Diabetes Mellitus patients. Hyperglycemia that is not well controlled can cause many complications, one of which is interference with the flow of peripheral blood vessels that can cause diabetic ulcers. Vascularity disorders can be prevented with Buerger Allen Exercise therapy and Diabetic Foot Spa to increase the value of ABI. The purpose of this study was to compare the effectiveness of Buerger Allen Exercise therapy and Diabetic Foot Spa to the value of ABI in patients with type II diabetes mellitus. The design of this study was Quasi Experiment Pre and post test two groups with 15 group A respondents given Buerger Allen Exercise intervention and 15 group B respondents given Diabetic Foot Spa intervention. The results showed that there was an increase in the value of ABI after intervention in both groups with the difference in the increase in the Buerger Allen Exercise group by 0.050 while the Diabetic Foot Spa group by 0.113. The conclusion of this study is that there was an increase in ABI values in both groups after the intervention but the Diabetic Foot Spa group had a higher increase. Diabetic Foot Spa can be recommended as an alternative therapy as prevention of peripheral arterial disease complications.
EFEKTIVITAS HOME EXERCISE TERHADAP ANKLE BRACHIAL INDEX (ABI) DAN SKOR SENSITIVITAS KAKI PADA PASIEN DIABETES MELITUS TIPE 2 Ida Yatun Khomsah; Yani Sofiani; Diana Irawati
Jurnal Ilmiah Kesehatan Vol 9, No 1 (2020): Jurnal Ilmiah Kesehatan
Publisher : Universitas Muhammadiyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52657/jik.v9i1.1015

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Neuropati merupakan salah satu komplikasi kronis yang terjadi pada pasien Diabetes Melitus. Kondisi hiperglikemia yang tidak dikelola dengan baik dalam waktu yang cukup lama membuat pasien Diabetes Melitus rentan terhadap komplikasi kronis yang menyebabkan angka morbiditas cukup tinggi. Home Exercise menjadi salah satu intervensi yang dapat mencegah terjadinya gangguan vaskularisasi perifer pada pasien Diabetes Melitus. Penelitin ini bertujuan untuk mengidentifikasi Efektivitas Home Exercise Terhadap Nilai Ankle Brachial Index (ABI) dan Skor Sensitivitas Kaki Pada Pasien Diabetes Melitus Tipe 2. Desain penelitian dengan rancangan quasi eksperiment pre dan post test design with control group dengan 18 responden kelompok intervensi yang diberikan intervensi Home Exercise dan 18 responden kelompok kontrol yang tidak diberikan intervensi Home Exercise. Hasil menunjukkan bahwa nilai Ankle Brachial Index (ABI) dan Skor Sensitivitas Kaki sesudah dilakukan intervensi mengalami peningkatan Ankle Brachial Index (ABI) dengan nilai rata-rata awal 0.817 setelah intervensi menjadi 0.917 dan Skor Sensitivitas Kaki dengan nilai rata-rata awal 8.00 setelah intervensi menjadi 10.33. Kesimpulan, ada pengaruh Home Exercise terhadap nilai Ankle Brachial Index (ABI) dan Skor Sensitivitas Kaki sesudah dilakukan intervensi. Intervensi ini dapat direkomendasikan sebagai salah satu terapi alternatif sebagai pencegahan komplikasi penyakit arteri perifer.
Perbandingan Efektifitas Relaksasi Autogenic dan Music Therapy terhadap Tingkat Nyeri setelah Insersi Vaskuler Pasien yang Menjalani Hemodialisa Beti Haerani; Yani Sofiani; Anwar Wardi
Journal of Telenursing (JOTING) Vol 1 No 1 (2019): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.231 KB) | DOI: 10.31539/joting.v1i1.540

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The aim of this study was to compare the effectiveness of autogenic relaxation and music therapy on the level of pain in HD patients during vascular insertion. This study used a quasy experimental study with a post test design. The results of the study, using independent t test analysis showed that there was no significant difference in pain levels after vascular insertion in HD patients who were given autogenic relaxation with HD patients who were given music therapy and HD patients who were given a combination of autogenic relaxation and music therapy (p value = 0.896 , alpha = 0.05). The average pain level in the music therapy group was (5.00), autogenic relaxation with an average pain level (5.27) and an average pain level in the combined group between autogenic relaxation and music therapy (5.06). . In conclusion, music therapy has a lower level of pain than autogenic relaxation and a combination of the two because the respondent does not require a lot of mental effort to stay focused. Keywords: Hemodialysis, Music Therapy, Autogenic Relaxation, Pain Level
PERBANDINGAN PENGARUH RANGE OF MOTION (ROM) UPPER EXTREMITY DENGAN CONSTRAINT INDUCED MOVEMENT THERAPY (CIMT) TERHADAP KEKUATAN MENGGENGGAM PADA PASIEN POST STROK DI RSI ASSYIFA KOTA SUKABUMI Egi Mulyadi; Anwar Wardy W; Yani Sofiani
Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan Vol. 3 No. 1 (2018)
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sukabumi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.426 KB) | DOI: 10.37150/jl.v3i1.217

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ABSTRAKStrok merupakan gambaran perubahan neurologis yang disebabkan oleh adanya gangguan suplai darah ke bagiandari otak. Kondisi strok dapat menimbulkan defisit motorik yaitu kelemahan dari satu sisi bagian tubuh(hemiparesis). Penatalaksanaan gangguan tersebut salah satunya dengan pendekatan rehabilitasi melalui terapifisik dan okupasi dengan jenis Range of motion (ROM) dan Constraint induced movement therapy (CIMT) yangbertujuan memperbaiki kekuatan dan koordinasi otot terutama dalam meningkatkan kekuatan menggenggampasien. Tujuan dari penelitian ini untuk mengetahui perbedaan pengaruh ROM dan CIMT untuk meningkatkankekuatan menggenggam pada pasien post strok dengan hemiparesis. Desain penelitian ini adalah QuasiExperiment the randomized pretest – posttest design, using matched subjects posttest two grups dengan 18responden kelompok intervensi ROM dan 18 responden kelompok intervensi CIMT. Hasil penelitian adapengaruh ROM dan CIMT terhadap kekuatan menggenggam pada pasien post strok, ROM lebih baik disbandingCIMT. Saran : dapat diaplikasikan dalam praktek keperawatan dengan melakukan intervensi minimal 4 jamsehari bisa lebih dari 2x, lebih memperhatikan faktor-faktor perancu.
Music Therapy on Pain Management Among Post-Operative Patients: A Systematic Review Sri Utami Damayanti; Eva Herawati; Suryati Suhaemia; Natalia Suraningsih; Imansyah Abd Latif Ode; Yani Sofiani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 3 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (722.28 KB)

Abstract

Aim: This review aimed to identify and analyze the existing literature related to music therapy on pain management among post-operative patients. Methods: This study utilizes a literature review approach, with research sources drawn from three databases: Proquest, Pubmed, and Google Scholar. Four suitable articles were found after screening the articles published between 2012 and 2022 in journals in English and Bahasa, with quasi-experimental research designs and True Experiments. "Post-operative Period" AND "Music Therapy" OR "Pain Management" OR "pain management" were the keywords used for literature searching. Result: As many as four articles were found among the 1550 articles that met the criteria. This study showed that: (i) Recital prayer, such as shalawat and dzikr treatment, can be used in place of music therapy; (ii) Music picked by the participants was shown to considerably decrease the patient’s pain following open surgery, biopsy, endoscopy, and wound dressing postoperatively. Conclusions: This study indicated that music therapy or prayer therapy considerably reduced postoperative pain in post-operative patients, particularly when the music choice was picked by the participants. This study indicated that including music therapy in standard post-operative pain management may provide an effective technique for decreasing patients' pain severity for caregivers.
Co-Authors Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Agung Widiastuti Agung, Rizki Nugraha Agus Purnama Aisy, Rifa Rohadatul Aisyah Aisyah Amrullah, Syahid Andry Sartika Anwar Wardi Anwar Wardi Anwar Wardy W Ardiani, Kristi Arisanty, Irma Puspita Ashar Prima Astuti, Medya Aprilia Astuty, Yeni Atlantic, Mia Azzahra, Sabrina Azzam, Rohman Bayu Saputra Berniati Berniati Berniati, Berniati Besral . Beti Haerani Budi Susanto Budiati, Dhiani Burmanajaya, Bram Desi Luanda Desvita, Eva Desy Anggraini Desy, Kemala Dewi Anggraini Dewi Purnamawati Dian Noviati Dian Novita Diana Irawati Diana Irawati Dluha Maf’ula Dwiyanto, Yusup Egi Mulyadi Elang Wibisana Erni Kurniasih Erwan Setiyono Erwin Erwin Eva Herawati fari, aniska indah Fatma, Hindri Royiah Fauziah, Hani Firdaus, Nuzula Fischa Awalin Fredy, Muhammad Khalid Hamdah, Hamdah Hani Fauziah Hendi, Oman Hernani, Eny Hidayat Arifin Hidayat, Agus Samsul Ida Yatun Khomsah Ikhsan Ibrahim Imansyah Abd Latif Ode Irawati, Diana Irawati, Diana Iyar Siswandi Iyar Siswandi Jaemi Janitra, Fitria Endah Jumaiyah , Wati Jumaiyah, Wati Jumaiyah, Wati Kamil, Abdu Rahim Kemala Desy Kiki Rizki Amelia, Kiki Rizki kurniasari, septi Kurniasih, Dian Noviati Kustanti, Christina Yeni Latipah, Siti Leni Rosita Lofa, Priyo Hadi Prasetyo Luanda, Desi Lusiana Lusiana Lusiana Lusiana Maryani, Fenny Masykur Khair Melati Fajarini Moh. Heri Kurniawan Muhammad Hadi Muhammad Khalid Fredy Mulyatsih, MG Enny Natalia Suraningsih Natashia, Dhea Nathasia, Dhea Neneng Kurwiyah Ninik Yuniatri Ninik Yunitri Nugraha, Rizki Nugraha, Rizky NUR AINI Nur Wahyuni Munir Nuraeni Nuraeni Nurhayani, Yani Nurma Dewi Nuzula Firdaus Ohorella, Usman Barus Oktavina, Risa Pramono, Cahyo Puspitasari, Nia Ayu Putri, Alifiani Rahmi Rahayu, Essih Rahim Kamil, Abdu Rahmasari, Ikrima Rayasari , Fitrian Rayasari, Fitrian Rini Lestari Rita Sari Rizki Nugraha Agung Rostini, Heny Rukmana, Aip Sahriana Sahriana Sakinah, Sri Santosa, Puji Raharja Saputri, Dwirima Satriani Satriani Septian, Alnendi Serli Wulan Safitri Setiawantari , Rani Shahroh, Yuni Silistyorini, Cahyo Ismawati Siswandi, Iyar Siti Aminah SRI ATUN sri murtini . Sri Suryati Sri Utami Damayanti Sulistiyowati, Heppy Sulistyorini, Cahyo Ismawati Sumah, Dene Fries Sumedi Sumedi Suriadi Jais Suryani Suryani Suryati Suhaemia Syahid Amrullah Tiara Octary Ukur, Sada Uswatul Khasanah Wariani, Wiwik Warongan, Wardy widya astuti Yanti Silaban, Nataria Yohanes Andy Rias Yuliarti Yuliarti Yuniarti, Niknik Yunitri, Ninik Yuntiri, Ninik Yunus, Muhammad Iqbal Yusup Dwiyanto