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The Differences of Learning Outcomes (Concept Understanding and Concept Application) Students Through Problem Based Learning and Direct Instruction Learning Strategies Juliati Koesrini; Rachma Putri Kasimbara
EDUKATIF : JURNAL ILMU PENDIDIKAN Vol 4, No 3 (2022): June Pages 3201-5000
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/edukatif.v4i3.2825

Abstract

At the beginning of early life there is a learning process called problem based learning (PBL). PBL learning strategies are very effective in nursing schools. The purpose of this study was to determine the differences in learning outcomes (concept understanding and application) between student teams using PBL and student teams using DI. This study uses pre-experimental quantitative research techniques. Second semester DIII nursing students are the population of this study, totaling 194 students (there are 3 parallel classes, namely class A, B, and C with 65 students in class A, 62 in class B, and 67 in class C), while the sample In this study, there were 67 students in the second semester of the Diploma III Nursing study program, the sampling technique used was cluster random sampling. All data were analyzed using SPSS 20 software for windows with a significant level of 5% (α = 0.05). The results showed (1) there were significant differences in understanding basic nursing concepts (2) there were significant differences in the application of basic nursing concepts in DI. So that in understanding the concept and application of the PBL concept it is superior to DI.
The Relationship Of Physiotherapy Services With The Compliance Level Of Elderly Patients At Running The Physiotherapy Program In Dr. Soepraoen Malang Hospital Rachma Putri Kasimbara; Ikhtiqod Suhernanda; Sartoyo; Agung Hadi Endaryanto
Poltanesa Vol 23 No 2 (2022): Desember 2022
Publisher : P2M Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tanesa.v23i2.2079

Abstract

Based on the results of observations of researchers at dr. Soepraoen the physiotherapy services provided are not optimal, as seen from the level of patient compliance which is lacking, this is influenced by several factors, namely reliability, responsiveness, lack of empathy for the physiotherapist, plus incomplete and inadequate facilities. So this study aims to see. There is a relationship between physiotherapy services and patient satisfaction. This research was conducted at dr. Soepraoen with a sample of 85 respondents using a purposive sampling technique. The research instrument used was a questionnaire and the data was analyzed using the chi-square test with a significant level (α=0.05). The results of this study indicate that there is a relationship between physiotherapy services and patient satisfaction (p=0.000). Based on research results. It can be concluded that there is a relationship between physiotherapy services and patient compliance.
Pengaruh Pemberian Ischemic Compression Technique Terhadap Penurunan Nyeri Myofascial Trigger Point Syndrome Otot Upper Trapezius Pada Pegawai Manejerial RS UMM Lutfi Ardi Firmansyah; Achmad Fariz; Rachma Putri Kasimbara; Yohanes Deo Fau
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.16045

Abstract

Objective:  The Ischemic CompressionApproach is a safe and effective technique for pain relief in myofascial conditions. The purpose of assessing the effect of Ischemic CompressionTechnique on reducing Myofascial Trigger Point Syndrome Upper Trapezius muscle pain in UMM Hospital managerial staffMethods:  This study is classified as a comparative quantitative study, including statistical data processing by comparing or looking for differences between before and after therapy. The population in this study were managerial employees of UMM Hospital with complaints of neck pain in the last 1 month of the July 2022 period at UMM Hospital with a total sample of 30 respondents using Wilcoxon Test data analysisResults:  The results of the analysis showed that the significance value of the Wilcoxon Test was 0.000 <α (α = 0.05), meaning that there was an effect of Ischemic CompressionTechnique on reducing Myofascial Trigger Point Syndrome pain in the Upper Trapezius muscle in managerial employees of UMM HospitalConclusion: 1) The value of pain before administration of the Ischemic CompressionTechnique obtained an average value of 1.37 with a minimum value of 1 and a maximum value of 2 and a standard deviation value of 0.490 2) The value of pain after administration of the Ischemic CompressionTechnique obtained an average value of 0.40 with a minimum value of 0 and a maximum value of 1 and a standard deviation value of 0.498 3) There is an effect of Ischemic CompressionTechnique on reducing Myofascial Trigger Point Syndrome Upper Trapezius muscle pain in managerial staff of UMM Hospital
Pengaruh Pemberian Nebulizer Dan Deep Breating Exercise Terhadap Perubahan Saturasi Oksigen Pada Pasien PPOK Di RS Paru Jember Moh Mujibus Sauqi; Angria Pradita; Rachma Putri Kasimbara; Nurul Halimah
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.15758

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a respiratory disease indicated by airflow limitation due to airway abnormalities. COPD patients are identical with airway obstruction or decreased lung function to carry out the exchange of oxygen and carbon dioxide which is characterized by cyanosis, hypoxemia, decreased concentration and mood changes. This condition results in a decrease in oxygen saturation which causes the percentage of hemoglobin and oxygen binding in the arteries to decrease to <85 %. One of the treatments used in COPD patients is the administration of a nebulizer and deep breathing exercise. This study aims to identify the effect of giving a nebulizer and deep breathing exercise to changes in oxygen saturation of COPD patients. This study has 20 respondents using a sampling technique that is purposive sampling. This research design uses a quasi-experimental type with a one group pretest and posttest approach. Bivariate analysis in this study using Paired T Test. The results of this study are the average oxygen saturation before giving a nebulizer and deep breathing to COPD patients is 92.70, the average oxygen saturation after giving a nebulizer and deep breathing to COPD patients at Jember Lung Hospital is 94.05, and there is an effect of giving a nebulizer and deep breathing to changes in oxygen saturation of COPD patients at Jember Lung Hospital with p-value = 0.001 (p<0.05). This research is expected to be an input for additional information based on data and theory to improve the quality of physiotherapy services by making standard procedures in performing nebulizers and deep breathing, especially in COPD patients
Pengaruh Kombinasi Progressive Muscle Relaxation dan Slow Deep Breathing Exercise terhadap Kinesiophobia pada Pasien Rawat Jalan di Surabaya Pusbagijo Pusbagijo; Achmad Fariz; Rachma Putri Kasimbara; Yohanes Deo Fau
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.16177

Abstract

Objective:   Kinesiophobia is an excessive fear of physical activity or movement so that patients tend to avoid moving their painful limbs. Not many longitudinal studies have reported that progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) have a direct impact on the level of Kinesiophobia. Therefore, we explored the effect of a combination of progressive muscle relaxation and slow deep breathing exercise on kinesiophobia in outpatients with chronic musculoskeletal pain in Surabaya.Methods:   This study had 43 respondents who all completed a randomized controlled trial (RCT) for 5 weeks, 21 respondents were randomized to receive a combination of progressive muscle relaxation and slow deep breathing exercise and received standard physiotherapy interventions, while the control group consisted of 22 respondents only with standard physiotherapy interventions. The Tampa Scale of Kinesiophobia (TSK) is used to assess the level of Kinesiophobia experienced by patients.Results:   1. In the experimental group that was given a combination of progressive muscle relaxation and slow deep breathing exercise and standard physiotherapy, the initial mean score without the scale of kinesiophobia (TSK) was 51.73 points, and after the intervention it was 42.32 points.2. As for the control group which was only given standard physiotherapy intervention, the initial average score without the scale of kinesiophobia (TSK) was 51.71 points, and after the intervention it became 48.33 points.3. The Effect of a Combination of Progressive Muscle Relaxation and Slow Deep Breathing Exercise on Kinesiophobia in Outpatients in Surabaya, with a p-value = (p <0.05).Conclusion:  The combined progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) combination technique is safe to apply to patients with Kinesiophobia disorder because it has relatively no side effects and is practical in its application. The findings from this study support that combination therapy of progressive muscle relaxation (PMR) and slow deep breathing exercise (SDBE) offers beneficial outcomes for patients experiencing chronic pain, as well as for preventing and treating Kinesiophobia.
Pengaruh Pemberian Bobath Exercise Terhadap Perkembangan Motorik Kasar Anak Developmental Delay Di UPT Layanan Pendidikan Anak Berkebutuhan Khusus Kabupaten Gresik Alvina Rahmawati; Nurul Halimah; Rachma Putri Kasimbara; Angria Pradita
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.16252

Abstract

Objective:  This study was to identify the effect of giving Bobath Excercise on the motor development of children with Development Delay.Methods:  This study used the one group pre and post test design method. In this group, the initial measurement (pre-test) was carried out and then given treatment in the form of Bobath Exercise physiotherapy intervention. After that, it was measured again (post-test) at the end of the research session to find out the response to the treatment so that the results of the experiment could be known with certainty. The independent variable in this study is the Bobath Excercise, and the dependent variable is gross motoric changes. The number of samples in this study were 15 respondents with a purposive sampling technique. Data processing in this study used SPSS software version 16.0.Results:  a significance value of (0.000) which means that the P value <0.005 and it can be interpreted that the hypothesis is accepted, so it can be concluded that the effect of giving Bobath Excercise on the motor development of children with Development Delay.Conclusion: Bobath Exercises has an influence on gross motor skills with Development Delay. This is evidenced by the addition of the GMFM score from before being given the intervention and after being given the intervention.
Pengaruh Passive Stretching Exercise Terhadap Perubahan Fleksibilitas Hamstring Pada Kasus Osteoartritis Genu Di Rumah Sakit Dr.Soepraoen Kota Malang Wahyu Oni Kurniawan; Angria Pradita; Rachma Putri Kasimbara; Nurul Halimah
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.16015

Abstract

Objective: Flexibility is the ability of a muscle to be stretched as much as possible so that the body can move freely without any discomfort/ pain. The purpose of this study was to determine the effect of passive stretching exercise on changes in hamstring flexibility in patients with genu osteoarthritis at dr. Soepraoen  Malang HospitalMethods:  This study used a pre-experimental design with the design used in this study was one group pretest-posttest. This study used genu osteoarthritis patients at dr. Soepraoen Malang Hospital, as many as 20 patients, using a purposive sampling method using Wilcoxon Test data analysisResults:  The results showed that there was an effect of passive stretching exercise on changes in hamstring flexibility in genu osteoarthritis patients at  dr. Soepraoen Malang Hospital , the Wilcoxon Test's significance value is 0.002<α (α=0.05)Conclusion: 1. The average flexibility of the hamstring muscles in genu osteoarthritis patients before giving passive stretching exercise was 15, with a minimum value of 13 and a maximum value of 18 and a standard deviation value of 2.026. 2. The average flexibility of the hamstring muscles in patients with genu osteoarthritis after giving passive stretching exercise was 15.85 with a minimum value of 13 and a maximum value of 18 and a standard deviation value of 2.033. 3. There is an effect of passive stretching exercise on changes in hamstring flexibility in patients with genu osteoarthritis, which can be shown that the significance value of the Wilcoxon Test is 0.002 <α (α = 0.05)  
Pengaruh Pemberian Quadriceps isometric exercise terhadap perubahan nyeri osteoarthritis knee pada pasien Rumah Sakit Wijaya Kusuma Lumajang Anggi Kurniawati; Nurul Halimah; Rachma Putri Kasimbara; Angria Pradita
Jurnal Keperawatan Muhammadiyah Vol 8 No 1 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v8i1.15925

Abstract

Knee osteoarthritis is a disorder of the knee joint that is progressive, for example in the joint cartilage, synovial fluid and subchondral bone, and causes furs, ulcerations, and becomes thin. The main complaints that are often felt by sufferers of Knee Osteoarthritis are pain, limited range of joint motion, mechanical abnormalities, and limitations in carrying out daily functional activities. Complaints felt by sufferers of Knee Osteoarthritis can cause a decrease in the quality of life in the elderly. This study aims to identify the effect of quadriceps isometric exercise on changes in pain in osteoarthritis patients. This research has 21 respondents. The research design uses a pre-experimental type with a one group pretest and posttest approach. Bivariate analysis in this study used Wilcoxon. The results of this study were that the mean pain scale before quadriceps isometric exercise was 5.761, the mean pain scale after quadriceps isometric exercise in knee osteoarthritis patients was 2.857, and there was an effect of isometric quadriceps exercise on reducing pain in osteoarthritis patients at Wijaya Kusuma Hospital Lumajang with a p-value = 0.000 (p<0.05). It is hoped that this research can provide additional information based on data and theory to improve the quality of physiotherapy services by establishing a standard procedure for performing the quadriceps isometric exercise, especially in osteoarthritis patients.
Pengaruh Stretching Exercise terhadap Perubahan Nyeri pada Kasus Spasme Otot Upper Trapezius pada Pegawai di RS Jiwa Menur Surabaya Tristia Nurul Hasanah; Nurul Halimah; Rachma Putri Kasimbara; Angria Pradita
Jurnal Keperawatan Muhammadiyah EDISI KHUSUS 2023
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v0i0.16346

Abstract

Objective:  The effect of stretching exercises to neck pain due to spasm of the upper trapezius muscle in employees at Menur Mental Hospital.Methods:  This article uses pre and post test trials conducted on 30 employees who experience neck pain due to upper trapezius spasm. This stretching exercises was carried out for 4 weeks withResults:  Stretching exercise which was carried out over 4 weeks decrease pain neck. Distinction pre-test and post-test get value Z -4.889 p.value Asymp sig 2 tailed 0,000 < 0,05. H1 received that means there is a difference significant. So it can be concluded that Stretching exercise have an effect on reducing neck pain due to spasm of the upper trapezius in employees at Menur Mental Hospital.Conclusion:  Stretching exercise have an effect on reducing neck pain due to spasm of the upper trapezius in employees at Menur Mental Hospital. The average reduction in pain in 30 health workers after 4 weeks was seen from the Wilcoxon Signed Rank test with an asymp value. sig. 2-tailed worth 0.000 <0.05.
Pengaruh Core Stability Exercise Terhadap Keseimbangan Statis Anak Usia 7-9 Tahun Di SD Tanwir Surabaya Nur Aini; Nurul Halimah; Rachma Putri Kasimbara; Agung Hadi Endaryanto
Jurnal Keperawatan Muhammadiyah EDISI KHUSUS 2023
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v0i0.16366

Abstract

Balance is how the position of the body is able to maintain and adjust the position while still or moving. Good balance will increase body awarenes and related to spatial and reasoning ability. Core Stability Exercise is called an exercise that involves the trunk whose function is to control motion and position with the aim of making optimal movements, based on the physiological side, the strengthening and stability of the torso increases the strength and power and efficient movement of the shoulder, arm and leg muscles. The muscles in our body work like a chain, so that when movement occurs in the limbs, the core muscles will keep our body in an upright position.