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<![CDATA[PENGARUH TERAPI AKUPRESSURE TERHADAP KADAR ASAM URAT DARAH PADA LANSIA ]]>
<![CDATA[Arif Rakhman]]>;
<![CDATA[Iwan Purnawan]]>;
<![CDATA[Arikh Ratna Purwadi]]>
<![CDATA[ Jurnal Skolastik Keperawatan Vol 1 No 2 (2015): Juli - Desember ]]>
Publisher : <![CDATA[Fakultas Ilmu Keperawatan Universitas Advent Indonesia ]]>
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DOI: 10.35974/jsk.v1i2.86
<![CDATA[ABSTRAK Pendahuluan: Asam urat adalah produk akhir dari hasil metabolisme purin. Jumlah asam urat dalam darah dipengaruhi oleh makanan tinggi purin dan atau terganggunya pengeluaran asam urat melalui ginjal. Akupresur merupakan salah satu intervensi keperawatan dengan memberikan tekanan pada titik tertentu di permukaan tubuh menggunakan jari. Sudah banyak penelitian mengenai efektivitas terapi akupresur, namun belum ada yang meneliti efek terapi akupresur terhadap asam urat darah. Tujuan: Penelitian ini bertujuan untuk mengetahui efek terapi akupresur terhadap kadar asam urat darah pada lansia di Panti Wreda Catur Nugraha Kabupaten Banyumas. Metode: Penelitian ini merupakan penelitian pre experiment dengan pendekatan pre test-post test without control design. Pengambilan sampel menggunakan teknik total sampling. Besarnya sampel adalah 11 responden yang memenuhi kriteria inklusi dan eksklusi. Analisis data menggunakan uji statistik paired t test. Hasil: Rata-rata kadar asam urat darah sebelum dilakukan terapi akupresur adalah 5,99 mg/dl dan rata-rata kadar asam urat setelah dilakukan terapi akupresur adalah 4,04 mg/dl. Hasil uji paired t test didapatkan hasil t hitung = 2,441 (t hitung > dari t tabel) dan nilai p = 0,035 (p value<α = 0,05). Diskusi: Penurunan ini disebabkan adanya perbaikan fungsi ginjal dalam mensekresi asam urat dan penurunan produksi purin dari glikolisis otot yang terjadi akibat stres. Terdapat pengaruh yang signifikan terapi akupresur terhadap kadar asam urat darah pada lansia di Panti Wreda Catur Nugraha Kabupaten Banyumas. Terapi akupresur dapat menurunkan kadar asam urat darah pada lansia di Panti Wreda Catur Nugraha Kabupaten Banyumas. Kata Kunci: Akupresur, Asam urat, Lansia  ABSTRACT Introduction: Uric acid is the last product of purin metabolism. The amount of uric acid in blood influenced by food high purines and or impairement of uric acid excretion in kidney. Acupressure is one of nursing intervention by giving a pressure on specific point. There was many research about acupressure efectivity, but none did research about the effect of acupressure therapy on blood uric acid level. Objective: This study aimed to find out the effect of acupressure therapy on blood uric acid level towads elderly at Panti Wreda Catur Nugraha Kabupaten Banyumas. Method: This study used pre experiment design with pre test- post test without control approach design and total sampling technique. The amount of sample was 11 respondent which had fulfill the inclution and exclution criteria. Data analysis used by statistical paired t test. Result: The average of uric acid level before accupressure therapy was 5.99 mg/dl and uric acid level after acupressure therapy was 4.04 mg/dl. The result of paired t test was obtained t= 2.441 (obtained t > table t) and value of p=0.035 (p<α=0,05). Discussion: The decrease of average blood uric acid level occured by kidney improvement in uric acid secretion and reduction of purin from muscle glicolisis as a consequence of stress. There was a significant effect of acupressure therapy on blood uric acid level in elderly at Panti Werdha Catur Nugraha Kabupaten Banyumas. Acupressure therapy could decrease blood uric acid level on elderly at Panti Wreda Catur Nugraha Kabupaten Banyumas. Keywords: Acupressure, Elderly, Uric AcidFull printable version: PDF]]>
<![CDATA[HUBUNGAN KEPATUHAN MINUM OBAT DENGAN TEKANAN DARAH PADA PENDERITA HIPERTENSI ]]>
<![CDATA[Ikit Netra Wirakhmi]]>;
<![CDATA[Iwan Purnawan]]>
<![CDATA[ Jurnal Ilmu Keperawatan dan Kebidanan Vol 12, No 2 (2021): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Kudus ]]>
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DOI: 10.26751/jikk.v12i2.1079
<![CDATA[AbstrakLatar belakang: Sampai saat ini, hipertensi masih merupakan tantangan besar di Indonesia. Kepatuhan pasien dalam menggunakan obat berpengaruh terhadap keberhasilan terapi pengobatan. Adanya ketidakpatuhan pasien hipertensi dalam minum obat dapat memberikan efek negative yang sangat besar, seperti munculnya komplikasi. Tujuan: Mengetahui hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi di Puskesmas Karangjambu Kabupaten Purbalingga. Metode: Desain penelitian ini adalah cross sectional study. Responden dalam penelitian ini adalah pasien hipertensi di Puskesmas Karangjambu Kbupaten Purbalingga. Sampel diambil menggunakan teknik accidental sampling dengan jumlah 86 responden. Data dikumpulkan pada bulan Mei 2021 menggunakan kuesioner 8 – Item Morisky Medication Aderence Scale (MMAS – 8) dan pengukuran tekanan darah secara langsung. Hasil: Penelitian ini menunjukkan bahwa Sebagian besar responden adlaah perempuan (86%), sebgain besar berada pada kategori tingkat kepatuhan sedang (47%) dan pada kategori hipertensi tahap 2 (63%). Uji stastistik didapatkan nilai p value 0.901 menunjukkan bahwa tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi. Kesimpulan: Tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi AbstractBackground: In Indonesia, hypertension is still a major problem. Adherence to treatment is critical for hypertension patients' long-term health and well-being. Adherence are required for hypertension therapy to be effective, and altering these patients' behavior has the greatest potential for improving hypertensive control. Objectives: To explore the relationship between medication adherence and blood pressure in hypertension patients. Methods: We used the cross-sectional study. This research sample was hypertension patients at Karangjambu Health Centre Purbalingga Regency. We included 89 respondents by accidental sampling technique. We collected the data by questionnaire. The Gamma & Sommers’d test was performed to analyze the data. Results: This research showed that that the majority of respondents were women (86%), the moderate category had the highest level of adherence (47%) and the most respondents suffer from hypertension stage 2 (63%). The statistical test result of 0.910 suggested that there was no relationship between medication adherence and blood pressure in hypertensive patients. Conclusions: There was also no significant between medication adherence and blood pressure. ]]>
<![CDATA[The Effect of Acupressure at Lr 3 And Sp 6 Point on The Pain Scale Among Post Sectio Caesarea Patient at Regional Public Hospital of Banyumas ]]>
<![CDATA[Tuswati Tuswati]]>;
<![CDATA[Iwan Purnawan]]>;
<![CDATA[Mekar Dwi Anggraeni]]>
<![CDATA[ Journal of Bionursing Vol 1 No 1 (2019): Journal Of Bionursing ]]>
Publisher : <![CDATA[Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman ]]>
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DOI: 10.20884/1.bion.2019.1.1.6
<![CDATA[Background. Pain is the major complaint felt by mothers with post sectio caesarea that they are afraid making any mobilization. Early mobilization of post sectio caesarea are highly necessary to accelerate the wound healing. Acupressure is one of non-pharmacological therapies to reduce pain. Acupressure has the ability to release endorphins. Accupressure at LR 3 and SP 6 point stimulate the endorphin expulsion. Objective. This research aimed to examine the effect of acupressure at LR 3 and SP 6 point on the pain scale of the post sectio caesarea patient at Regional Public Hospital of Banyumas.Method. The research was a quasi-experimental and pretest-posttest design with control group. Sample were collected using a consecutive sampling technique. The samples were 40 patients consisting of 20 patients classified into the intervention group and 20 patients classified into the control group. The pain was measured using a numeric rating scale. The intervention group was administered with acupressure performed at LR3 and SP 6 point for 30 times on each point while the control group was administered with internal respiration for 10 minutes. The data were analyzed using Wilcoxon and Mann Whitney test with the significance level of ? ? 0.05.Result. The results of Wilcoxon test showed that accupressure at LR 3 and SP 6 point influenced the pain scale of those classified into the intervention group with the value of p = 0.000 (? < 0.05) but does not influence those classified into the control group with the value of p = 0.157 (? > 0.05). Meanwhile, the result of Mann Whitney test showed that there was an significant difference between the intervention and control group post test score with the value of p = 0.000 (? < 0.05).Conclusion. acupressure at LR 3 and SP 6 point significantly effect the pain scale of post sectio caesarea patient.]]>
<![CDATA[Perbedaan Efektivitas Aromaterapi Lavender Dan Aromaterapi Peppermint Terhadap Nyeri Pada Pasien Post Sectio Caesarea Di Rsud Ajibarang ]]>
<![CDATA[Siti Safaah]]>;
<![CDATA[Iwan Purnawan]]>;
<![CDATA[Yunita Sari]]>
<![CDATA[ Journal of Bionursing Vol 1 No 1 (2019): Journal Of Bionursing ]]>
Publisher : <![CDATA[Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman ]]>
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DOI: 10.20884/1.bion.2019.1.1.10
<![CDATA[Background: Options delivery birth process through the SC in Indonesia is increasing, so the risk of complications post SC also growing. One complication that arises is wound pain post SC. Treatment of pain in post SC are 2 kinds, which are pharmacological and non-pharmacological. One handling non-pharmacological use aromatherapy. Aromatherapy that popularly used are lavender and peppermint. Both of these aromatherapy can reduce pain and have few side effects.Objective: This study aims to determine differences in the effectiveness aromatherapy lavender and peppermint. Methodology: This experimental study applied experiment with pre- and post-test control group design. Samples taken were 32 with consecutive sampling. This study was divided into 2 groups : intervention group (lavender) and control group (peppermint). The data were analyzed using Wilcoxon test and Mann Whitney. Results: Characteristics of respondents in the age range 26-35 years by 68.8% in the peppermint group and 75% in the group of lavender. Test Wilcoxon showed that there is significant pain reduction both in the group of lavender or peppermint group, this is indicated by the value of p= 0.000. But the Mann-Whitney test showed a decrease in pain on lavender larger group than the group of peppermint, which is the value of p= 0.005.Conclusion: Aromatherapy lavender is more effective than peppermint aromatherapy in reducing pain post SC.]]>
<![CDATA[Perbedaan Pengaruh Terapi Murottal Selama 15 Menit Dan 25 Menit Terhadap Penurunan Skala Nyeri Pada Pasien Kanker Pascabedah ]]>
<![CDATA[Nani Sri Mulyani]]>;
<![CDATA[Iwan Purnawan]]>;
<![CDATA[Arif Setyo Upoyo]]>
<![CDATA[ Journal of Bionursing Vol 1 No 1 (2019): Journal Of Bionursing ]]>
Publisher : <![CDATA[Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman ]]>
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DOI: 10.20884/1.bion.2019.1.1.12
<![CDATA[Background: Surgery in cancer patients can cause pain. Pain can be overcome through pharmacological and non-pharmacological therapy. One of non-pharmacological therapies to reduce pain is murottal therapy because it can stimulate extraction of ?-endorphin.Objective: This research aimed to determine the difference in effect of murottal therapy for 15 minutes and 25 minutes on reduction of pain scale in post-surgery cancer patients.Method: This research used quasi experimental research design with non-randomized pretest-posttest with control group design approach. The sampling in this research used consecutive sampling. The sample size in this research was 30 respondents. This amount was divided into 2 groups: 15 respondents of 15 minutes murottal therapy group and 15 respondents of 25 minutes murottal therapy group. Data analysis used the Wilcoxon and Mann Whitney test.Result: The majority of respondents aged 40-60 years old, female, and suffering from breast cancer. The result indicated that there was a significant difference in the pain scale in 15 minutes group (p=0.002) and 25 minutes group (p=0.000). But, there was no significant difference in the reduction of pain scale in both groups (p=0.167). However, the average reduction of pain scale in 25 minutes group was greater (2.00±0.66) than 15 minutes group (1.53±1.06).Conclusion: Murottal therapies for 15 minutes and 25 minutes were equally effective for reducing pain in post-surgery cancer patients.]]>
<![CDATA[Gambaran Peran Perawat terhadap Pemenuhan Kebutuhan Spiritual Pasien di Ruang ICU ]]>
<![CDATA[Nurhanif Nurhanif]]>;
<![CDATA[Iwan Purnawan]]>;
<![CDATA[Sobihin Sobihin]]>
<![CDATA[ Journal of Bionursing Vol 2 No 1 (2020): Journal Of Bionursing ]]>
Publisher : <![CDATA[Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman ]]>
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DOI: 10.20884/1.bion.2020.2.1.27
<![CDATA[Background. ICU patients ' spirituality is very important. Spirituality will be the way the patient searches for the meaning of life, including a disease-related affliction. In spiritual needs, nurses who view the patient holistically play an important role.Methods. This research is a phenomenologically approached qualitative descriptive form. While the collection of participants by purposeful sampling method.Results. The results of this study found the 8 themes of 5 special purposes. These themes are: 1) definition of spirituality, 2) function of spirituality, 3) the factors of spiritual distres, 4) the characteristics of patients with spiritual distres, 5) the act of independent nurse in fulfillment spiritual needs, 6) the act of collaboration nurse in fulfillment spiritual needs, 7) the obstacles fulfillme.Conclusion. Eight topics describe nurses ' understanding of spirituality, nurses ' effort in meeting spiritual needs, obstacles in meeting spiritual needs, and awareness of the role of nurses in meeting the spiritual needs of patients in the ICU.]]>
<![CDATA[Gambaran Nyeri Pasien yang Terpasang Ventilator Mekanik di Ruang Intensive Care Unit RSUD Prof Dr Margono Soekarjo Purwokerto ]]>
<![CDATA[Arif Imam Hidayat]]>;
<![CDATA[Iwan Purnawan]]>;
<![CDATA[Ridlwan Kamaluddin]]>
<![CDATA[ Journal of Bionursing Vol 2 No 3 (2020): Journal of Bionursing ]]>
Publisher : <![CDATA[Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman ]]>
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DOI: 10.20884/1.bion.2020.2.3.72
<![CDATA[Nyeri yang diakibatkan oleh tindakan perawatan adalah salah satu stressor terberat yang dihadapi pasien di ruang Intensive Care Unit (ICU). Nyeri ini berbanding lurus dengan tingkat morbiditas dan mortalitas pasien. Pasien juga dapat mengalami gangguan psikososial seperti depresi, cemas, delirium, ganguan PTSD, dan disorientasi. Penelitian ini merupakan studi deskriptif dengan pendekatan cross sectional. Penelitian ini melibatkan 100 responden. Teknik sampling yang digunakan dalam penelitian ini adalah non probability sampling, dengan consecutive sampling. Pengambilan data dilaksanakan pada bulan Juli - September 2020 di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Instrumen dalam penelitian ini adalah kuesioner CPOT (Critical Pain Observation Tool). Data yang diperoleh dianalisis menggunakan analisis univariat dan disajikan dalam bentuk rerata nilai skala nyeri. Hasil penelitian ini menunjukkan bahwa pasien yang dirawat di ICU mengalami sensasi nyeri sedang (47%), nyeri berat (43%), dan sangat berat (10%). Penting untuk dilakukan penelitian untuk menurunkan skala nyeri pada pasien yang mendapatkan perawatan di ruang ICU.]]>
<![CDATA[Hubungan Kebutuhan terhadap Informasi dengan Tingkat Kecemasan Pasien Pra-Operasi di Ruang Rawat Bedah RSUD Goeteng Taroenadibrata Purbalingga ]]>
<![CDATA[Iwan Purnawan]]>;
<![CDATA[Arif Imam Hidayat]]>;
<![CDATA[Dani Tri Santosa]]>;
<![CDATA[Wiwit Rita Suprilatin]]>
<![CDATA[ Journal of Bionursing Vol 3 No 1 (2021): Journal of Bionursing ]]>
Publisher : <![CDATA[Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman ]]>
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DOI: 10.20884/1.bion.2021.3.1.78
<![CDATA[Background. Surgery is a complex procedure that is frightening to most patients. This could be a stressor that could harm the patient. One of the causes of anxiety is the curiosity of the patient about the surgical process they are going to experience. The objective of this study is to determine the relationship between the level of information needs and anxiety of preoperative patients. Methods. This research is a type of cross-sectional analytical survey conducted to investigate the relationship between the level of knowledge and the level of anxiety in preoperative patients at Goeteng Taroenadibrata Purbalingga Hospital. The anxiety measuring instrument used is the APAIS (Amsterdam Preoperative Anxiety and Information Scale) which has been translated and passed the validation and reliability tests. The statistical test uses the gamma correlation test to determine the relationship between the level of information needs and the level of anxiety. Results. Most of the respondents had a moderate level of anxiety of 58.5 per cent (n=41). The majority of respondents' information needs on the surgical process are at a moderate level (63.4 percent ). There is a significant relationship between the level of information needs and anxiety of preoperative patients (p = 0.001 and r = 0.92).. Conclusion. The higher the level of the patient's need for information, the higher the level of anxiety experienced.]]>
<![CDATA[HUBUNGAN KECERDASAN EMOSIONAL DENGAN RESILIENSI PADA WANITA PASCA BENCANA BANJIR ]]>
<![CDATA[Uswatun Hasanah Kartika Sari]]>;
<![CDATA[Iwan Purnawan]]>;
<![CDATA[Arif Imam Hidayat]]>
<![CDATA[ Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 10 No 1 (2022): Dunia keperawatan: Jurnal Keperawatan dan Kesehatan ]]>
Publisher : <![CDATA[School of Nursing, Faculty of Medicine, Lambung Mangkurat University. ]]>
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DOI: 10.20527/jdk.v10i1.18
<![CDATA[A disaster can have a wide range of effects, both physically and mentally. When tragedy strikes, women are particularly vulnerable and their resilience decreases. Someone who is in good psychological health normally has good interpersonal interactions, which influences emotional intelligence. The aim of this study is to discover a connection between emotional intelligence and resilience in women experiencing a flood disaster. This study was a correlational research with cross sectional design. This study was conducted out in Sirau Kemranjen, Banyumas Regency. This study’s sampling method was simple random sampling, which yielded 87 respondents. This study utilized an emotional intelligence and resilience instrument adapted from previous studies. Somers’d test was used to interpret the data in this analysis. ]]>
<![CDATA[Upaya Peningkatan Kemampuan Stimulasi Tumbuh Kembang Melalui Pelatihan Kader Posyandu Balita ]]>
<![CDATA[Upoyo, Arif Setyo]]>;
<![CDATA[Ramawati, Dian]]>;
<![CDATA[Purnawan, Iwan]]>
<![CDATA[ Jurnal of Community Health Development Vol 1 No 01 (2020): Journal Of Community Health Development terbitan bulan Juli 2020 ]]>
Publisher : <![CDATA[Universitas Jenderal Soedirman, Jurusan Keperawatan ]]>
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DOI: 10.20884/1.jchd.2020.1.01.2709
<![CDATA[Posyandu merupakan bentuk pemberdayaan masyarakat yang sangat penting dalam meningkatkan kesehatan masyarakat khususnya Balita. Kelompok Kader Posyandu Balita di Desa Purwokerto Kidul Kecamatan Purwokerto Selatan, Banyumas didirikan dalam rangka meningkatkan partisipasi dan kemandirian masyarakat untuk meningkatkan kesehatan Balita. Permasalahan yang dihadapi oleh kelompok kader Posyandu Balita RW 5 dan RW 7 Purwokerto Selatan antara lain: pelaksananan posyandu belum sesuai standar pelaksanaan dan adiministrasi Posyandu, masih dijumpai Balita dengan status gizi kurang, kemampuan kader dalam menilai status tumbuh kembang balita masih rendah, Ketrampilan kader dalam melakukan stimulasi pertumbuhan dan perkembangan balita masih rendah serta masih rendahnya kemampuan kader dalam penatalaksanaan awal masalah kesehatan yang sering dijumpai pada balita. Kegiatan yang dilaksanakan untuk mengatasi permasalah mitra, yaitu Pelatihan tentang: manajemen posyandu, pengukuran status gizi balita, Penilaian perkembangan anak, Pelatihan tentang Stimulasi tumbuh kembang Balita, Pelatihan Penatalaksanaan awal masalah kesehatan yang sering terjadi pada balita, Pelatihan Pemberian Makanan Tambahan (PMT) Balita, Monitoring pelaksanaan dan evaluasi Posyandu. Hasil penilaian rata-rata pengetahuan kader sebelum pelatihan 65 (cukup), setelah pelatihan 83 (baik). 100% kader meningkat pengetahuanya, Kader juga dapat mendemonstrasikan pembuatan PMT Balita.]]>
