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Quick of Blood (QB) Based on Body Weight Toward Urea Reduction Ratio (URR) on Hemodialysis Patients in Semarang Public Hospital Sudiharto Sudiharto; Mardiyono Mardiyono; Arwani Arwani
Jurnal Riset Kesehatan Vol 3, No 3 (2014): September 2014
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2217.913 KB) | DOI: 10.31983/jrk.v3i3.132

Abstract

This research is proper dose of Qb results in adequate URR upon 65%. To evaluate the effect of Qb based on weight on (URR) and MAP in CKD patients with hemodialysisThe study was quasi- experimental pre-post test two group design. The populations were patients with CKD and the samples were 30 subjects, 15 each group. The samples were recruited by consecutive sampling. URR were measured by ureum on pre-post hemodialysis. The setting of Qb by 4 x weight and (4 x BB) -10%. The data were analyzed using the setting of Qb by (4 x weight)-10% was better on URR and MAP than the setting of Qb by 4xweight in CKD patients with hemodialysis.
Level I Progressive Mobilization effected on Improvement Pulmonary Oxygenation Ventilation Function in Non Hemorrhagic Stroke Patients Niken Setyaningrum; Mardiyono Mardiyono; Untung Sujianto
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 5, No 3 (2017): NOVEMBER 2017
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.338 KB) | DOI: 10.21927/jnki.2017.5(3).230-236

Abstract

Immobilization in non-hemorrhagic stroke patients can lower lung expansion due to an accumulation of secretions resulting in impaired oxygenation ventilation function of the lungs, thus facilitating the growth of bacteria that cause pneumonia. Switching the patient's position every 2 hours allows the lung area to re-expand and to increase the transport of oxygen which will improve oxygenation ventilation function of the lungs. Various research results concluded that a measure to prevent changes in the oxygenation ventilation function of the lungs is to maintain the airway effective. This can be done by putting the patient in a sloping or semi-prone position, heightening the head of the bed to a 30- degree angle. Level I progressive mobilization is a preferred intervention that is safe to do to maintain the lung's oxygenation ventilation function. Objective: To evaluate the effect of progressive mobilization of level I on the pulmonary oxygenation ventilation function in non-hemorrhagic stroke patients. Methods: Design of experimental research. Sampling was done using random allocation with the number of samples that were 52 people, using the Wilcoxon and Man Whitney test analysis. The results showed that the measurement of the pulmonary oxygenation ventilation function using the peak flow meter seen in the intervention group had a significant increase in air volume, from before the intervention of 220 ± 78,9 to 263,65 ± 61.6 after 5 days of intervention, with p-value <0.001. While in the control group there was a significant decrease of air volume from 255 ± 58,94 to 225 ± 53,16 with p-value <0.001. The oxygenation ventilation function average increase in the intervention group was 43.65, higher than the increase in the control group, which decreased by -30. The Mann Whitney test result obtained p-value <0.001. In conclusion. there was a significant difference in the pulmonary oxygenation ventilation functions in the intervention and control groups after the level I progressive mobilization in non- hemorrhagic stroke patients at Dr.Adhyatma Semarang Hospital, which means that there was an impact of the level I mobilization on the lung oxygenation ventilation function on non-hemorrhagic stroke patients in Dr. Adhyatma Semarang Hospital.  
EFFECT OF CONSUMING TAMARIND AND TURMERIC DRINK ON THE LENGTH OF PERINEAL WOUND HEALING IN POSTPARTUM MOTHERS Dewi Susanti; Onny Setiani; Umaroh Umaroh; Kun Aristiati; Imam Djamaluddin Mashoedi; Mardiyono Mardiyono
Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (500.893 KB) | DOI: 10.33546/bnj.155

Abstract

Background: The incidence of perineal tear is still high in Indonesia. It is therefore the intervention to accelerate wound healing is needed. The use of turmeric and tamarind is considered as the alternative treatment for wound healing. However, little is known about the effect of the combination of turmeric and tamarind. Objective: To determine the effect of consuming turmeric and tamarind on the duration of perineal wound healing. Methods: The study was a quasi-experimental study with one group post-test only design conducted in the working area of the Community Health Center of Ngesrep and Srondol, Semarang City, Central Java, Indonesia in December 2016 until January 2017. There were 28 respondents recruited using consecutive sampling, with 14 randomly assigned in each group. The REEDA scoring system was used to measure the wound healing. Data were analyzed using Independent t-test. Results: The results revealed that the average duration of wound healing in the intervention group was 6.25 days, while in the control group was 8.57 days with p-value 0.000 (<0.05), which indicated that there was statistically significant effect of tamarind turmeric drink of the duration of perineal wound healing in postpartum mothers. Conclusion: There was a significant effect of turmeric tamarinds drink on the duration of perineal wound healing in postpartum mothers. It is therefore suggested to the health providers, especially midwives, to apply this intervention the accelerate healing of perineal wound in postpartum mothers.
EFFECT OF COMBINATION OF HYPNOBREASTFEEDING AND ACUPRESSURE ON ANXIETY AND WOUND PAIN IN POST-CAESAREAN MOTHERS Diah Evawanna Anuhgera; Tjahjono Kuncoro; Sri Sumarni; Mardiyono Mardiyono; Ari Suwondo
Belitung Nursing Journal Vol. 3 No. 5 (2017): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.571 KB) | DOI: 10.33546/bnj.191

Abstract

Background: Post-cesarean mothers often experience anxiety and discomfort due to long-term pain. The combination of hypnobreastfeeding and acupressure is considered to be effective in reducing anxiety and pain levels. Objective: This study aims to examine the effect of combination of hypnobreastfeeding and acupressure on anxiety and pain levels in post-caesarean mothers. Methods: This study was a true experiment with pretest-posttest control group design, conducted in the Ambarawa Public Hospital Indonesia on 5 November to 9 December 2016. There were 36 participants selected using stratified random sampling, with 18 assigned in the experiment and control group. Data were analyzed using Paired t-test and Wilcoxon test. Results: There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p-value 0.001 (<0.05). Conclusion: The combination of hypnobreastfeeding and acupressure has a significant effect in reducing anxiety and pain levels in post-cesarean mothers. This intervention could be applied as an alternative therapy in treating post-caesarean mothers.
HYPNODIALYSIS FOR ANXIETY RELIEF AND ADHERENCE TO MEDICATION, KIDNEY DIET AND FLUID INTAKE IN PATIENTS WITH CHRONIC KIDNEY DISEASE Siti Hajar Wati; Mardiyono Mardiyono; Warijan Warijan
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.464 KB) | DOI: 10.33546/bnj.306

Abstract

Objective: To examine the effectiveness of hypnodialysis on anxiety levels and adherence to medication, kidney diet and fluid intake in patients with chronic kidney disease. Methods: This was a randomized controlled trial study conducted from November to December 2016. Thirty respondents recruited using simple random sampling, which 17 respondents assigned randomly in the experiment and control group. The Hamilton Anxiety Rating Scale (HARS), Morisky scale, adherence to kidney diet questionnaire, adherence to fluid intake questionnaire were used as instruments for this study. Paired t-test and repeated ANOVA were used for data analysis. Results: Findings showed that there was a statistically significant effect of hypnodialysis in reducing anxiety levels and improving adherence to medication, kidney diet, and fluid intake in patients with chronic kidney disease with p-value 0.000 (<0.05), which its effect started from day 7 (posttest 1). Conclusion: Hypnodialysis may decrease anxiety levels and improve medication adherence, kidney diet and fluid intake. Therefore, hypnodialyis can be alternative treatment for patients with chronic kidney disease.
COMBINATION OF COLD PACK, WATER SPRAY, AND FAN COOLING ON BODY TEMPERATURE REDUCTION AND LEVEL OF SUCCESS TO REACH NORMAL TEMPERATURE IN CRITICALLY ILL PATIENTS WITH HYPERTHERMIA Nur Eka Dzulfaijah; Mardiyono Mardiyono; Sarkum Sarkum; Djenta Saha
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.199 KB) | DOI: 10.33546/bnj.307

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Objective: To examine the effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia. Methods: This was a randomized control trial (RCT) with pretest posttest control group design and repeated measurement, conducted on December 2016 – January 2017. There were 32 respondents selected using total sampling, with 16 respondents randomly assigned in the experiment and control group. A digital thermometer was used to measure hyperthermia. Paired t-test, Repeated ANOVA with post hoc, and Mann Whitney were used for data analysis. Results: Findings showed that the mean of body temperature in the experiment group in pretest was 38.762 oC and decreased to 37.3 oC after given intervention for 60 minutes. The mean difference of body temperature was 1.4625, with p-value 0.000 (<0.05). In control group, the mean of body temperature in pretest was 38.669 oC and decreased to 38.188 oC given intervention for 60 minutes. The mean difference of body temperature was 0.4812, with p-value 0.000 (<0.05). Conclusion: There was a significant effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia. This combination is more effective than water compress alone.
COMBINATION OF HYPNOSIS THERAPY AND RANGE OF MOTION EXERCISE ON UPPER-EXTREMITY MUSCLE STRENGTH IN PATIENTS WITH NON-HEMORRAGHIC STROKE Chandra Irawan; Mardiyono Mardiyono; Suharto Suharto; Aris Santjaka
Belitung Nursing Journal Vol. 4 No. 1 (2018): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.258 KB) | DOI: 10.33546/bnj.347

Abstract

Background: Range of Motion (ROM) exercise has been identified in the literature that it has an effect in improving muscle strength, especially in patients with stroke. However, little is known about the effect of ROM exercise combined with hypnosis therapy. Objective: To determine the effect of combination of hypnosis therapy and ROM exercise on upper extremity muscle strength in patients with non-hemorrhagic. Methods: This study employed a quasi-experiment with pretest-posttest control group design. Thirty-two samples were selected using simple random sampling, which 16 randomly assigned in the experiment and control group. Muscle strength was measured using muscle strength scale. Hypnosis Deepening test was used to measure the level of hypnosis depth. Paired t-test and Independent t-test were used for data analysis. Results: The mean value of muscle strength in the experiment group was 3.50 and the mean value in the control group was 2.62. Independent sample t-test obtained p-value = 0.012, indicated that there was a statistically significant difference in the mean of muscle strength of upper extremity in the experiment and control group. Paired t-test obtained p-value = 0.000, which indicated that there was significant difference between the average of muscle strength value before and after treatment Conclusion: The combination of hypnosis therapy and ROM exercise has a significant effect in increasing muscle strength of upper extremity in patients with stroke non-hemorrhagic.
EFFECTIVENESS OF COLD PACK WITH EARLY AMBULATION IN PREVENTING COMPLICATIONS OF HAEMORRHAGE AND HAEMATOMA IN PATIENTS POST CARDIAC CATHETERIZATION Rizal Ginanjar; Soeharyo Hadisaputro; Mardiyono Mardiyono; Sudirman Sudirman
Belitung Nursing Journal Vol. 4 No. 1 (2018): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.711 KB) | DOI: 10.33546/bnj.352

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Objective: To examine the effect of early ambulation with cold pack on the prevention of bleeding and haematoma complications in patients post-cardiac catheterization. Methods: This research used an experimental method with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, with 15 assigned in the experiment and control group. The experiment group was given cold pack and early mobilization, while the control group was given sand pillow with immobilization for 6 hours. Independent t-test and Fisher’s exact test were used for data analysis. Results: Findings showed that there was no significant difference in haemorrhage between experiment and control group after given intervention (p= 1.000), and found a significant difference in haematoma between the two groups (p=0.001). Conclusion: Cold packs with early ambulation and sand pillow with immobilization for 6 hours were equally effective in preventing haemorrhage. However, cold packs with early ambulation was more effective in preventing haematoma.
EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA Theresia Febriana Christi Tyas Utami; Diyah Fatmasari; Mardiyono Mardiyono; Shobirun Shobirun
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.737 KB) | DOI: 10.33546/bnj.356

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Background: Coronary angiography can cause complications of arterial and subcutaneous bleeding (hematoma) and back pain. Changing the position of the patient (positioning) in bed can reduce the pain post-diagnostic catheterization complications. Objective: This study was to examine the effect of positioning on bleeding complication and low back pain after diagnostic coronary angiography in patients with coronary heart disease patient in the Integrated Heart Care Center in Indonesia.Methods: This study was a true-experimental study with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, which 15 respondents were randomly assigned in the experiment group and control group. The experiment group was given a positioning with 150, 300, 450 head-of-bed elevation in left and right lateral position. An arc tool was used to measure the height of head of bed elevation, a measuring cup to measure arterial bleeding using, a perforated transparent plastic with 5 cm diameter to measure subcutaneous bleeding (hematoma), and Numeric Pain Rating Scale to measure low back pain. Data were analyzed using Kolmogorov- Smirnov and Repeated Measured ANOVA.Results: Findings showed that positioning had no effect on arterial hemorrhage (ρ=1.000) and subcutaneous bleeding (hematoma) (ρ=0.999). Repeated ANOVA test results revealed that positioning had a significant effect on low back pain (ρ=0.017). Conclusion: There was no significant effect of positioning on the occurrence of arterial and subcutaneous bleeding (hematoma), but there was a significant effect in reducing low back pain.
EFFECT OF 14 POINTS ACUPRESSURE ON UPPER AND LOWER EXTREMITY MUSCLE STRENGTH LEVELS IN PATIENTS WITH NON-HEMORRHAGIC STROKE Lalu Hersika Asmawariza; Suharyo Hadisaputro; Mardiyono Mardiyono; Desak Made Wenten Parwati
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1648.438 KB) | DOI: 10.33546/bnj.358

Abstract

Background: Acupressure is considered as one form of holistic therapies that can improve tissue perfusion to improve motor function in patients with stroke.Objective: To analyze the effect of 14 points acupressure on upper and lower extremity muscle strength in patients with non-hemorrhagic stroke patients.Methods:  This was a quasi-experimental study with pretest posttest control group design. Paired comparative analytic design was also used. Thirty-eight participants were selected, which 19 participants assigned in the experiment and control group. The Medical Research Council (MRC) scale was used to measure the lower and upper muscle strengths.Results: There was a significant difference between the improvement of the upper muscle strength in the experimental group and the control group at day 3, 4, 5, 6, 7 (p = 0.010, p = 0.000, p = 0.000, p = 0.000, p = 0.000); and there was a significant difference between the improvement of the lower extremity muscle strength in the experimental group and the control group at day 3, 4, 5, 6, 7 (p=0.023, p=0.000, p=0.000, p=0.000, p=0.000).Conclusion: The 14 points acupressure is effective in increasing upper and lower extremity muscle strength in patients with non-hemorrhagic stroke.
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 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 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 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