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RESISTANCE EXERCISE INFLUENCE ON DIABETICUM NEUROPATHY IMPROVEMENT IN TYPE 2 DM PATIENTS Sari, Ratna Yunita; Faizah, Imamatul
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 3 (2020): Juli 2020
Publisher : LPPM STIKES KENDAL

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Abstract

Pendahuluan: Neuropati diabetikum merupakan salah satu komplikasi mikrovaskuler dari diabetes melitus yang menyerang pada bagian perifer serta menimbulkan kerusakan fungsi saraf. Salah satu upaya memperbaiki komplikasi diabetes melitus ialah menerapkan exercise. Exercise yang dapat dilaksanakan ialah resistance exercise yang merupakan salah satu terapi modalitas dalam pelaksanaan diabetes melitus tipe 2 yang diharapkan dapat mengontrol kadar gula dalam darah serta memperlancar sirkulasi jaringan perifer sehingga dapat memperbaiki neuropati diabetikum. Metode:Desain penelitian yaitu  quasy experiment dengan penelitian the untreated control group design with dependent pre-test and post test samples. Teknik pengambilan sampel probability sampling jenis random sampling yang memenuhi criteria inklusi maupun eksklusi dengan jumlah sampel 120 responden. Instrument yang digunakan untuk mengukur neuropati diabetikum menggunakan modifikasi MNSI (Michigan Neurophaty Screening Instrument) dan MDNS (Michigan Diabetic Neuropathy Score). Uji statistic menggunakan Paired Sample t-Test dan Independent t-Test dengan signifikan p<0,05. Hasil: Hasil penelitian menunjukkan mean perbaikan neuropati diabetikum pada kelompok intervensi 8.37 dan kelompok kontrol 17.48. analisa data diperoleh resistance exercise  berpengaruh terhadap perbaikan neuropati diabetikum dengan p=0,00. Kesimpulan: Resistance exercise yang rutin dilakukan mampu menurunkan skor neuropati sehingga terjadi perbaikan neuropati diabetikum pada penderita diabetes melitus tipe 2. Penderita dapat melakukan resistance exercise secara mandiri sebagai program terapi modalita.
ERGO CARE HEEL RAISE EXERCISE IS AFFECTING TOWARDS ELDERLY BALANCE Faizah, Imamatul; Sari, Ratna Yunita
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 3 (2020): Juli 2020
Publisher : LPPM STIKES KENDAL

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Abstract

Lansia mengalami penurunan kemampuan fungsi tubuh baik fisik maupun psikologis yang bersifat fisiologis. Penurunan fungsi tubuh pada lansia disebabkan oleh perubahan morfologis otot dan penyakit degeneratif, hal tersebut dapat menimbulkan masalah gangguan keseimbangan pada lansia. Tujuan dari penelitian ini adalah untuk menjelaskan pengaruh ergo care heel raise exercise terhadap keseimbangan lansia. Penelitian ini menggunakan desain penelitian quasy experiment dengan pre-test dan post-tes group. kelompok kontrol dengan sampel 52 responden dan kelompok intervensi dengan sampel 52 responden. Tehnik pengambilan sampel menggunakan consecutive sampling. Intervensi dilakukan selama 4 minggu (15 menit untuk setiap intervensi). Penelitian ini menggunakan instrumen observasi TUGT (Time up and Go Test). Analisa data dengan menggunakan, Paired sample t-Test dan Independent sample t-Test. Hasil penelitian menunjukkan bahwa mean penurunan skor TUGT pada kelompok intervensi 9, dan pada kelompok kontrol 0.09. Analisis data diperoleh  ergo care heel raise exercise berpengaruh terhadap keseimbangan lansia pada kelompok intervensi  dengan nilai p = 0.000 pada kelompok intervensi. Sedangkan pada kelompok kontrol hasil uji paired t-test didapatkan p=0.302.  Ergo care heel raise exercise berfungsi untuk mengontrol neuromuscular pada otot sendi yang bekerja mengirim input aferen propioseptif menuju sistem saraf pusat sehingga dapat menjaga keseimbangan tubuh lansia
HUBUNGAN DUKUNGAN SUAMI DENGAN PENCAPAIAN PERAN IBU (PENDEKATAN TEORI RAMONA T. MERCER) PADA IBU PRIMIPARA DI RUANG MAWAR RSI JEMURSARI SURABAYA Afiyah, Raden Khairiyatul; Sari, Ratna Yunita; Faizah, Imamatul
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 3 (2020): Juli 2020
Publisher : LPPM STIKES KENDAL

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Abstract

Pendahuluan: Dukungan suami merupakan faktor pendukung keberhasilan pencapaian peran ibu. Saat ini di masyarakat banyak ditemukan suami yang kurang memberikan perhatian dan jarang menemani istri pada awal kehamilan sampai proses persalinan. Tujuan penelitian mengetahui hubungan dukungan suami dengan pencapaian peran ibu pada ibu primipara di ruang Mawar RSI Jemursari Surabaya. Metode: Desain penelitian adalah analitik dengan rancangan cross sectional. Populasi penelitian adalah ibu primipara di ruang Mawar RSI Jemursari Suarabaya sebesar 50 orang. Sampel sebesar 44 respondendiambil dengan teknik Consecutive Sampling. Variabel independent dukungan suami dan variable dependen pencapaian peran ibu. Instrumen adalah kuesioner, data dianalisis menggunakan uji Mann Whitney dengan tingkat signifikan ? = 0,05. Hasil: Hasil penelitian didapatkan dari 44 respoden hampir seluruhnya (86,4%) dukungan suami baik dan hampir seluruhnya (90,9%) peran ibu dapat tercapai. Analisis uji Mann  Whitney menunjukan hasil p = 0,000 tingkat signifikan ? = 0,05 maka H0 ditolak karena P < 0,05 berarti ada hubungan antara dukungan suami dengan pencapaian peran ibu pada ibu primipara di ruang mawar RSI Jemursari Surabaya. Kesimpulan: Semakin besar dukungan suami ibu primipara semakin mudah untuk mencapai perannya sebagai ibu. Saran bagi perawat khususnya perawat maternitas adalah memberikan edukasi tentang pentingnya dukungan suami pada ibu primipara untuk mendapatkan ikatan batin antara ayah, ibu dan anak.
Korelasi Usia terhadap Kecemasan pada Pasien Pre Operasi Histerectomi Rohmawati, Riska; Sudarti, Erna; Faizah, Imamatul; Sari, Ratna Yunita; Hasina, Siti Nur
Jurnal Keperawatan Jiwa Vol 12, No 1 (2024): Februari 2024
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.12.1.2024.9-16

Abstract

Tindakan histerektomi dapat memberikan efek baik secara fisiologi, psikologi maupun psikososial. Tindakan histerektomi dengan menghilangkan Rahim, dapat membawa dampak negative seperti menopause dini, infertilitas, ketidak-seimbangan hormone dan kecemasan. Tujuan penelitian adalah mendeskripsikan dan menganalisa usia dengan tingkat kecemasan pada pasien pre operasi histerectomi. Desain penelitian analitik korelasional dengan pendekatan cross sectional. Populasi sebesar 36 responden dan besar sampel sebesar 36 responden dengan teknik total sampling. Variabel independen penelitian ini adalah usia dan variabel dependen adalah tingkat kecemasan pre operasi histerektomi. Instrument penelitian menggunakan kuisioner dengan skala HADS. Analisis data menggunakan uji Rank Spearman’s dengan nilai kemaknaan α= 0,05. Hasil penelitian menunjukkan bahwa dari 36 responden hampir setengahnya 17 responden (47,2%) dengan usia 26-35 tahun dan hampir setengahnya 17 responden (47,2%) mempunyai tingkat kecemasan berat. Hasil uji Rank Spearman’s ρ = 0,001 < α= 0,05 menunjukkan ada hubungan usia dengan tingkat kecemasan pada pasien pre operasi histerectomi  semakin tinggi usia wanita maka dapat menurunkan tingkat kecemasan pada pasien pre operasi histerektomi.
Efektivitas Senam Bugar Tehadap Insomnia Pada Lansia di Kelurahan Tambak Sawah Sidoarjo Rohmawati, Riska; Sari, Ratna Yunita; Faizah, Imamatul; Soleha, Umdatus
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.86

Abstract

As we get older, the need for sleep in most elderly people tends to decrease. The purpose of the study is to analyze the effect of yoga exercises on insomnia in the elderly in the Sidoarjo Add Sawah Village. This type of research uses a pre-experimental design with one group pretest - posttest design, using a sampling technique that is a total sampling of 30 respondents. 15 groups and 15 intervention groups. Giving fit exercise is done three times a week, in the morning. Data was collected using insomnia rating scale questionnaire before it was done and after the intervention. Then the data were analyzed by Willcoxon and Mann Whitney tests. The results showed that fit exercise was significant in insomnia levels. The results of the test analysis obtained p count of 0.002 in the intervention group and 0.317 in the control group. This means that fit exercise three times a week can reduce insomnia levels in the elderly in the village of Tambak Sawah Sidoarjo. The conclusion of the research shows that fit exercise can reduce insomnia level, for that reason, it should be better in Tambak Sawah village in Sidoarjo to do fitness fit so that the elderly do not experience insomnia.Keywords: Insomnia, Exercise Fitness, Elderly
Pengaruh Pre-Operative Teaching Islami Terhadap Tingkat Cemas Pasien Pre-Operasi TUR-P di RSI Jemursari Surabaya Sari, Ratna Yunita; Rohmawati, Riska; Faizah, Imamatul; Heris, Wesiana
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 1 (2020): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i1.87

Abstract

Transurethral Resection of the Prostate (TURP) is a surgical procedure to treat benign prostate hyperplasia. The planned surgical procedure will make the patient feel anxious. The purpose of this study was to determine the effect of Islamic-based preoperative teaching on the anxiety level of TUR-P preoperative patients in the Azzara 2 hospital room. Islam Jemursari Surabaya. Quasi-experimental research design with a pre and post-test control group design approach. The sample size used 24 residential respondents, which were then divided into 12 respondents in the intervention group and 12 respondents in the control group. The procedure is performed when the patient is hospitalized until near the operation. Data collection was carried out by measuring the level of anxiety before and after the Islamic-based preoperative teaching. Data were then analyzed using the Willcoxon and Mann Whitney tests. The results showed that Islamic-based preoperative teaching affected reducing anxiety levels in pre-operative patients. TUR-P analysis of the Mann-Whitney test showed a p-value of 0.002. The conclusions of the study show that Islamic-based preoperative teaching can reduce patient anxiety levels, nurses should be able to apply Islamic-based preoperative teaching to overcome anxiety experienced by patients before surgery.Keywords: TUR-P, Islami Preoperative Teaching, Anxiety
Training on Early Detection of Stroke for Health Cadres to Prevent Disability After Stroke in the Kebonsari Village Area Septianingrum, Yurike; Sari, Ratna Yunita; Hatmanti, Nety Mawarda; Wijayanti, Lono; Firdaus, Firdaus; Yuniati, Dyah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 8 (2024): Volume 7 No 8 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i8.12496

Abstract

ABSTRACT Early detection of stroke is an effort to prevent more severe disability in stroke patients. Delays in bringing stroke patients to the hospital are one of the reasons why patients miss the golden period of stroke treatment. Health cadres play an important role in identifying health problems in the community, but most cadres do not understand how to carry out early stroke detection. To increase the knowledge and ability of cadres in detecting strokes so that treatment does not exceed the golden period of strokes. The method used in this community service activity is a participative educational approach, including providing health education and demonstrations regarding early stroke detection. This activity was conducted in April 2023 and was attended by 35 health cadres. Knowledge and ability to detect stroke are evaluated used knowledge questionnaire instruments and observation sheets. The results of community service show that the knowledge and ability to perform stroke detection among cadres has increased after training. Cadres' knowledge and ability to detect stroke in the health community can be improved through early stroke detection training. It is hoped that trained health cadres can provide health education to other residents to increase residents' knowledge about stroke and when is the right time to take patients to hospital. Keywords: Early Detection, Health Cadres, Non-Communicable Disease, Stroke
COMBINATION BENSON RELAXATION AND MURROTAL ALQURAN TO DECREASE ANXIETY, STRESS, AND DEPRESSION HEMODIALYSIS PATIENTS: AN EXPERIMENTAL STUDY Rohmawati, Riska; Sari, Ratna Yunita; Faizah, Imamatul; Hasina, Siti Nur
Nurse and Health: Jurnal Keperawatan Vol 13 No 2 (2024): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v13i2.640

Abstract

Background: Anxiety, stress and depression in hemodialysis patients often occur due to changes in lifestyle and boredom undergoing therapy. Data from the hospital 63.9% of hemodialysis clients experienced anxiety, 51.7% experienced stress, and 60.5% experienced depression. Objectives: The purpose of this study was to determine the effect of the combination of Benson relaxation and Murrotal Al-Quran in hemodialysis patients at Islamic hospital. Methods: The design of the research was quasi-experiment with pre-posttest control group design. The sample of the research was 180 respondents that divided into three groups: 60 respondents in intervention group with combination of Benson relaxation and Murrotal Al-Quran, 60 respondents in intervention group with Benson relaxation, and 60 respondents in control group (no intervention). The intervention groups were given combination of Benson relaxation and Murrotal Al-Quran for 15 minutes once daily for 1 month. Research instruments using DASS (Depression Anxiety Stress Scale) to measure the anxiety, stress, and depression. Results: The t-test analysis found that the decrease in anxiety, stress, and depression was more common in the Benson relaxation and Murrotal Al-Quran combination group. While the Manova test showed that there were differences in the intervention group and the control group with the strength of differences in anxiety (68.7%), stress (68.4%), and depression (58.2%). Conclusion: Benson relaxation combination therapy with Murrotal Al-Quran is more effective in reducing anxiety, stress, and depression levels in hemodialysis patients. Nurses can implement this intervention in order to meet the patients’ psychological needs.
Hubungan pola makan dan aktivitas fisik dengan kejadian overweight pada anak dan remaja : Relationship between diet patterns and physical activity with overweight incidents in children and adolescents Putri, Rahmadaniar Aditya; Hasina, Siti Nur; Rohmawati, Riska; Faizah, Imamatul; Sari, Ratna Yunita
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 2 (2025): JiKep | Juni 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i2.2589

Abstract

Overweight saat ini menjadi permasalahan gizi di Indonesia hingga dunia bahkan WHO mendeklarasikan sebagai epidemik global. Hal ini dapat terjadi karena mereka sering mengalami pola makan yang abnormal. Penelitian ini bertujuan untuk mengidentifikasi hubungan pola makan dan aktivitas fisik dengan kejadian Overweight pada Anak dan Remaja. Desain penelitian menggunakan metode observasional analitik. Sampel sebanyak 39 responden dengan teknik purposive sampling. Variabel independen adalah pola makan dan aktivitas fisik sedangkan variabel dependen adalah overweight. Instrumen penelitian ini menggunakan lembar observasi, lembar kuesioner pola makan dan Pasichal Activity Question for Adolescest, timbangan digital, dan microtoice. Analisis data menggunakan Chi-square. Hasil penelitian menunjukkan bahwa sebagian besar anak dan remaja memiliki pola makan tidak teratur dan memiliki aktivitas fisik ringan.  Hasil  analisis data didapatkan hasil p value kurang dari alpha sehingga ada hubungan yang signifikan antara pola makan dan aktivitas fisik dengan kejadian overweight pada anak dan remaja. Pola makan yang tidak teratur dan kurangya aktivitas fisik dapat menyebabkan terjadinya overweight. Perawat dapat berperan dalam mengidentifikasi masalah yang beresiko mengalami overweight serta  mengedukasi anak dan remaja tentang menjaga pola makan yang benar dengan mengkonsumsi makan yang mengandung tinggi protein, serat, dan vitamin serta mengedukasi terkait aktivitas fisik yang baik dan benar
Stroke-Associated Pneumonia: Risk Factors and Discharge Status Septianingrum, Yurike; Sari, Ratna Yunita; Martining Wardani, Erika; Ainiyah, Nur; Faizah, Imamatul; Yusuf, Ah.; Yuni Widyawati, Ika
Nurse Media Journal of Nursing Vol 14, No 3 (2024): (December 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i3.56841

Abstract

Background: Stroke-associated Pneumonia (SAP) is one of the complications that occur in stroke patients and is associated with worse clinical outcomes. Risk factors for SAP and its impact on discharge status remain unclear.Purpose: This study aimed to determine the factors influencing the incidence of stroke-related pneumonia in the hospital and the patient’s discharge status.Methods: A case-control study was conducted at a private hospital in Surabaya from January 2021 to 2022. Medical record data were reviewed to identify stroke patients with suspected or confirmed pneumonia, after which risk factors (age, gender, stroke type, length of stay, stroke frequency, dysphagia, diabetes mellitus, hypertension, COVID-19, and discharge status) associated with the occurrence of SAP were examined. We excluded diagnoses of diseases with clinical manifestations such as tuberculosis-like pneumonia, lung tumor, pulmonary edema, pulmonary embolism, pulmonary atelectasis, and incomplete or missing medical record data. Data analysis used the Chi-square test to identify the risk factors for stroke-associated pneumonia.Results: One hundred sixty-three stroke patients treated in all inpatient rooms were diagnosed with pneumonia; 52.8% of them had confirmed pneumonia, while the rest were still suspected of pneumonia. Most pneumonia occurs in ischemic stroke patients (93.9%), first-time stroke patients (87.1%), experienced dysphagia (55.2%), length of stay less than 7 days (55.2%), hypertension (55.2%), diabetes mellitus (57.1%), and discharged home (84%). We also found as much as 12.9% inpatient mortality due to SAP. Dysphagia, DM, and COVID-19 were significantly correlated with the incidence of stroke-associated pneumonia (p=0.000).Conclusion: Stroke-associated pneumonia is a substantial medical complication among stroke patients affected by dysphagia, DM, and COVID-19. Screening for dysphagia is necessary for nurses to prevent SAP in stroke patients.