Articles
Range of Motion Exercise of Arms Increases the Muscle Strength for Post Stroke Patients
Judi Nurbaeni;
I Ketut Sudiana;
Harmayetty Harmayetty
Jurnal Ners Vol. 5 No. 1 (2010): April 2010
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v5i1.3919
Introduction: Someone attached by stroke can’t do their activity fluently because stroke can cause the weakness of motor and sensor function. This condition cause physical defect and give effect in social and economic too, because someone who suffered stroke usually still in productive age. The objective of this study was to examine the effect of arm range of motion in the muscle strength of post stroke patient.Methods: Pre experimental pre–post test design was used in this study. Population of this study was post stroke patient in Wijayakusuma ward dr. Soedono Hospital and total samples were 11 respondents. Independent variable was arm range of motion exercise, dependent variable was strength of arm muscle. Data were collected by observation with manual muscle testing of Lovelt, Naniel and Worthinghom and then analyzed using wilcoxon signed rank test with signi fi cant level of α ≤ 0.05.Result: The result showed that 11 respondents had increased their strength of muscle (p = 0.04).Conclusion: It can be concluded that the strength of muscle increased after get arm range of motion exercise. When range of motion had been done Ca+ will be activated by cell so that happen integrity of muscle protein. If Ca+ and troponin had been activated, actin and myosin would have been defensed, so that can moved the skeletal and followed by muscle contraction, expand, outgrow and had a tonus. This condition can showed the strength of muscle.
Psychological Respons (Anxiety And Depression) and Biological Respons (Cortisol, Ifn-Γ And Tnf-Α) in Ischemic Stroke Patients by Home Care Holistic Model Approach
Luluk Widarti;
Moh. Hasan Mahfoed;
Kuntoro Kuntoro;
Ketut Sudiana
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v7i1.3993
Introduction: The patient with stroke often experience on psychological disorder such as anxiety and depression that lead to biologycal aspects such as on cytokin. The objective of the study was to analyse the corelation between psychological respons (anxiety and depression) and biological respons (cortisol, ifn-γ dan tnf-α) in ischemic stroke patients by home care holistic model approach.Method: This study applied an experimental research with quasy experimental design. The study was conducted in the area of Surabaya by selecting ischemic stroke patients after being hospitalised at ”A-Seruni room, Medic IRNA, Dr. Soetomo hospital”. A sample of size 40 was patients divided equally into two groups, control and treatment groups. The treatment and control groups respectively received holistic home care and home care. The depression and anxiety level were measured by using questionnaires and observation technique, while Cortisol level, IFN-γ and TNF-α levels were measured by using ELISA quantitative technique. The data was analyzed by using Levene’s test for homogeneity of variance, t-test and correlation test.Result: The statistical analysis shows there was a significant difference between psychological response in control group after intervension with p = 0.000 for anxiety, and p = 0.000 for depression. For biological response, there is a significant difference p = 0.007 for cortisol and p = 0.000 for TNF-α. However, there is no significant difference in IFN-γ with p = 0.425. The correlation test result shows there was signi fi cant correlations between anxiety and biological responses such as Cortisol with r = 0.724 and p = 0.038; IFN-γ with r = 0.475 and p = 0.034; TNF-α with r = 0.592 and p = 0.006. Furthermore, there was positive correlation between depression and biological responses such as Cortisol with r = 0.705 and p = 0.033; IFN-γ with r = 0.454 and p = 0.044, TNF-α with r = 0.561 and p = 0.010.Conclusion: Holistic home care could improve the psychological responses by decreasing anxiety and depression level and also could improve biological responses by decreasing Cortisol, IFN-γ and TNF-α level in ischemic stroke patients.
Peningkatan Berat Badan pada Bayi (3-6 Bulan) Melalui Infant Exercise
I Ketut Sudiana;
Yuni Sufyanti Arief;
Puteri Indah
Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v2i2.4960
Introduction: Infant body weigth is used as a best indicator to measure infant growth and nutritional status. Body weight that not related on age, does not gain at least 500-600 gram for about three months, or over body weight, can be used to predict heath problem. Infant exercise stimulation is an effort to increase body weight so that infant gain on a normal pattern of weight. The objective of this study was to analyze the influence of infant exercise to weight gain related on age on infant (3-6 month). Method: A quasy-experimental non-randomized control group pre-posttest design was used in this study. The subjects were infants in 3-6 month aged lived in Wates Negoro and Manduro village, Subdistrict Ngoro, Mojokerto. There were 14 infants who met to the inclusion criteria. Data were collected by using body weight observation scale after infant exercise had been done for 4 week. Data were analyzed by using Independent t-Test and Paired t-Test with significance level of α≤0.05. Result: Result showed that infant exercise had effect on weight gain related on age on infant (3-6 month). Paired t-Test to the treatment group showed a significant differences between pre test and post test (p=0.00000). Control group showed a significant differences between pre test and post test (p=0.00005). Independent t-Test in pre test showed body weight (p=0.74) and increasing of body weight (p=0.000). Discussion: It can be concluded that there were significant effect of infant execise to weight gain related on age on infant (3-6 month). The limitation was that quality and quantity of the infant’s nutrition can not be controlled by the researcher.
Efektivitas Penurunan Stres Hospitalisasi Anak dengan Terapi Bermain dan Terapi Musik
Yuni Sufyanti Arief;
I Ketut Sudiana;
Kristiawati Kristiawati;
Dewi Indah
Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v2i2.4961
Introduction: Hospitalization in pediatric patients may caused an anxiety and stress in all age levels. Several techniques can be applied to reduced hospitalization stress in children, such as playing therapy and music therapy. The objective of this study was to analyze the difference of effectiveness between both therapies in reducing the hospitalization stress in 4-6 years old children. Method: A quasy-experimental pre-posttest design was used in this study. There were 18 respondents, divided into three groups, i.e. group one receiving playing therapy, group two receiving music therapy and the last group as control group. Data were collected by using observation sheet before and after intervention to recognize the hospitalization stress. Data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level of α<0.05. Result: Result showed that playing therapy and music therapy had significant effect to reduce the hospitalization stress with p=0.027 for play therapy, p=0.024 for musical therapy, and p=0.068 for control. Mann Whitney U Test revealed that there were no difference in the effectiveness of play therapy and musical therapy in reducing the hospitalization stress with p=0.009 for play therapy and control group, p=0.012 for music therapy and control group, and p=0.684 for playing therapy and musical therapy. Discussion: It can be concluded that play therapy and musical therapy are equally effective to reduce the hospitalization stress in children. It’s recommended for nurses in pediatric ward to do playg therapy and musical therapy periodically.
Seed Bean’s Boiled Water (Phaseolus Vulgaris L.) Decrease Blood Glucose Level
I Ketut Sudiana;
Sukma Randani Ismono;
Fitriya Faristiowati
Jurnal Ners Vol. 3 No. 2 (2008): Oktober 2008 - Maret 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v3i2.4989
Introdouction: Diabetes mellitus as the global health problem was manifested by increasing blood glucose. The aetiology of increasing blood glucose was absolute or relative deficiency of insulin. The seed bean’s boiled water known can controlled diabetes by lowering blood glucose level. The seed bean contained a matters beta cytosterol and stigmasterol can iniciate a pancreas to increase of insulin production. The aimed of this study was to analyze the effect of taking seed bean’s boiled water on decreasing of blood glucose level in patients with diabetes mellitus in Sopa'ah village worked area of Puskesmas Sopa'ah Pademawu Region Pamekasan City. Method : This study was used a quasy experimental purposive sampling design. Sample were 12 respondents who met the inclusion criteria. The independent variable was seed bean’s boiled water (Phaseolus vulgaris L.) and dependent variable was blood glucose level. Data were analyzed by using Paired t-Test and Independent t-Test with significance level α≤0.05. Result: The result showed that seed bean’s boiled water (Phaseolus vulgaris L.) has an effect on decreasing blood glucose between pre test and post test for blood glucose nuchter (p=0.03) and for 2 hours post prandial (p=0.01), whereas between treatment group and control group the result showed that blood glucose nuchter (p=0.01) and 2 hours post prandial (p=0.00). Discussion: It can be concluded that seed bean’s boiled water (Phaseolus vulgaris L.) has an effect on blood glucose level in patients with diabetes mellitus.
Cucumber Juice Decrease Blood Pressure on Essensial Hypertension Patient
I Ketut Sudiana;
Ira Suarilah;
Rusdianingseh Rusdianingseh
Jurnal Ners Vol. 3 No. 2 (2008): Oktober 2008 - Maret 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v3i2.4990
Introduction: Essential hypertension is an intermitten or sustained elevation of dyastolic or systolic blood pressure with unkwown aetiology (idiopathic). Complication can occur such cerebro vascular accident (CVA), heart failure, arterial aneurism till death. High blood pressure should be treaten with medicine or low salt and high potassium diet. One of high potassium diet is cucumber juice. The aimed of this study was to analyze the effect of cucumber juice on blood pressure regulation. Method: A pra experimental (pre-post test one group) purposive sampling design was used in this study. Population were citizen of Pendil village who suffered essential hypertension which comprising 31 respondens. Sample were 14 respondens who met to the inclusion criteria. The independent variable was cucumber (Cucumis sativus) juice and dependent variable was blood pressure regulation. Data were analyzed by using ANOVA test with α=0.05 .Result The result showed that cucumber juice has an effect on systolic blood pressure regulation (p=0.000) after first week of treatment, systolic blood pressure regulation (p=0.000) after second week of treatment and systolic blood pressure regulation (p=0.000) from first to second week. Discussion: It can be concluded that cucumber juice consumption has an effect on blood pressure regulation among essential hypertension patients. The cucumber juice should be given in the best dose that can reduce blood pressure level, which is 2x200 g/day, as well as for treatment, it can regulate blood pressure level as long as consumed. Further studies should be developed and include the variables of stress, activities and larger responden to obtain more accurate results.
Eugenia Jambolana Seed Decrease Blood Glucose Level
I Ketut Sudiana;
Tintin Sukartini;
Hepta Nur Anugrahini
Jurnal Ners Vol. 3 No. 2 (2008): Oktober 2008 - Maret 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v3i2.4991
Introduction: The incidence of diabetes mellitus still increasing and needed a cost-effective complementary therapies such as Eugenia jambolana seeds. Eugenia jambolana seeds contain of Chromium and Tannin. It has been reported that Eugenia jambolana seeds has ability to decrease blood glucose, and increase HDL level significantly. The objective of this study was to investigate the effect of Eugenia jambolana seed to exchange of blood glucose in streptozotocin-diabetic rats. Method: A true experimental post test only control group design was used in this study. A number of 15 male albino Wistar rats weighing 100-200 gram were divided into 3 group (normal group, diabetic group and experiment group), 5 rats in each group. Normal group and diabetic group were given aqua 2ml/200 g bw as placebo. Eksperiment group were fed Eugenia jambolana seeds extract 500 mg/Kg b.w for 15 days. Data were analyzed by using One Way ANOVA with significance level α≤0.05.Result: The result showed that blood glucose level of experiment group was significantly different from diabetic group (p=0,001). Discussion: It can be concluded that Eugenia jambolana seeds extract (500 mg/Kg b.w) has an effect to decrease blood glucose level in streptozotocin-induced diabetic rats.
The Effect of Wound Incision Care Using Honey and Povidone Iodine 10%
M. Zakariya;
I Ketut Sudiana;
Erna Dwi Wahyuni
Jurnal Ners Vol. 4 No. 1 (2009): April 2009 - September 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v4i1.5004
Introduction : Povidoe iodine often used in incision treatment. This study was aimed to explain the differences between honey and povidone iodine 10% on incision healing, were unknown.Method : This study used a true experiment design with 18 samples of 3 years old-male guinea pigs, divided into three groups. One-control group and 2 treatment groups. This classification was done randomize. The independent variable was used of honey and 10-% povidon iodin and the dependent variable was inflammation phase (squeezing, edema, plasma of incision) and proliferation (granulation, incision edge unification, skin structure) were assessed in the third and sixth days. Data were collected by using observation of the signs both of inflammation and proliferation phase and analyzed using Chi Square with level of significance α ≤ 0.05.Result : Results showed that there was no significant difference in the third and sixth days inflammation. In contrast, a significant difference was obtained in the third and sixth days proliferation. Granulation (p< 0,05), incision edge unification (p< 0,05), establishment of skin structures (p< 0,05).Conclusion: It can be concluded that the honey usage was proven to be more effective in accelerated incision healing, increasing proliferation and reduce any infection risks. For future research there is neeed to conduct a microscopically observation of numerous changes in collagen, PMN-cell (neutrophile) and MN-cell (lymphocyte and monocyte), inflammation and proliferation as well as incision healing process.
Factors Analyze about Willingness of Elderly to Stay in Elderly Folk Home
I Ketut Sudiana;
Retno Indarwati;
Diana Rachmania
Jurnal Ners Vol. 4 No. 1 (2009): April 2009 - September 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v4i1.5018
Introduction : Moving to the new house is not easy for the elderly, especially moving to the elderly folk home. A lot of elderly refuse to stay in the elderly folk home. Some conditions which make the elderly give their willingness to stay in the elderly hostels such as economic status, family condition, and self desire. But that factors are unclear until now. The aim of this study was to analyze factors related to willingness for elderly living in the elderly hostels.Method : Design used in this study was cross sectional. The population were all of the elderly live in elderly folk home Hargo Dedali Surabaya. Samples were taken using purposive sampling and there were 20 respondents. Data were collected using structured questionnaire and then analyzed using Spearman’s rho test and logistic regression test with level of significance α≤ 0.05.Result : Result showed that the dominant factor of willingness of elderly living in the eladerly folk home was self desire with level of significance ρ=0.02, followed by economic status (ρ=0.031) and than family condition (ρ=0.032).Conclusion : It can be concluded that self desire was the major factor related to willingness of elderly living in the elderly folk home. Discussion : Further studies should be appraising how far the motivation appear from the elderly until they decided to live in the elderly folk home.
Comparison of The Effectiveness Between Propolis and Silver Sulfadiazine 1% on Burn Wound Healing
I Ketut Sudiana;
Walida Pangestuti;
Wahyuni Tri Lestari
Jurnal Ners Vol. 4 No. 2 (2009): Oktober 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v4i2.5024
Introduction: Silver sulfadiazine 1% is often used as topical agent in burn wound due to its antimicrobial effect. Moreover, this agent has toxigenic effect on fibroblast and keratinocyte. Propolis is a honey bee product and has been used for a long time in burn wound related to antimicrobial effect, anti-inflammation, anti-oxidant and increasing fibroblast. The purpose of this study was to examining the differences between propolis and silver sulfadiazine 1% on burn wound healing process. Method: Design used in this study was true experimental design. The samples were 18 guinea pigs divided randomizely into three group. The groups were control group, propolis group, and silver sulfadiazine group. The independent variables were the using of propolis and silver sulfadiazine 1%. The dependent variables were inflammation phase (erythema, oedema, wound fluid) and proliferation phase (wound granulation, wound size) which were observed on the 3rd, 7th, 14th days. Data were collected by using observation paper based on the sign of inflammation and proliferation. Data were analyzed using One-Way ANOVA and Kruskal-wallis test with level of significance of α ≤ 0.05. Result: Results showed that there were differences between propolis and silver sulfadiazine 1% in erythema (p=0.00) and oedema (p=0.001) on 3rd day and erythema (p=0.00) and oedema (p=0.00) on7th day, furthermore burn wound size (p=0.00) on14th day was also attenuated by propolis and silver sulfadiazine 1 %. It can be concluded that the using of propolis was more effective than silver sulfadiazine 1% in burn wound healing. Discussion: Further studies involved microscopic observation of collagen, PMN cell (neutrophile), lymphocyte and monocyte cell are needed.