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Kualitas Hidup Pasien Diabetes Millitus (DM) dengan Ulkus Diabetikum Fatsiwi Nunik Andari; Ahmad Syafwalul Hamzah; Haifa Wahyu
JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU Vol 8 No 1 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU
Publisher : Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/jkmu.v8i1.362

Abstract

Diabetes Mellitus (DM) is a non-communicable disease which is projected to experience a significant increase in the world, including in Indonesia. An increase in the population of people with DM has an impact on the increased incidence of diabetic ulcers as a chronic complication of DM. Diabetic ulcers that occur will have an impact on the quality of life of DM sufferers themselves. The purpose of this study was to find out how the quality of life of DM patients with diabetic ulcers. This type of research is a qualitative descriptive study using interview techniques and observational approaches. The number of informants in this study were 5 people. The variables studied were the quality of life of DM patients with diabetic ulcers including physical, functional, psychological and social dimensions. The results of this study generally illustrate that the quality of life of DM patients with diabetic ulcers shows a good category. The quality of life of DM patients on the physical dimension is mostly in the good category (60%), the functional dimension is mostly in the good category (80%), the psychological dimension is mostly in the good category (80%), and the social dimension is mostly in the good category. medium category (40%). It can be concluded that the quality of life of DM patients with diabetic ulcers is generally in the good category. Informants are expected to further improve their quality of life. Keywords: Quality of Life, DM, Diabetic Ulcer
HUBUNGAN KOMUNIKASI TERAPEUTIK DAN POLA MAKAN DENGAN KEJADIAN GASTRITIS DI PUSKESMAS UJUNG KARANG BENGKULU TENGAH FATSIWI NUNIK ANDARI; Yuni Yulianda
JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU Vol 9 No 1 (2021): JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU
Publisher : Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/jkmb.v9i1.1465

Abstract

Gastritis is one of the diseases that need more attention. Uncaring gastritis would affect the occurrence of bleeding in the gastrointestinal tract, ulcers, perforation, and anemia. The purpose of this study was to determine the relationship between therapeutic communication and dietary habits with the incidence of gastritis in the Public Health Centre of Ujung Karang, Bengkulu Tengah. This research was a quantitative study with a case-control design. The total sample was 140 patients that were divided into two groups: 70 respondents were in the case group and 70 respondents were in the control group. The results of this study indicate that 60,7% of respondents received a good communication therapeutic and 39,3% of respondents stated the communication therapeutic was poor. Based on eating habits, 62,1% had a regular diet on the eating frequency and 37,9% was not. For the type of food consumed by the respondents, 41,4% of respondents had consumed unhealthy food. Based on the chi-square statistical test, there was a significant correlation between therapeutic communication and eating habits with the incidence of gastritis. Keywords: eating habits, gastritis, therapeutic communication 
PENGALAMAN PERSALINAN PERTAMA DENGAN RIWAYAT MENIKAH DINI DI KELURAHAN PAGAR DEWA KOTA BENGKULU Fatsiwi Nunik Andari; Ratu Ayuningrum
Jurnal Keperawatan Sriwijaya Vol 6, No 2 (2019)
Publisher : Universitas Sriwijaya

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Abstract

AbstrakTujuan : Angka pernikahan dini di Indonesia tertinggi kedua di ASEAN. Kondisi rahim wanita pada usia 19tahun ke bawah masih belum cukup kuat, sehingga kehamilan yang terjadi pada usia tersebut, memiliki risikoperdarahan bahkan keguguran serta rIsiko terjadinya pre-ekslamsi dan ekslamsi pada akhir kehamilan. Calonibu yang menikah di usia dini, dikhawatirkan akan terjadi penyulit dalam kehamilan, seperti ukuran panggulsempit, tidak sabar menahan sakit saat mau melahirkan, tenaga untuk mengedan kurang, his kurang dan lainsebagainya, sehingga terkadang dokter menyarankan untuk memilihoperasi sectio caesarea. Tujuanpenelitian ini adalah untuk mengetahui bagaimana pengalaman melahirkan pertama pada wanita denganriwayat menikah dini.Metode : Penelitian ini adalah penelitian deskriptif kualitatif dengan menggunakan metode survey danwawancara mendalam. Data yang diperoleh selanjutnya dianalisis dengan menggunakan pola pikir deduktif.Hasil : Hasil penelitian menunjukkan bahwa adanya ketidaksiapan yang dirasakan wanita dengan riwayatmenikah dini saat akan bersalin atau melahirkan baik secara fisik, psikologis, maupun finansial.Simpulan: Pengalaman persalinan pertama pada wanita dengan riwayat menikah dini kurang baik yaitu tidakadanya kesiapan secara khusus baik secara fisik, psikologis, maupun finansial. Diharapkan kepada pararemaja untuk memilih lingkungan yang baik dalam pergaulan agar terhindar dari seks bebas dan pernikahandini.Kata Kunci: Pengalaman, Persalinan Pertama, Pernikahan Dini.AbstractAim : Early marriage rate in Indonesia is the second highest in ASEAN. The condition of a woman's uterus atthe age of 19 and under is still not strong enough, so that a pregnancy that occurs at that age, has the risk ofbleeding and miscarriage and the risk of pre-eclampsia and exlamation in late pregnancy. Prospectivemothers, who get married in early age feared to be complicated in pregnancy, for example narrow pelvis,impatient to bear pain during labor, lack of energy when interceding, less uterine contractions and so on,from these cases, doctor sometimes suggest for cesarean section surgery, or sectio Caesarea. The purpose ofthis study was to determine the problems that occur during early childbirth and first birthing experience foradolescents who are married early.Method : The method of research was descriptive qualitative with used in-depth survey and interviewapproach. Data of research obtained are further analyzed using a deductive mindset.Result : The results showed there was unpreparedness felt by women who get marriage early when gave birthphysically, psychologically, and financially as well.Conclusion : The first experience of labor in women with a history of premature marriage is not good,namely the absence of special preparedness both physically, psychologically, and financially.The suggestion,for teenagers, it is very important to choose a good environment and avoid free sex and early marriage.Keywords: Experience, First Birth, Early marriage.
PENGARUH MASASE EFFLEURAGE ABDOMEN TERHADAP PENURUNAN SKALA NYERI DISMENORE PRIMER PADA REMAJA PUTRI DI SMP MUHAMMADIYAH TERPADU KOTA BENGKULU Fatsiwi Nunik Andari; Muhammad Amin; Yesi Purnamasari
Jurnal Keperawatan Sriwijaya Vol 5, No 2 (2018)
Publisher : Universitas Sriwijaya

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Abstract

Tujuan: Dismenore adalah nyeri pada saat menstruasi. Nyeri sebagai suatu sensori subjektif dan pengalaman emosional yang tidak menyenangkan berkaitan dengan kerusakan jaringan yang aktual atau potensial atau yang dirasakan dalam kejadian-kejadian dimana terjadi kerusakan. Salah satu tindakan non-farmakologi dalam menangani nyeri yaitu masase dengan tehnik masase effleurage yang aman dan dapat mengurangi nyeri. Tujuan penelitian ini adalah untuk mengetahui perbedaan skala nyeri sebelum dan sesudah diberikan terapi masase effleurage pada siswi yang mengalami nyeri dismenore primer. Metode: Penelitian ini menggunakan metode eksperimen, dengan menggunakan desain pra-eksperiment dengan rancangan pretest-postest. Instrumen yang digunakan Numeric Rating Scale (NRS). Sampel diberikan terapi masase effleurage 3-5 menit selama 3 hari berturut-turut. Hasil: Hasil penelitian menunjukkan bahwa ada perbedaan skala nyeri sebelum dan sesudah diberikan terapi masase effleurage dengan P value = 0,000. Simpulan: Dapat disimpulkan ada pengaruh terapi masase effleurage terhadap penurunan skala nyeri dismenore primer pada remaja putri di SMP Muhammadiyah Terpadu Kota Bengkulu. Kata Kunci: Masase effleurage, skala nyeri, dismenore primer
Pengaruh Peregangan Senam Ergonomis terhadap Skor Nyeri Musculoskeletal Disorders (MSDs) pada Pekerja Pembuat Kaleng Alumunium Fatsiwi Nunik
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.039 KB) | DOI: 10.18196/ijnp.v2i1.666

Abstract

The use of human labor to manually in industry often lead to complaints, particularly in parts of the skeletal muscle complaints. This complaint termed musculoskeletal disorders (MSDs). MSDs can trigger maladaptive response to the workers as lazy in doing his work, late for work, work absence, and the work that is not optimal. The main strategy to deal with complaints of MSDs is gymnastics ergonomic. The aims of this study was to determine the effect of ergonomic exercises to decrease pain musculoskeletal disorders (MSDs) in aluminum cans workers. This study used quasy experiment with pre-and post-test control group design, that was conducted in July and August 2014. The sample in this study was 30 people’s were divided into intervention group and control group with 15 people’s in each group. Instruments in this study was the Nordic Body Map Questionnaire. Statistical analysis used parametric test (T test dependent and T test independent) and non parametric (Wilcoxon dan Mann Whitney test).The results showed there is decrease MSDs pain score from 19 to 13 score in ntervention group after done gymnastics ergonomic with p0.05. Based on statistical test with p0.05 this showed that there are diff erences changes in pain scores MSDs between the intervention group and control group signifi cantly. The conclusion of the research there was gymnastic ergonomic intervention can reduce MSDs pain in aluminum cans workers. It is recommended for workers to perform gymnastic ergonomics exercises regularly at least 2x a weeks before and after work.Keywords: pain, musculoskeletal disorders, ergonomic gymnastics
PENGARUH TERAPI MUSIK KLASIK (BEETHOVEN) TERHADAP PENURUNAN KECEMASAN PADA PASIEN YANG MENJALANI HEMODIALISA DENGAN GAGAL GINJAL KRONIK DI RSUD DR. M YUNUS BENGKULU Liza Fitri Lina; Meri Susanti; Fatsiwi Nunik Andari; Haifa Wahyu; Dodi Efrisnal
Avicenna: Jurnal Ilmiah Vol. 15 No. 1 (2020): Jurnal Ilmiah Avicenna
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v15i1.742

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Penyakit ginjal kronik (GGK) merupakan masalah kesehatan dunia dengan beban biaya kesehatan yang tinggi. Tindakan yang dilakukan untuk penanganan GGK adalah hemodialisa (Hd). Proses hemodialisa seringkali menimbulkan kecemasan pada pasien. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi musik klasik (beethoven) terhadap tingkat kecemasan pada pasien Hemodialisa di RSUD Dr. M Yunus Bengkulu.Jenis penelitian ini adalah penelitian kuantitatif yang menggunakan desain penelitian one group pra-test-posttest design. Populasi dalam penelitian ini adalah seluruh pasien hemodialisa di RSUD Dr. M Yunus Bengkulu. Sampel yang diambil sebanyak 15 orang pasien hemodialisa.Hasil penelitian diperoleh bahwa sebelum diberikan terapi musik klasik (Beethoven), dari 15 pasien hemodialisa, terdapat 12 pasien (80%) mengalami kecemasan berat sedangkan 3 pasien lainnya (20%) mengalami kecemasan sedang. Setelah diberikan terapi musik klasik (Beethoven), dari 15 pasien hemodialisa, terdapat 2 pasien (13,33%) mengalami kecemasan ringan, 11 pasien (73,34%) mengalami kecemasan sedang, dan 2 pasien lainnya (13,33%) mengalami kecemasan berat. Berdasarkan hasil uji t dependent, diperoleh t = 10,960 dan p-value = 0,000. Karena p-value = 0,000 < 0,05.disimpulkan bahwa terdapat pengaruh signifikan terapi bermain musik klasik (Beethoven) terhadap tingkat kecemasan pada pasien hemodialisa di RSUD Dr. M Yunus Bengkulu.    
THE EFFORTS TO REDUCE PROSPERITY OF ASMA BRONCHIALE SUFFERS WITH YOGA GYM THERAPY Fatsiwi Nunik Andari; Henni Febriawati; Mursid Wibowo
Avicenna: Jurnal Ilmiah Vol. 15 No. 3 (2020): Jurnal Ilmiah Avicenna
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v15i3.1215

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Background: Asthma is an important chronic airway disease and a serious public health problem in various countries around the world. Asthma can be mild and does not interfere with activities, but can be permanent and interfere with activities and even daily activities. Productivity decreases due to absenteeism from work or school, and can lead to disability, thereby increasing productivity and decreasing quality of life. Methods: This research is a type of pre-experimental research with one group pre and post test design. Results: from 15 respondents before being given yoga exercise therapy there were 10 people (66.7%) who experienced chronic/ persistent asthma and 5 people (33.3%) who experienced episodic asthma. After giving yoga exercise therapy 6 times for 2 weeks, 3 people (20.0%) had chronic/ persistent asthma and 12 (80.0%) experienced episodic asthma. Based on the Wilcoxon test results obtained p value = 0.035 which means significant, so it can be concluded that yoga exercise therapy has an effect in reducing the recurrence of bronchial asthma sufferers in the working area of the Puskesmas Jalan Gedang, Bengkulu City.
PENGALAMAN PASIEN DIABETES MELITUS DALAM PERAWATAN LUKA GANGREN (ULKUS KAKI DIABETIK) DI KLINIK ALFA CARE KOTA BENGKULU Lussyefrida Yanti; Ferasinta Ferasinta; Fatsiwi Nunik Andari; Erix Saputra
Avicenna: Jurnal Ilmiah Vol. 16 No. 3 (2021): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v16i3.2434

Abstract

Diabetes Mellitus (DM) merupakan suatu penyakit menahun yang ditandai dengan kadar glukosa darah (gula darah) melebihi nilai normal. Hal ini turut dipengaruhi dengan berbagai komplikasi yang ditimbulkan.Salah satu komplikasi yang terjadi akibat DM adalah ulkus diabetikum.Ulkus diabetikum merupakan kejadian luka yang timbul pada penderita Diabetes Militus makroangiopati. Tujuan penelitian adalah untuk untuk mengetahui bagaimana pengalaman pasien DM tipe 2 dalam perawatan luka gangren (ulkus kaki diabetik) di Klinik Alfa Care Kota Bengkulu.Penelitian ini merupakan penelitian kualitatif dengan metode yang akan dipakai dalam penelitian ini yaitu fenomenologi. Sampel dalam penelitian ini melibatkan 3 orang mengalami perawatan luka gangren yang didapatkan dengan teknik purposive sampling. Data diperoleh melalui wawancara mendalam.Hasil penelitian ini menemukan tema pengalaman pasien dalam melakukan perawatan luka gangren, aspek pengetahuan, aspek penanganan, aspek fisik dan mental, aspek harapan. Respon pasien DM selama melakukan perawatan luka gangren diantaranya ditunjukan dengan pengalaman dalam perawatan luka gangren, adanya masalah pengetahuan, masalah penanganan, masalah fisik dan mental, masalah harapan.Kata Kunci : Diabetes melitus (DM) tipe 2, luka gangren, dan pengalaman
Penurunan Skala Nyeri Rheumatoid Arthritis dengan Terapi Simple Reminiscance Fatsiwi Nunik Andari; Andri Kusuma Wijaya
Avicenna: Jurnal Ilmiah Vol. 17 No. 1 (2022): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

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Abstract

Background: Rheumatoid arthritis is a chronic systemic inflammatory disease with the main manifestations of progressive polyarthritis and involving all organs of the body. The negative impact of this disease has a significant effect on the ability to carry out activities, both in terms of work or in household tasks, resulting in an increase in socio-economic costs, and can impact the quality of life and life expectancy of the sufferer. Methods: This research is a type of quasy experiment research with one group pre and post test design. Results: The highest level of pain before being given Simple Reminiscence therapy intervention was moderate pain level (71.4%) and after being given intervention the level of pain felt by respondents was mild pain level (100%). Based on the results of the Paired Test, it was obtained that p-value = 0.000 which means significant, so it can be concluded that there is an effect of providing Simple Reminiscence therapy intervention on reducing the level of rheumatoid arthritis pain in the elderly at the Panti Sosial Tresna Werdha., Bengkulu City.Keywords: pain, rheumatoid  arthritis, simple reminiscence therapy
Upaya Pengontrolan Kestabilan Tekanan Darah pada Masyarakat Penderita Hipertensi Fatsiwi Nunik Andari; Nurhayati Nurhayati; Larra Fredrika
Seandanan: Jurnal Pengabdian Pada Masyarakat Vol. 2 No. 1 (2022): Seandanan: Jurnal Pengabdian pada Masyarakat
Publisher : Fakultas Ilmu Sosial dan Ilmu Politik Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/seandanan.v2i1.27

Abstract

Hipertensi dikenal sebagai penyakit silent killer karena sebagian besar kasusnya tidak menunjukkan gejala, namun dapat menyebabkan kematian pada penderitanya. Tujuan kegiatan pengabdian kepada masyarakat ini untuk mengontrol kestabilan tekanan darah pada masyarakat dengan hipertensi. Metode yang digunakan dalam kegiatan ini adalah pemeriksaan kesehatan (anamnesa), screening dan monitor tekanan darah, pendidikan kesehatan tentang hipertensi serta demonstrasi penggunaan tanaman obat untuk menurunkan tekanan darah, dan kegiatan senam sehat. Secara keseluruhan kegiatan pengabdian kepada masyarakat ini telah berjalan dengan baik. Seluruh petugas kesehatan, kader kesehatan, dan masyarakat di lingkungan Puskesmas Jalan Gedang berpartisipasi dan bekerjasama dengan baik dari awal kegiatan hingga kegiatan pengabdian kepada masyarakat selesai.