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<![CDATA[Effect of Combination of Slow Deep Breathing and Ice Therapy towards Comfort Level in Arteriovenous Fistula Insertion of Hemodialysis Patients in PKU Muhammadiyah Hospital Yogyakarta ]]>
<![CDATA[Nur Isnaini]]>;
<![CDATA[Titiek Hidayati]]>;
<![CDATA[Sri Sumaryani]]>
<![CDATA[ Indonesian Journal of Clinical Pharmacy Vol 7, No 1 (2018) ]]>
Publisher : <![CDATA[Universitas Padjadjaran ]]>
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DOI: 10.15416/ijcp.2018.7.1.45
<![CDATA[Patients with chronic renal disease undergoing hemodialysis will have arteriovenous (AV) fistula insertion for 2–3 times a week or an average of ten punctures per month. Intervention of comfort technical with combination of slow deep breathing and ice therapy help to reduce discomfort due to AV fistula insertion. The objective of this research was to determine the effect of combination of slow deep breathing and ice therapy on comfort level of AV fistula insertion. This research was conducted from January until February 2015 at PKU Muhammadiyah Hospital Yogyakarta. Type of this research is a quasi experiment with only post test group design with control group. The sample was divided into 20 patients in intervention group and 20 patients in control groups through simple random sampling technique. For each group, discomfort level was measured using Visual Analog Scale after AV fistula insertion. In intervention group, respondents were given a combination of deep breathing and ice therapy on acupuncture points LI4 10 minutes before insertion. The data were collected twice and analyzed of the difference between intervention group and control group using Chi-Square, Wilcoxon and Mann-Whitney test. There was a significant difference between intervention group and control group using Visual Analog Scale discomfort with p=0.000. Provision of comfort technical intervention with combination of slow deep breathing and ice therapy proved to improve the comfort of hemodialysis patients while undergoing insertion of AV fistula.Keywords: AV fistula insertion, combination of slow deep breathing and ice therapy, comfort level Pengaruh Kombinasi Nafas Dalam dan Terapi Es terhadap Level Kenyamanan Insersi Fistula Arteri-vena Pasien Hemodialisis di Rumah Sakit PKU Muhammadiyah YogyakartaPasien penyakit ginjal kronik yang menjalani hemodialisis akan mengalami insersi fistula arteri-vena (AV fistula) selama 2–3 kali seminggu atau rata-rata akan mengalami sepuluh tusukan setiap bulan. Intervensi comfort technical dengan kombinasi nafas dalam dan terapi es membantu mengurangi ketidaknyamanan akibat insersi AV fistula. Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi nafas dalam dan terapi es terhadap level kenyamanan insersi AV-Fistula. Penelitian dilakukan di Rumah Sakit PKU Muhammadiyah Yogyakarta pada bulan Januari sampai Februari 2015. Jenis penelitian ini yaitu quasi eksperimental dengan only post test group design with control group. Sampel dibagi menjadi 20 pasien kelompok intervensi dan 20 pasien kelompok kontrol melalui teknik simple random sampling. Masing-masing kelompok dilakukan pengukuran ketidaknyamanan menggunakan Visual Analog Scale setelah insersi AV fistula. Pada kelompok intervensi, diberikan kombinasi nafas dalam dan terapi es pada titik akupunktur LI4 10 menit sebelum insersi. Pengambilan data dilakukan dua kali dan dianalisis perbedaan antara kelompok intervensi dan kontrol menggunakan uji Chi-Square, Wilcoxon dan Mann-Whitney. Terdapat perbedaan yang signifikan antara kelompok intervensi dan kelompok kontrol dengan menggunakan skala ketidaknyamanan Visual Analog Scale dengan nilai p=0,000. Pemberian intervensi comfort technical dengan kombinasi nafas dalam dan terapi es terbukti dapat meningkatkan kenyamanan pasien hemodialisis saat menjalani insersi AV-Fistula.Kata kunci: Insersi AV fistula, kombinasi nafas dalam dan terapi es, level kenyamanan]]>
<![CDATA[PENGARUH CROSSWORD PUZZLE THERAPY (CPT) TERHADAP FUNGSI KOGNITIF LANSIA DI PANTI PELAYANAN SOSIAL LANJUT USIA (PPSLU) SUDAGARAN BANYUMAS ]]>
<![CDATA[Nabila Karimah Komsin]]>;
<![CDATA[Nur Isnaini]]>
<![CDATA[ Jurnal Keperawatan Sriwijaya Vol 7, No 2 (2020) ]]>
Publisher : <![CDATA[Universitas Sriwijaya ]]>
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<![CDATA[Tujuan: Lanjut usia yang mengalami penurunan fungsi kognitif akan berakibat terhadap aktivitas sehari-hari dan ketergantungan terhadap orang lain. Solusi untuk mengatasi masalah yang terjadi yaitu dengan meningkatkan fungsi kognitif pada lanjut usia. Crossword Puzzle Therapy (CPT) merupakan salah satu terapi non farmakologi untuk menghambat terjadinya penurunan fungsi kognitif. Tujuan penelitian ini untuk mengetahui pengaruh CPT terhadap fungsi kognitif lansia di Panti Pelayanan Sosial Lanjut Usia (PPSLU) Sudagaran Banyumas.Metode: Penelitian ini menggunakan desain penelitian Quasy Experiment dengan pendekatan Pre and Posttest with Control Group. Sampel penelitian sebanyak 36 orang lansia dengan menggunakan teknik total sampling. Instrument penelitian menggunakan MMSE. Analisa data menggunakan Mann Whitney.Hasil: Hasil penelitian menunjukan karakteristik jenis kelamin responden mayoritas perempuan, rata-rata usia responden pada rentang usia 60-74 tahun, dan pendidikan responden rata-rata tidak sekolah dan tamat SD. Skor MMSE lansia yang mendapatkan CPT mengalami kenaikan secara bermakna daripada lansia yang tidak mendapatkan CPT. Hasil uji Mann Whitney diperoleh nilai Asymp.Sig sebesar 0.000 (P value < 0,05) ada pengaruh CPT terhadap fungsi kognitif lansia di PPSLU Sudagaran Banyumas, uji Shapiro-Wilk p value < 0,05.Kata Kunci: crossword puzzle therapy (CPT); lansia; fungsi kognitif.]]>
<![CDATA[Hubungan Lama Hemodialisa Dengan Status Nutrisi Pada Pasien Gagal Ginjal Kronik di Ruang Hemodialisa ]]>
<![CDATA[Dewi Ratnasari]]>;
<![CDATA[Nur Isnaini]]>
<![CDATA[ Jurnal Keperawatan Muhammadiyah 2020: JKM EDISI KHUSUS SEPTEMBER 2020 ]]>
Publisher : <![CDATA[UNIVERSITAS MUHAMMADIYAH SURABAYA ]]>
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DOI: 10.30651/jkm.v0i0.5188
<![CDATA[Introduction: Chronic Kidney Disease is a deterioration of kidney function that occurs for 3 months or more. Gastrointestinal disorders such as nausea, vomiting, and loss of appetite can change their nutritional status. Nutritional status assessment is a major component in evaluating and managing patients. Purpose: This research aimed to discover the correlation of the duration of hemodialysis and the nutritional status of patients with Chronic Kidney Disease. Method : This was a quantitative research with an analytic observational design and a cross-sectional approach. The test used in this study was the Chi-Square test. Sample using an accidental sampling method. Results: This study obtained the highest value on normal nutritional status with HD duration > 12 months, this was caused the person who has undergone hemodialysis for long duration has become accustomed to gastrointestinal disorders, such as nausea, vomiting, and diarrhea. The longer duration for people undergo hemodialysis, the more hemodialysis provides opportunities for patients to be more adaptive to the therapeutic program that they are undergoing. Conclusion: P-value 0,221 (p>0,05). It means that there was no significant correlation between the duration of hemodialysis and patients' nutritional status. Keywords: Chronic Kidney Disease, duration of hemodialysis, nutritional status]]>
<![CDATA[Hubungan Dukungan Keluarga Dan Efikasi Diri Terhadap Kepatuhan Asupan Cairan Pada Pasien Gagal Ginjal Kronik Diruang Hemodialisa RSI Purwokerto ]]>
<![CDATA[Risang Sukma Wahyu Nurlaela]]>;
<![CDATA[Nur Isnaini]]>
<![CDATA[ Jurnal Keperawatan Muhammadiyah 2020: JKM EDISI KHUSUS SEPTEMBER 2020 ]]>
Publisher : <![CDATA[UNIVERSITAS MUHAMMADIYAH SURABAYA ]]>
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DOI: 10.30651/jkm.v0i0.5397
<![CDATA[Background: Chronic kidney disease is a progressive clinical syndrome of decreased kidney function that is irreversible. Patients with chronic renal failure (GGK) undergoing hemodialysis therapy are suggested to limit and regulate their daily fluid intake. However, this suggestion demands patients' compliance. Objective: To find out the correlation between family support and self-efficacy with adherence to fluid intake in patients with chronic kidney failure in the hemodialysis room at RSI Purwokerto. Method: This is a quantitative descriptive with a cross-sectional approach. There were 48 respondents taken as the research sampling done by Total Sampling in accordance with the inclusion and exclusion criteria applied. The research instrument used questionnaire sheets analyzed using Pearson Product Moment test. Results: Most respondents, 18 patients (37.5%), were 46-55 years old, 28 patients (28.3%) were female, 44 patients (91.7%) were married, 21 patients (43.8%) were graduated from primary school, and 33 patients (68.8%) did not work. Most respondents, 24 patients (50.0%), had sufficient family support to support and 27 patients (56.2%) had a medium level of self-efficacy with the highest frequency. Pearson correlation test results obtained family support variable p-value of 0,000 and r count (0.672) r table (0.285), then self-efficacy variables obtained p-value of 0,000 and r count (0, 658) r table (0.285).Conclusion: There is a correlation between family support and self-efficacy with adherence to fluid intake in patients with chronic renal failure in the hemodialysis room at RSI Purwokerto.]]>
<![CDATA[GAMBARAN FUNGSI KOGNITIF PADA LANSIA DENGAN PEMBERIAN TERAPI PUZZLE ]]>
<![CDATA[Nur Isnaini]]>;
<![CDATA[Nabila Karimah Komsin]]>
<![CDATA[ HUMAN CARE JOURNAL Vol 5, No 4 (2020): Human Care Journal ]]>
Publisher : <![CDATA[Universitas Fort De Kock ]]>
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DOI: 10.32883/hcj.v5i4.854
<![CDATA[Description Of Cognitive Function In Elderly By Puzzle Therapy Abstract Decreased cognitive function in the elderly will affect their daily activities and make them depend on others. The solution to overcome the problems is improving the elderly cognitive function. Puzzle Therapy is a non-pharmacological therapy used to prevent cognitive decline. This research aimed to discover the Description Of Cognitive Function In Elderly By Puzzle Therapy .This was Quasy Experimental research with a Pre and Posttest with Control Group approach. There were 36 elderly taken as the research sample using a total sampling technique. The research instrument used was MMSE. Data obtained were analyzed using Mann Whitney. The results showed of majority of the respondents were women. The average age of respondents was in the range of 60-74 years. Most of them did not go to school or only graduated from primary school.. Based on the Mann Whitney test result, the Asymp.Sig value was 0,000 (P value 0.05) there was an effect of Puzzle Therapy on the cognitive function of the elderly in Sudagaran Old Age Home, Banyumas. While based on the Shapiro-Wilk test, the p value was 0.05. Keywords: Puzzle Therapy; elderly; cognitive function. ]]>
<![CDATA[Kesejahteraan Spiritual Dan Depresi Pada Keluarga Pasien Yang Dirawat Di Ruang ICU RSUD Banyumas ]]>
<![CDATA[Agus Subarkah]]>;
<![CDATA[Nur Isnaini]]>
<![CDATA[ Adi Husada Nursing Journal Vol 6 No 2 (2020): Adi Husada Nursing Journal ]]>
Publisher : <![CDATA[STIKES Adi Husada ]]>
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DOI: 10.37036/ahnj.v6i2.174
<![CDATA[Intensive Care Unit (ICU) merupakan salah satu ruang rawat inap untuk melakukan observasi, perawatan dan terapi pasien yang terancam jiwanya akibat kegagalan fungsi organ. Perubahan yang terjadi pada pasien dapat menimbulkan tekanan dan menjadi beban tersendiri bagi keluarga sebagai care giver dan dapat berdampak pada psikologis keluarga seperti depresi. Tujuan adalah mengetahui hubungan antara kesejahteraan spiritual dengan depresi pada keluarga pasien yang dirawat di ruang ICU RSUD Banyumas. Penelitian ini merupakan penelitian korelasi dengan desain cross sectional. Sampel dalam penelitian ini adalah keluarga pasien yang dirawat di ICU RSUD Banyumas sebanyak 32 responden dengan teknik purposive sampling. Analisa dalam penelitian ini menggunakan uji korelasi pearson. Hasil penelitian menunjukan tidak terdapat hubungan antara kesejahteraan spiritual dengan depresi pada keluarga pasien yang dirawat di ruang ICU RSUD Banyumas (p value 0,088 < 0,05). Semakin baik kesejahteraan spiritual keluarga pasien maka semakin berkurang resiko untuk mengalami depresi saat pasien dirawat di ruang ICU. Kata Kunci : Kesejahteraan spiritual, depresi, ICU]]>
<![CDATA[The correlation between self-efficacy and motivation on elderly's daily independence ]]>
<![CDATA[Indra Setia W]]>;
<![CDATA[Nur Isnaini]]>
<![CDATA[ Proceedings Series on Health & Medical Sciences Vol. 1 (2020): Proceedings of the 1st International Conference of Health Science Faculty Universitas ]]>
Publisher : <![CDATA[UM Purwokerto Press ]]>
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DOI: 10.30595/pshms.v1i.25
<![CDATA[Being old is a condition that happens in life and means experiencing a physical and psychological decline. Generally, it means experiencing weakness, limitation, and inability which affect one's life quality. Self-efficacy is closely related to independence, meaning that the higher self-efficacy the higher the ability to manage behaviour or independence will be. Independence in the elderly is affected by psychological energy, which depends on the level of motivation. The elderly having high motivation tends to be passionate. He/she is different from those having no motivation, who tend to be lazy and less understand the importance of health. This research to identify the correlation between self-efficacy and motivation on elderlies independence at Sudagaran Elderly Social Service House in Banyumas District. This research is a quantitative research using analytical observational design with a cross-sectional approach. The research sample consisting of 71 elderly people at Sudagaran Elderly Social Service House in Banyumas District were taken through purposive sampling. The research instrument was a questionnaire sheet. It was analysed using Chi-Square test. Most of the respondents are female (55.3%), have medium self-efficacy level (78.9%), have medium motivation level (67.7%), and are categorized independent (57.7%). The result of Chi-Square test for the self-efficacy obtains p-value of 0.002=0.05 and for the motivation obtains p-value of 0.022=0.05 on the elderly's daily independence. There is a correlation between self-efficacy and motivation on elderly's daily independence at Sudagaran Elderly Social Service House in Banyumas District.]]>
<![CDATA[Case Report : Nursing Asessment of Patients CKD with Post History Operation Tumormamae ]]>
<![CDATA[Dewi Ratnasari]]>;
<![CDATA[Nur Isnaini]]>
<![CDATA[ Proceedings Series on Health & Medical Sciences Vol. 2 (2021): Proceedings of the 2nd International Nursing and Health Sciences Universitas Muhammad ]]>
Publisher : <![CDATA[UM Purwokerto Press ]]>
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DOI: 10.30595/pshms.v2i.230
<![CDATA[Chronic Kidney Disease is a deterioration of kidney function that occurs for 3 months or more. A person with CKD usually does not show any symptoms, but a person can experience several signs throughout his body such as loss of appetite, fatigue, water-electrolyte imbalance and so on. Therefore, an assessment is needed to clarify the medical diagnosis of whether a person suffers from CKD or not.To describe the stages of assessment in patients with an early diagnosis of CKD.The study was conducted in the Darussalam room, collecting data using auto-anamnesis, direct assessment, and physical examination.The results of the assessment phase obtained abnormal data on the respiratory, digestive, cardiovascular, urinary, musculoskeletal and integumentary systems. In Mrs.S the whole system almost experiences the symptoms mentioned in theory when a person has CKD.In accordance with the theory of Mrs. S shows most of the signs and symptoms that appear in CKD patients. This was also reinforced by supporting examinations which confirmed that Mrs. S was diagnosed with CKD and was required to undergo hemodialysis at the hospital.]]>
<![CDATA[The Effect of the Traditional Board Game "Dam-Daman" on the Elderly Cognitive Functions at the Elderly Integrated Health Center, Pegongsoran, Pemalang District, Pemalang ]]>
<![CDATA[Devita Elsa Arum Masruroh]]>;
<![CDATA[Nur Isnaini]]>
<![CDATA[ Proceedings Series on Health & Medical Sciences Vol. 2 (2021): Proceedings of the 2nd International Nursing and Health Sciences Universitas Muhammad ]]>
Publisher : <![CDATA[UM Purwokerto Press ]]>
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DOI: 10.30595/pshms.v2i.234
<![CDATA[The rising number of elderly is due to an increase in life expectancy. However, this can cause a number of illnesses, for example impaired cognitive function. Then, some efforts wear done to maintain cognitive function in the elderly, such as by increasing brain-stimulating avtivities. In particular, the traditional board game of dam-daman is one of the non-pharmacological therapies to inhibit the decline in cognitive function. The objective of this study was to determine the effect of the traditional board game of dam-daman on the cognitive fuction of the elderly at the Elderly Integrated Health Center, Pegongsoran, Pemalang District, Pemalang.This study used a quasi-eksperimental pretest-posttest research design with control group design. The sampling technique of the study was random sampling in which 32 elderly people were selected. In addition, MMSE was employed as the research instrument an Independent Sample T-Test was used to analyze the data.The results showed that the majority of respondents neither went to school and finished elementary school. Most of them did physical activities for daily activities. The MMSE score indicated that the elderly who received the intervention (traditional board game of dam-daman) obtained a significan increase of brain-stimulating activities compared to them who did not.The results of the Independent Sample T-Test test obtained an Asymp.Sig value was 0.000 (P value <0.05). So, there was an effect of the traditional board games of dam-daman on cognitive function in the Elderly Integrated Health Center, Pegongsoran, Pemalang District, Pemalang, in which the Kolmogrov-Smirnov test shows that p value is <0.05.]]>
<![CDATA[Development of Folding Seats (Comfort, Easy, and Safety) During Use ]]>
<![CDATA[Fadhila Lady Sifredy]]>;
<![CDATA[Nur Isnaini]]>
<![CDATA[ Proceedings Series on Health & Medical Sciences Vol. 2 (2021): Proceedings of the 2nd International Nursing and Health Sciences Universitas Muhammad ]]>
Publisher : <![CDATA[UM Purwokerto Press ]]>
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DOI: 10.30595/pshms.v2i.252
<![CDATA[The elderly in carrying out activities both indoors and outdoors will experience difficulties due to their declining physical condition. Therefore, they will need extra time and effort and tend to tire easily and feel sore when doing various activities (such as sitting, walking, or standing for too long). It is necessary to produce a product that can help and make the elderly more comfortable in carrying out activities. Designing and developing a folding seat for the feasibility and comfort and safety of the seat mat. Tried the use of a folding seat mat. This research is a Research and Development (R&D) research. The sampling technique is purposive sampling with a total of 5 elderly people. The research instrument used a questionnaire. Data analysis using frequency distribution test. Research results Characteristics of respondents have an average age of 66.4 years with the youngest age 61 years and the oldest age is 70 years. The comfort level of using the Elderly Sitting Mat has an average comfort level of 33.8. The model or display of the seat used has a length of 150 cm and a width of 50 cm. This seat mat is equipped with safety on the right and left with a length of 35 cm, and there are recesses to adjust the angle of the backrest so that it can be adjusted as needed. This folding seat mat can be folded for easy storage. The level of comfort for the elderly when using the Folding Seat is in the very good category The comfort level of using the Elderly Sitting Mat has an average comfort level of 33.8. The model or display of the seat used has a length of 150 cm and a width of 50 cm. This seat mat is equipped with safety on the right and left with a length of 35 cm, and there are recesses to adjust the angle of the backrest so that it can be adjusted as needed. This folding seat mat can be folded for easy storage. The level of comfort for the elderly when using the Folding Seat is in the very good category The comfort level of using the Elderly Sitting Mat has an average comfort level of 33.8. The model or display of the seat used has a length of 150 cm and a width of 50 cm. This seat mat is equipped with safety on the right and left with a length of 35 cm, and there are recesses to adjust the angle of the backrest so that it can be adjusted as needed. This folding seat mat can be folded for easy storage. The level of comfort for the elderly when using the Folding Seat is in the very good category This folding seat mat can be folded for easy storage. The level of comfort for the elderly when using the Folding Seat is in the very good category This folding seat mat can be folded for easy storage. The level of comfort for the elderly when using the Folding Seat is in the very good category.]]>
