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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..
Pelaksanaan Trias Usaha Kesehatan Sekolah di Sekolah Menengah Pertama di Wilayah Kecamatan Purwokerto Kabupaten Banyumas Saryono,; Ramawati, Dian; Purnawan, Iwan
Jurnal Keperawatan Soedirman Vol. 02 No. 2 (2007)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2007.2.2.125

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One of health promotion level form on school age is health school programs. The important of health school program are seen in health regulation Republic of Indonesia no 23 1992 ( UU 23 th, 1992), stated that school health programs were used for increasing health life of students. The outcome of school health programs is to increase student learning, growth and development optimally. The aim of this study was to know application of the three of health school programs. This study used descriptive method throughout survey at junior high school in south and west of Purwokerto regency by cluster sampling. The respondents were a student and a teacher who performing health school programs. The data showed with a distribution table of frequency. The result of this study showed that the applications of health school program about health education, health care, and environment health facilitate at 90.45%, 70.85%, and 50.89% respectively
Efektivitas Gentamisin Anestesi dan Iodine Povidone 10% terhadap Penyembuhan Luka Post Operasi Sectio Caesaria di RSUD Purbalingga Santosa, Dani Tri; Haryati, Welas; Purnawan, Iwan
Jurnal Keperawatan Soedirman Vol. 03 No. 1 (2008)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2008.3.1.156

Abstract

Efficacy of Listening to Murattal in Reducing the Pain Experienced by ICU Patients Purnawan, Iwan; Hidayat, Arif Imam; Sutrisna, Eman; Alivian, Galih Noor; Wirakhmi, Ikit Netra
Jurnal Keperawatan Soedirman Vol 16, No 3 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.3.1567

Abstract

Background: Pain is one of the main problems in patients with ICU. Inadequate handling can cause adverse effects such as unstable hemodynamics, trigger stress, and thus hinder the healing process. Non-pharmacological intervention is needed to help manage pain in patients with ICU. Purpose: This study aims to identify the effect of murottal listening to pain in ICU patients. Methods: This is a quasi-experiment with pre-test and post-test with control group design. The sampling technique was simple random sampling, consisting of 40 respondents divided into two groups. The Critical Pain Observation Tool (CPOT) is used to measure pain. Statistics using a paired t-test, Wilcoxon-test, and Mann Whitney. Results: Significant decreases in pain scores were observed in treatment groups of 4, 5 to 4,0; p = 0,013. In the control group, there was a significant decrease in pain scores from 4,8 to 4,3; p = 0,001. There was no significant difference between the median decrease in pain in the intervention group (0.001 (-1-2.0) and the control group (0.001 (0.001-1.0)) with p = 0.242. Conclusion: Murottal listening does not have a significant effect on pain in patients of ICU.
TINGKAT PENGETAHUAN SISWA SMU TENTANG NARKOBA DI WILAYAH BATURADEN DAN PURWOKERTO TIMUR Made Sumarwati; Iwan Purnawan; Mursiyam Mursiyam
Kesmas Indonesia Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

The drugs abuse is teenagers are complex problem. It is not only about teenagers, but also about another aspects like family, enviroment, school, friend. Health’s provider and laws government officer. Sub-province of Banyumas is region which have most drugs abuse’s case that can be exposed. According to Kasat Narkoba Banyumas, at 2006, they can catch 36 drugs abuser. Ten among others are students of senior high school. One of the action for drugs abuser’s handling is preemptive way. This way is done by socialization of drugs to increase the knowledge of teenanger about drug abuse. The aim of research is to know knowledge’s level of Senior High School’s student about drug abuse at the districts of Baturraden by cluster sampling. The students as respondents who involve in this research are from class three till class seven. The amount of respondents in this research is 395. The processing data’s method that use is data’s tabulation pursuant to cumulative frequency. The research’s result conclude that knowledge’s level of Senior High School’s student about drug abuse in region of Purwokerto Timur is Baturraden included in good category. It’s show by score more than 26, namely 27,67.
PENGARUH ACUPRESSURE TERHADAP NILAI GCS PADA PASIEN CEDERA KEPALA SEDANG DI RSUP DR HASAN SADIKIN BANDUNG Iwan Purnawan; Hartiah Haroen; Cecep Eli Kosasih
Majalah Keperawatan Unpad Vol 13, No 2 (2011): Majalah Keperawatan Unpad
Publisher : Fakultas Keperawatan Universitas Padjadjaran

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Abstract

Iwan Purnawan*Hartiah Haroen**Cecep Eli Kosasih**                                             ABSTRAKPenurunan kesadaran pada cedera kepala yang di ukur secara objektif oleh Glasgow Comma Scale (GCS) merupakan salah satu penentu prognosis dan indikator kegawatan. Beberapa penelitian menunjukan bahwa stimulasi acupressure mampu memberikan efek neuroprotektif  yang mencegah kerusakan sel-sel otak dari iskemik yang ditimbulkan cedera kepala. Penelitian ini bertujuan untuk mengidentifikasi pengaruh acupressure terhadap nilai GCS pada pasien cedera kepala sedang di RSUP dr Hasan Sadikin Bandung.Jenis penelitian ini adalah Quasy Experimental dengan menggunakan teknik Control Group pre-test and post-test design. Pengambilan sampel dilakukan secara random. Jumlah sampel dalam penelitian ini adalah 37 responden yang terbagi dalam dua kelompok, yaitu kelompok kontrol (16 responden) dan perlakuan (21 responden). Kelompok perlakuan, selain mendapatkan terapi standar, ia juga mendapatkan acupressure selama 5 menit dalam 3 hari. Perbedaan nilai GCS pada kelompok kontrol dan perlakuan dianalisis dengan uji Wilcoxon. Sedangkan perbedaan peningkatan nilai rata-rata GCS pada kelompok kontrol dengan kelompok perlakuan dianalisis menggunakan uji Mann Whitney. Hasil uji statistik menunjukkan adanya perbedaan bermakna rata-rata nilai GCS antara  sebelum dan sesudah perlakuan baik pada  kelompok kontrol (p=0,07) maupun perlakuan (p=0,01).  Namun demikian, peningkatan rata-rata nilai GCS pada kelompok perlakuan lebih tinggi dari kelompok kontral. Hal ini ditunjukan dengan nilai p pada uji Mann Whitney sebesar 0,037 (p<0,05). Implikasi dari penelitian ini adalah acupressur sebagai terapi non-farmakologi bisa dipertimbangkan menjadi terapi komplementer bagi terapi farmakologi dalam penanganan pasien cedera kepala sedang.    Kata Kunci : Acupressure, Cedera kepala sedang, Penurunan kesadaran  ABSTRACTImpairment of consciousness in head injury that is measured objectively by Glasgow Comma Scale is one of prognosis determinants  and severity indicators. Several studies have shown that stimulation of acupressure can provide neuroprotective effect that prevents damage to brain cells from ischemic injury.  This study aims to identify the effect of acupressure on the value of GCS in patients with head injuries in the Hospital of dr. Hasan Sadikin Bandung. The type of this study was quasy experimental that used pre test and post test control group design. Sampling was done randomly. The number of samples in this study was 37 respondents who were divided into two groups, namely the control group (16 respondents) and intervention group (21 respondents). Besides having standard therapy, the intervention group also got therapy of acupressure for 5 minutes in 3 days. The differences of GCS score in the control group and the intervention group were analyzed with the Wilcoxon test. The differences of the increase of the GCS average of the control group and intervention group were analyzed by using Mann Whitney test. The results of statistical tests showed significant difference of the average value of GCS both before and after treatment in those two groups, namely: in the control group (p=0.07) and the  intervention (p = 0.01). However, the increase of the GCS average value of the intervention group was higher than the control group. This was evidenced by the p-value on Mann Whitney test of 0.037 (p <0.05). The implication of this study is that acupressure as a non-pharmacological therapy can be considered as a complementary therapy to pharmacological therapy in the treatment of patients with moderate head injury.  Keywords: Acupressure, Moderate head injury, Decreased consciousness
Pengaruh Light Massage Terhadap Tekanan Darah Penderita Hipertensi Primer Di Kabupaten Banyumas Sidik Awaludin; Arif Setyo Upoyo; Iwan Purnawan
Interest : Jurnal Ilmu Kesehatan Vol 7 No 1 (2018): INTEREST : JURNAL ILMU KESEHATAN
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v7i1.50

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Abstract : Blood Pressure, Light Massage, Hypertention. The impact of hypertension leads to heart attack, renal failure and stroke if the blood pressure is not controlled. Light massage is a complementary therapy for blood pressure control of patients with primary hypertension. Light massage can cause a relaxation response and reduce stress. The purpose of this study was to identify the effect of light massage on the decrease in blood pressure. Research design is pre experimental. The number of respondents in this study were 16 respondents. Sampling technique used is purposive sampling. The study was conducted by measuring blood pressure before and after light massage therapy. Blood pressure measurement using digital tensimeter. Test the difference in blood pressure before and after intervention using Wilcoxon test. The results showed a significant difference in blood pressure before and after treatment in the group receiving light massage therapy (p value 0.035). Light massage affects the decrease in blood pressure in patients with primary hypertension.
The Efficacy of Murottal and Prayer as Therapy for The Management of Elderly's Anxiety and Sleep Disturbances Galih Noor Alivian; Sidik Awaludin; Arif Imam Hidayat; Iwan Purnawan
Jurnal Berita Ilmu Keperawatan Vol. 15, No. 1, 2022
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i1.17036

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Aging is a natural process characterised by predictable physical and behavioral alterations that all people experience as they progress through their lives. Anxiety and sleep disorders are two issues that plague the elderly. The elderly typically complain about sleeping issues as a result of various chronic diseases. Frequent night awakenings might lead to an increase in the amount of time spent sleeping during the day. The aim of this study was to see how efficient murottal and prayer are at reducing anxiety and sleep problems in the elderly. This study employs an experimental design with a before and post approach, as well as a control group. This study collect 60 samples from elderly people in Pamijen Village. They were split into two groups: 30 elderly in the murottal group and 30 elderly in the prayer group. A questionnaire was used to assess anxiety and sleep pattern disturbances before and after treatment. Simple random sampling was used as the sampling technique. The paired t-test was used to analyse the dataStatistical tests of differences in sleep patterns before and after treatment in the murottal and pray groups were p = 0.00, statistical tests of anxiety scores before and after listening to prayer were p = 0.869, and statistical tests of differences in sleep patterns before and after treatment in the murottal and pray groups were p = 0.00. Murottal therapy has been shown to be effective in reducing anxiety and sleep disturbances
EFEKTIFITAS MENDENGARKAN MUROTTAL DAN DOA TERHADAP PENURUNAN KECEMASAN PADA PASIEN HEMODIALISIS DI RSUD WATES Galih Noor Alivian; Iwan Purnawan; Danang Setiyono
Jurnal Keperawatan Sriwijaya Vol 6, No 2 (2019)
Publisher : Universitas Sriwijaya

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Abstract

AbstrakTujuan: Pasien yang menjalani hemodialisis mengalami masalah fisik dan psikologi. Salah satu masalahpsikologi yang timbul yaitu kecemasan. Kecemasan yang tidak teratasi dengan baik dapat berdampak burukpada kualitas hidup mereka. Terapi murottal dan doa mampu menurunkan kecemasan. Tujuan penelitian iniuntuk mengetahui perbedaan terapi murottal dan doa untuk mengurangi skor kecemasan pada pasienhemodialisis.Metode: Penelitian quasy experiment ini menggunakan rancangan pretest-posttest with control groupdesign. Penelitian ini menggunakan 30 responden yaitu 15 kelompok doa dan 15 kelompok murottal sesuaikriteria inklusi dan eksklusi. Pengukuran skor kecemasan menggunakan Visual Analog Scale Anxiety (VASA) 0-100. Uji statistik menggunakan paired t test dan independent t test.Hasil: Terdapat perbedaan yang bermakna antara skor cemas sebelum dan sesudah mendengarkan terapimurottal dan doa dengan masing-masing p value < 0,001, sedangkan skor kecemasan antara kelompokmurottal dan doa tidak terdapat perbedaan yang bermakna dengan p value 0,571.Simpulan: Terapi mendengarkan murottal dan doa secara statistik sama-sama mampu menurunkan skorkecemasan pada pasien hemodialisis, tidak terdapat perbedaan yang bermakna antara terapi murottal denganterapi doa.Kata kunci: Doa, Hemodialisis, Kecemasan, MurottalAbstractAim: Patients who undergo hemodialysis experience physical and psychological problems. Onepsychological problem that arises is anxiety. Anxiety that is not resolved properly can adversely affecttheir quality of life. Murottal therapy and prayer can reduce anxiety. The purpose of this study was todetermine differences in murottal therapy and prayer to reduce anxiety scores in hemodialysis patientsMethod: This study quasy experiment used a pretest-posttest design with control group design. This studyused 30 respondents, namely 15 prayer groups and 15 murottal groups according to inclusion andexclusion criteria. Anxiety score measurement using Visual Analog Anxiety Scale (VAS-A) 0-100.Statistical tests using paired t test and independent t test.Results: There were significant differences between anxiety scores before and after listening to murottaltherapy and prayer with each p value <0.001, while the anxiety score between murottal group and prayerthere was no significant difference with p value 0.571.Conclusion: Murottal listening and prayer therapy were both statistically able to reduce anxiety scores inhemodialysis patients, there was no significant difference between murottal therapy and prayer therapy.Keywords: Prayer, Hemodialysis, Anxiety, Murottal
Modification of Breast Pump as a Negative Pressure Wound Therapy for Accelerating Wound Healing of Diabetic Ulcer Yunita Sari; Iwan Purnawan; Hartono Hartono
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1640.153 KB) | DOI: 10.20473/jn.v10i1.2037

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Introduction: Negative Pressure Wound Therapy (NPWT) is considered as the best treatment for accelerating wound healing, including diabetic ulcer. However, this device is still not available in Indonesia. Therefore, the purpose of this study were to make NPWT by using modifi cation of breast pump, and to elucidate the effect of this device on acceleration of wound healing in diabetic ulcer.Methods: NPWT was made by using digital breast pump. Wounds were divided into two groups; wound-treated by NPWT (experimental group) and wound-untreated by NPWT (control). The negative pressure used for this study was 85 mmHg. Rats were sacrifi ced on day 7, and wound samples and surrounding skin were stained with Hematoxylin and Eosyn. Infl ammation, intensity of necrotic tissue, and wound closure were observed.Results: The device could deliver a negative pressure at a range of 85–140 mmHg. Wound size in the experimental group was smaller than in control group. Infl ammation was also less in the experimental group than control group.Conclusion: The modifi cation of breast pump could be used as a negative pressure therapy for wounds, and has effect on reducing infl ammation and necrotic tissue. Further study is needed to elucidate the effect of this device on human subject.