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Pengaruh Senam Kegel Terhadap Frekuensi Berkemih Atau Buang Air Kecil Pada Lanjut Usia Di Panti Sosial Tresna Werdha Pagar Dewa Bengkulu Andri Kusuma Wijaya; Fatsiwi Nunik Andari
Malahayati Nursing Journal Vol 4, No 5 (2022): Volume 4 Nomor 5 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.911 KB) | DOI: 10.33024/mnj.v4i5.6600

Abstract

ABSTRACT The Elderly is a human being who has a vulnerable age of about 60 years or more. The life process of an elderly person or what is often referred to as the aging process will cause several changes in body functions that occur both in terms of physical changes, biological changes, mental changes, and psychosocial changes. One of the physical changes that occur in the elderly is a change in the urogenital system where there will be a weakness of the pelvic floor muscles where the conditions experienced by the elderly will cause a decrease in the work of muscle tone, both the pubococcygeal muscles and the urethral door muscles, which can cause The elderly experience increased urination or urinary incontinence. To overcome this problem, appropriate intervention is needed so that it is able to reduce the frequency of urination experienced by the elderly. One of the interventions that can be given to reduce the frequency of urination in the elderly is to do Kegel exercises for the elderly who experience urinary incontinence. The purpose of this study is known to be the characteristic distribution of respondents seen from gender and known the influence of kegel exercises on the frequency of urinating or urinating in the elderly. This research is carried out with a type of quantitative research using the design of the quasi-experiment method with pre and post-design tests conducted on a group (One group pre-post design). The results of the univariate analysis revealed that most of the respondents were female with a total of 9 respondents (60%) while respondents with male sex were 6 respondents (40%). Meanwhile, the results of the bivariate analysis of this study using statistical tests in the form of a dependent t-test, obtained p-value (value) = 0.00 < 0.05. The conclusion of this study is that there is an effect of Kegel exercise on the frequency of urination in the elderly at the Tresna Werdha Pagar Dewa Social Institution, Bengkulu.                                        Keywords: Kegel, Elderly, Urine ABSTRAK Lanjut usia merupakan seorang manusia dimana memiliki rentan usia sekitar 60 tahun  atau lebih. Proses kehidupan dari seorang lanjut usia atau yang sering disebut juga sebagai proses menua akan menyebabkan beberapa perubahan pada fungsi tubuh yang terjadi baik dari segi perubahan fisik, perubahan bilogis, perubahan mental dan perubahan psikososial. salah satu perubahan fisik yang terjadi pada lanjut usia ialah adanya perubahan pada sistem perkemihan dimana akan terjadi kelemahan otot dasar panggul, kondisi yang dialami oleh lanjut usia ini semakin lama akan menyebabkan  penurunan kerja dari tonus otot baik itu  otot pubocoxygeal dan otot pintu saluran kemih uretra yang mampu menyebabkan lanjut usia mengalami  peningkatan buang air kecil atau inkotinensia urine. Untuk mengatasi permasalahan ini diperlukan intervensi yang tepat sehingga mampu untuk menurunkan frekuensi berkemih atau buang air kecil yang dialami oleh lanjut usia. Salah satu intervensi yang dapat diberikan untuk menurunkan frekuensi berkemih atau buang air kecil pada lanjut usia ialah dengan melakukan senam kegel pada lanjut usia yang mengalami kondisi inkotinensia urine. Adapun tujuan  dari penelitian ini diketahui distribusi karateristik responden berdasarkan jenis kelamin serta diketahui pengaruh senam kegel terhadap frekuensi berkemih atau buang air kecil pada lanjut usia. Metode: Penelitian ini dilakukan dengan  jenis penelitian kuantitatif dengan menggunakan metode quasy experiment  dengan desain pre dan post tes yang dilakukan pada suatu kelompok (One group pre-post design).  Hasil dari analisis univariat diketahui sebagian besar responden berjenis kelamin perempuan dengan jumlah 9 responden (60%) sedangkan responden dengan jenis kelamin laki-laki berjumlah 6 responden (40%).  Sementara hasil analsis  bivariat dari peneltian ini dengan menggunakan uji statistik berupa uji t dependent  diperoleh nilai p value = 0,00 < 0,05. Kesimpulan penelitian ini ialah ada pengaruh senam kegel terhadap frekuensi berkemih atau buang air kecil pada lanjut usia  di Panti Sosial Tresna Werdha Pagar Dewa Bengkulu. Kata kunci: Kegel, Lanjut Usia, Urine
Konseling dengan Teknik Demonstrasi untuk Meningkatkan Kemampuan Toilet Training pada Anak Andri Kusuma Wijaya; Nurhayati Nurhayati; Fatsiwi Nunik Andari; Wenti Dewentri
Malahayati Nursing Journal Vol 4, No 1 (2022): Volume 4 Nomor 1 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.145 KB) | DOI: 10.33024/mnj.v4i1.5744

Abstract

ABSTRACT: COUNSELING WITH DEMONSTRATION TECHNIQUES TO IMPROVE ABILITY TOILET TRAINING FOR CHILDREN  Abstract: Toilet training is a form of business carried out with the aim of controlling defecation (chapters) and urination (tub) which is carried out in children, this activity is carried out with the hope that children are able to prevent the occurrence of delays in controlling chapters and tubs. Children need to get attention, especially in the elements of growth and development that are carried out from the beginning of child development. So that the formation of children with abilities and qualities with great categories will achieve the future of children with superior categories so as to produce healthy and intelligent children.Objective: The purpose of this study was to determine the effect of demonstration technique counseling to improve toilet training abilities in children. Methods: This research was conducted with a quantitative type of research where the design used was a pre-experimental design using the One Group Pre-Test and Post-Test approaches. Results: The univariate results of this study obtained the characteristics of respondents from 15 respondents, most of the respondents, namely 11 respondents (73.3%) were at the age of 5 years. For the results of the bivariate analysis using the Wilcoxon Signed Ranks Test statistical test, the p value (value) = 0.001 <0.05.Conclusion: the conclusion of this study is that there is an effect of counseling with demonstration techniques to improve toilet training abilities in children. Keywords: Counseling, Demonstration, Toilet Training INTISARI: KONSELING DENGAN TEKNIK DEMONSTRASI  UNTUK MENINGKATKAN KEMAMPUAN TOILET TRAINING PADA ANAK Pendahuluan: Toilet training ialah suatu bentuk usaha yang dilakukan dengan tujuan mengontrol buang air besar (bab) dan buang air kecil (bak) yang dilaksanakan pada anak, kegiatan ini dilakukan dengan harapan anak mampu  mencegah terjadinya kondisi keterlambatan mengontrol bab dan bak. Anak perlu mendapatkan perhatian terutama dalam unsur tumbuh kembangnya yang dilakukan sejak awal perkembangan anak. Sehingga akan terbentuknya anak-anak dengan kemampuan dan  kualitas dengan kategori  hebat  sehingga akan tercapainya masa depan anak dengan kategori unggul sehingga menghasilkan anak-anak yang sehat dan cerdas.Tujuan: Tujuan penelitian ini diketahui pengaruh konseling teknik demonstrasi untuk meningkatkan kemampuan toilet training pada anak. Metode: Penelitian ini dilakukan dengan  jenis penelitian kuantitatif dimana desain yang digunakan ialah dengan desain pra eksperimen dengan  menggunakan pendekatan One Group Pre-Test dan Post-Test.  Hasil: Hasil univariat dari penelitian ini didapatkan karakteristik responden dari 15 responden sebagian besar responden yaitu 11 responden (73,3%) berada pada  usia 5 tahun. Untuk hasil analisis bivariat dengan menggunakan uji statistik Wilcoxon Signed Ranks Test  diperoleh nilai p (value) = 0,001 < 0,05.Kesimpulan: kesimpulan penelitian ini ialah ada pengaruh konseling dengan teknik demonstrasi untuk meningkatkan kemampuan toilet training pada anak. Kata kunci: Konseling, Demonstrasi, Toilet training
Hubungan Tingkat Kecemasan Terhadap Kinerja Dosen dan Karyawan Universitas Muhammadiyah Bengkulu di Masa New Normal Covid 19 Fatsiwi Nunik Andari; Nurhayati Nurhayati; Andri Kusuma Wijaya; Juli Andri
Sistem Informasi Vol 12 No 2 (2022): Jurnal Photon
Publisher : LPPM Universitas Muhammadiyah Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37859/jp.v12i2.3373

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Corona virus disease (Covid-19) which was first discovered in Wuhan, China was declared a pandemic. WHO recorded 213 countries affected by Covid-19 cases. The number of additional new cases confirmed positive and the number of deaths in one day continues to increase, including in Bengkulu Province. The high incidence of Covid-19 cases raises anxiety for everyone, including lecturers and employees of the Muhammadiyah Bengkulu University. The purpose of this study was to determine the relationship between anxiety level and performance of lecturers and employees Muhammadiyah Bengkulu University who worked during the new normal Covid-19 period. This research uses a cross sectional design. The total sample was 90 people. Data collection was carried out using the Zung Self Anxiety Rating-Scale (ZSAR-S) questionnaire and the Individual Work Performance Questionnaire (IWPQ) questionnaire. The results of this study indicate that 87.8% of respondents had a mild anxiety level and 70% of respondents had a moderate level of performance. Based on the Spearman Rank statistical test, there was no significant correlation between the anxiety level and performance of lecturers and employees Muhammadiyah Bengkulu University of while working during the new normal Covid-19 period with p-value = 0.855. The conclusion of the study is there is not a relationship between anxiety level and the performance of lecturers and employees Muhammadiyah Bengkulu University in new normal Covid-19 period.
Penurunan Tekanan Darah pada Lansia dengan Senam Ergonomis Fatsiwi Nunik Andari; Deoni Vioneery; Panzilion Panzilion; Nurhayati Nurhayati; Padila Padila
Journal of Telenursing (JOTING) Vol 2 No 1 (2020): 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.v2i1.859

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This study aims to determine the influence of ergonomic exercise on reducing blood pressure in the elderly with hypertension at the Center for Sponsorship and Elderly Care. The method used in this research is the quasi-experiment method with one group pre and post-test design. The results of the analysis showed that there were differences in the average systolic blood pressure before and after the ergonomic exercise was 14.00, and the diastolic blood pressure before and after the ergonomic practice was 8.00. Bivariate test results obtained a p-value of 0.00. In conclusion, there is the influence of ergonomic exercise intervention on the reduction of blood pressure in the elderly with hypertension at the Center for Support and Care for the Elderly. Keywords: Hypertension, Elderly, Ergonomic Gymnastics
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): Vol 5, No 2 (2018)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran 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 masasedengan tehnikmasase 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-eksperimentdengan 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 effleuragedengan 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.
Hubungan Self Efficacy terhadap Kepatuhan dalam Pembatasan Asupan Cairan pada Pasien Gagal Ginjal Kronik di Rsud Dr M Yunus Bengkulu Andri Kusuma Wijaya; Fatsiwi Nunik Andari; Nurhayati Nurhayati
Malahayati Nursing Journal Vol 5, No 1 (2023): Volume 5 Nomor 1 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i1.8294

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ABSTRACT Chronic kidney failure is a form of impaired kidney function where this disorder occurs progressively and irreversibly, this condition causes the inability of body functions to maintain fluid and electrolyte balance which eventually causes clinical manifestations such as uremia. Another impact that arises as a result of chronic kidney failure in this case is a decrease in the ability of kidney function to dilute urine normally or a decrease in the ability to concentrate urine, resulting in edema. The result of edema is the occurrence of weight gain between two hemodialysis times so that client compliance is required in limiting fluid intake. Compliance with fluid intake restrictions is something that needs to be considered in clients with chronic kidney failure. There are several factors that can affect the limitation of fluid intake in patients with chronic kidney failure, one of which is self-efficacy where this action is the ability of the client to be able to carry out a diet so that it reduces the amount of fluid in the client's body. The purpose of this study is to determine the distribution of respondents' characteristics based on the level of fluid restriction compliance category, self-efficacy category and the relationship between self-efficacy and compliance in limiting fluid intake of clients with chronic kidney failure RSUD Dr M Yunus Hospital Bengkulu. This research is a quantitative study using a cross-sectional research design which will later be used to see the results of the relationship between self-efficacy and compliance in limiting fluid intake to clients with chronic kidney failure RSUD Dr M Yunus Hospital Bengkulu. The results of the univariate analysis of this study revealed that most of the respondents were based on compliance category where most of the clients complied as many as 61 clients (67.8%), while 29 clients (32.2%) did not comply. While the results of the characteristics of respondents based on the self-efficacy category, most of the self-efficacy clients in the moderate category were 51 clients (56.7%), for self-efficacy in the good category with 23 clients (25.6%) while 16 clients (17.8%) with the category poor self-efficacy. The results of the bivariate analysis of this study using the chi-square test statistical test obtained P value = 0.001 <0.05. The conclusion of this study is that there is a relationship between self-efficacy and compliance in limiting fluid intake for clients with chronic kidney failure RSUD Dr M Yunus Hospital Bengkulu. Keywords: Compliance, Fluid, Self Efficacy ABSTRAK Gagal ginjal kronik merupakan suatu bentuk terganggunya fungsi ginjal dimana gangguan ini terjadi secara progresif serta irreversible, kondisi ini menyebabkan ketidakmampuan fungsi tubuh untuk mempertahankan keseimbangan cairan dan elektrolit yang akhirnya menimbulkan manifestasi klinis seperti uremia. Dampak lain yang dimunculkan akibat dari gagal ginjal kronik dalam hal ini menurunya kemampuan fungsi ginjal mengencerkan urine secara normal atau penurunan kemampuan mengkosentrasikan urine sehingga terjadinya edema. Akibat dari edema ialah terjadinya penambahan berat badan diantara dua waktu hemodialisa sehingga diperlukan kepatuhan klien dalam melakukan pembatasan asupan cairan. Kepatuhan dalam pembatasan asupan cairan merupakan hal yang perlu diperhatikan pada klien gagal ginjal kronik. Adapun Beberapa Faktor yang dapat mempengaruhi pembatasan asupan cairan pasien gagal ginjal kronik ialah salah satunya self efficacy dimana tindakan ini merupakan kemampuan yang dimiliki oleh diri klien untuk mampu melaksanakan diet sehingga menurunkan jumlah cairan yang ada di tubuh Klien Adapun tujuan  dari penelitian ini diketahui distribusi karateristik responden berdasarkan tingkat kategori kepatuhan pembatasan cairan, kategori self efficacy serta diketahui hubungan self efficacy terhadap kepatuhan dalam pembatasan asupan cairan klien gagal ginjal kronik di RSUD Dr M Yunus Bengkulu. Penelitian yang dilakukan ini merupakan penelitian kuantitatif dengan menggunakan rancangan penelitian cross sectional dimana nantinya digunakan untuk melihat hasil dari hubungan antara self efficacy dengan kepatuhan dalam pembatasan asupan cairan pada klien gagal ginjal kronik di RSUD Dr M Yunus Bengkulu. Hasil dari analisis univariat dari peneltian ini diketahui sebagian besar responden berdasarkan kategori kepatuhan dimana sebagian besar klien patuh sebanyak 61 klien (67,8 %), sedangkan 29 klien (32,2 %) tidak patuh. Sementara hasil karateristik responden berdasarkan kategori self efficacy sebagian besar klien self   efficacy dengan kategori sedang  51 klien (56,7%), untuk self efficacy kategori baik dengan 23 klien (25,6%) sementara 16 klien(17,8%) dengan kategori self efficacy buruk. Hasil analisis bivariat dari penelitian ini dengan menggunakan uji statistic uji chi-square didapatkan  P value= 0,001 < 0,05. Kesimpulan hasil dari penelitian ini ialah ada hubungan antara self efficacy dengan kepatuhan dalam pembatasan asupan cairan klien gagal ginjal kronik di RSUD Dr M Yunus Bengkulu Kata Kunci: Kepatuhan, Cairan, Self Efficacy
PENGKAJIAN TUMBUH KEMBANG BALITA MELALUI DDTK /DENVER Fatsiwi Nunik Andari; M. Bagus Andrianto; Leni Rozani; Andri Kusuma Wijaya
JURNAL PENGABDIAN KESEHATAN Vol. 1 No. 1 (2022): NOVEMBER
Publisher : Gayaku Publisher

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Abstract

ABSTRACT The golden age period or what is often termed the golden age is a vital period for children aged 1-6 years in terms of growth and development Sado. This period made a great contribution to the stages of further development of the child. Growth is the time when it happens increase in the number and size of human body cells, while the development of focuses more on changes that occur gradually through the process maturation and learning. Development is closely related to growth where the two cannot be separated in the assessment of toddler growth and development. Many factors influence the growth and development of toddlers, including hereditary factors, environment, culture, family socioeconomic status, parenting and internal factors such as the child's level of intelligence. Development toddlers will also be reflected in the behavior they show in their abilities activity or sensory motor and speech abilities or toddler interactions with children things around him. This growth and development can be assessed by using the DDTK or Denver measuring instrument. This service activity is carried out with the aim of knowing growth and development of toddlers in RT 17 RW 06, Sido Mulyo Sub-district, District Ivory City Bengkulu. From the results of the evaluation of activities, it is obtained an overview of growth normal toddler development or according to his age. Keywords: DDTK, Denver, Growing Up, Toddler.
MENINGKATKAN KEMAMPUAN BERKEMIH PADA LANSIA DI PANTI SOSIAL TRESNA WERDHA PAGAR DEWA BENGKULU: MENINGKATKAN KEMAMPUAN BERKEMIH PADA LANSIA DI PANTI SOSIAL TRESNA WERDHA PAGAR DEWA BENGKULU Andri Kusuma Wijaya; Henni Febriawati; Ferasinta; Fatsiwi Nunik Andari
JURNAL PENGABDIAN KESEHATAN Vol. 1 No. 1 (2022): NOVEMBER
Publisher : Gayaku Publisher

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Abstract

  Elderly is a continuation of a process in life which is marked by a process of decreasing the ability of body functions to adapt to stressful conditions due to the environment. The aging process is also a form of decline in the functions of the human body which is a comprehensive biological phenomenon characterized by the progressive evolution and maturation of organisms. One of the aging processes that occur in the elderly is a condition where the decreased ability to urinate (tub) that occurs in an elderly person, this condition is triggered by a decrease in the function of the work of the body's organs known as the urinary bladder or bladder that occurs due to malfunctioning muscle performance. sphincter to contract, resulting in a condition where the bladder becomes weak which can trigger an increase in the frequency of urination. The increased frequency of urination that occurs continuously can have an impact in the form of decreasing the quality of life of the elderly. This condition, if allowed to drag on continuously, will cause various problems, as for various problems such as health problems, social relations, and the economy. This condition certainly requires special attention to reduce the various impacts caused by the increased frequency of urination in the elderly by providing useful therapy or interventions. Various things can be done to improve the ability to urinate in the elderly such as health check-ups, conducting health education related to urinary incontinence and teaching or training the elderly to perform non-pharmacological interventions to improve voiding abilities such as Kegel exercises and deep breathing relaxation techniques for the elderly with complaints. increased frequency of urination at the Tresna Werdha Pagar Dewa Social Home in Bengkulu  
Peningkatan Pengetahuan Anak Usia Dini Tentang Kebersihan Diri dan Kesehatan Mulut di Kota Bengkulu Nurhayati Nurhayati; Fatsiwi Nunik Andari; Padila Padila; Andry Sartika
JURNAL PENGABDIAN KESEHATAN Vol. 1 No. 1 (2022): NOVEMBER
Publisher : Gayaku Publisher

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Abstract

Early childhood education is a level before basic education or pre-school which is a coaching effort to help stimulate growth and physical and spiritual development of children so that they are ready to enter further education. In pre-school children, health problems related to general health, developmental disorders, behavioral disorders, and learning disorders often arise. Health problems that are generally encountered are diarrhea, intestinal worms, lack of personal hygiene, and dental health problems, so this requires special attention from parents, teachers, and health practitioners. To support and contribute actively in monitoring health problems in pre-school age children, community service activities in the health sector are needed. This community service activity was carried out through health education for students to increase knowledge and understanding of clean living behavior regarding personal hygiene and oral health. From the evaluation results, it was found that there was an increase in students' understanding of clean and healthy living behaviors and being able to demonstrate how to wash hands and brush their teeth properly.
Mencegah Bahaya Seks Bebas Pada Remaja di SMAN 6 Kota Bengkulu Andri Kusuma Wijaya; Susilawati; M. Bagus Andrianto; Fatsiwi Nunik Andari
JURNAL PENGABDIAN KESEHATAN Vol. 1 No. 2 (2023): MEI
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jupengkes.v1i2.169

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Free sex is sexual relations carried out by men and women without any marriage ties. Free sex behavior is currently a problem experienced by Indonesian teenagers. Today's youth are easily influenced by calls from the opposite sex to commit sexual deviance driven by mutual love for one another. Teenagers never think that they will lose what they will receive if they have sex outside of marriage. A recent survey conducted by the Indonesian Child Protection Commission (KPAI) showed that 32% of adolescents aged 14 to 18 in Jakarta, Surabaya and Bandung had had sex. as many as 21.2% of young women in Indonesia have had an abortion. Islam has regulated the relationship between men and women. Islam prohibits a child from being introduced to his identity as a man or a woman, the boundaries of genitalia and manners as well as basic social norms so that they can form a believer and pious person. Apart from being a form of education, this is a form of prevention against crimes and sexual deviations.