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Mardiyono, Mardiyono
Poltekkes Kemenkes Semarang
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Journal : Global Health Management Journal

 1 
The combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, Indonesia Agista Delima Permadani; Mardiyono Mardiyono; Aris Santjaka
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31266

Abstract

Background: Asthma is an abnormality in the form of chronic airway inflammation which can be reduced by providing asthma-induced gymnastics and healthy lifestyle such as consuming alkaline water.Aims: The objective of this study is to examine a combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, IndonesiaMethods: This research was a quasi-experimental pre-test-post-test design with control group. The number of respondents in this study was 30 respondents, divided equally into intervention group and control group. The control group was given asthma-induced gymnastics twice a week for 14 days with duration of 60 minutes, while the intervention group was provided with a combination of alkaline water pH9+ for 14 days as much as 1,200 ml/day and asthma-induced gymnastics 4 times a week for 14 days with a duration of 60 minutes.Results: There was a significant difference in the value of peak expiratory flow for 14 days in the intervention group and the control group (p < 0.001). There was an improvement in the average of peak expiratory flow rate values for each measurement in both groups, however, this study orchestrates that the intervention group has a higher improvement than the control group. The combination of alkaline water and asthma-induced gymnastics effectively and significantly improves the peak expiratory flow rate values at the Day 8 (p = 0.039) and the Day 14  (p = 0.012).Conclusion: The combination of alkaline water and asthma-induced gymnastics can be applied in nursing care management in patients with intermittent and persistent asthma.  Keywords: Alkaline Water, Asthma Gymnastics, Peak Expiratory Flow Rate, Asthma.
Effect of red fruit oil soap (Pandanus conoideus LAM) as wound cleansing on wound healing and the number of bacterial colonies among Grade II Diabetic Ulcer Patients at Griya Qound Care Clinic Kudus, Indonesia Hevny Kartika Dewi; Mardiyono; Sudirman; Djenta Saha
GHMJ (Global Health Management Journal) Vol. 3 No. 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-32542

Abstract

Background: Diabetic ulcer is an open wound on the skin layer to the dermis due to hyperglycemia and neuropathy. This condition often causes infection and becomes an inhibitor in the wound healing process. Red fruit oil soap can be used as an alternative cleansing to reduce the number of bacterial colonies and accelerate the wound healing process. This present study aimed to observe the effect of red fruit oil soap in the cleansing process to reduce the number of bacterial colonies and the wound healing process in grade II Diabetic ulcer patientsMethods: This is a quasi-experimental study with the pre-test post-test non-equivalent control group design. Wound cleansing in the intervention group used 0.9% NaCl solution and red fruit oil soap with a pH of 5.74, while the wound cleansing in the control group used 0.9% NaCl solution. Bacterial colonies were assessed and the type of bacteria was observed by the swab method. The wound healing was assessed with Bates-Jensen Wound Assessment Tool (BWAT) instrument for 14 days with observations every 3 days. Analysis test used Mann Whitney and Repeated Measure ANOVA.Results: There was no difference in the mean of the number of bacterial colonies between the wounds that were cleansed with 0.9% NaCl solution and red fruit oil soap and the wounds which were cleansed by using 0.9% NaCl solution (p> 0.05). The mean of the number of colonies in the intervention group until the 14th day reduced by 3.14x106 and in the control group was reduced h 1.40x106. There was a significant decrease in the wound healing scores in each group, in each assessment for 14 days.Conclusion: This study found that the wound cleansing using red fruit oil soap and 0.9% NaCl solution could reduce the number of bacterial colonies on the wound surface and accelerate the wound healing process among patients with grade II diabetic ulcer. Keywords: Red fruit oil soap, Wound cleansing, Wound healing, Diabetic ulcerReceived: 25 August 2018; Reviewed: 4 September 2018; Revised: 24 June 2019; Accepted: 28 June 2019 DOI: 10.35898/ghmj-32542
The combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, Indonesia Agista Delima Permadani; Mardiyono; Aris Santjaka
GHMJ (Global Health Management Journal) Vol. 3 No. 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-31550

Abstract

Background: Asthma is an abnormality in the form of chronic airway inflammation which can be reduced by providing asthma induced gymnastics and healthy lifestyle such as consuming alkaline water.Aims: The objective of this study is to examine a combination of alkaline water provision and asthma-induced gymnastics towards peak expiratory flow rate of asthma patients at Surakarta Lung Clinic, IndonesiaMethods: This research was a quasi-experimental pre-test-post-test design with control group. The number of respondents in this study was 30 respondents, divided equally into intervention group and control group. The control group was given asthma induced gymnastics twice a week for 14 days with duration of 60 minutes, while the intervention group was provided with a combination of alkaline water pH9+ for 14 days as much as 1,200 ml/day and asthma-induced gymnastics 4 times a week for 14 days with a duration of 60 minutes.Results: There was a significant difference in the value of peak expiratory flow for 14 days in the intervention group and the control group (p < 0.001). There was an improvement in the average of peak expiratory flow rate values for each measurement in both groups, however, this study orchestrates that the intervention group has a higher improvement than the control group. The combination of alkaline water and asthma-induced gymnastics effectively and significantly improves the peak expiratory flow rate values at the Day 8 (p = 0.039) and the Day 14 (p = 0.012).Conclusion: The combination of alkaline water and asthma-induced gymnastics can be applied in nursing care management in patients with intermittent and persistent asthma. Keywords: Alkaline water, Asthma-induced exercise, Peak expiratory flow rate Asthma Received: 25 August 2018, Reviewed: 06 September 2018, Received : in revised form 23 February 2019, Accepted: 26 February 2019 DOI: 10.35898/ghmj-31550  
The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients Mohamat Iskandar; Mardiyono; Hotma Rumahorbo
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23556

Abstract

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital.Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength.Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients.Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412.Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. Keywords: Discharge planning, Range of motion (ROM) training, Nonhemorrhagic stroke patients, Muscle strength Received: 25 August 2018, Reviewed: 01 September 2018, Received: in revised form 23 October 2018, Accepted: 31 October 2018 DOI: 10.35898/ghmj-23556
Co-Authors - Anggorowati Agista Delima Permadani Angga Sugiarto Anies Anies Anuhgera, Diah Evawanna Ari Suwondo Ariawan Soejoenoes Aris Santjaka Arsyawina Arsyawina Arwani Arwani Arwani Arwani Arwani Arwani Bedjo Santoso Benigna Maharani Cecep Eli Kosasih Chandra Irawan Desak Made Wenten Parwati Desy Rinawaty Dewi Siyamti Dewi Susanti Dian Aprilia Damayanti Dina Indrati Dyah Sulistyowati Distinarista, Hernandia Diyah Fatmasari Diyas Windarena Djamaluddin Ramlan Djamaluddin Ramlan, Djamaluddin Djenta Saha Djenta Saha Dwi Ari Murti Widigdo Dwi Pudjonarko Eny Retna Ambarwati Handayani Handayani Hari Peni Julianti Hevny Kartika Dewi Hotma Rumahorbo I Gede Panji Santika iken Anggraini Sri Saputri Imam Djamaluddin Imam Djamaluddin Mashoedi Ineke Noviana Intanwati Intanwati Kun Aristiati Susiloretni Lalu Hersika Asmawariza M. Choiroel Anwar Made Desak Wenten Parwati Mamat Lukman Maria Walburga Bhoki Meidiana Dwidiyanti Melyana Nurul Widyawati Mohamat Iskandar Nina Indriyawati Novema ashar Nurahman Novi Indriani Nur Eka Dzulfaijah Onny Setiani Rahayu, Umi Margi Ratifah Ratifah Reni Suryanita Rizal Ginanjar Rodhi Hartono Rr. Sri Endang Pujiastuti Sarkum Sarkum Sarkum Sarkum Setyaningrum, Niken Shandy Wigya Mahanani Shobirun Shobirun Siti Hajar Wati Siti Nurharisah Siti Rochjani Soeharyo Hadisaputro Soeharyo Hadisaputro Sofro, Muchlis Achsan Udji Sri Sumarni Sudiharto Sudiharto Sudirman Sudirman Sudirman Suharto Suharto Suharyo Hadisaputro Sukarni Sukarni Supriandi Supriandi Supriyadi Supriyadi Taadi Taadi Tetti Solehati Theresia Febriana Christi Tyas Utami Tjahjono Kuncoro Tri Johan Agus Yuswanto Umaroh Umaroh Untung Sujianto Vita Dwi Futmasari Walin Walin Warijan Warijan Wien Soelistyo Adi