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Pijat Kaki dan Rendam Air Hangat Efektif menurunkan Edema Kaki Fisiologis Ibu Hamil Richa Anggraini; Asmawati Asmawati; Dahrizal Dahrizal; Husni Husni
Jurnal Vokasi Keperawatan (JVK) Vol. 7 No. 1 (2024): JUNI
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/jvk.v7i1.33871

Abstract

Edema kaki fisiologis sering dialami oleh ibu hamil trimester III atau penumpukkan cairan di bagian bawah jaringan kulit atau pada tungkai kaki yang menimbulkan ketidaknyamanan, parestesia dan nyeri tungkai. Tujuan penelitian untuk melihat efek penurunan lingkar edema kaki (LEK) fisiologis pada ibu hamil setelah dilakukan terapi foot massage dan rendam air hangat. Jenis penelitian ini adalah quasi-eksperimental dengan rancangan pre-test and post-test with control group design. Sampel merupakan ibu hamil normal trimester tiga sebanyak 34 orang yang diambil menggunakan consecutive sampling technique. Treatment yang diberikan pada kelompok intervensi adalah foot massage selama 20 menit dan rendam air hangat durasi 10 menit selama 5 hari sedangkan kelompok kontrol diberikan tindakan elevasi posisi kaki 30-45 derajat. Rendam kaki menggunakan air hangat dengan suhu 38 derajat celcius. Data LEK diukur pada hari pertama dan hari keenam menggunakan pita meteran pada area metatarsal. Analisis data perbedaan lingkar edema kaki dilakukan menggunakan Wilcoxson test dan Mann Whitney U T-test dengan P value α≤5%. Hasil penelitian didapatkan rerata LEK sebelum dilakukan intervensi adalah 26 cm pada masing-masing kelompok dan setelah dilakukan intervensi didapatkan penurunan LEK sebesar 1.03 cm sedangkan pada kelompok kontrol 0.23 cm. Perbedaan rerata perubahan nilai lingkar edema kaki setelah diberikan intervensi pada antar kelompok sebesar 0.80 cm. Ada pengaruh pijat kaki dan rendam air hangat terhadap lingkar edema kaki fisiologis ibu hamil trimester III (p-value α≤0.000). Pijat kaki dan rendam kaki dalam air hangat lebih efektif menurunkan edema kaki fisiologis ibu hamil trimester tiga yang dapat dilakukan secara mandiri.
Penerapan Teknik dan Balutan Luka Modern untuk Mempercepat Penyembuhan Luka Infeksi Daerah Operasi (IDO) Paska Persalinan Sectio Caesaria Idramsyah, Idramsyah; Dahrizal, Dahrizal; Husni, Husni
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.8480

Abstract

This study aims to provide an overview of the application of modern techniques and wound dressings to accelerate healing of surgical site infections (SSI) after caesarean section (SC) delivery. This descriptive case study method involved 2 patients who experienced surgical wound infections after SC delivery at the wound care clinic. Participants were given treatment for 4 weeks with 10-12 treatment visits. Planning with TIME management and using modern dressing. The results of the case study include procedures for washing the wound using irrigation techniques and gentle rubbing using 0.9% Nacl and non-toxic gentle antiseptic soap, followed by compression with polyhexamethyl biguanide (PHMB) solution. The procedure for removing dead tissue uses mechanical techniques using scissors, tweezers and gauze and is followed by autolysis debridement using zinc cream chitosan. The procedure provides a primary dressing in the form of silver alginate at the wound undermining, zinc cream chitosan and cadexomer iodine in the wound infection phase, and using zinc hyaluride acid cream in the wound proliferation phase with a secondary dressing of polyurethane foam and fixation with transparent film. Inflammation and infection in the wound area were controlled for 3 days, proliferation until the wound closed with epithelial tissue lasted for 4 weeks. Conclusion: the treatment techniques and wound dressing materials used in wound care can be adjusted to the condition of the wound and the patient's financial ability to prove effective in accelerating wound healing. Key Words: Modern Dressings, Surgical Site Infections, Cesarean Wounds, Surgical Wounds, Cesarean Delivery
Metode Monofilamen Test dan Ipswich Touch Test (IPTT) untuk Deteksi Neuropati Sensorik Diabetes Dahrizal, Dahrizal; Idramsyah, Idramsyah; Revalina, Revalina
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.8488

Abstract

This study aims to describe the monofilament test and Ipswich touch test methods for screening diabetic sensory neuropathy. The research method used is a literature study of research articles published in national and international journals in 2020-2023 using the Scopus, Science Direct, PubMed, and Google Scholar databases. The results of this study identified ten research articles that explained that 10g monofilament is the most widely used diabetic sensory neuropathy screening tool because it is simpler, more objective, and easier to use. The Ipswich Touch Test is the most straightforward inspection technique that can be carried out without using tools. In conclusion, both methods proved effective in detecting diabetic sensory neuropathy, although differences in sensitivity and specificity of the two methods require further research. Keywords: Ipswich Touch Test, Monofilament Test, Diabetic Neuropathy, Sensory Neuropathy
Preventif Care Melalui Media E-Booklet “Cerdi” dan Video Dapat Meningkatkan Pengetahuan dan Sikap Orang Tua dalam Pencegahan Diabetes Melitus pada Anak Nissa, Suviola Khairu; Dahrizal, Dahrizal; Wijaya, Andra Saferi
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.11450

Abstract

This study aims to determine the effect of preventive care through “cerdi” e-booklet media and videos on parents' knowledge and attitudes in preventing diabetes mellitus in children. The research method used was a pre experimental One Group pretest posttest design. The results showed that preventive care through the media e-booklet “cerdi” and video obtained a p-value of 0.000. In conclusion, preventive care through “cerdi” e-booklet media and videos can improve parents' knowledge and attitudes in preventing diabetes mellitus in children. Keywords: E-Booklet, Parents, Prevention of Diabetes Mellitus in Children, Knowledge, Attitude, Video
PENINGKATAN PENGETAHUAN MASYARAKAT MELALUI EDUKASI VAKSINASI COVID-19 DI BENGKULU Dahrizal, Dahrizal; Septiyanti, Septiyanti
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 1 No I (2022): JPKM PUSTINGKIA JANUARI 2022
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jpustingkia.v1iI.179

Abstract

Di Indonesia, 34 propinsi terdeteksi positif Covid-19 sehingga seluruh Provinsi di Indonesia Zona Merah Covid-19, dan lebih dari 200 kabupaten di Indonesia telah ditemukan penderita terinfeksi Covid-19. Jumlah Orang terinfeksi virus Covid-19 di Indonesia terus bertambah. Tertanggal 20 April 2020 mencapai angka 6760 kasus positif covid-19. Penambahan kasus positif terus terjadi demikian juga penambahan kematian yang mencapai 590 pasien (covid19.go.id). Akibat peningkatan jumlah kasus positif covid-19 dan kematian akibat terinfeksi covid-19, Presiden Republik Indonesia mengeluarkan Keputusan Presiden RI No.11 tahun 2020 tentang penetapan kedaruratan kesehatan masyarakat Corona virus disease 2019 (Covid-19) pada tanggal 31 Maret 2020. Perkembangan Covid-19 yang sangat progresif ini menyebabkan perlukan tindakan nyata sebagai upaya pengabdian masyarakan untuk menurunkan kasus tersebut. Kegiatan ini bertujuan untuk menginformasikan kepada masyarakat edukasi terkait pencegahan penularan Covid-19 yang nantinya diharapkan dapat meningkatkan kepedulian masyarakat dalam mencegah dan memberantas Covid-19. Selain itu pengabdian masyarakat ini diharapkan memberikan dampak positif mengenai perilaku Hidup Bersih pada masyarakat. Pelaksanaan kegiatan pengabdian kepada masyarakat Poltekkes Kemenkes Bengkulu bersamaan dengan kegiatan praktik kerja lapangan terpadu (PKLT) oleh mahasiswa Diploma Tingkat III dan Sarjana Terapan Tingkat IV berjumlah 13 orang di Kecamatan Sungai Serut, Kota Bengkulu. Kerja sama dan kolaborasi yang baik antar profesi kesehatan sangat dibutuhkan untuk meningkatkan kepuasan masyarakat dalam memperoleh layanan kesehatan. Metode yang digunakan dalam pengabdian masyarakat adalah edukasi-sosialisasi melalui berbagai media yaitu leaflet, poster, video, dan sebagainya yang berkaitan dengan pencegahan penularan Covid-19, isolasi diri dan peningkatan sistem imun tubuh. Hasil pengabdian masyarakat didapatkan bahwa, telah terbentuk gugus tugas relawan Covid-19 di Kecamatan Sungai Serut, Kota Bengkulu. Masyarakat telah diberikan berbagai informasi dan edukasi terkait pencegahan Covid-19, cara isolasi mandiri, dan peningkatan sistem imun tubuh kepada sejumlah masyarakat termasuk pasien ODP, PDP, OTG.
PENDAMPINGAN POKJAKES LEMPUING INDAH DALAM MENINGKATKAN PENGETAHUAN DAN PERILAKU ANAK DAN KELUARGA TENTANG PERAWATAN GIGI DAN MULUT DI RW I KELURAHAN LEMPUING WILAYAH PUSKESMAS KOTA BENGKULU Hartiana, Hartiana; Pardosi, Sariman; Wijaya, Andra Saferi; Dahrizal, Dahriza; Nugroho, Nehru
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 2 No 1 (2023): JPKM PUSTINGKIA 2023
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jpustingkia.v2i1.247

Abstract

Abstrak Karies gigi merupakan salah satu penyakit mulut yang ditandai dengan demeneralisasi jaringan gigi yang bersifat kronis keras kemudian diikuti dengan kerusakan zat organiknya yang menyebabkan hancurnya email dan dentin sehingga muncul lubang pada gigi. Karies gigi merupakan penyakit tidak menular yang sering dialami atau terjadi pada anak anak. (Soesilawati, 2020). Faktor yang menunjang tingginya angka prevalensi karies gigi anak yaitu anak anak pada umumnya menyukai makanan manis, apabila anak terlalu banyak makan gula-gula dan jarang membersihkannya maka akan menimbulkan akibat yakni gigi - giginya akan banyak yang mengalami karies gigi. Hal ini akan menjadi lebih parah. pemeliharaan kesehatan gigi dan mulut pada anak yang mengalami karies gigi, diperoleh data yaitu anak memiliki karies dentis (67%), sebagian besar anak mempunyai kebiasaan jajanan terbuka di sekolah (87%), dan masih ada anak yang tidak memeriksa kesehatan gigi ke pelayanan kesehatan (34%). Metode kegiatan pengabdian kepada masyarakat ini menggunakan metode pemberdayaan masyarakat dan partisipasi masyarakat dengan pendekatan keperawatan keluarga melalui pengenalan masalah, memutuskan merawat, merawat, memodifikasi lingkungan dan memanfaatkan fasilitas kesehatan. Rencana pelaksanaan kegiatan dialokasika di RW I Kelurahan Lempuing Kota Bengkulu. Evaluasi kegiatan dan monitoring dilakukan secara formatif dan sumatif melalui instrument yang telah disiapkan. Kata Kunci: Karies gigi, Anak-anak, Pengetahuan
PENDAMPINGAN POKJAKES LEMPUING INDAH DALAM MENINGKATKAN PENDIDIKAN DAN PENGETAHUAN SEKS PADA ANAK DI RW I KELURAHAN LEMPUING WILAYAH PUSKESMAS KOTA BENGKULU Febriana, Erna; Pardosi, Sariman; Dahrizal, Dahrizal; Nugroho, Nehru; Wijaya, Andra
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 1 No 2 (2022): JPKM PUSTINGKIA JULI 2022
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jpustingkia.v1i2.252

Abstract

Abstrak Kekerasan seksual terhadap anak meningkat dari tahun ketahun. Peningkatan ini terjadi dibanyak negara, termasuk juga di Indonesia. Dari banyak Propinsi di Indonesia, kekerasan seksual menjadi masalah yang mengkhawatirkan. Banyak anak yang menjadi korbannya, tidak hanya anak perempuan, anak laki- lakipun rawan untuk dijadikan korban kekerasan seksual (Meri Neherta, 2017). Berdasarkan hasil pemaparan dari guru TK IT Al-Pundi pada MMK 2 didapatkan hasil pada tahun 2019 terjadi pelecehan pada anak. Metode kegiatan pengabdian kepada masyarakat ini menggunakan metode pemberdayaan masyarakat dan partisipasi masyarakat dengan pendekatan keperawatan keluarga melalui pengenalan masalah, memutuskan merawat, merawat, memodifikasi lingkungan dan memanfaatkan fasilitas kesehatan. Rencana pelaksanaan kegiatan dialokasika di RW I Kelurahan Lempuing Kota Bengkulu. Evaluasi kegiatan dan monitoring dilakukan secara formatif dan sumatif melalui instrument yang telah disiapkan. Kata Kunci: Anak, Pelecehan, Pendidikan Seks Abstract Sexual violence against children is increasing from year to year. This increase occurred in many countries, including Indonesia. From many provinces in Indonesia, sexual violence is a worrying problem. Many children are victims, not only girls, boys are also prone to be victims of sexual violence (Meri Neherta, 2017). Based on the results of the explanation from the Al-Pundi IT Kindergarten teacher at MMK 2, it was found that in 2019 child abuse occurred. This community service activity method uses community empowerment and community participation methods with a family nursing approach through identifying problems, deciding to care for, caring for, modifying the environment and utilizing health facilities. The plan for the implementation of the activities was allocated in RW I, Lemembu Sub-district, Bengkulu City. Evaluation of activities and monitoring are carried out in a formative and summative manner through the instruments that have been prepared.Keywords: School Children, Covid-19, Knowledge, New Normal Keywords: Children, Harassment, Sex Education
Enhancing Diabetic Foot Ulcer Healing: The Role of Channa striata Extract Nutrition in Accelerating Inflammatory, Proliferative, and Maturation Phases Idramsyah, Idramsyah; Dahrizal, Dahrizal; Ruran, Marina; Nair, Harikrisna K. R.
IJNP (Indonesian Journal of Nursing Practices) Vol. 8 No. 2 (2024): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i2.20740

Abstract

Background: Diabetic foot ulcers pose a severe complication for individuals with diabetes mellitus, necessitating effective therapeutic support such as albumin nutrition throughout the wound healing process. Derived from Channa striata, a commonly consumed source of albumin in Indonesia, this extract can potentially expedite wound healing.Objective: This study aims to evaluate the efficacy of Channa striata extract nutrition in accelerating the inflammatory, proliferative, and maturation phases of diabetic foot ulcer healing.Methods: This quantitative study employed a pra-experimental design using a single-group pretest-posttest approach. The study involved 30 diabetic patients who were administered a daily dose of 550 grams of Channa striata extract over four weeks. The Bates Jensen Assessment Tool (BWAT) assessed wound progress.Results: Results revealed that the average participant age was 60.2 years, with an average diabetic history of seven years. The average wound duration was 8.7 weeks; 66.7% of the participants were female; 70% had Non-Insulin Dependent Diabetes Mellitus (NIDDM); and 56.7% were at stage IV. The study found a significant difference in BWAT scores before and after the administration of Channa striata extract in diabetic foot ulcer patients.Conclusion: This study supports the effectiveness of Channa striata extract as an adjunct therapy in expediting the wound-healing phases in diabetic foot ulcers.
The Effect of Emotional Freedom Technique (Eft) Therapy on Anxiety Levels In Pre Mothers Sectio Caesarea At Bpm Bengkulu City Agustina, Fatma; Elly, Nur; Dahrizal, Dahrizal; Asmawati, Asmawati; Husni, Husni; Yovalwan, Tahratul; Rahmadani, Wahyudi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2820

Abstract

Background: Anxiety in mothers before giving birth reaches 18-70% from 5.263.057 which can have an impact on delaying surgery, increasing hospitalization days, and can cause postpartum depression.  Objective: The purpose of this study was to determine the effect of emotional freedom technique (EFT) therapy on the level of anxiety in pre-sectio caesarea mothers at BPM Bengkulu City. Method: The research design used was a quasi-experiment design with a pretest-posttest design with a control group. The study sample was pregnant women aged ?35 weeks with indications of SC (displacement, fetal/pelvic disproportion, previous SC history, twins). The number of samples in this study was 34 respondents (17 respondents in each group). The sampling technique used in this research is total sampling. The instrument used is the Anxiety Assessment Scale Pregnant for women in Labour (AASPWL). Data analysis was performed using the Wilcoxon test and the Mann-Whitney test with a confidence value of 0.05. Result: The results showed that after being given the EFT intervention there was a difference in the level of anxiety scores in sectio caesarea mothers with a mean difference of around 3.24 (p-value 0.000). Conclusion: The EFT intervention is a benefit for lower anxiety in mothers before delivery by SC.
The Ipswich Touch Test (IPTT) has the Sensitivity and Specificity Equivalent to the Monofilament Test for the Detection of Diabetic Sensory Neuropathy Revalina Silmy Alvira; Dahrizal Dahrizal; Idramsyah Idramsyah; Septiyanti Septiyanti; Widia Lestari
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3701

Abstract

The most common complication of diabetes is neuropathy. Diabetic foot screening includes secondary prevention efforts against further complications from diabetes. The need for practitioners to have practical, simple, and affordable sensory neuropathy screening techniques that can be independently is a demand in today's health services. A study aimed to assess the sensitivity and specificity of the ipswich touch test (IPTT) to the 10g monofilament test in the early detection of diabetic neuropathy. Methods: This quantitative observational research design used a cross-sectional method with 61 respondents who had diabetes mellitus for more than one year in the working area of the Pasar Ikan Health Center, Bengkulu City. Samples were taken by consecutive sampling. The researcher conducted an ipswich touch test (IPTT) first and then an examination with a monofilament test of 10g as the gold standard. The data is processed and analyzed with a computer application to see the sensitivity and specificity values. Ipswich touch test (IPTT) had a sensitivity value of 91.3%, specificity of 92.1%, positive predictive value of 87.5%, negative predictive value of 94.59%, positive probability ratio of 11.55, negative probability ratio of 0.09 and AUC value of 91%. The ipswich touch test (IPTT) has the same sensitivity, specificity, and accuracy as the monofilament test.