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KOMPRES DINGIN TITIK LI-4 KONTRA LATERAL TANGAN MENEKAN RESPON NYERI SELAMA INVASIF ARTERIOVENOUS FISTULA (AVF) PASIEN HEMODIALISA Mahruri Saputra; Herlina A.n Nasution
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 8 No 02 (2020): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v8i02.1175

Abstract

Latar Belakang: Penusukan Arteriovenous fistula (AVF) akan menimbulkan nyeri berulang yang dapat mengganggu psikologis dan kenyamanan pasien yang menjalani hemodialisa. Salah satu terapi nonfarmakologi yang dapat digunakan untuk menurunkan nyeri yaitu kompres dingin pada titik LI-4. Tujuan: Penelitian ini bertujuan mengidentifikasi efektifitas kompres dingin titik LI-4 terhadap penurunan nyeri penusukan AVF pada pasien hemodialisa. Metode: Jenis penelitian ini yaitu kuantitatif dengan desain quasi experiment pre and post one sampel test. Pengambilan sampel dengan teknik consecutive sampling dengan jumlah 33. Instrumen penelitian yang digunakan adalah Pain Numerical Rating Scale. Analisis data menggunakan Paired T-Test. Hasil: Sebelum dilakukan kompres dingin LI-4 rata-rata intensitas nyeri penusukan AVF 5,36 (SD=1,47) dan sesudah pemberian kompres dingin titik LI-4 rata-rata intensitas nyeri penusukan AVF 3,30 (SD=0,95). Hasil uji didapatkan ada perbedaan intensitas nyeri penusukan AVF sebelum dan sesudah kompres dingin titik LI-4 pasien hemodialisa (p=0,000). Kesimpulan: Terdapat perbedaan signifikan antara intensitas nyeri penusukan AVF sebelum dan sesudah pemberian kompres dingin titik LI-4. Saran: Diharapkan intervensi kompres dingin titik LI-4 dapat menjadi intervensi mandiri untuk mengurangi nyeri penusukan sehingga bisa meningkatkan kenyaman pasien hemodialisa
Perbandingan Pemberian Pijat Morfin Endogen (Endorphin) dan Pijat Titik Li-4 terhadap Nyeri Persalinan Kala I Fase Aktif Utama, Reka Julia; Fadhlina, Fadhlina; Saputra, Mahruri
Journal of Language and Health Vol 5 No 3 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i3.4902

Abstract

Nyeri persalinan terjadi ketika otot rahim berkontraksi dalam upaya membuka serviks untuk mendorong kepala bayi ke arah panggul. Nyeri persalinan fase aktif I pada ibu dapat dikurangi dengan menggunakan metode nonfarmakologis yaitu pijat endorphin dan pijat titik LI-4 serta pijat titik LI-4 untuk mengurangi nyeri pada fase aktif I pada ibu melahirkan. Tujuan penelitian ini adalah untuk mengetahui perbandingan pijat endorphin dan pijat titik LI-4 terhadap nyeri persalinan fase aktif I di BPM Erni Munir dan BPM Jouni Wati. Metode penelitian yang digunakan adalah kuantitatif dengan desain quasi eksperimen dengan pendekatan two group pretest-posttest design. Sampel penelitian ini sebanyak 66 ibu melahirkan fase aktif I. Data dikumpulkan menggunakan kuesioner tingkat nyeri dan analisis data menggunakan uji-t dependen. Hasil penelitian menunjukkan setelah dilakukan endorphin massage (p=0,000) dan LI-4 point massage (p=0,000) dengan taraf kepercayaan 95% berarti ada perbedaan intensitas nyeri sebelum dan sesudah dilakukan endorphin massage dan LI-4 point massage. Hasil penelitian juga menunjukkan tidak ada perbedaan intensitas nyeri persalinan fase aktif kala I antara kelompok endorphin massage dengan kelompok LI-4 point massage, p=0,546. Endorphin massage dan LI-4 point massage dapat menurunkan nyeri fase aktif I pada ibu bersalin.
PENERAPAN CONTINUITY OF CARE (COC) DALAM PENINGKATAN KESEMBUHAN PASIEN DENGAN TUBERKULOSIS PARU Riansyah, Ferdi; Fitria, Fitria; Fitri, Aina; Fazira, Frisca; Saputra, Mahruri; Usman, Said; Saputra, Irwan; Julia Utama, Reka; Ristiani, Ristiani
Jurnal Medikes (Media Informasi Kesehatan) Vol. 11 No. 2 (2024): November
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v11i2.817

Abstract

Tuberkulosis (TB) paru, yang disebabkan oleh bakteri Mycobacterium tuberculosis, merupakan salah satu penyakit menular dengan angka kematian yang tinggi di seluruh dunia. Di Indonesia, TB paru menduduki peringkat kedua setelah India, dengan 969 ribu kasus dan 93 ribu kematian per tahun. Meskipun telah tersedia vaksin BCG untuk pencegahan, efektivitasnya hanya sekitar 50%, sehingga penularan masih menjadi tantangan. Penelitian ini bertujuan untuk mengukur efektivitas pendekatan Continuity of Care (CoC) dalam meningkatkan kepatuhan dan pengetahuan pasien TB paru. Penelitian ini menggunakan metode quasi-experimental dengan desain Posttest-Only Control Design, di mana pasien TB paru dibagi menjadi kelompok eksperimen yang menerima intervensi CoC dan kelompok kontrol yang tidak menerima intervensi. Data dikumpulkan dari tiga Puskesmas di Aceh Besar antara Maret hingga Agustus 2024. Hasil penelitian menunjukkan bahwa CoC secara signifikan meningkatkan kepatuhan (87%) dan pengetahuan (69,6%) pasien dibandingkan dengan kelompok kontrol (P < 0,005). Temuan ini menunjukkan bahwa CoC berperan penting dalam meningkatkan kualitas perawatan pasien melalui peningkatan kepatuhan terhadap pengobatan dan pengetahuan tentang kondisi kesehatannya. Dengan hubungan yang lebih baik antara pasien dan penyedia layanan kesehatan, CoC dapat membantu menurunkan angka penularan dan meningkatkan keberhasilan pengobatan TB paru. Penelitian lebih lanjut diperlukan untuk mengeksplorasi implementasi CoC dalam konteks yang lebih luas dan populasi yang lebih beragam.
THE RELATIONSHIP OF THE ROLE OF POSYANDU CADRES ON THE QUALITY OF LIFE OF ELDERLY STROKE SUFFERS IN THE WORKING AREA OF THE MEURAH MULIA COMMUNITY HEALTH CENTER NORTH ACEH Aina Fitri; Mahruri Saputra; Rehmaita Malem; Nadia Ulfa
International Conference on Education, Science, Technology and Health (ICONESTH) 2023: ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.238

Abstract

Stroke in the elderly can affect life in various aspects, including physical, psychological, emotional, cognitive and social. This decreased function will have an impact on the quality of life of the elderly. Elderly posyandu cadres have a role in improving the quality of life of the elderly by means of motivation, counseling and regular health monitoring. The aim of this research is to determine the relationship between the role of posyandu cadres and the quality of life of elderly stroke sufferers in the Meurah Mulia Community Health Center working area, North Aceh. This research design uses a quantitative method approachcross sectional study. Population in this study totaling 32 people, namely all elderly stroke patients who were in the working area of the Meurah Mulia Community Health Center, North Aceh. The sampling technique was carried out using the total sampling Which totaling 32 people. Data analysis was carried out univariate and bivariate using tests Chi Square test. Based on the results of the research conducted, it can be seen that there were 19 respondents (59.4%) in the Good category for patient quality of life and 13 respondents (40.6%) in the Poor category. Statistical test results using Chi Square Test obtained value 0.002 < 0.005, then Ho is rejected and Ha is accepted, so it can be concluded that there is a relationship between the role of Posyandu cadres and the quality of life of elderly stroke sufferers in the working area of the Meurah Mulia Community Health Center, North Aceh Regency.
THE RELATIONSHIP OF DIET AND PHYSICAL ACTIVITY WITH THE INCIDENT OF HYPERUSEMIA IN THE ELDERLY IN KEH VILLAGE, NIBONG DISTRICT, NORTH ACEH DISTRICT Mahruri Saputra; Aina Fitri; Suci Safitri
International Conference on Education, Science, Technology and Health (ICONESTH) 2023: ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.241

Abstract

Hyperuricemia includes a degenerative disease that attacks the joints Gout is a metabolic disorder characterized by increased uric acid (hyperuricemia). Food and drinks are one of the factors that can increase uric acid levels in the blood. Physical activity is the movement of the body due to the activity of the skeletal muscles which involves energy expenditure. The purpose of this study was to determine the relationship between diet and physical activity with the incidence of hyperusemia in the elderly in Keh Nibong Village. This study used quantitative research with a correlational design with a Cross Sectional approach. Theimplementation of this research was carried out on July 27 – August 1, 2023. The population is 42 patients. Tehnik sampling using total sampling. Data analysis in this study using Chi Square test and Kolmogorof Smirnov, the results showed that based on statistical tests (Chi-Square), obtained P-Value value = 0.001 (0.001 < 0.05) which means ho was rejected, it can be concluded that there is a significant relationship between diet and incidence hyperusemia in the elderly in Keh Village, Nibong District. An alternative test, Kolmogorov-Smirnov, obtained results with p values of 0.003 < 0.05, which means that there is a significant relationship between physical activity and the incidence of hyperusemia in the elderly in Keh Village, Nibong District.
RELATIONSHIP OF AND ATTITUDE WITH CLEAN AND HEALTHY LIVING BEHAVIOR (PHBS) IN THE COMMUNITY IN U BARO VILLAGE COT GIREK DISTRIC NORTH ACEH Komala Kartikasari Nst; Mahruri Saputra; Fazilla Ash Syifa
International Conference on Education, Science, Technology and Health (ICONESTH) 2023: ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.244

Abstract

The importance of clean and healthy living behavior (PHBS) in the household is that every household can improve their health and not get sick easily, children grow up healthy and intelligent, work productivity of family members increases. Clean and healthy living behavior (PHBS) is an action that is produced based on awareness and is partly an effort to become a person/group to improve themselves in the health sector. One of the efforts made to improve health is by providing health education so that people are healthy and free from various diseases. The aim of this research is to determine the relationship between knowledge and attitudes and clean and healthy living behavior (PHBS) in the community in U Baro village, Cot Girek subdistrict, North Aceh district. The instrument used in this research was a questionnaire. This research uses quantitative research with a correlational design with a cross sectional approach. This research was carried out on 29 - 2 August 2023. The total sample was 92 respondents. The sampling technique used purposive sampling. Data analysis in this study used the chi square test, the results of the study showed that there was a relationship between knowledge and clean and healthy living behavior with a p value of 0.006 < 0.05, which means there is a significant relationship between knowledge and clean and healthy living behavior, it can be seen that there is The relationship between attitude and clean and healthy living behavior has a p value of 0.003<0.05, which means there is a significant relationship between attitude and clean and healthy living behavior><0.05, which means there is a significant relationship between attitude and clean and healthy living behavior.
THE PREGNANT MOTHERS’ INTEREST TO CONDUCT HIV TESTING IN SUPPORTING THE PREVENTION OF MOTHER-TO-CHILD HIV TRANSMISSION Reka Julia Utama; Mahruri Saputra; Ferdi Riansyah
International Conference on Education, Science, Technology and Health (ICONESTH) 2024: The 2nd ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.494

Abstract

Human Imunnodefiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) is a disease that continue to grow and become a global health problem which occurs in both modern and developing countries. HIV transmission can occur through needles and blood transfusions. However, it can occur from HIV-positive mother to their unborn baby. One of the ways which can be conducted by pregnant mother is conducting HIV test during pregnancy. However, there is still a lack of interest in pregnant mothers therefore many mothers do not conduct HIV tests. Whereas the mothers’ interest is highly important to enhance the pregnant mothers’ participation to conduct HIV test. The objective of this research was to investigate the pregnant mothers’ interest in supporting the prevention of mother-to-child transmission at Godean I Health Center, Sleman Yogyakarta. The method of the research was qualitative with phenomenological approach. The informants of this research were taken by using purposive sampling technique, there were 11 informants consisting of 4 pregnant mothers who had conducted HIV test and 6 pregnant mothers who had not conducted HIV test. The result was obtained 4 themes, namely Attitude towered, Subjective norm, Perceived Behavior Control, and the mothers’ interest HIV test. The conclusion is that there are still many mothers who have negative opinions related to HIV testing during pregnancy, and public perception that still considers the taboo regarding HIV testing. The informant conveyed that the support in conducting HIV test came from internal and external factors. The obstacles faced by pregnant mothers in conducting HIV tests are caused by internal and external factors. While for the interest, the majority of pregnant mothers are not interested in taking an.
Comparison of Counter Pressure Massage and Hegu Point Cold Compress on Active Phase I Labor Pain Reka Julia Utama; Ummu Aiman; Mahruri Saputra; Ferdi Riansya
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4475

Abstract

Labor pain can cause it weakness of the uterine muscles, obstruction of the birth canal and increased maternal anxiety. Anxiety can produce catecholamine hormones that cause tension in the pelvic muscles and affects the mother's pushing force during childbirth so that the pain increases and lengthens the delivery time increases the risk of maternal and fetal death. The purpose of this research is to determine the comparison of counter pressure massage (CPM) and Hegu point cold compresses for labor pain during the 1st active phase. The research method uses a randomized control trial design with two group pretest-posttest plan. Population in this study namely mothers who will give birth in the active phase of the 1st stage with the number of samples A total of 126 people were divided into 2 groups each CPM treatment and cold compresses will be given to the Hegu point. The measuring instruments used are the numerical pain rating scale (PNRS) and pain level recording sheets which have been proven valid and reliable, and have been widely used to measure pain levels. The analysis that will be used is univariate and bivariate analysis paired t test and independent t test. The results of the study showed that there was a difference in the intensity of labor pain during the first active phase before and after counter pressure massage (p=0.000) and cold compress at the hegu point (p=0.000). And there was no difference in the intensity of pain during the first active phase of labor between the counter pressure massage and cold compress groups in the Hegu point group (p=0.546>0.05). Cold compress counter pressure massage on the Hegu point is effective in reducing pain in the first stage of labor and counter pressure massage and cold compresses on the Hegu point group are equally effective in reducing labor pain.
Sosialisasi Penggunaan Jamban Untuk Mencegah Penyakit Menular TBC di Desa Atong Aceh Besar Riansyah, Ferdi; Hidayattullah, Mhd; Karma, Taufiq; Halizasia, Gadis; Saputra, Mahruri; Fitria, Fitria; Ristiani, Ristiani; Julia Utama, Reka; Fajira, Mira
Jurnal Ragam Pengabdian Vol. 2 No. 2 (2025): Agustus
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/3s9b0019

Abstract

Sanitasi yang buruk masih menjadi penyebab utama terjadinya berbagai penyakit menular di wilayah pedesaan. Banyak masyarakat belum memahami hubungan antara perilaku buang air besar sembarangan dengan penyebaran penyakit, terutama akibat rendahnya kesadaran akan pentingnya penggunaan jamban yang layak dan sehat. Untuk mengatasi hal ini, dilakukan kegiatan sosialisasi yang bertujuan meningkatkan pemahaman masyarakat tentang sanitasi dan pentingnya perilaku hidup bersih dan sehat. Kegiatan ini diikuti oleh 30 peserta yang terdiri dari kepala keluarga, ibu rumah tangga, remaja, dan tokoh masyarakat. Materi disampaikan melalui ceramah interaktif dan diskusi kelompok. Evaluasi dilakukan menggunakan pre-test dan post-test guna mengukur perubahan pengetahuan. Sebelum sosialisasi, hanya 33% peserta memiliki pemahaman yang cukup baik terkait sanitasi dan penularan penyakit. Setelah kegiatan, 87% peserta mampu menjawab dengan benar pertanyaan mengenai fungsi jamban dan bahaya buang air besar sembarangan. Selain itu, sebanyak 70% peserta menyatakan kesediaan untuk menggunakan atau membangun jamban sehat. Hasil ini menunjukkan bahwa edukasi komunitas efektif dalam meningkatkan kesadaran dan komitmen masyarakat terhadap perilaku hidup bersih. Pelatihan lanjutan tentang pembuatan jamban sederhana dari bahan lokal sangat dianjurkan untuk keberlanjutan perubahan perilaku.