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Pengaruh Pijat Laktasi terhadap Produksi ASI Ibu Post Partum Primipara dengan Sectio Caesarea (SC) Novi Anasari; Widya Lita Fitrianur; Diah Fauzia Zuhroh; Diah Jerita Eka Sari
Wiraraja Medika : Jurnal Kesehatan Vol 13 No 1 (2023): Wiraraja Medika : Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24929/fik.v13i1.2470

Abstract

Breast milk cannot come out immediately in some primiparous postpartum mothers with SC procedures. This can happen due to lack of stimulation of the hormones oxytocin and prolactin which play a role in the smooth production of breast milk. One of the non-pharmacological measures for smooth milk production is lactation massage. The purpose of this study was to determine the effect of lactation massage on milk production in primiparous postpartum mothers with SC procedures. The research design used was a quasy experiment with the type of one group pretest posttest design. The population is all primiparous postpartum mothers with CS in the delivery room at the Muhammadiyah Gresik Hospital. The number of samples in this study were 27 people with an accidental sampling technique. Data collection using observation sheets and questionnaires was then analyzed using the mc namer test. The results of the study showed that most of the production of breast milk in postpartum mothers before the lactation massage (pretest) was carried out, namely as many as 20 mothers (74.1%) did not express milk. Milk production in postpartum mothers after lactation massage (posttest) for all mothers as many as 27 mothers (100%) showed milk production. In conclusion, there is an influence between lactation massage on milk production in the delivery room at Muhammadiyah Gresik Hospital. Lactation massage is very useful in reducing pain and increasing milk production.
The Correlation Between Age and Body Mass Index and The Incidence of Osteoarthritis in The Elderly at Outpatient Unit of PKU Muhammadiyah Sekapuk Hospital Nofita Syafaatin; Diah Jerita Eka Sari; Ervi Suminar; Widiharti Widiharti
Indonesian Vocational Research Journal Vol 2 No 1 (2022)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.92 KB) | DOI: 10.30587/ivrj.v2i1.5100

Abstract

Aging is often considered as a factor in the occurrence of osteoarthritis because of weakness increased around the joints, cartilage calcification, joint flexibility and chondrocyte function decreased. Osteoarthritis can also be caused by obesity or overweight that occurs in a person with excessive or abnormal amount fat which can be detrimental to health. The aim of this study is to analyze the correlation between age also BMI and the incidence of knee osteoarthritis disease in the elderly at the outpatient unit of PKU Muhammadiyah Sekapuk Hospital.The design was used cross sectional approach, sampling using random sampling method and the number of samples as many as 31 respondents. The analysis used the Chi Square Test with a significant value of < 0.05. The results showed that p-value was 0.025 in the correlation between age and the incidence of osteoarthritis also p-value was 0.023 in the correlation between BMI and the incidence of osteoarthritis which means that there was correlation between age and body mass index and the incidence of osteoarthritis in the elderly at outpatient unit of PKU Muhammadiyah Sekapuk Hospital.
ANALISIS FAKTOR YANG MEMPENGARUHI INTENSI TERHADAP PELAKSANAAN DISCHARGE PLANING BERDASARKAN THEORY OF PLANNED BEHAVIOR (TPB) Widiharti Widiharti; Diah Jerita Eka Sari
Jurnal Ners Indonesia Vol 14 No 1 (2023): SEPTEMBER 2023
Publisher : Fakultas Keperawatan, Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/jni.14.1.8-18

Abstract

Discharge planning is a process of assessing complaints and patient management carried out by nurses from entering to leaving the hospital. In fact, nurses generally only carry out discharge planning activities when patients are going home or leaving the hospital. This may happen because nurses do not understand the mechanism of discharge planning or precisely because the workload of nurses is too great. The purpose of this study was to analyze the factors that influence the intention to carry out discharge planning in nurses based on the Theory of Planned Behavior (TPB). Observational research is analytic, with a cross-sectional approach. The research population includes all room nurses and sample 90 nurses. Sampling uses probability sampling using a simple random sampling approach. The instrument uses a questionnaire, data analysis uses the lambda test. The analysis shows a relationship between knowledge and attitude, with a value of p = 0.000 (p≤0.05). There is a correlation between knowledge and norms p=0.000 (p≤0.05). There is a correlation between Knowledge and Perceived Behavior Control of nurses in carrying out discharge planning p=0.000 (p≤0.05), there is no correlation between attitude and intention p=0.353 (P≥0.05), there is no correlation between norms and intentions p=0.147 (P≥0.05), there is no correlation between Perceived Behavior Control with intention p=0.061 (P≥0.05). Nurses’s knowledge is directly relate to attitudes, norms, Perceived Behavior Control, and nurses intentions toward the implementation of discharge planning
Mekanisme Koping Dan Tingkat Kepatuhan Pada Penderita Penyakit Diabetes Mellitus Diah Jerita Eka Sari; Widiharti Widiharti; Nuning Khurotul Afida
Indonesian Journal of Professional Nursing Vol 4 No 1 (2023)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijpn.v4i1.6201

Abstract

Diabetes Mellitus adalah penyakit kronis yang memerlukan pengelolaan yang baik untuk mengontrol kadar gula darah. Kepatuhan terhadap pengelolaan penyakit ini sangat penting dalam mencegah komplikasi jangka panjang dan meningkatkan kualitas hidup penderita. Salah satu faktor yang dapat mempengaruhi tingkat kepatuhan pada penderita diabetes adalah mekanisme koping atau cara individu menghadapi dan mengatasi stres atau tuntutan yang dihadapi. Tujuan penelitian menganalisis hubungan mekanisme koping dengan tingkat kepatuhan pada penderita penyakit diabetes mellitus. Penelitian observasional bersifat analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah penderita diabetes mellitus dengan besar sample 52 orang menggunakan simple random sampling. Instrumen penelitian menggunakan kuesioner. Hasil penelitian menunjukkan mekanisme koping yang paling besar adalah adaptif (61,5%), sedangkan untuk kepatuhan adalah dalam kategori patuh yang paling banyak (57,6%) dengan nilai uji statistik p=0,00. Ada hubungan mekanisme koping dengan tingkat kepatuhan pada penderita penyakit diabetes mellitus.
The Effect of Progressive Muscle Relaxation Techniques on Blood Glucose Levels in Elderly With Type 2 Diabetes Mellitus Trisna Aulia Chasana; Diah Jerita Eka Sari; Diah Fauzia Zuhroh; Widiharti Widiharti
Fundamental and Management Nursing Journal Vol. 6 No. 2 (2023): VOLUME 6 ISSUE 2 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v6i2.43731

Abstract

Introduction: The International Diabetes Federation revealed that Indonesia is currently ranked sixth worldwide for deaths from diabetes in 2021. In addition to pharmacological therapy, managing type 2 diabetes mellitus can use non-pharmacological therapies, such as progressive muscle relaxation therapy. This study aimed to analyze the effect of progressive muscle relaxation therapy on blood glucose levels in older people with type 2 diabetes mellitus. Method: This study used a quantitative method with a quasi-experimental approach, pre-test, and post-test with a control group. Sampling technique random sampling of 70 elderly. Instruments: observation sheet of blood glucose levels and PMR SOP. Data analysis using the T-Test. Results: The average blood glucose level before the intervention was 211.7 mg/dl and 183.74 mg/dl after the intervention. In the intervention group, there was an effect with p-value = 0.036 (p-value <0.05). Post-intervention and post-control, there was no difference with a value of 0.074 (p> 0.05), meaning there is no difference. Conclusions: Progressive muscle relaxation affects blood glucose levels in the elderly with type 2 diabetes mellitus at the elderly Posyandu, Singosari Village.
Pengaruh Tekhnik Relaksasi Genggam Jari Terhadap Penurunan Tingkat Nyeri Insersi Intravena Utari, Agustin Anina; Sari, Diah Jerita Eka; Widiharti, Widiharti; Fitrianur, Widyalita
Indonesian Journal of Professional Nursing Vol 5 No 1 (2024)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijpn.v5i1.8034

Abstract

Pemasangan infus merupakan salah satu prosedur medis yang paling sering dilakukan sebagai tindakan terapeutik pada pasien rawat inap. Pemasangan infus akan menimbulkan nyeri dengan respon yang berbeda-beda pada pasien. Nyeri tersebut dapat menimbulkan rasa tidak nyaman pada pasien sehingga perawat perlu melakukan tindakan untuk mengurangi nyeri yang dirasakan pasien. Tujuan penelitian adalah menganalisis pengaruh teknik relaksasi genggaman jari terhadap penurunan tingkat nyeri pemasangan infus di unit gawat darurat RS Muhammadiyah Gresik. Penelitian ini merupakan penelitian quasy eksperimental dengan pendekatan post test only control group. Besar sampel sebanyak 60 responden dengan menggunakan simple random sampling. Kelompok intervensi diberikan teknik relaksasi genggaman jari dan kelompok kontrol diberikan intervensi sesuai standar rumah sakit. Instrumen yang digunakan adalah lembar observasi. Hasil penelitian menunjukkan bahwa tingkat nyeri pemasangan infus tanpa teknik relaksasi genggaman jari pada kelompok kontrol paling banyak mengalami nyeri sedang (56,7%) sedangkan tingkat nyeri pemasangan intravena pada kelompok intervensi paling banyak mengalami nyeri ringan (85%) dengan uji statistik. nilai p=0,000. Teknik relaksasi genggaman jari berpengaruh terhadap penurunan tingkat nyeri pemasangan infus.
Perbedaan Kadar Gula Darah Pada Penderita DM Sebelum Dan Setelah Intervensi Latihan Fisik Senam Diabetes Di Wilayah Kerja Puskesmas Duduksampeyan Meilani, Deby Ayu; Widiharti, Widiharti; Sari, Diah Jerita Eka; Suminar, Ervi
Indonesian Journal of Professional Nursing Vol 4 No 2 (2023)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijpn.v4i2.6788

Abstract

Menurut proyeksi yang dibuat oleh Federasi Diabetes Internasional, 537 juta orang di seluruh dunia diperkirakan menderita diabetes melitus pada tahun 2021, yang akan mengakibatkan lebih dari 6,7 juta kematian akibat kondisi tersebut. Dengan 19,47 juta orang menderita diabetes melitus, Indonesia berada pada posisi kelima. Berdasarkan temuan Riskesdas tahun 2018, Provinsi Jawa Timur menduduki peringkat keenam. Senam diabetes merupakan salah satu metode pengobatan diabetes melitus non farmakologi selain terapi medikamentosa. Tujuan penelitian ini adalah untuk mengetahui bagaimana olahraga mempengaruhi kadar gula darah penderita diabetes. Penelitian ini menggunakan desain kuantitatif pra-eksperimental dengan single group pretest dan posttest. Ada tiga puluh enam partisipan dalam penelitian ini. Metode yang digunakan adalah purposive sampling, dan sampelnya terdiri dari 33 orang. Alat yang digunakan adalah lembar observasi kadar gula darah, SOP senam diabetes, dan glukometer. Uji statistik Wilcoxon digunakan untuk analisis data. Sebagian besar (54,5%) pasien memiliki kadar gula darah yang dikategorikan diabetes (>200 mg/dL) sebelum melakukan olahraga diabetes, sedangkan hampir setengahnya (36,4%) memiliki kadar gula darah normal (<140 mg/dL) setelah latihan diabetes. Berdasarkan hasil uji Wilcoxon ditemukan nilai p sebesar 0,000. Penderita diabetes melitus yang melakukan olahraga mempunyai kadar gula darah yang lebih rendah di wilayah kerja Puskesmas Duduksampeyan.
The Effect of Audio Distraction Technique Hearing The Murrotal Al-Qur’an on Anxiety in Pre-Operative Patients at Muhammadiyah Gresik Hospital Purnomo, Didik Andika; Sari, Diah Jerita Eka; Widiyawati, Wiwik; Widiharti, Widiharti
Kontribusia : Research Dissemination for Community Development Vol 7 No 2 (2024): Kontribusia, August 2024
Publisher : OJS Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/kontribusia.v7i2.8047

Abstract

Anxiety in pre-cesarean section patients can be due to fear of pain or death. One form of nurse intervention in reducing anxiety is by giving audio distractions namely diverting attention to other stimuli by listening to the audio of the Qur’an Murottal. The purpose of this study was to determine the patient’s level of anxiety before and after audio distraction listening to The Qur’an Murottal. The study design used is Pre-Experiment one-group pre-test-post test design. The entire population studied patients who will face the first operation cesarean section and elective at the Hospital Muhammadiyah Gresik with a number of 41 patients. The number of samples that met the inclusion criteria as many as 37 patients. Collecting data anxiety level using the APAIS questionnaire before and after giving audio distraction techniques. Analysis using statistical tests Wilxocon Signed Rank Test with significance level α <0.05. The result showed most of respondents experiencing severe anxiety 51.4% before doing audio distraction listening to the Qur’an Murottal, there was a decrease in anxiety after audio distraction listening to the Qur’an murottal was as much as 54.1% are not worried. From the analysis of the statistical test obtained value α = 0.001 which means that α <0,05 then Ho is rejected and H1 is accepted, which means that there is an effect of audio distraction listening to the Qur’an murottal on the anxiety of preoperative cesarean section patients.
The Effect of Brisk Walking Exercise on Blood Pressure in Hypertension Patients at Muhammadiyah Gresik Hospital Islami, Mufatachul; Sari, Diah Jerita Eka; Widiharti, Widiharti; Fitrianur, Widya Lita
Kontribusia : Research Dissemination for Community Development Vol 7 No 2 (2024): Kontribusia, August 2024
Publisher : OJS Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/kontribusia.v7i2.8026

Abstract

One of the non-communicable diseases that is very serious and experienced by many people is hypertension, pharmacological therapy often fails in practice because hypertensive patients are lazy to take medication, forget to take medication/difficulty accessing medication. One type of non-pharmacological therapy to assist in controlling blood pressure is to carry out brisk walking exercise routinely. Objective: To analyze the effect of brisk walking exercise on changes in blood pressure in hypertensive patients at Muhammidyah Gresik Hospital. The design of this study used a quasy experiment with a one-group pre-posttest design approach. The population was all high blood pressure sufferers at Muhammadiyah Gresik Hospital, a sample of 36 patients with a sampling technique using simple random sampling. Data collection using questionnaires and SOP and data analysis using paired t test From the results of the study, the average blood pressure measurement results for the majority of patients who did the brisk walking exercise at the Muhammadiyah Gresik MAP Hospital (pretest) in the study patients was 124.7mmHg. From these results it was found that there was an average decrease in MAP (posttest) blood pressure in patients by 120mmHg. From the results of the paired t test, the PValue was 0.001 <α (0.05). There is an effect of the brisk walking exercise on changes in blood pressure in hypertensive patients at the Muhammadiyah Gresik Hospital.
PENGARUH PEMBERIAN AIR REBUSAN DAUN SALAM TERHADAP KADAR ASAM URAT PADA LANSIA DI PUSKESMAS PEMBANTU DESA MANONGGAL KECAMATAN KLAMPIS KABUPATEN BANGKALAN Halimatuz Zuhriyah; Diah Jerita Eka Sari
Humantech : Jurnal Ilmiah Multidisiplin Indonesia Vol. 2 No. 01 (2022): Humantech : Jurnal Ilmiah Multidisiplin Indonesia
Publisher : Program Studi Akuntansi IKOPIN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32670/ht.v2i01.1079

Abstract

Kadar asam urat pada lansia akan mengalami peningkatan diatas normal. Peningkatan produksi asam urat terjadi akibat : produksi asam urat berlebihan, pembuangan asam urat berkurang, kombinasi produksi asam urat berlebihan dan pembuangan berkurang. Daun salam memiliki senyawa flavonoid yang membantu mengeluarkan kadar asam urat. Tujuan penelitian untuk menganalisis pengaruh pemberian air rebusan daun salam terhadap kadar asam urat pada lansia di Puskesmas Pembantu Desa Manonggal. Metode yang digunakan adalah analitik pra-exsperimental dengan one-group pre-post test desaign. Populasi dalam penelitian adalah semua lansia usia 60-74 tahun di Puskesmas Pembantu Desa Manonggal sebanyak 42 lansia. Sampel penelitian sebanyak 38 lansia dengan tehnik sampling menggunakan simple random sampling. Intrumen penelitian pemberian air rebusan daun salam dengan lembar observasi dan pengukuran asam urat menggunakan GCU. Pengolahan data editing, coding, scoring, tabulating, analisa data menggunakan uji Wilcoxon. Hasil penelitian sebelum pemberian air rebusan daun salam seluruh lansia memiliki kadar asam urat diatas normal sebanyak 38 lansia (100%). Setelah pemberian air rebusan daun salam hampir seluruh lansia memiliki kadar asam utar normal sebanyak 36 lansia (94,7%). Uji statistik Wilcoxon didapatkan nilai p = 0,000 yang berarti p > 0,05 yaitu H1 diterima yang artinya ada pengaruh pemberian air rebusan daun salam terhadap kadar asam urat pada lansia di Puskesmas Pembantu Desa Manonggal Kecamatan Klampis.