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Pengaruh Terapi Relaksasi Otot Progresif Terhadap Insomnia Pada Lansia Posbindu Desa Patikraja Nurita Rizkiana; Wasis Eko Kurniawan; Surtiningsih Surtiningsih
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 1 (2024): Januari : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i1.154

Abstract

Insomnia is one of the main disorders in initiating and maintaining sleep among the elderly. Insomnia is defined as a complaint about a lack of quality sleep caused by one of the reasons why it is difficult to get into sleep, frequent awakenings at night and then difficulty getting back to sleep, waking up too early, and not sleeping well. The poor quality of sleep in the elderly is caused by increased sleep latency, reduced sleep efficiency and early awakening due to the aging process. The purpose of this study was to determine the effect of progressive muscle relaxation therapy on insomnia in the elderly in posbindu, patikraja village. This type of research is one group pretest-posttest with pre-experimental. The sample size used in this study was 19 respondents. The sampling technique used is purposive sampling. Methods of data collection using a questionnaire. The statistical test used in this study was the Wilcoxon Sign Rank Test with 0.05. The results of this study note that there are differences before and after being given progressive muscle relaxation therapy. The results of the analysis of the Wilcoxon Sign Rank Test obtained a p value of 0.000 <0.05, meaning that there is an effect of progressive muscle relaxation therapy on changes in insomnia in the elderly in Posbindu, Patikraja Village.
Gambaran Emergence Agitation pada Pasien Pasca Bedah Otolaryngology Dengan General Anestesi Di RSU Siaga Medika Purbalingga Sudarmono, Alifika Julianinta; Magenda Bisma Yudha; Wasis Eko Kurniawan
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.339

Abstract

Background: Emergence agitation (EA) is an acute condition of confusion and restlessness that occurs during the recovery phase after general anesthesia, characterized by purposeless excessive motor activity and often accompanied by impaired consciousness. Objective: This study aims to describe the incidence of emergence agitation in post-otolaryngology surgery patients undergoing general anesthesia in the recovery room at Siaga Medika General Hospital Purbalingga. Method: This was a non-experimental study with a cross-sectional design. The sampling technique used was accidental sampling, with a total of 32 respondents. Data were analyzed using univariate analysis. Result: The results showed that 11 respondents (31.4%) experienced EA. Based on age, the highest incidence occurred in children aged 1–5 years, with 7 respondents (21.9%). Based on gender, 7 male respondents (21.9%) experienced EA. Regarding the type of surgery, EA was most common in pharyngology/laryngology procedures, with 9 respondents (28.1%). All respondents received anesthesia using the balanced anesthesia technique. Conclusion: The incidence of EA is more common in preschool-aged boys undergoing otolaryngology surgery.
Penerapan Pemberian Jus Timun Dan Senam Hipertensi Terhadap Penurunan Tekanan Darah Tinggi Pada Lansia Di Desa Prigi Umi Sarah Fauziah Ali; Wasis Eko Kurniawan
Bunda Edu-Midwifery Journal (BEMJ) Vol. 8 No. 2 (2025): September 2025
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v8i2.482

Abstract

Hipertensi adalah salah satu penyakit degeneratif yang prevalensinya tinggi pada lansia, serta menjadi kontributor utama morbiditas dan mortalitas di seluruh dunia. Penanganan non-farmakologis seperti pemberian jus timun dan senam hipertensi telah terbukti efektif dalam menurunkan tekanan darah lansia. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian jus timun dan senam hipertensi terhadap penurunan tekanan darah tinggi pada lansia di Desa Prigi. Metode yang digunakan adalah studi kasus dengan pendekatan deskriptif. Subjek penelitian adalah Ny. S, seorang lansia berusia 65 tahun yang mengalami hipertensi. Intervensi yang diberikan berupa pemberian jus timun sebanyak 250 ml per hari dan senam hipertensi selama 30 menit setiap hari selama 3 hari. Hasilnya menunjukkan penurunan tekanan darah signifikan dari 184/110 mmHg menjadi 159/88 mmHg. Ini membuktikan bahwa kombinasi jus timun dan senam hipertensi efektif menurunkan tekanan darah pada lansia, dan diharapkan dapat menjadi alternatif penanganan non-farmakologis.
Penerapan Teknik Relaksasi Otot Progresif dan Hidroterapi pada Lansia dengan Hipertensi Diposyandu Lansia Desa Karangbanjar Bojongsari Berlan Sendi Nugroho; Mariah Ulfah; Wasis Eko Kurniawan
Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.837

Abstract

Hypertension, commonly known as high blood pressure, is a condition where blood pressure in the blood vessels consistently exceeds the normal range of 140/90 mmHg. Central Java Province has the highest prevalence of hypertension in Indonesia, at 13.4%. In 2020, Purbalingga Regency reported 268,936 cases of hypertension. According to data from the Bojongsari Health Center, there were 11,596 hypertension patients in 2023. Among the 13 villages in Bojongsari District, there are villages that have experienced an increase in hypertension cases of over 20% annually, one of which is Karangbanjar Village, with 542 cases of hypertension in 2022 and an increase to 858 cases (26%) in 2023. Hypertension treatment can be done through complementary therapy such as progressive muscle relaxation therapy and hydrotherapy. This Community Service Program (PkM) was attended by 20 participants. The results from the pre-test to the post-test showed an increase in the average score, from 59 to 81.5. The evaluation of participants' skills indicated an improvement, with 90% in the “good” category and 10% in the “adequate” category. In addition, there was a significant change in participants' blood pressure after receiving therapy. This activity was carried out using lectures and discussions, with PowerPoint presentations, leaflets, and videos demonstrating how to perform progressive muscle relaxation therapy and hydrotherapy. This educational activity showed an increase in knowledge among the elderly in performing progressive muscle relaxation therapy and hydrotherapy to reduce hypertension.
Gambaran Kualitas Kehidupan Kerja Perawat Di Ruang Rawat Inap RSUD Ajibarang Safik Setya Purnomo; Tri Sumarni; Wasis Eko Kurniawan
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 3 No. 4 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Tenaga kesehatan terbanyak di rumah sakit adalah perawat yang memiliki tanggung jawab penting dalam memberikan pelayanan kesehatan. Perawat selain jumlahnya yang dominan (50%- 60% dari seluruh tenaga kerja), perawat memberikan pelayanan 24 jam sehari, selama 7 hari serta mempunyai kontak dengan pasien. Selain itu, perawat juga adalah manusia yang tidak luput dari beban kerja baik di instansi tempat bekerja maupun di keluarga atau di masyarakat, yang secara tidak langsung membutuhkan kontrol dan kesesuaian dalam kehidupan dirinya. Kualitas kehidupan kerja perawat merupakan persepsi atau penilaian perawat mengenai seluruh dimensi yang mempengaruhi kualitas kehidupan kerjanya dan berhubungan dengan pengalamannya dalam bekerja serta demi mencapai tujuan. Desain penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Sampel pada penelitian ini sebanyak 67 responden menggunakan teknik simple random sampling. Analisis data dengan analisis univariat. Hasil penelitian didapatkan mayoritas responden berusia 26-35 tahun dengan kualitas kehidupan kerja yang baik sebanyak 30 responden (44,8%), pada karakteristik jenis kelamin mayoritas responden berjenis kelamin perempuan dengan kualitas kehidupan kerja yang baik sebanyak 36 responden (53,7%), pada karakteristik pendidikan mayoritas responden D3 dengan kualitas kehidupan kerja yang baik sebanyak 29 responden (43,3%), pada karakteristik masa kerja mayoritas responden dengan masa kerja ≥ 5 tahun dengan kualitas kehidupan kerja yang baik sebanyak 33 responden (49,3%).
Hubungan Jumlah Tusukan Spinal Anestesi Lebih dari Satu Kali dengan Kejadian Post-Dural Puncture Headache pada Pasien Sectio Caesarea di RSUD Ajibarang Aris Ahmat; Magenda Bisma Yudha; Wasis Eko Kurniawan; Made Suandika
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8373

Abstract

Background: Spinal anesthesia is a commonly used technique for cesarean section procedures. However, this technique carries a risk of complications, one of which is post-dural puncture headache (PDPH). PDPH can be caused by several factors, including multiple attempts at spinal needle insertion. Objective: To determine the relationship between the number of spinal anesthesia punctures greater than once and the incidence of PDPH in cesarean section patients at RSUD Ajibarang. Methods: This study used a quantitative design with a cross-sectional approach. A total of 80 cesarean section patients who underwent spinal anesthesia were selected using purposive sampling. Data were collected through observation and interviews and analyzed using the Spearman correlation test. Results: A total of 96.3% of patients experienced two punctures, while 3.8% experienced three punctures. Most patients did not experience PDPH (90.0%), while 8.8% reported moderate headache and 1.3% reported severe headache. The analysis showed a significant relationship between the number of spinal punctures and the incidence of PDPH (p=0.001; r=0.367). Conclusion: There is a significant correlation between the number of spinal anesthesia attempts and the incidence of PDPH among cesarean section patients at RSUD Ajibarang. The greater the number of spinal punctures, the higher the risk of developing PDPH.
The Effect of Warm Water Foot Bath Therapy in Reducing Blood Pressure in Elderly People with Hypertension in Pandansari Village, Banyumas Puput Yulianingrum; Wasis Eko Kurniawan
Viva Medika Vol 17 No 2 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1464

Abstract

As a person ages, various types of changes and non-communicable diseases often occur due to decreased biological function due to the aging process. The disease that often occurs is hypertension. If not treated properly, hypertension will cause complications. Preventing hypertension can be done with non-pharmacological therapy, namely by soaking the feet in warm water. The aim of this study was to see whether there was an effect of soaking the feet in warm water on reducing blood pressure in people with hypertension. This research is qualitative research using the nursing process approach method. The subjects used were elderly people with hypertension problems in Pandansari Village, Kab. Banyumas. The research instrument used was the nursing care format. Research data collection techniques are observation, interviews, physical examination and documentation studies. Blood pressure measurements were taken after and before the feet were soaked. The results of implementing foot soak therapy using warm water on the elderly showed that the patient's blood pressure decreased from the first day of implementation to the third day of implementation, so it can be concluded that the technique of soaking feet in warm water was able to provide good results. Lowering blood pressure in the elderly.
Gambaran Tingkat Pengetahuan dan Sikap tentang Strategi Komunikasi Situation, Background, Assesment, Recommendation (SBAR) pada Mahasiswa Anestesi: Overview of Knowledge and Attitudes Regarding the Situation, Background, Assessment, Recommendation (SBAR) Communication Strategy among Anesthesia Students Fringgandini, Mena; Magenda Bisma Yudha; Wasis Eko Kurniawan
Jurnal Keperawatan Bunda Delima Vol 7 No 2 (2025): EDISI AGUSTUS
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v7i2.199

Abstract

Pendahuluan: Komunikasi SBAR terdiri dari empat komponen, yaitu Situation, Background, Assesment, dan Recommendation. Setiap bagian dalam komunikasi SBAR memiliki peran yang berbeda-beda untuk memastikan informasi yang disampaikan menjadi lebih terstruktur, terorganisir, dan jelas. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan dan sikap mahasiswa D IV Keperawatan Anestesi tentang komunikasi SBAR. Metode: Penelitian ini termasuk dalam jenis penelitian deskriptif dengan menerapkan metode pendekatan cross sectional. Sampel pada penelitian ini yaitu berjumlah 167 responden yang diambil dengan teknik random sampling. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis univariat. Hasil: Penelitian yang telah dilakukan menunjukkan bahwa tingkat pengetahuan mahasiswa tentang komunikasi Situation, Background, Assessment, Recommendation (SBAR) sejumlah 123 responden (73.7%) memiliki tingkat pengetahuan dalam kategori baik. Sikap mahasiswa tentang komunikasi Situation, Background, Assessment, Recommendation (SBAR) sejumlah 167 responden (100%) dalam kategori baik.Kesimpulan: Pengetahuan dan sikap mahasiswa tentang strategi komunikasi SBAR dalam kategori baik.
Asuhan Keperawatan Lansia Pada Tn. S Dengan Masalah Utama Nyeri Akut Di Wisma 3 PPSLU Panti Dewanata Cilacap Lutfiyatul Mutawadingah; Wasis Eko Kurniawan
Jurnal Keperawatan Mandira Cendikia Vol. 1 No. 1 (2022)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jkmc.v1i1.13

Abstract

Nyeri akut merupakan salah satu masalah pada penderita hipertensi yang dapat menyebabkan gangguan rasa nyaman. Tindakan terapi non konvensional bertujuan untuk mengurangi rasa nyeri yaitu dengan bekam, akupuntur, tanaman tradisional, akupresur, dan pijat (massage). Tujuan dari penelitian ini adalah untuk mendeskripsikan asuhan keperawatan dan intervensi yang tepat pada pasien hipertensi yang mengalami nyeri. Penelitian ini menggunakan teknik pendekatan asuhan keperawatan yang mencakup pengkajian, penentuan diagnosa, penentuan intervensi keperawatan, implementasi hingga evaluasi. Keluhan yang paling dirasakan dan mengganggu pasien adalah sakit kepala, pusing, leher cengeng, kaki sakit, nyeri pada skala 6, seperti ditusuk-tusuk, hilang dengan minum obat dan istirahat, badan terasa pegal-pegal dan pinggang sakit, sulit tidur apabila tekanan darahnya tinggi, dan nyeri saat berdiri ataupun jalan. Pemberian terapi relaksasi foot massage (pijat kaki) yang dilakukan dalam jangka 3 hari belum mampu untuk mengatasi masalah nyeri, sehingga perlu diteruskan untuk melakukan tindakan keperawatan sesuai dengan rencana intervensi. Rekomendasi dari peneliti ini adalah perawat mampu memberikan alternatif penggunaan teknik nonfarmakologi lainnya dalam mengurangi nyeri yang dapat dikombinasikan dengan relaksasi foot massage (pijat kaki). Perawat juga perlu mengkolaborasikan pemberian analgetik beserta teknik non farmakologi.
Education on Making Bay Leaf Tea for Gout Therapy Arthritis in Cadres in Klapagading Kulon Village, Wangon District, Banyumas Regency Adhelia Clarysha; Wasis Eko Kurniawan; Madyo Maryoto
Jurnal Multidisiplin Sahombu Vol. 5 No. 08 (2025): Jurnal Multidisiplin Sahombu, December (2025)
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The community service program, titled "Bay Leaf Tea Education for Gout Arthritis Therapy for Cadres in Klapagading Kulon Village, Wangon District, Banyumas Regency," addresses the significant health problem of gouty arthritis, particularly among the elderly. Gouty arthritis, characterized by severe joint pain, swelling, and redness, is often caused by high uric acid levels due to excessive purine consumption and a lack of public knowledge regarding its management. This problem is prevalent in Klapagading Kulon Village, where 52 elderly people suffer from gouty arthritis, and local cadres lack sufficient knowledge to effectively address it. The choice of this topic is crucial because bay leaves (Syzygium Polyanthum Wight) have known diuretic and analgesic properties, capable of lowering uric acid levels by increasing urine production. They also contain antioxidants and various beneficial compounds such as tannins and flavonoids. The program aims to increase cadres' knowledge about preparing bay leaf tea for gouty arthritis therapy and their interest in disseminating this information to the elderly. The methodology involved pre-testing, health education through lectures, discussions, and live demonstrations of bay leaf tea preparation, followed by post-testing. The results showed a substantial increase in cadre knowledge, with the average post-test score increasing to 95.5 from a baseline of 68.8, and all nine participating cadres achieving the 'good' category. This demonstrates the effectiveness of the educational methods used and the high enthusiasm of the cadres. The program successfully improved cadres' understanding and practical skills, highlighting the importance of utilizing local herbal remedies for non-pharmacological gout management. This enhanced knowledge empowered cadres to provide valuable health information to the elderly in their communities.