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Journal : Jurnal Medika Cendikia (e-Journal)

Pengaruh Latihan Range Of Motion (ROM) Ekstremitas Bawah Terhadap Perbaikan Ulkus Kaki Diabetik Pada Pasien Diabetes Melitus Tipe 2 di Ruang Rawat Inap Bedah Dewasa RSUD Kabupaten Ciamis Devi Ratnasari
Jurnal Medika Cendikia Vol 1 No 2 (2014): JURNAL MEDIKA CENDIKIA
Publisher : STIKes Karsa Husada Garut

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Abstract

One of the chronic complications of type 2 diabetes mellitus is hyperglycemia that is tend tocontinue to the occurrence of diabetic ulcers as a result of perfusion disturbances andperipheral neuropathy. ROM (Range of Motion) exercise is one attempt to improve peripheral perfusion with the aim of facilitating the diffusion of oxygenated and inadequate supply of nutrients to the area of the ulcer as measured by the ankle brachial index / ABI and to the wound tissue repair process as measured withLeg Ulcer Measurement Tool / LUMT. The purpose of this study was to observe the effect of the lower extremity ROM exercises to the improvement of diabetic foot ulcers The design of this study using quasi-experimental pre-post test without a control group. Its population is patients with diabetic foot ulcers were treated in adult surgical inpatient unit Ciamis District Hospital. The results of consecutive sampling from June 3 to July 19, 2014were 22 people, but only 17 people who met the inclusion criteria. The lower extremity ROM exercises performed 3 times daily for 12 days and performed assessment on day 1 and day12. During the research wound care given are with the humid garamicyn care, diabetes diet,sub-cutaneous insulin therapy, and antibiotic therapy according to the results of bacterial culture. The results of the study there are influence between the lower extremity ROM to the improvement of diabetic foot ulcers (p = 0.000; r = 0.562) and the value of ABI (p = 0.000; r= 0.837). The lower extremity ROM exercises can be improvement peripheral perfusion with the aim of facilitating the diffusion of oxygenated and inadequate supply of nutrients to the area of the ulcer to the wound tissue repair process. Factors associated with peripheral perfusion is a history of smoking, andduration of diabetes mellitus, whereas factors related to the improvement of theulcer is the age, and hemoglobin levels. Conclusions of research there is influence between the lower extremity ROM exercises to theimprovement of diabetic foot ulcers in patients with type 2 diabetes mellitus in adult surgicalinpatient unit Ciamis District Hospital. This study can be used as a baseline for further studieswith different designs (quasi-experimental pre-post with control group).
Gambaran Pola Hidup Pasien Gagal Jantung Kongestif Paska Rawat di RSUD dr. Slamet Garut Devi Ratnasari; Hasbi Taobah Ramdani; Wildansyah Wildansyah
Jurnal Medika Cendikia Vol 4 No 01 (2017): JURNAL MEDIKA CENDIKIA
Publisher : STIKes Karsa Husada Garut

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Abstract

People life style with congestive heart failure is influeneed by many factors. This is important to be noticed to meet the needs of the body’s metabolism. The porpuse of this research was to know the life style of congestive heart failure patients under out patient in RSUD dr. Slamet Garut 2016. Reserch methods used was a deskritive and the variable was patient’s life style. The population was whole of congestive heart failure patient. Using a purposive sampling method of the number of samples was 97 responden. The results shawed that most responden ( 54,6%) have a good life style, the majority of the respondents (54,6%) did activity/sport routine, almost all the respondents (79,4%) controlled their nutritional intake, most of respondents (75,3%) folowed the treatment, and almost all of respondents (80,4%) not smoke. It was expeeted to increase health promotion about healthy life style of activity/sports, nutritional intake, adherence to therapy and smoking about disease congestive heart failure.
Pengaruh Penanganan Flebitis dengan Lidah Buaya terhadap Penurunan Flebitis di RS Intan Husada Kurniawan Dewi Budiarti; Yiusep Subagja; Devi Ratnasari
Jurnal Medika Cendikia Vol 5 No 02 (2018): JURNAL MEDIKA CENDIKIA
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v5i02.86

Abstract

Providing intravenous therapy for a long time can cause complications. One of the most common complications is phlebitis. Commonly in hospital phlebitis is treated by giving warm compresses and giving alcohol. Aloe vera therapy is not common to treat phlebitis. The general purpose of this study was to determine the effect of phlebitis handling techniques with aloe vera on the reduction of phlebitis in RSIH in 2018. The research method used was quasy experiment, purposive sampling was taken, the number of samples was 14 respondents, data collection was done by observation sheet.The results of the average phlebitis level before treatment with aloe vera were 1.82 and the mean phlebitis level after treatment with aloe vera 1.04 at RSIH in 2018. Conclusion there is the effect of phlebitis treatment with aloe vera on phlebitis reduction in RSIH in 2018. It is suggested that the results of this study indicate a decrease in phlebitis levels in patients who have phlebitis using aloe vera, therefore the use of aloe vera can be included in SOP for phlebitis.
Konsep Diri Pada Komunitas Punk di Kabupaten Garut Zahara Farhan; Gingin Sugih Permana; Devi Ratnasari; Aas Astriani
Jurnal Medika Cendikia Vol 7 No 02 (2020): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v7i02.149

Abstract

Self concept is the core of a person's personality development pattern that affects a person's personality traits or personality which is divided into five aspects including; body image, self ideal, self esteem, self role and self identity (Hariyanto, 2013). Punk community is a social image of street children whose existence is considered unsettling for residents. One of the factors causing their entry into the street environment is the low level of education. The low level of education possessed by the punk community has an impact on the emergence of uncontrolled behavior resulting in aggressive behavior (Tentama, 2013). The general objective of this study was to determine the self concept of the punk community in Garut Regency in 2018. The research design was descriptive, data collection was carried out in the District of Garut Kota on 95 punk children with a total sampling technique. Data collection using questionnaires and direct interviews. Data analysis with frequency distribution based on the median value of each aspect of self concept. The results showed that almost all of the self concept in the punk community (73.68%) was positive and almost half (26.32) was negative. The results of research on each aspect of the self concept of punk community showed that the body image was mostly (67.37%) positive, the ideal self was mostly (60%) positive, the self esteem was mostly (72.63%) high, the self role was half (50.53%) was negative, and self identity was mostly (53.68%) negative. The punk community values ​​themselves positively and feels more confident about doing activities in their daily lives and is able to accept themselves as they are. The negative stigma from society does not become an obstacle for them to behave well. The self concept of punk community in Garut Regency generally has a positive self concept