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KOMBINASI TERAPI TOTOK PUNGGUNG DENGAN BEKAM BASAH TERHADAP PENURUNAN PROFIL LIPID DAN TEKANAN DARAH PADA PASIEN HIPERTENSI DENGAN HIPERKOLESTEROLEMIA Novema ashar Nurahman; Mardiyono Mardiyono; Djamaluddin Ramlan
Jurnal Perawat Indonesia Vol. 6 No. 3 (2022): November 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.88 KB) | DOI: 10.32584/jpi.v6i3.1689

Abstract

Background: Hipertensi sangat berhubungan dengan abnormalitas lipid kolesterol total, dimana adanya dislipidemia meningkatkan risiko terjadinya hipertensi. Kadar kolesterol total serum meningkat sesuai dengan peningkatan tekanan darah. Konsentrasi serum pada penderita hipertensi lebih tinggi dari pada serum normotensif yang mengindikasikan risiko komplikasi kardiovaskuler dan cerebrovaskuler yang lebih besar seperti penyakit jantung koroner dan stroke pada pasien hipertensi dengan kadar kolesterol tinggi. Salah satu fakor yang dapat dikendalikan adalah kadar kolesterol. Penelitian ini bertujuan untuk membuktikan efektivitas pemberian terapi totok punggung dengan bekam basah terhadap penurunan profil lipid dan tekanan darah pada pasien hipertensi dengan hiperkolesterolemia. Method: Quasi eksperimental design dengan pretest-postest kontrol group design pada populasi pasien hipertensi dengan hiperkolesterolemia Puskesmas Srondol. Teknik sampling yang digunakan adalah Simple Random Sampling dan didapatkan 32 responden yang dibagi menjadi kelompok control dan intervensi. Analisis data menggunakan independen t test. Results: Terdapat selisih penurunan total kolesterol total sebesar 3 kali lipat (t= 9.22 dan p=0.00), LDL 5 kali lipat (t= 0.52 dan p=0.00), total trigliserida 7 kali lipat (t= 3.63 dan p=0.01), sistolik 4 kali lipat (t= 5.86 dan p=0.00), diastolik 5 kali lipat (t= 5.00 dan p=0.00) dan peningkatan HDL 7 kali lipat (t= 3.68 dan p=0.01) Conclusion: Kombinasi terapi bekam basah dengan totok punggung yang diberikan dinilai efektif. Keywords: totok punggung, cupping therapy, hypertension, hyperlipidemia,
The Effectiveness of the Combination of Snakehead Fish Extract and Acupresure on Albumin Conditions and Blood Pressure of Pregnant Women with Preeclampsia Shandy Wigya Mahanani; Mardiyono Mardiyono; Imam Djamaluddin; Handayani Handayani
Journal Research of Social Science, Economics, and Management Vol. 1 No. 9 (2022): Journal Research of Social Science, Economics, and Management
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1449.363 KB) | DOI: 10.59141/jrssem.v1i9.147

Abstract

One of the causes of maternal death is preeclampsia. Preeclampsia and eclampsia are caused by factors that decrease serum albumin (hypoalbuminemia) which causes a decrease in intravascular hypovolemic pressure. This study aimed to evaluate the effectiveness of snakehead fish extract and acupressure on albumin levels and blood pressure in pregnant women with preeclampsia. The research method is a non-randomized pretest-posttest control group design study and was conducted at a health center in Central Java, Indonesia. A sample of 30 subjects; 15 subjects in the experimental group, and 15 subjects in the control group. The experimental group was given snakehead fish extract 2x 500 mg every day for 14 days and acupressure at points GV 20, Li 3, and Ki 3 6 times for 14 days. Systolic and diastolic blood pressure measurements were performed on day 1 and day 14. Data analysis used paired parametric t test. The results showed that snake head extract and acupressure for 14 days had a significant decrease in diastolic from 12 mmHg to 10.66 mmHg (p=0.000), while in the control group there was no decrease in systolic blood pressure of 0.667 (p=0.670) and systolic blood pressure was 0.667 (p=0.670). pressure 0.667 (p=0.670). diastolic 2.66 p=0.041. In the experimental group there was an increase in albumin levels of 1.12 (p = 0.000. In the control group, albumin levels were -0.14 before and after the measurement did not affect albumin levels with a value of p = 0.082. Giving snakehead fish extract and acupressure at the KI 3 point, LV3, and GV 20 were effective in increasing albumin levels and lowering blood pressure in preeclamptic women.
Efektifitas Ekstrak Nano Daun Kelor (Moringa Oleifera) terhadap Penurunkan Tingkat Kecemasan dan Tekanan Darah pada Ibu Hamil dengan Hipertensi Dina Indrati Dyah Sulistyowati; Ariawan Soejoenoes; Soeharyo Hadisaputro; Untung Sujianto; Mardiyono Mardiyono
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.482 KB) | DOI: 10.32583/keperawatan.v15i1.593

Abstract

Hipertensi pada kehamilan (hypertension pregnancy disorders) merupakan  salah satu penyebab peningkatan morbiditas dan mortalitas maternal, janin dan neonates. Angka Kematian Ibu (AKI) di Indonesia sekarang ini masih cukup tinggi. Salah satu penyebab kematian ibu adalah hipertensi. Sebagai tindakan preventif, WHO merekomendasikan  setiap ibu hamil untuk mengkosumsi kalsium. Daun kelor berdasarkan hasil penelitian, banyak mengandung flavonoid, kalsium dan antioksidan, dimana baik untuk dikosumsi oleh ibu hamil. Penelitian ini bertujuan untuk mengetahui efektifitas ekstrak nano daun kelor (moringa oleifera), berpengaruh terhadap tekanan darah dan tingkat kecemasan  pada ibu hamil dengan hipertensi, membandingkan pre-test  kelompok kontrol dan eksperimen, membandingkan pre dan post test dalam kelompok control dan eksperimen, dan membandingkan selisih pre-post test antara kelompok control dan eksperimen. penelitian termasuk experiment, dengan menggunakan desain penelitian the randomized pre-test post test control group design. Responden adalah ibu hamil dengan hipertensi sejumlah 30 orang. Penelitian dilaksanakan selama 6 bulan dengan memberikan intervensi kapsul ekstrak nano daun kelor (moringa oleifera) 500 mg/hari selama 2 minggu setiap responden. Sedangkan kelompok kontrol diberikan intervensi sesuai standar puskesmas. Analisis penelitian ini menggunakan korelasi, pair t-test, dan independent t-test. Hasil penelitian ini diharapkan dapat sebagai standar operasional dalam membantu meningkatkan pengetahuan untuk mengatasi ibu hamil dengan hipertensi secara non farmakologi yang aman bagi ibu dan bayi.
THE EFFECT OF THE COMBINATION OF BACK ACCUSED THERAPY AND CINNAMON BARK DECOCTION ON FASTING BLOOD SUGAR LEVELS IN PATIENTS WITH DIABETES MELLITUS TYPE II I Gede Panji Santika; Mardiyono -
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 1 (2023): VOLUME 7 ISSUE 1 APRIL 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss1/458

Abstract

Diabetes mellitus is a degenerative disease that occurs due to chronic metabolic disorders because the pancreas is not enough to produce insulin or the body cannot use the insulin that is produced optimally and effectively. Alternative treatment for type II diabetes mellitus patients with complementary therapy, a combination of back acupressure and cinnamon bark decoction in improving fasting blood sugar levels. This study was conducted to prove the effect of a combination of back acupressure therapy and cinnamon decoction on fasting blood levels in type II diabetes patients. This research is one of a kind true experimental with a plan pretest-posttest control group design. The total sample of 56 people was divided into 2 groups, each consisting of 28 respondents in the intervention group who were given back acupressure and cinnamon bark decoction, while 28 respondents in the control group were only given 5 pillars of diabetes mellitus treatment for 21 days. Then measurements of fasting blood sugar levels were carried out on the 8th and 21st days. Data tested using independent t-test. There was a decrease in blood pressure before and after treatment, namely 172.25 mg/dl to 137.07 mg/dl with a difference of 63.45 mg/dl in the intervention group, then 167.75 mg/dl to 154.96 mg/dl with a difference 76.33 mg/dl in the control group. Test results independent t-test showed a difference in decreasing fasting blood sugar levels between the intervention group and the control group with a p value of 0.000. Conclusion, giving a combination of acupressure and cinnamon bark decoction for 21 days is effective in reducing fasting blood sugar levels in patients with type II diabetes mellitus.
Effect of lavender aromatherapy mask on anxiety in the first stage of labour: Intanwati; Mardiyono Mardiyono; Eny Retna Ambarwati; Melyana Nurul Widyawati
Jurnal Kesehatan Ibu dan Anak Vol. 16 No. 2 (2022): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v16i2.1200

Abstract

The anxiety experienced by most maternity mothers arises because of fear of pain. During a pandemic, relaxation with lavender aromatherapy requires innovation. The purpose of this study was to analyze the effect of using lavender aromatherapy masks on anxiety in the first stage of labour. The design of this study was a true experiment with a randomized controlled clinical trial. The intervention group wore lavender aromatherapy masks with a 100% concentration dose content of 0.08 ml for 120 minutes. The study sampled 40 samples.  The results of the study were that there was an effect of lavender aromatherapy masks on anxiety in the first stage of labour (p=0.000) with an effect size (d=1.319). Using a lavender aromatherapy mask can minimize the increase of anxiety during the first stage of labour.
Soursop Leaf Nanoparticles On Blood Glucose Levels And Ankle Brachial Pressure Index (ABPI) Values In Type-2 Diabetes Mellitus Patients Taadi Samsuri; Mardiyono mardiyono; Umi Margi Rahayu; iken Anggraini Sri Saputri
Jurnal Riset Kesehatan Vol 12, No 2 (2023): NOVEMBER 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v12i2.9826

Abstract

Chronic hyperglycemia will cause legs and blood circulation disorders. Treatment with insulin is still quite expensive and with some side effects of oral hypoglycemic drugs. This experience made the management of DM switch to herbal treatment, namely soursop leaves (Annona muricata). The study used a pre and post test control group design with random allocation. Quasy experimental study with a two group pre tpost-testest – post tepost-testst design at 36type-2 DM patients in the Pekalongan City area. Blood glucose levels in the treatment group were measured before and after administration of soursop leaf nanoparticles500 ml/20 gBB 3 times a day for 6 days and 500 mg metformin. Giving soursop leaf nanoparticles at a dose of 500 ml/20 grBW 3 times a day for 6 days is effective on fasting blood glucose levels clinically with a change in value of 65 mg/dL, and has a statistically significant effect on reducing fasting glucose levels (p=0.035).
Pengembangan Instrumen Prediktor Risiko Gagal Ginjal pada Pasien Diabetes Mellitus Tipe 2 Desy Rinawaty; Tri Johan Agus Yuswanto; Mardiyono Mardiyono
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk107

Abstract

Type 2 Diabetes Mellitus is a chronic disease that occurs due to decreased insulin secretion by the pancreas gland. Instrument development is an activity that builds or arranges instruments to produce new instruments. The purpose of this study was to develop a predictor instrument in the form of a questionnaire to determine the risk of kidney failure in patients with type 2 diabetes mellitus. The study design was posttest only with a control group, involving 50 respondents selected by purposive random sampling technique. The results showed that CVI = 0.93, with a high reliability value of 0.75. The sensitivity = 100% and the specificity = 88%. The identification of the KFRS instrument score obtained an average value = 17.74 with the percentage of patients at risk of 100%, while the identification of the SCORED instrument score obtained an average value = 5.04 with the percentage of patients at risk = 84%. It was concluded that KFRS can be used to detect the risk of kidney failure.Keywords: instrument development; risk of kidney failure; type 2 diabetes mellitus ABSTRAK Diabetes Mellitus tipe 2 merupakan suatu penyakit kronis yang terjadi karena penurunan sekresi insulin oleh kelenjar pankreas. Pengembangan instrumen merupakan suatu kegiatan yang membangun atau menyusun instrumen yang dilakukan untuk menghasilkan instrumen baru. Tujuan penelitian ini adalah untuk mengembangkan instrumen prediktor yang berbentuk kuesioner untuk mengetahui adanya risiko gagal ginjal pada pasien diabetes mellitus tipe 2. Rancangan penelitian ini posttest only with control group, yang melibatkan 50 responden yang dipilih dengan teknik purposive random sampling. Hasil penelitian menunjukkan bahwa CVI = 0,93, dengan nilai reliabilitas yang tinggi yaitu 0,75. Nilai sensitivitas adalah 100% dan nilai spesifisitas adalah 88%. Identifikasi skor instrumen KFRS didapatkan nilai rata-rata = 17,74 dengan persentase pasien beresiko sebesar 100%, sedangkan identifikasi skor instrumen SCORED didapatkan nilai rata-rata = 5,04 dengan persentase pasien beresiko = 84%. Disimpulkan bahwa KFRS dapat digunakan untuk mendeteksi adanya risiko gagal ginjal.Kata kunci: pengembangan instrumen; risiko gagal ginjal; diabetes mellitus tipe 2
Treatment Of Grade II Diabetic Ulcer with Mindi Leaf Hydrogel (Melia Zadarach L) Against Wound Healing Process Ineke Noviana; Mardiyono Mardiyono; Dwi Ari Murti Widigdo
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.629

Abstract

Diabetic ulcers are a chronic complication of Diabetes Mellitus. Modern society prefers non pharmacology as a nursing action because it is far from chemicals. Researchers found that mindi leaves with ingredients that can be used as anti-inflammatory, antidiabetic and antibacterial can be used to treat diabetes which is packaged into a hydrogel for the basic ingredient of modern care (modern dressing).To determine the effectiveness of mindi leaf hydrogel on the wound healing process in patients with grade II diabetic ulcers. True experimental design with pre-test post-test with control group design. Data were collected by taking 40 respondents through stratified random sampling and the hypothesis was tested by using the General Linear Model effectiveness test.Mindi leaf hydrogel significantly accelerated the healing process of grade II ulcers with a value of p=0.000.Treatment of diabetic ulcers with mindi leaf hydrogel is effective in accelerating the wound healing process
The Effectiveness of a School-Based Education Program on Oral Health in Bandung Resident: A Pilot Study Cecep Eli Kosasih; Tetti Solehati; Mardiyono Mardiyono; Mamat Lukman
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (629.043 KB) | DOI: 10.30604/jika.v6i2.476

Abstract

The lack of an organized school dental health policy in Indonesia requires an affordable, easily accessible, and sustainable strategy. Provision of dental and oral health knowledge delivers by a little doctor at the school level can help the implementation of the program that school-age is the time of peer groups. The school-age is in which children begin to learn basic oral hygiene practices and are most vulnerable to dental caries. This study was conducted to assess the effect of little doctor training on the knowledge, attitudes and skills of little doctors, as well as on the skills and patterns of brushing teeth in Bandung Regency, Indonesia. This research used a quasi-experimental design with pretest and posttest. A total of 12 little doctors and 291 school children in grades 4-6 elementary school from four government schools were included in this study. The instrument consisted of a knowledge and attitude questionnaire, an observation sheet, and a checklist sheet. Evaluation of tooth brushing patterns at school was done every month for 3 months. Data analysis using paired t-test. Data before and after training were compared and it was found that there was a significant improvement in the knowledge, attitudes, practices of the little doctors and students (p = 0.005). Skills and practice patterns of brushing teeth of school children increased significantly after the program (p = 0.005). The results of this study indicate that school-based oral health education methods that involve little doctors are effective for improving oral hygiene in elementary school children.Abstrak: Kurangnya kebijakan kesehatan gigi sekolah yang terorganisir di Indonesia membutuhkan strategi yang terjangkau, mudah diakses, dan berkelanjutan. Pembekalan pengetahuan kesehatan gigi dan mulut yang disampaikan oleh dokter kecil di tingkat sekolah dapat membantu pelaksanaan program bahwa usia sekolah adalah masa peer group. Usia sekolah adalah masa dimana anak-anak mulai mempelajari praktik dasar kebersihan mulut dan paling rentan terhadap karies gigi. Penelitian ini dilakukan untuk menilai pengaruh pelatihan dokter cilik terhadap pengetahuan, sikap dan keterampilan dokter cilik, serta terhadap keterampilan dan pola menggosok gigi di Kabupaten Bandung, Indonesia. Penelitian ini menggunakan desain eksperimen semu dengan pretest dan posttest. Sebanyak 12 dokter kecil dan 291 anak sekolah kelas 4-6 sekolah dasar dari empat sekolah negeri diikutsertakan dalam penelitian ini. Instrumen terdiri dari angket pengetahuan dan sikap, lembar observasi, dan lembar checklist. Evaluasi pola menggosok gigi di sekolah dilakukan setiap bulan selama 3 bulan. Analisis data menggunakan uji-t berpasangan. Data sebelum dan sesudah pelatihan dibandingkan dan ditemukan adanya peningkatan yang signifikan pada pengetahuan, sikap, praktik dokter kecil dan siswa (p= 0,005). Keterampilan dan pola praktik menggosok gigi anak sekolah meningkat secara signifikan setelah program (p= 0,005). Hasil penelitian ini menunjukkan bahwa metode pendidikan kesehatan gigi dan mulut berbasis sekolah yang melibatkan dokter kecil efektif untuk meningkatkan kebersihan gigi dan mulut pada anak sekolah dasar.
APLIKASI HASIL PENELITIAN PELATIHAN DAN PENERAPAN AKUPRESUR UNTUK MENINGKATKAN DAYA TAHAN TUBUH DAN MENGURANGI KECEMASAN PADA IBU HAMIL DAN MENOPOUSE PADA ERA ADAPTASI COVID 19 Dina Indrati Dyah Sulistyowati; Arwani Arwani; Nina Indriyawati; Wien Soelistyo Adi; Mardiyono Mardiyono
Jurnal Pengabdian Ilmu Kesehatan Vol. 2 No. 3 (2022): November: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v2i3.841

Abstract

Kasus positif Covid 19 pada perempuan ibu hamil. Melahirkan dan nifas di Indonesia terdapat puluhan sampai ratusan kasus. Meningkatnya kasus covid 19 menjadikan kebutuhan informasi dan pengetahuan yang baik bagi petugas dan keluarganya akan penatalaksanaan kasus maternal dan menapouse dengan covid 19. Dengan meningkatnya kembali kasus covid dengan klister baru membawa dampak tersendiri bagi masyarakat terutama ibu hamil dan lansia. Terutama rasa cemas menghadapi kondisi tersebut. Rasa cemas yang timbul akan berdampak pada turunnya imun seseorang sehingga akan rentan tertular virus. Salah satu cara untuk meningkatkan imun dan mengurangi kecemasan yaitu dengan penerapan acupressure. Akupresur adalah salah satu terapi komplementar merupakan perpaduan antara self healing dan akupresur, dimana proses pemijatan mempunyai 2 reaksi, yaitu reaksi menguatkan (yang) dan reaksi menurunkan (yin). Pijatan-pijatan pada titik tertentu dalam terapi akupresur dapat merangsang gelombang syaraf sehingga mampu melancarkan aliran darah, merelaksasikan spasme, dan meningkatkan imun. Tujuan pengabdian masyarakat ini adalah untuk menerapkan hasil penelitian sebelumnya tentang Akupresur Untuk Meningkatkan Daya Tahan Tubuh Dan Mengurangi Kecemasan Pada Ibu Hamil Dan Menopouse Pada Era Adaptasi Covid 19 ”. Metode pengabdian masyarakat ini dengan menyelenggarakan pelatihan cara acupressure mandiri secara langsung maupun media online dan demostrasi. Hasil pengabdian masyarakat ini diharapkan dapat sebagai standar operasional dalam membantu meningkatkan pengetahuan masyarakat tetang cara acupressure untuk meningkatkan daya tahan tubuh dan menurunkan kecemasan di masa pandemic saat ini.
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