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The Implementation Of Benson Relaxation To The Reduction Of Blood Pressure In Patients With Emergency Hypertension Activities In dr R. Soeprapto Cepu Emergency Departments Mu'awanah Mu'awanah; Sri Hastuti; M. Nor Mudhofar; Heru Purnomo; Siti Solichah
Jurnal Studi Keperawatan Vol 3, No 2 (2022): SEPTEMBER 2022
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (791.36 KB) | DOI: 10.31983/j-sikep.v3i2.9133

Abstract

Background: Hypertension emergency is characterized by an increase in blood pressure 180/120 mmHg accompanied by evidence of new or worsening target organ damage. A drop in blood pressure within minutes or hours must be done immediately to prevent complications. Nursing action that can be used to lower blood pressure is Benson relaxation. When a state of relaxation occurs there is a decrease in emotional arousal and a decrease in excitability in areas that regulate cardiovascular function which will reduce blood pressure.Formulation of the problem: Benson's relaxation action has not been carried out by the emergency room nurse at RSUD DR R Soeprapto Cepu in the handling of emergency hypertension patientsPurpose: The aim of this scientific paper is to determine whether there is an effect of giving Benson relaxation therapy to lower blood pressure in patients with hypertensive emergency.Methods: The method used in the preparation of this research uses a journal search with Google scholar, Science direct and Pubmed.Results: There is a significant effect of Benson relaxation on blood pressure reduction and it can be used as a non-pharmacological treatment in lowering blood pressure.Conclusion: It can be used as a reference for optimizing the provision of Benson relaxation therapy in hypertensive emergency patients to accelerate the decrease in blood pressure. Keyword : benson; hypertension; blood pressure
Pengaruh Latihan Peregangan Kaki Terhadap Pengisian Kapiler Pada Penderita Luka Ulkus Diabetes Heru Purnomo; M Nor Mudhofar; Ajeng T Normawati; Lilik Suprasno
Jurnal Studi Keperawatan Vol 1, No 2 (2020): September 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.36 KB) | DOI: 10.31983/j-sikep.v1i2.6353

Abstract

Evaluation of the Implementation of the Documentation of Indonesian Nursing Diagnosis Standards in the Patient Room of RS Dr. R. Soetijono Blora Mu'awanah Mu'awanah; Heru Purnomo; M Nor Mudhofar
Jurnal Studi Keperawatan Vol 2, No 1 (2021): March 2021
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.875 KB) | DOI: 10.31983/j-sikep.v2i1.6806

Abstract

Research background, Documenting standard nursing diagnoses in Indonesia is very important, however in practice there are still many obstacles that result in incomplete documentation. Nursing diagnosis as a component of Nursing Care Standards needs to be carried out properly as mandated in Law no. 38 of 2014 concerning Nursing in article 30 that in carrying out their duties as nursing care providers, nurses have the authority to determine nursing diagnoses.Research purposesto evaluate the implementation of the standard documentation of Indonesian nursing diagnoses in the Inpatient Hospital of dr. R. Soetijono Blora.Research methodsThe method used is the Observational Survey with a sample of 60 respondents. The instrument used was a questionnaire for the implementation of documenting standard nursing diagnoses in Indonesia.Research resultobtained the implementation of the Indonesian Nursing Diagnosis Standards documentation in the Inpatient Hospital of dr. R. Soetijono Blora was generally good 66.7%, 18.3% very good, and 15% less good. Documentation implementation that needs to be improved includes writing actual nursing diagnoses that must be supported by major and minor signs / symptoms, writing nursing diagnoses of risk and nursing diagnoses that have not been maximized, and writing nursing diagnosis code numbers.Research discussionrelating to the implementation of the Indonesian Nursing Diagnosis Standards documentation in dr. R. Soetijono Blora got poor results, one thing that needs to be anticipated is that nurses who do not have sufficient experience need to do training and habituation to carry out the process of enforcing nursing diagnoses systematically.Research conclusions In general, the implementation of the Indonesian Nursing Diagnosis Standards documentation has been carried out well, but it is necessary to carry out training and habituation to carry out the process of enforcing nursing diagnoses systematically 
DETEKSI DINI PENURUNAN TAJAM PENGLIHATAN PADA ANAK USIA SEKOLAH DASAR Ajeng Titah; Mu’awanah Mu’awanah; Heru Purnomo; Muhamad Nor Mudhofar
Jurnal LINK Vol 16, No 2 (2020): NOVEMBER 2020
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.977 KB) | DOI: 10.31983/link.v16i2.6459

Abstract

Deteksi dini penurunan tajam penglihatan pada anak usia sekolah dasar dilatarbelakangi oleh studi internasional yang menunjukkan bahwa sekitar 25% anak usia sekolah mengalami defisiensi penglihatan karena penggunaan gadget melebihi frekuensi, kesalahan posisi baca, intensitas dan pencahayaan yang tidak adekuat. Kegiatan ini bertujuan untuk memberikan gambaran kondisi penurunan tajam penglihatan pada anak usia sekolah serta memberikan pendidikan kesehatan tentang gangguan tajam penglihatan. Deteksi dini ini dilakukan pada 85 anak usia sekolah dasar di SDN Tempelan Kabupaten Blora dengan metode pemeriksaan visus mata menggunakan snallen test, diskusi dan edukasi kesehatan. Hasil kegiatan ini menunjukkan bahwa dari 85 anak usia sekolah, 3,5% mengalami penurunan tajam penglihatan (low vision) kategori berat, 4,7% sedang, 16,5% hampir normal, dan 75,3% dalam kategori normal. Melalui kegiatan ini dapat disimpulkan, bahwa deteksi dini penurunan tajam penglihatan mampu memberikan gambaran kondisi tajam penglihatan pada anak usia sekolah dasar sehingga perlu dipertimbangkan untuk menerapkan edukasi dan diskusi kesehatan sebagai upaya meningkatkan kesehatan mata anak usia sekolah
Intervensi Kesiapsiagaan Bencana dalam Peningkatan Pengetahuan dan Sikap Siswa Sekolah Menengah Atas Muhamad Nor Mudhofar; Mu’awanah Mu’awanah; Heru Purnomo; Ajeng Titah Normawati
Jurnal Keperawatan Vol 14 No 2 (2022): Jurnal Keperawatan: Juni 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.127 KB)

Abstract

Tujuan penelitian adalah untuk mengetahui Tingkat Pengetahuan dan sikap Siswa Sekolah Menengah Umum tentang Kesiapsiagaan Bencana di Kabupten Blora.  Metode penelitian yang  digunakan ádalah dengan menguji perbedaan rata – rata dua kelompok pre test dan kelompok post test yang saling berpasangan. Pengambilan sampel sekolah dalam penelitian ini adalah dengan cara Cluster Random Sampling. Penelitian dilakukan pada siswa SMU direncanakan pada bulan Februari s/d Agustus 2021. Analisis univariat meliputi analisis deskriptif dan analisis bivariat dengan Paired Samples t-test. Hasil penelitian menunjukkan rerata tingkat pengetahuan dan sikap siswa SMU di Kabupaten Blora dalam kategori baik. Pada awal penelitian rerata tersebut adalah 76% dan setelah diberikan intervensi kesiapsiagaan bencana menjadi 85%. Selisih persentase antara kedua rerata tersebut adalah 9%, yang menunjukkan bahwa intervensi kesiapsiagaan bencana berkontribusi meningkatkan pengetahuan dan sikap siswa SMU sebesar 12%. Hasil analisis statistic diperoleh nilai p kurang dari 0,001 yang berarti hipotesis kerja penelitian ini diterima. Intervensi kesiapsiagaan bencana mampu meningkatkan pengetahuan dan sikap pada siswa SMU di Kabupaten Blora.
Pengaruh Terapi Normalitas atau Suportif-sugestif terhadap Kesembuhan Pasien Post Psikotik di Puskesmas Medang Suhardono Suhardono; Taryatmo Taryatmo; M Nor Mudhofar; Tutik Setyowati
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9584

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Latar belakang, kenyataan banyak pasien pos psikotik yang menganggap dirinya tidak sakit, menolak tindakan pengobatan, hal ini perlu intervensi untuk mencapai kesembuhan. Terapi normalitas merupakan salah satu alternatif dengan cara membiasakan dan mempertahankan sikap “normatif” dalam keseharian, antara lain mampu melaksanakan belajar, bekerja, bermain dan bercinta sebagaimana layak orang sehat jiwa seminimal mungkin bantuan orang lain.Tujuan, menguji kesesuaian terapi normalitas terhadap populasi. Validitas intervensi, telah diujikan pada 20 subjek halusinasi di RSJD Semarang. Hasilnya, uji statistik t-test menunjukkan p = 0,000. IK 95%, (Ho ditolak dan Ha diterima), dan 46 subjek di sosial kemasyarakatan yang sama, hasil uji statistik Mann-Whitney menunjukan p = 0,000. IK 95%, (Ho ditolak dan Ha diterima), maka simpulannya; Generalisasi fungsi terapi normalitas benar, terpenuhi.Metode, eksperimen, menerapkan metode “Quasi-eksperimen nonequivalent (pre-test and post test control group design”, Penentuan responden menggunakan; Consecutive sampling, sampai 36 sampel terpenuhi. randomisasi dengan pemetaan, skema rumah tinggal pasien, dengan menjatuhkan pensil ke dalam skema. Alat ukur penelitian kesembuhan pasien kuesioner yang dikembangkan peneliti. Peneliti memberikan 3 kali sesi terapi individu, selama 15 – 20 menit dan 1 kali sesi terapi keluarga selama 30 menit, selama penelitian.Hasil, kemampuan keluarga melakukan pencegahan kekambuhan pada anggota keluarganya yang mengalami gangguan jiwa, hasilnya menunjukkan tingkat signifikansi sebesar 0,1 0,05. Kemampuan klien melakukan pencegahan kekambuhan atau masih ada gejala sisa skizofrenia tidak atau kurang  penting meskipun masih membutuhkan kajian lagi. Prinsip yang penting (utama) tampil selalu normal (normatif) agar seiring perjalanan waktu tampilan klien sehari-hari tidak aneh lagi, mejadi peduli mengurus dirinya sendiri dan perlunya memenuhi kebutuhan sosial serta pentingnya berhubungan dengan orang lain.
Efektivitas Teknik Elevasi Ekstremitas Bawah Dalam Proses Pemulihan Ketidakefektifan Perfusi Jaringan Perifer Pada Ulkus Diabetikum Lilik Suprasno; Heru Purnomo; Mu awanah Mu awanah; Muhamad Nor Mudhofar; Suhardono Suhardono; Rozza Rian Oktalina
Jurnal Studi Keperawatan Vol 4, No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10199

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Diabetes Melitus menyebabkan angka kematian dan kesakitan di dunia meningkat dikarenakan penyakit Diabetes Melitus dapat mengakibatkan berbagai komplikasi seperti gangguan vascular perifer ekstermitas bawah pada penderita Diabetes tipe 2. Gangguan aliran darah perifer menyebabkan nekrosis jaringan dan iskemia perifer, sehingga beresiko terjadinya ulkus kaki diabetik. Salah satu permasalahan yang muncul adalah ketidakefektifan perfusi jaringan perifer. Dengan latihan elevasi ekstermitas bawah diharapkan dapat melancarkan sirkulasi perifer dan mempercepat proses penyembuhan ulkus kaki diabetik.Tujuan penelitian mendeskripsikan efektivitas teknik elevasi ekstremitas bawah dalam proses pemulihan ketidakefektifan perfusi jaringan perifer pada Ulkus Diabetikum.Metode yang digunakan dalam penelitian ini adalah metode deskriptif dengan pendekatan studi kasus yang memfokuskan pada intervensi teknik elevasi ekstremitas bawah dalam proses pemulihan ketidakefektifan perfusi jaringan perifer pada pasien dengan Ulkus Diabetikum.Hasil dan pembahasan didapatkan bahwa tindakan observasi yang dilakukan peneliti pada dua responden dengan Ulkus Diabetikum dan Peneliti melakukan intervensi elevasi ekstremitas bawah selama tiga hari (sehari 1 kali) selama 10 menit dan kemudian melakukan evaluasi dengan pengukuran ABI (angkle brachial index) selama 5 menit  setelah dilakukan Latihan Elevasi Ekstremitas Bawah. Dengan hasil menunjukkan adanya perubahan pada sirkulasi perifer dan sesudah dilakukannya Teknik elevasi ekstremitas bawah. Latihan Teknik elevasi ektremitas dapat meningkatkan suplai darah ke area Ulkus Diabetikum.Kesimpulan penelitian ini didapatkan bahwa latihan  teknik elevasi ekstremitas bawah efektif dilakukan Dalam Proses Pemulihan Ketidakefektifan Perfusi Jaringan Perifer Pada Ulkus Diabetikum. Kata Kunci: Ulkus Diabetikum; Teknik Elevasi Ekstremitas Bawah; ABI
Perawatan Kateter Urine Dengan Chlorhexidine Gluconate 5% dalam Mencegah Infeksi Saluran Kemih Muhamad Nor Mudhofar; Heru Purnomo; Mu'awanah Mu'awanah
JURNAL KEPERAWATAN MERSI Vol 13, No 1 (2024): April
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i1.10389

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Background: Urinary tract infections that occur in hospitals are mostly caused by the installation of indwelling urinary catheters. Indwelling urinary catheter care is one way to prevent catheter-related urinary tract infections. Objective: This study aims to determine the effect of indwelling urinary catheter treatment using 5% chlorhexidine gluconate on urinary tract infections in the Blora Hospital. Methods: This research uses a quasi-experimental posttest-only design. The sampling technique was purposive sampling, 12 subjects were recruited. The independent variable is indwelling urinary catheter care, and the dependent variable is urinary tract infection. Data were collected using colony counts and bacterial types on the fourth day. Data were analyzed by using the Mann Whitney test. Results: The results of the study showed that there was no difference in the incidence of urinary tract infections between patients in the treatment group who received indwelling urinary catheter treatment using chlorhexidine gluconate 5% and patients in the control group who received standard catheter treatment (p=0.138). Conclusion: Perineal care agents do not affect the incidence of catheter-related urinary tract infections. Further research should involve a larger number of respondents and consider respondent characteristics such as antibiotic use, diabetes mellitus, and urine production to obtain more accurate results.
HUBUNGAN FAKTOR LINGKUNGAN FISIK DAN PERILAKU KELUARGA TERHADAP KEJADIAN DEMAM BERDARAH DENGUE (DBD) Azza, Awatiful; Nurdin, Nurdin; Zamli, Zamli; Marni, Marni; Mudhofar, Muhamad Nor
Ensiklopedia of Journal Vol 6, No 3 (2024): Vol. 6 No. 3 Edisi 2 April 2024
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v6i3.2307

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Dengue fever (DHF) is a public health problem because the number of cases and spread tends to increase, and often causes Extraordinary Events (KLB). The disease is transmitted by the Aedes aegypti mosquito with four main clinical manifestations characterized by circulatory failure. The purpose of this study was to determine the relationship between Physical Environmental Factors and Family Behavior towards the Incidence of Dengue Fever in the Sebanga Health Center Working Area. The research method used a cross sectional research design. The population in this study were people who lived in the Sebanga Health Center working area with a sample of 62 people. The data collection technique used total sampling. The research instrument used a research questionnaire. Data analysis was carried out univariate and bivariate. The results showed that there was a relationship between environmental factors (p value: 0.000) and family behavior (p value: 0.000) with the incidence of DHF. It is recommended for health workers to be able to provide education to the community about health behavior in order to increase mosquito eradication movements by cleaning the surrounding environment, always routinely once a week cleaning water reservoirs, recommending to install, wire gauze ventilation, suggesting that a room area > 8 m² is used for 2 or more people, and planting ornamental plants to maintain room humidity to the community.Keywords: DHF, environment, family
DETERMINAN KEJADIAN TUBERKULOSIS PARU Putri, Putu Chrisdayanti Suada; Zamli, Zamli; Nordianiwati, Nordianiwati; Mudhofar, Muhamad Nor; Sulistiyani, Sulistiyani
Ensiklopedia of Journal Vol 6, No 4 (2024): Vol. 6 No. 4 Edisi 3 Juli 2024
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v6i4.1906

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Abstract: Tuberculosis is an environmentally-based disease that still poses a threat to public health worldwide. Based on data from the Payakumbuh City Health Office, the Tarok Health Center Working Area has the highest incidence of pulmonary TB in Payakumbuh City in 2022. The purpose of the study was to determine the determinants of the incidence of pulmonary tuberculosis. The type of research is quantitative with a case control approach. The research was conducted at the Tarok Health Center in Payakumbuh City. The population was all TB patients who lived in the Tarok Health Center working area. As for the control population, they were people who had checked their sputum at the Tarok Health Center laboratory and were declared negative for TB by the lab results. The sample amounted to 44 cases and 44 controls. The sampling technique used in this study was purposive sampling. Data analysis was done univariate and bivariate. The results showed that there was a relationship between contact history (p value: 0.017) and the incidence of pulmonary tuberculosis. It is recommended that health center staff should increase direct visits to the homes of patients with pulmonary tuberculosis to see firsthand the condition of the physical environment of the house and to find out whether there is a possibility that the patient's family is infected so that preventive measures can be taken. For this reason, recording the patient's address in the register book must be clear and complete to facilitate home visits.Keywords: Environment, Contact History, Tuberculosis.