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PENGARUH TERAPI TERTAWA TERHADAP PENURUNAN TEKANAN DARAH LANSIA DI UPT PANTI WREDHA BUDHI DHARMA YOGYAKARTA Niken Setyaningrum; Andri Setyorini; Fachruddin Tri Fitrianta
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol 13, No 1 (2018)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (366.242 KB) | DOI: 10.32504/sm.v13i1.99

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ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P 0.05)
EARTHQUAKE DISASTER EDUCATION IMPROVES PREPAREDNESS FOR STUDENTS AT ELEMENTARY SCHOOL OF JIGUDAN SRANDAKAN BANTUL INDONESIA niken setyaningrum; Pipin Nurhayati
Journal of Health Community Service Vol. 1 No. 2 (2021): Journal of Health Community Service: 2021 September
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhcs.v1i2.2232

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Bantul district is an earthquake-prone area because it is close to the south coast area, it is traversed by plates that cause disasters. One of the disaster mitigation efforts is to prevent the number of victims when an earthquake occurs. It is necessary to increase understanding and change people's behavior. One of the right targets is elementary school students because education at an early age will affect behavior. Earthquake disaster education is a disaster mitigation effort. The indicator is the measurement of the level of earthquake preparedness using a questionnaire. Education is carried out for students in grades 3, 4, and 5 of the Elementary School of Jigudan Srandakan Bantul. The school is located in the red zone. The results of these measurements are mostly in the ready category with a score of 65 – 79 as many as 42 students. It is important to continue the education to improve earthquake disaster mitigation.
Relationship of Nurse Support to Quality of Life of Cancer Patients Breasts undergoing chemotherapy in the gull ward RSPAU Dr. S Hardjolukito Yogyakarta Ulfa Jumrotin Abutalib; Dian Nur Adkhana Sari; Niken Setyaningrum; Endar Timiyatun
Caring : Jurnal Keperawatan Vol. 10 No. 2 (2021): September
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v10i2.1062

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Breast Cancer is a type of malignant tumor that develops in breast cells. This cancer can grow if there is abnormal growth of cells in the breast. These cells divide faster than normal cells and accumulate, which then forms a lump or mas,The incidence of breast cancer. 161.682 people. Beast cancer has a great impact on sufferers both physically, psychologically and socially which will affect their quality of life. To support the quality of life of breast cancer patients, they need nurse support.Nurse care to motivate patient so that patient do not experience stress and the depression for the illness.To find out whether there is a relationship between nurse support and the quality of life of breast cancer patients undergoing chemotherapy at RSPAU Dr. Hardjolukito Yogyakarta.This research is a quantitative non-experimental research. population in this study were all breast cancer patients who underwent chemotherapy in the Gull ward totaling 109. Samples in were 52 respondents with non-probability sampling using purposive sampling technique. ResultsBased moderate category were 29 respondents 55.8%), and the quality of life of breast cancer patients in the good category was 46 respondents (88.5%). From the Kendalls Tau test results obtained P value = 0,000 with an alpha value of P = 0.05, then the P value <P value alpha (0,000 <0.05) so that nurse support has a relationship to the quality of life of breast cancer patients.Conclusion There is a relationship between nurses' support and the quality of life of breast cancer patients at RSPAU Dr. S.Hardjolokito Yogyakarta.
Perilaku Sosial Remaja dalam Perspektif Tokoh Masyarakat Ardhian Indra Darmawan; Niken Setyaningrum
Jurnal Ilmu Keperawatan Jiwa Vol. 4 No. 1 (2021): Februari 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikj.v4i1.813

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Perilaku sosial remaja dalam menjalin hubungan interaksi sosial dengan lingkungan perlu mendapatkan evaluasi dan kontrol dari tokoh masyarakat. Evaluasi dan kontrol penting dilakukan untuk menindaklanjuti dan membuat gambaran perkembangan masyarakat di beberapa tahun kedepan. Tujuan dalam penelitian ini untuk mengetahui dasar perkembangan perilaku sosial remaja akibat perkembangan budaya digital. Penelitian ini menggunakan pendekatan kualitatif dengan rancangan penelitian fenomenologi. Partisipan kualittif sebanyak 13 partisipan tokoh masyarakat. Wawancara dengan partisipan dilakukan pada 13 partisipan tokoh masyarakat yang diambil dengan purposive sampling dan analisa data kualitatif menggunakan tehnik indukif-deduktif. Hasil wawancara dengan partisipan kemudian dilanjutkan dengan analisa data ditemukan empat hal yang melatarbelakangi perilaku sosial remaja yaitu kontrol pendidikan sosial orang tua, pengabaian nilai sosial budaya masyarakat, aktivitas pergaulan remaja, dan aktivitas spiritual remaja. Empat hal tersebut muncul berdasarkan hasil kajian dan analisa yang dilakukan oleh partisipan atau tokoh masyarakat dalam bebrapa kurun waktu ini. Kesimpulan dan saran dari hasil penelitian ini menjadikan orang tua sebagai tempat pembinaan pertama menjadi prioritas untuk menjalakan peran sebagai role dan kontrol perilaku sosial remaja.
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

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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.  
Kombinasi Abdominal Stretching Exercis dengan Muratal Al-Quran Lebih Efektif Menurunkan Nyeri Dismenore pada Remaja Dibandingkan Kombinasi Williams Flexion Exercise dengan Muratal Al-Quran Dian Nur Adkhana Sari; Roro Viantik Kusumasari; Niken Setyaningrum
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 1 (2021): Supp Januari 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i1.1081

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Menstruasi pengeluaran darah dan sel-sel tubuh dari vagina yang berasal dari dinding rahim seorang perempuan yang sudah mulai menginjak remaja. Selama berlangsungnya menstruasi, sebagian wanita merasakan nyeri (dismenorea). Dismenore dapat mengganggu aktivitas sehari - hari dan perlu segera melakukannya. Penanganan yang dapat dilakukan untuk mengurangi dismenorea antara lain Latihan Fleksi William, Latihan Peregangan Perut, dan Lantunan Ayat Suci Al Qur’an. Kedua tindakan ini sangat minim efek samping dibanding dengan tindakan farmakologi. Tujuan dari penelitian ini adalah membandingkan Latihan Peregangan Perut dengan lantunan ayat suci Al Qur’an dan William’s Flexion Exercise dengan lantunan ayat suci Al Qur’an. Penelitian ini menggunakan Pra eksperimental (desain komparatif). Pengambilan sampel menggunakan purposive sampling sebanyak 40 remaja yang mengalami desminore di Panti Asuhan Darul Ulum Yogyakarta. Pengambilan data dengan menggunakan kuesioner. Uji analisis yang akan digunakan uji statistik Wilcoxon Matched Pairs. Hasil penelitian menunjukkan perbedaan tingkat nyeri dismenore pada kelompok William's Flexion Exercise dengan mean Δ 1,55 dan kelompok Abdominal Stretching Exercise dengan mean 1,85. Hasil analisis menggunakan uji Wilcoxon Matched Pairs menunjukkan adanya perbedaan antara kelompok 1 dan kelompok II dengan p-value = 0,00. Penelitian ini menunjukkan bahwa latihan peregangan perut lebih efektif dibanding dengan latihan fleksi William.
Pendidikan Video Animasi Bencana Gunung Merapi terhadap Kesiapsiagaan pada Siswa Niken Setyaningrum; Ardhian Indra Darmawan; Nurhidayah Nurhidayah
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 4 (2021): Supp Oktober 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i4.1771

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Gunung Merapi merupakan gunung api yang terletak di perbatasan Provinsi Jawa Tengah dan Daerah Istimewa Yogyakarta yang masih aktif mengeluarkan awan, abu panas, dan material lainnya pada saat terjadi erupsi. Secara geografis Kabupaten Sleman merupakan daerah yang paling rentan terhadap aktivitas vulkanik dari Gunung Merapi. Untuk mengurangi dampak erupsi gunung berapi maka perlu adanya mitigasi bencana yang baik. Pendidikan terkait kesiapsiagaan merupakan salah satu upaya untuk menekan jumlah korban saat terjadi. Salah satu sasarannya adalah siswa sekolah, karena merupakan agen yang tepat untuk menyebarkan pengetahuan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh video animasi bencana gunung Merapi dengan kesiapsiagaan bagi siswa. Manfaat penelitian ini dapat memberikan pengetahuan sedini mungkin terkait kesiapsiagaan bencana gunung Merapi pada siswa, harapannya siswa dapat mengaplikasikan ketika kapapun terjadi bencan. Penelitian ini menggunakan pra eksperimental dengan jumlah sampel 31 responden. Instrumen penelitian yang digunakan adalah kuesioner UNESCO/LIPPI. Uji Analisa data yang digunakan adalah uji Wilcoxon. Hasil penelitian menunjukkan kesiapsiagaan sebelum diberikan video animasi kesiapsiagaan dalam kategori siap sebanyak 20 orang (64,5%) dan sesudah dalam kategori sangat siap sebanyak 19 orang (61,3%). Tedapat perbedaan yang signifikan sebelum dan sesudah mendapatkan video animasi bencana gunung Merapi. Penelitian ini menunjukkan bahwa pendidikan video animasi bencana gunung Merapi mampu meningkatkan kesiapsiagaan.
Spiritualitas Berhubungan dengan Kualitas Hidup Penderita HIV Sri Nur Hartiningsih; Eka Oktavianto; Niken Setyaningrum
Jurnal Penelitian Perawat Profesional Vol 3 No 3 (2021): Agustus 2021, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v3i3.509

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Penderita HIV makin meningkat dari tahun ke tahun, penyakit ini memperburuk keadaan fisik maupun psikososial bagi penderitanya sehingga dapat memperburuk kualitas hidupnya. Pada penderita HIV spiritualitas dianggap sebagai hal yang penting, karena dengan spiritualitas akan menurunkan rasa putus asa, hidup lebih bermakna sehingga akan meningkatkan kualitas hidup pada penderita HIV. Penelitian ini bertujuan untuk mengetahui hubungan tingkat spiritualitas dengan kualitas hidup penderita HIV di Yayasan Victory Plus Yogyakarta. Penelitian ini merupakan jenis penelitian kuantitatif dengan rancangan cross sectional. Pengambilan sampel yang digunakan pada penelitian ini menggunakan Total Sampling yaitu sebanyak 35 responden. Instrumen penelitian yang digunakan yaitu kuesioner spiritualitas SOI (Spirituality Orientation Inventory) dan kualitas hidup WHOQOL-HIV BREF (The World Health Organization Quality Of Life). Analisis ini menggunakan uji Kendall Tau. Spiritualitas berhubungan dengan kualitas hidup penderita HIV . Spiritualitas berhubungan dengan kualitas hidup penderita HIV dengan hasil dari correlations sebesar 0,358 dengan nilai signifikan yaitu sebesar 0,000 (p value < 0,05).
Progressive Muscle Relaxation dan Slow Deep Breathing pada Penderita Hipertensi Niken Setyaningrum; Iman Permana; Falasifah Ani Yuniarti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 2, No 1 (2017)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (390.579 KB) | DOI: 10.32419/jppni.v2i1.81

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ABSTRAKTujuan penelitian: untuk mengetahui efektivitas teknikprogressive muscle relaxation dan slow deep breathing terhadap peningkatan kualitas tidur dan penurunan tingkat stres. Metode: penelitian ini menggunakan quasi experimental design with comparison group. Pengambilan sampel penelitian menggunakan purposive sampling. Penelitian dilakukan di wilayah kerja Puskesmas Gamping 2 Yogyakarta. Besar sampel dalam penelitian ini sebanyak 60 responden dengan pembagian sampel masing-masing 20 responden pada kelompok intervensi, kelompok kontrol 1, dan kelompok kontrol 2. Pengambilan data dilakukan pada bulan April sampai Juni 2015. Instrumen penelitian ini menggunakan PSQI (Pittburgh Sleep Quality Index) untuk mengukur kualitas tidur dengan nilai validitas 0,89 dan reliabilitas sebesar 0,73, sedangkan PSS (Perceived Stress Scale) untuk mengukur tingkat stres dengan nilai validitas 0,85 dan reliabilitas sebesar 0,75. Analisis data dalam penelitian ini menggunakan Anova dilanjutkan uji post-hoc Bonferroni. Hasil: Terdapat perbedaan yang signifikan antara kelompok intervensi, kelompok kontrol 1, dan kelompok kontrol 2 terhadap peningkatan kualitas tidur (p = 0,025). Terdapat perbedaan yang signifikan antara kelompok intervensi, kelompok control 1 dan kelompok kontrol 2 terhadap penurunan tingkat stres (p = 0,009). Diskusi: Hipertensi berkaitan dengan kualitas tidur dan tingkat stres karena berhubungan dengan respons saraf simpatis. Jika tidak diidentifikasi dengan baik, hal tersebut dapat memperburuk kondisi penderita hipertensi. Hipertensi dapat dikontrol dengan terapi nonfarmakologi menggunakan teknik relaksasi progressive muscle relaxation dan slow deep breathing. Kesimpulan: teknik progressive muscle relaxation efektif untuk meningkatkan kualitas tidur dan slow deep breathing efektif untuk menurunkan tingkat stres.Kata Kunci: hipertensi, kualitas tidur, tingkat stres, progressive muscle relaxation, slow deep breathingPROGRESSIVE MUSCLE RELAXATION AND SLOW DEEP BREATHING IN HYPERTENSION PATIENTSABSTRACTObjective: to identify the effectiveness of progressive muscle relaxation and slow deep breathing on improving sleep quality and decreasing stress levels. Methods: This study employed quasi experimental design with comparison group. Samples were taken using purposive sampling. The study was conducted in the working area of Puskesmas (Public Health Center) Gamping 2 Yogyakarta. The sample size was 60 respondents with 20 respondents in each of the intervention group, control group 1, and control group 2. Data were collected from April to June 2015. The research used PSQI (Pittsburgh Sleep Quality Index) to measure the quality of sleep with a validity value of 0.89 and a reliability value of 0.73 and PSS (Perceived Stress Scale) to measure stress levels with a validity value of 0.85 and a reliability value of 0.75. Data were analyzed using Anova and followed by using Bonferroni post-hoc test. Results: There were significant differences between intervention group, control group 1, and control group 2 in the sleep quality improvement (p=0.025). There were significant differences between intervention group, control group 1 and control group 2 in the decreased stress levels (p=0,009). Discussion: Hypertension is related to sleep quality and stress levels because it is associated with sympathetic nerve response. Unless they are well identified, they may worsen the condition of patients with hypertension. Hypertension can be controlled with non-pharmacological therapy using progressive muscle relaxation and slow deep breathing relaxation. Conclusion: Progressive muscle relaxation is effective to improve sleep quality and slow deep breathing is effective to reduce stress level.Keywords: hypertension, sleep quality, stress level, progressive muscle relaxation, slow deep breathing
EFFECTIVENESS OF SLOW DEEP BREATHING WITH ZIKIR TO DECREASING OF BLOOD PRESSURE AND IMPROVING SLEEP QUALITY IN PATIENTS WITH HYPERTENSION IN THE WORKING AREA OF GODEAN 1 PUBLIC HEALTH CENTRE OF YOGYAKARTA Niken Setyaningrum; Suib Suib
Journal of Nursing Science Update (JNSU) Vol. 6 No. 2 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7231.48 KB) | DOI: 10.21776/ub.jik.2018.006.02.9

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Hypertension is one of the deadliest diseases in the world and is currently listed as the third killer disease after heart disease and cancer. Treatment of hypertension requires a long time and requires a lot of money. Therefore, it is necessary to consider using a non-pharmacological approach that is natural to control high blood pressure and improve sleep quality. Hypertension can be controlled with non-pharmacological therapy using slow deep breathing relaxation techniques combined with zikir. Objective of this study is to determine the effectiveness of slow deep breathing with zikir of decreasing blood pressure and improving sleep quality. This study uses Quasi experimental with Comparison Group. Sampling using purposive sampling. The sample size in this study were 30 respondents with a sample of 15 respondents in the intervention group and control group. The intervention group will get a slow deep breathing treatment with remembrance while the control group will only get slow deep breathing treatment. Intervention for 14 days Measurements taken were measuring blood pressure using a sphygmomanometer and a stethoscope, while for sleep quality using the Pittburgh Sleep Quality Index (PSQI) questionnaire. Analysis used by Mann Whitney for blood pressure and Independent sample t test for sleep quality. After the intervention is given there is a decrease in blood pressure and an improving in sleep quality. Non-pharmacological intervention of slow deep breathing with zikir is more effective for decreasing blood pressure and improving sleep quality in patients with hypertension. The results of this study can be applied as non-pharmacological therapy in hypertensive patients and additional teaching materials for nursing care in hypertension.