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All Journal Jurnal Gema Keperawatan Media Keperawatan: Politeknik Kesehatan Makassar
Yuni Lestari, Ni Kadek
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Health Professions Nursing Public Health

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Gambaran Self-Care Pasien dengan Penyakit Jantung Koroner Pasca Kateterisasi Jantung Arianca, I Nyoman; Intan Saraswati, Ni Luh Gede; Satya Laksmi, I Gusti Ayu Putu; Yuni Lestari, Ni Kadek
Jurnal Gema Keperawatan Vol 17, No 1 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i1.3270

Abstract

Coronary heart disease is one of the most common cardiovascular diseases throughout the world which results in high rates of mortality, morbidity and also has a financial impact. One of the main management for coronary heart disease patients is self-care. Several studies show that treatment outcomes for coronary heart patients are better in patients who engage in consistent self-care. Programs and guidelines regarding self-care for coronary heart patients have been proven to reduce rehospitalization rates. The results of other research show there is a link between a good quality of life and good self-care. The aim of this research is to determine the description of self-care for coronary heart patients after catheterization at the Integrated Heart Care Installation at Prof.Dr.I.G.N.G Ngoerah Hospital. This research uses a descriptive analytical design with a cross sectional approach using the SC-CHDI questionnaire. The total sample was 219 respondents using purposive sampling technique. The results of the study showed that 77,2% respondent have sufficient catagory, Self-Maintenance results for coronary heart patients at the Integrated Heart Care Installation at Prof. Dr. I. G. as many as 119 people (54,3%). Self-care-confidence was in the sufficient category, 195 respondents (89%) and the results of self-care management for coronary heart patients were in the sufficient category,115 respondents (52,5%). The description of self-care for coronary heart disease sufferers is influenced by respondent characteristics such as age, gender, education, occupation, and length of illness.
Pengaruh Brisk Walking Exercise terhadap Daya Tahan Kardiorespirasi pada Penderita Hipertensi Yuni Lestari, Ni Kadek; Intan Saraswati, Ni Luh Gede
Jurnal Gema Keperawatan Vol 17, No 2 (2024): Jurnal Gema Keperawatan
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jgk.v17i2.3770

Abstract

Low cardiorespiratory endurance in young adults is associated with the development of cardiovascular disease risk factors in middle age. Training cardiovascular endurance and producing good endurance means that a person will not easily experience an increase in blood pressure because his fitness has been trained. Brisk Walking Exercise is a technique of fast walking for 30 minutes at a speed of 4-6 km/h. This exercise is quite effective for improving maximum heart rate capacity, stimulating muscle contraction, glycogen breakdown, and increased tissue oxygen. The purpose of this research is to determine the effect of brisk walking exercise on cardiorespiratory endurance in patients with hypertension. The research design is a pretest-posttest nonequivalent control group design. The analyses used are the wilcoxon test and the mann-whitney test. The research results obtained based on the wilcoxon test showed a p-value of 0,000 (0,05) in the treatment group, which indicates a significant difference in VO2 max values before and after the brisk walking exercise intervention. Meanwhile, the control group had a p-value of 0,011 which means there is no significant difference in VO2max values between the first measurement and the second measurement. Based on the Mann-Whitney test, the p-value 0,000 (0,05), which means there is an influence of brisk walking exercise on cardiorespiratory endurance (VO2max) in patients with hypertension. Brisk walking exercise can be an alternative complementary therapy that can increase cardiopulmonary functional capacity (VO2max) in hypertension sufferers. 
PENGARUH BEKAM KERING TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Wirastini, Ni Wayan Juni; Dewi Puspawati, Ni Luh Putu; Yuni Lestari, Ni Kadek
Media Keperawatan: Politeknik Kesehatan Makassar Vol 14 No 2 (2023): Media Keperawatan: Politeknik Kesehatan Makassar
Publisher : Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hipertensi merupakan penyakit yang cukup memprihatinkan dengan jumlah kasus yang cukup tinggi di berbagai belahan dunia. Salah satu cara yang dapat dilakukan untuk mengendalikan tekanan darah yaitu dengan pemberian bekam kering. Penelitian ini bertujuan untuk mengetahui pengaruh bekam kering terhadap penurunan tekanan darah pada penderita hipertensi. Penelitian ini menggunakan metode kuantitatif dengan desain quasi experimental nonequivalent pretest-posttest with control group. Sampel dipilih dengan teknik purposive sampling sejumlah 22 orang dan dibagi menjadi kelompok perlakuan dan kontrol masing-masing 11 orang. Pengukuran tekanan darah menggunakan alat sphygmomanometer, stetoskop. Data dianalisis menggunakan uji Paired T-Test, Independent T-Test pada tingkat kemaknaan α 0,05. Hasil penelitian didapatkan uji Paired T-test ada pengaruh pemberian bekam kering terhadap penurunan tekanan darah pada penderita hipertensi dengan nilai p value adalah sistole 0,001, diastole 0,002 dan pada kelompok kontrol saat pemberian KIE atau health education tidak signifikan dengan nilai p value adalah sistole 0,612 dan diastole 0,512. Hasil uji Independent T-test menunjukkan bahwa terdapat perbedaan tekanan darah sistole p-value 0,003, diastole p-value 0,000 pada kelompok intervensi dan kontrol dengan hasil uji stastistik t-hitung tekanan darah sistole 3,551, diastole 4,303. Bekam kering merupakan salah satu terapi non farmakologi yang efektif menurunkan tekanan darah pada penderita hipertensi. Efek bekam terhadap tekanan darah adalah menenangkan sistem saraf simpatis. Pelenturan sistem saraf simpatik ini merangsang sekresi enzim bekerja seperti sistem renin-angiotensin maka tekanan darah mengalami penurunan. Disarankan kepada pasien hipertensi untuk dapat melakukan bekam kering selama 1 minggu sekali sebagai pilihan alternatif menurunkanan tekanan darah.
Co-Authors Arianca, I Nyoman Intan Saraswati, Ni Luh Gede Puspawati, Ni Luh Putu Dewi Satya Laksmi, I Gusti Ayu Putu Wirastini, Ni Wayan Juni