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Implementasi Keperawatan Terapi Hipnosis Lima Jari Pada Orang Tua Yang Memiliki Anak Autism Spectrum Disorder Pastari, Marta; Endriyani, Sri; Martini, Sri; Hisaan, Gina Khairaatun
JKM : Jurnal Keperawatan Merdeka Vol 4 No 1 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i1.2241

Abstract

Background: Autism is a serious neurobiological developmental disorder that occurs in children, causing problems for children to communicate and relate to their environment. Most parents have various emotional reactions when they find out that their child has autism. So it has a negative impact on parents both physically and psychologically, including parents who experience feelings of worry or anxiety (Mulyadi & Sutadi, 2014). Method: The design of this case study is descriptive with a nursing care approach that focuses on nursing implementation and evaluation. The subjects used in this case study were four patients with the same case and nursing problem, namely anxiety. The research location in this case study was at Nu_Kids Integrated Therapy, carried out for seven days for each patient, varying according to the date of visit from March to April 2023. Data collection methods used were interviews, observation, physical examination, implementation and assessment scales. The results of data collection are presented in the form of tables and narratives. Results: Before the researcher implemented five finger hypnosis therapy on clients, the researcher needed to build a relationship of mutual trust (BHSP) with the four clients in order to gain the trust of the clients. After BHSP, researchers used the SRQ questionnaire to determine the level of anxiety experienced by clients. It was found that Mrs. D value is 7 (there is a psychological problem of anxiety). To Mrs. S value is 6 (there is a psychological problem of anxiety). To Mrs. N value is 7 (there is a psychological problem of anxiety). To Mrs. NA value is 6 (there is a psychological problem of anxiety). The researcher then carried out the implementation of five-finger hypnosis nursing therapy for 7 days, once a day for 10-15 minutes, then the client would repeat it at home independently. After 7 days of implementing five finger hypnosis, the researcher assessed the client's response; where is Mrs. D can now speak relaxedly, his face is no longer tense, Mrs. S can concentrate again, Mrs. NA really understands and can carry out five finger hypnosis therapy without being facilitated or assisted by researchers, Mrs. N can now calm down and relax, and is starting to get used to relaxing when doing anything. Conclusion: The results of this study indicate that after being given the implementation of Five Finger Hypnosis Therapy, the four clients (100%) no longer experienced anxiety disorders with a score of Mrs. D and Mrs. N = five, Mrs. NA and Mrs. S = 4 (Score < 6 means there is no psychological problem of anxiety). So it can be concluded that five finger hypnosis therapy is effective in reducing anxiety.
The Effect of Kerokan to Liver Function of Hepatitis B Patients Hanum, Nur Adiba; Ismalayani, Ismalayani; Juliansyah, Rahmad Aswin; Syokumawena, Syokumawena; Pastari, Marta; Kusuma, Hanna Sari Widya; Arinta, Yukko
Global Medical & Health Communication (GMHC) Vol 7, No 1 (2019)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (818.331 KB) | DOI: 10.29313/gmhc.v7i1.3397

Abstract

Kerokan is an alternative therapy done by rubbing and pressing the skin surface using oil and a blunt object. This treatment has a hepatoprotective effect as it increases heme oxygenase-1, an essential enzyme in heme catabolism. In hepatitis B, heme oxygenase-1 plays a vital role to fight oxidative stress. Hence the damage on liver cells can be reduced or even prevented. Damaged cells indicate by the production of aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) enzymes that accumulated in the bloodstream. This study aimed to investigate the effect of kerokan to liver function by analyzing SGOT and SGPT levels in hepatitis B patients. These were an experimental study with a pre-test post-test control group design conducted in the public health center in Palembang in October 2016. Statistical analysis used the unpaired t test and paired. The research subjects were 30 patients with inactive carrier and chronic hepatitis B. The levels of SGOT and SGPT were determined using the IFCC method. The levels of SGOT in control (19.53±3.44 U/L) and treatment group (20.46±4.53 U/L, Δ=0.93) after 24–48 hours were not statistically different (p=0.53). Also, the levels of SGPT in control (18.66±5.40 U/L) and treatment group (19.80±9.25 U/L, Δ=1.13) after 24–48 hours were also not statistically different (p=0.68) as well. In conclusion, the liver cells of inactive carrier and chronic hepatitis B patients were not damaged (necrosis) after kerokan therapy, and the levels of SGOT and SGPT were still in the normal range. EFEK KEROKAN TERHADAP FUNGSI HEPAR PASIEN HEPATITIS BKerokan merupakan terapi alternatif yang dilakukan dengan menggosok dan menekan permukaan kulit menggunakan minyak dan benda tumpul. Pengobatan ini bersifat hepatoprotektif, yaitu meningkatkan produksi enzim heme oxygenase-1 dalam katabolisme heme. Pada hepatitis B, heme oxygenase-1 berperan penting dalam menangkal radikal bebas sehingga dapat mengurangi atau mencegah kerusakan sel hepar. Kerusakan sel hepar diindikasikan oleh produksi enzim aspartate aminotransferase (AST/SGOT) dan alanine aminotransferase (ALT/SGPT) yang terakumulasi dalam pembuluh darah. Penelitian ini bertujuan mengetahui pengaruh kerokan pada fungsi hepar dengan menganalisis kadar SGOT dan SGPT pada pasien hepatitis B. Penelitian eksperimental ini menggunakan desain pre-test post-test control group yang dilakukan di puskesmas di Palembang pada Oktober 2016. Analisis statistik menggunakan uji t berpasangan dan tidak berpasangan. Subjek penelitian meliputi 30 pasien inactive carrier dan kronik hepatitis B. Kadar SGOT dan SGPT diukur dengan menggunakan metode IFCC. Kadar SGOT pada kontrol (19,53±3,44 U/L) dan grup perlakuan (20,46±4,53 U/L; Δ=0,93) setelah 24–48 jam tidak terdapat perbedaan signifikan (p=0,53). Selain itu, kadar SGPT pada kontrol (18,66±5,40 U/L) dan grup perlakuan (19,80±9,25 U/L; Δ=1,13) setelah 24–48 jam tidak menunjukkan perbedaan signifikan (p=0,68). Simpulan, sel hepar pada pasien inactive carrier dan kronik hepatitis B tidak mengalami kerusakan setelah terapi kerokan, serta kadar SGOT dan SGPT tetap dalam kondisi normal.
PENGARUH AKUPUNTUR TERHADAP TEKANAN DARAH DARAH Syokumawena, Syokumawena; Pastari, Marta; Meilina, Meilina
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 17 No 2 (2022): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v17i2.1388

Abstract

Latar Belakang: Hipertensi adalah penyakit degeneratif dipengaruhi oleh faktor bertambahnya usia dan dikenal sebagai silent killer. Berdasarkan data dari WHO dan International Society of Hypertension (ISH) ada 600.000.000 orang yang menderita penyakit hipertensi di dunia, sebanyak 3.000.000 jiwa yang meninggal setiap tahunnya, sedangkan sebagian besar penderita tidak mendapatkan penanganan yang memadai. Hipertensi bisa menyerang organ penting dan dapat mengakibatkan stroke, jantung koroner, penyakit ginjal serta kebutaan. Gejala penyakit hipertensi hamper tidak dirasakan oleh sebagian besar orang. Hipertensi bisa ditangani dengan terapi farmakologis, merubah gaya hidup serta terapi non farmakologi (komplementer). Akupunktur merupakan salah satu terapi komplementer yang dapat digunakan dalam pengobatan hipertensi. Metode penelitian ini menggunakan Quasy-experimental dengan desain pretest-posttest dengan jumlah sampel 60 responden(1 kelompok perlakuan) dengan mengunakan teknik insidental sampling. Data ditabulasi dengan menggunakan distribusi frekuensi dan diuji menggunakan uji Paired T Test dengan tingkat kemaknaan α = 0,05. Hasil: Terjadi penurunan tekanan darah pada kelompok perlakuan. Kesimpulan: Ada pengaruh terapi akupunktur terhadap penurunan tekanan darah pada pasien hipertensi. Terapi akupunktur ini bisa dijadikan rekomendasi dalam mengatasi masalah hipertensi.
PENGARUH EXPRESSIVE WRITING THERAPY TERHADAP KECEMASAN PADA PENGGUNA NARKOBA Pastari, Marta; Martini, Sri; Endriyani, Sri
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 18 No 1 (2023): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v18i1.1686

Abstract

Background: One of the therapies that can be given to overcome anxiety in drug users is expressive writing therapy, which is an activity of writing with the deepest and most emotional ideas and feelings without being concerned with research procedures such as spelling, grammar, or other writing conventions. The purpose of this study was to determine the effect of expressive writing therapy on anxiety in drug users. Methods: The design used in this study was pre-experimental with a one-group pretest-posttest design approach. Total population and sample of 27 respondents (1 treatment group) using total sampling technique. In this design, the treatment group was given expressive writing therapy and their anxiety scale was measured using the Zung Self-Rating Anxiety Scale (SAS/SRAS) which was implemented at the Ar-Rahman Palembang Drug Rehabilitation Center Foundation. Results: The results of this study indicate that there is an effect of giving expressive writing therapy on the anxiety of drug users which is marked by a decrease in anxiety scores and subjective and objective responses of drug users. Conclusion: Expressive writing therapy has an effect on anxiety in drug users.
PENGGUNAAN ANPERTE DALAM MENINGKATKAN KOMPETENSI GURU ANAK BERKEBUTUHAN KHUSUS Pastari, Marta; Endriyani, Sri; Martini, Sri
E-Amal: Jurnal Pengabdian Kepada Masyarakat Vol 4 No 3: September-Desember 2024
Publisher : LP2M STP Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47492/eamal.v4i3.3700

Abstract

The Applied Behavior Analysis (ABA) method is a therapy specifically designed for children with autism. The basis of the ABA method itself uses behavioral theory, namely emphasizing obedience, children's skills in imitation and establishing eye contact. For this reason, it is very important to provide Applied Behavior Analysis (ABA) training in order to increase the competence of teachers of children with special needs so that they can provide various types of therapy, especially to autistic children at the Talang Kelapa Autistic Special School in Palembang. The activity method begins with the service team identifying the teacher's initial abilities in providing therapy for autistic children through a pretest; It was found that all teachers (18 people) did not have a special education background and did not understand the correct ABA method (100%). Then training is given (demonstration and re-demonstration), after completion, another posttest is given. The results of the activity showed that 12 out of 18 people (67%) of the Talang Kelapa Palembang Autistic SLB teachers showed an increase in understanding of implementing the ABA method (score ≥ 80). It can be concluded that this training has proven useful in developing teachers' professional competence in the field of special education, especially in handling autistic children who experience behavioral disorders
Penerapan Grup "TERASU" (Terapi Suportif) pada Lansia Hipertensi dengan Depresi Pastari, Marta; Endriyani, Sri; Martini, Sri; Somad, Abdul; Aflika, Dodi; Meilina, Meilina; Ningsih, Ratna
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 7 No 1 (2025): Jurnal Pengabdian Kepada Masyarakat (ABDIKEMAS
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v7i1.2913

Abstract

Depression usually occurs in the elderly with primary hypertension. In people with hypertension, depression causes a decrease in health status, quality of life and social role function. Hypertension has become a public health problem that has continued to increase in the last 20 years. Data from the World Health Organization (WHO) in 2015, around 1.13 billion people worldwide have hypertension (Pradono, 2020). In Indonesia, there were 63,309,620 cases of hypertension and 427,218 deaths due to hypertension. The prevalence of hypertension in South Sumatra Province is 35.8%, with 1432 cases in 2019 to 3981 cases and 4631 cases in 2020. Data on elderly people with hypertension and depression in 2024 in the Ariodillah Health Center work area is still high, which is around 70% of the total elderly (Puskesmas Ariodillah, 2024). Combination interventions of psychotherapy and pharmacotherapy in individuals, families and groups can help reduce symptoms of depression, especially in the elderly. This is reinforced by research (Tobing & Novianti, 2019) that the intervention group with supportive group therapy experienced a significant decrease in hypertensive stress levels. The solutions to the problems offered in this community service activity are in the form of; Coordination of the implementation of activities including preparation of the place of implementation, time and number of participants who can attend the activity. Preparation of supportive therapy modules, leaflets and blood pressure measuring devices; Implementation; Activities in the form of supportive therapy training are carried out in 4 sessions, namely; The first session, carried out with the aim of exploring the problems of the elderly and identifying the support systems that the elderly have. The second session, the use of the support system identified in session 1 owned by the elderly, monitoring its use and obstacles. In the second session of this supportive therapy, the servant and the elderly discuss the support system that exists within the elderly to solve problems and how to use it. The third session, using the support system that exists outside the elderly. This session identifies the support system that exists outside the elderly and teaches how to use it. The fourth session, evaluates how the elderly use the support system and the obstacles in using the support system. In this session, the elderly are asked to convey all the sources of support they have and convey the obstacles or barriers they face. At the end of the session, the servant evaluates and follows up with the elderly on the internal and external sources of support that they have and have practiced. Termination is the final stage of each session of this activity. The activities carried out are to evaluate by asking the elderly how they feel after gaining knowledge and skills to overcome emotional mental disorders. Based on the target achievements and results of the activities, it can be concluded that after the intervention was given, the results of the activities showed that; a) 39% of the elderly still experienced hypertension with moderate depression and 61% of the elderly were in a normal state (no longer depressed); b) Non-pharmacological therapy (Group Supportive Therapy) is used as routine therapy for the elderly at the Elderly Posyandu in the Ariodillah Health Center working area; c) 100% of the elderly have been educated and accompanied regarding the use of supportive group therapy and are required to apply it as daily therapy at home. The follow-up to this activity is that health cadres will accompany all heads of families in stages to apply supportive group therapy in their respective homes and motivate the elderly to routinely participate in activities at the Elderly Posyandu.
A Holistic Approach to Blood Glucose Management: Foot Exercise and Laughter Therapy in Older Adults with Type II Diabetes Mellitus Pastari, Marta; Martini, Sri; Jamila, Jamila; Wibowo, Wahyu Dwi Ari; Meilina
International Journal Scientific and Professional Vol. 4 No. 3 (2025): June-August 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i3.105

Abstract

This study compares the effectiveness of foot exercise and laughter therapy in reducing blood glucose levels in older adults with Type II Diabetes Mellitus. The objective is to determine which intervention has a greater impact on lowering blood glucose and promoting overall well-being. An independent samples t-test was conducted to compare the reduction in mean blood glucose levels between two intervention groups: foot exercise and laughter therapy. The assumption of equal variances was met based on the results of Levene’s test (p > 0.05). Both interventions resulted in significant reductions in blood glucose levels, but laughter therapy showed a slightly greater reduction. Foot exercise improved insulin sensitivity and glucose uptake, but may not be suitable for individuals with mobility issues. In contrast, laughter therapy not only reduced blood glucose levels but also promoted psychological benefits such as improved mood and reduced anxiety, which are crucial for diabetes management. The accessibility and lower physical demands of laughter therapy make it an attractive option for older adults, especially those with physical limitations. The findings suggest that laughter therapy offers a more holistic approach to diabetes management by addressing both physical and emotional well-being. This study highlights the potential of laughter therapy as a sustainable, low-impact intervention for improving health outcomes in older adults with Type II Diabetes Mellitus.
PELATIHAN PERTOLONGAN PERTAMA PADA KECELAKAAN (P3K) DI SMP AR–RISALAH KECAMATAN LUBUKLINGGAU TIMUR 1 KOTA LUBUKLINGGAU Aprilyadi, Nadi; Zuraidah, Zuraidah; Elviani, Yeni; Pastari, Marta
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 1 No Tahun (2019): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v1iTahun.1187

Abstract

Accident refers to an event that occurs unintentionally. For example, traffic accidents, accidents with sharp objects and so on. The word accident is taken from the root word accident. The addition of the affixes "to"... and ..."an" indicates bad luck that has happened or befalls. Technically, "accident" is not included in an event caused by someone's fault, First Aid is an act of help given to the victim with the aim of prevent the situation from getting worse before the victim gets treatment from official medical personnel.So this First Aid (PP) is not a real treatment for a disease diagnosis so that the sufferer recovers from the illness he is experiencing. First aid is usually given by people around the victim, some of whom will contact the nearest health officer. This help must be given quickly and precisely because the wrong treatment can result in bad, physical disability and even death. Schools as institutions that have been trusted by parents of course also have a responsibility in responding to their students. However, the reality is that there are often accidents in the community. school area either in the field of transportation or in other fields. This accident problem often interferes with the activities of students in teaching and learning activities so that it is appropriate for schools to make policies to deal with accidents in the school area.The main purpose of first aid in an accident is to keep the accident victim or patient alive, make the victim's condition stable, and avoid more severe disability, reduce pain, discomfort and anxiety. First aid measures in accidents that are carried out properly will reduce disability or suffering and even save the victim from death, but if first aid measures in an accident are not carried out properly, it can actually worsen the consequences of the accident and even kill the victim. It is very important to know the stages of giving first aid, especially in life-threatening situations, for example where the heart and breathing have stopped, bleeding, choking, and poisoning.
PENINGKATAN KEMAMPUAN MASYARAKAT DALAM PERAWATAN DAN PENCEGAHAN DAMPAK TEKANAN DARAH TINGGI DI RT. 37 KELURAHAN SEI PANGERAN KECAMATAN ILIR TIMUR I PALEMBANG Sulaiman, Sulaiman; Lukman, Lukman; Mediarti, Devi; Pastari, Marta
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 2 No Tahun (2020): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v2iTahun.1193

Abstract

Hypertension or high blood pressure is a cause of death and high morbidity. A history of hypertension along with an unhealthy lifestyle such as tobacco consumption, high fat consumption, lack of fiber, excess salt consumption, lack of exercise, alcoholism, obesity, high blood fat and stress, will exacerbate the risk of complications such as myocardial infarction, stroke. , kidney failure, and sometimes even cause sudden death.To improve the community's capacity, efforts need to be made, one of which is health education. Health education aims to provide participants with the ability to treat hypertension and prevent side effects or complications that can arise. Education using this health education method will involve residents in the RT. 37 Kelurahan Sei Pangeran, Ilir Timur I Subdistrict, Palembang in 2016. The expected results in this education are participants are able to explain how to treat and prevent high blood pressure.
DETEKSI DINI PENYAKIT JANTUNG KORONER DENGAN PEMERIKSAAN REKAM EKG (ELEKTROKARDIOGRAM) DI RT 04 RW 01 LORONG SIANJUR, KELURAHAN 5 ILIR, KECAMATAN ILIR TIMUR II KOTA PALEMBANG Wicaturatmashudi, Sukma; Pastari, Marta
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 2 No Tahun (2020): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v2iTahun.1202

Abstract

Coronary Heart Disease (CHD) or cardiovascular disease is currently one of the main and first causes of death in developed and developing countries, including Indonesia. By 2010, globally this disease will be the leading cause of death in developing countries, replacing deaths from infection. It is estimated that worldwide, CHD in 2020 will be the most common first killer, accounting for 36% of all deaths, this figure is twice as high as the death rate from cancer. In Indonesia, it is reported that CHD (which is grouped into diseases of the circulatory system) is the main and first cause of all deaths, which is 26.4%, this figure is four times higher than the death rate caused by cancer (6%). In other words, approximately one in four people who die in Indonesia is due to CHD. Various risk factors have an important role in the emergence of CHD, ranging from aspects of metabolism, hemostasis, immunology, infection, and many other interrelated factors. Coronary heart disease is a condition due to narrowing, blockage or abnormalities of the coronary arteries. Coronary heart disease is caused by narrowing or blockage of coronary arteries. This narrowing or blockage can stop blood flow to the heart muscle which is often characterized by pain (Yenrina, Krisnatuti, 1999). Coronary heart disease is heart disease due to abnormalities in the coronary vessels, namely the arteries that deliver blood to the aorta to the tissue that protects the heart cavities (Kartohoesodo, 1982). Coronary heart disease (CHD) is currently one of the main causes of death in developed and developing countries (Ministry of Health, 2006). Combined data from Clientman et al and GUSTO-I showed that the mortality rate in the first 30 days of hospitalization for patients with AMI was 52% before admission, 19% within 24 hours of hospitalization, 8% during 48 hours of hospitalization, and 21% after 30 days. . Globally, of the 55 million deaths in a year, 30% are caused by cardiovascular disease, of which almost 50% are due to AMI attacks (Yusuf, S et al 2001). (USU.ac.id)