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PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI BERBASIS TERAPI PIJAT REFLEKSI KAKI Chanif -; Khoiriyah -
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2017: PROSIDING IMPLEMENTASI PENELITIAN PADA PENGABDIAN MENUJU MASYARAKAT MANDIRI BERKEMAJUAN
Publisher : Universitas Muhammadiyah Semarang

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Hypertension or high blood pressure is a vascular disorder that results in the supply of oxygen and nutrients carried by the blood to the tissues of the body is inhibited. Hypertension is a major cause of heart failure, stroke, kidney failure. About 20% of the adult population has hypertension, over 90% of them suffer from primary hypertension. Several factors can cause hypertension are lifestyle with the wrong diet, gender, physical exercise, food, stimulants (substances that speed up the body's functions) as well as stress. A wide variety of relaxation techniques already developed one of which is to provide therapeutic foot reflexology.The purpose of this study was to analyze the effectiveness of foot reflexology massage therapy on blood pressure in hypertensive patients in Semarang. The design used in this research is the "Quasi-experimental design in two groups using a foot reflexology massage therapy in intervention group. The number of samples in this study is adult patients with primary hypertension were male sex as many as 11 patients each group.Based on the test results of pair t-test showed that there were significant differences in systolic blood pressure, diastolic and MAP on the treatment before and after administration of therapeutic foot reflexology for 30 minutes (p value = 0:00). The hipothesis test betwen two groups using independent t-test showed that there was significant differences in systolik, diastolic and MAP blood pressure betwen intervention and control group (p value = 0:00). This study recommended to patients and families, especially in the treatment of hypertensive patients in the home to prevent the complications of hypertension. Keywords ; hypertension, foot reflexology massage, blood pressure

THE ACCUMULATING EFFECT OF FOOT MASSAGE IN RELIEVING ACUTE POSTOPERATIVE PAIN IN INDONESIAN PATIENTS AFTER ABDOMINAL SURGERY Chanif -; Mustofa - A
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2014: PROSIDING SEMINAR NASIONAL HASIL - HASIL PENELITIAN & PENGABDIAN
Publisher : Universitas Muhammadiyah Semarang

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Foot massage is a non-pharmacological nursing intervention that can be used as acomplementary therapy in relieving acute postoperative pain in patients after abdominal surgery.This study aimed to examine the accumulating effects of foot massage in relieving acutepostoperative pain. Twenty patients after abdominal surgery were selected as subjects. Five hours and sevenhours after patients had received Ketorolac 30 mg injection IV, the 30-minute foot massage wasapplied to the experimental group for two sessions on the first day (24-48 hours) afterabdominal surgery. A Visual Numeric Rating Scale (VNRS) was used to measure the pain score. Pain intensity and pain distress were measured across four time measures: at T1 (beforegiving the first session of foot massage), T2 (30 minutes after T1), T3 (120 minutes after T1 orbefore giving the second session of foot massage), and T4 (150 minutes after T1 or 30 minutesafter T2). Data were analyzed using non parametric tests including the Wilcoxon match pairedrank test and Friedman’s test. The findings revealed that both the pain intensity scores and the pain distress scores inafter receiving foot massage (T2 and T4) were lower than those of before receiving the footmassage (T1 and T3) (p<.001). The scores stepped down and the lowest scores were at T4.These findings confirm that foot massage did work in reducing pain intensity and pain distressacross times.Keywords: foot massage, pain intensity, pain distress, abdominal surgery.

PAIN MANAGEMENT IN THE CRITICAL ILL PATIENTS WITH MECHANICAL VENTILATOR: A Literature review Chanif -
Jurnal Keperawatan Medikal Bedah Vol 1, No 1 (1): Jurnal Keperawatan Medikal Bedah
Publisher : Jurnal Keperawatan Medikal Bedah

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Pain is the most common experiences and stressors in the critically ill patients, because many sources of pain are present in critical care settings, such as acute illness, surgery, trauma, invasive equipment, nursing and medical interventions. Poor treatment of acute pain may lead to the development of serious complications which may seriously impact the patient’s functioning, quality of life, and well being. The critical nurse must understand the mechanisms, assessment, and appropriate intervention in managing pain. This study aim to describe pain experienced by critical ill patients, identify contributing factors of pain experience, the appropriate pain assessment tools among critically ill patients and critically analyze existing of evidence based interventions tomanage pain among critical ill patients with mechanical ventilator. The authors conducted a comprehensive systematic search of published literature, articles, journals related to pain management in critical ill patients. Pain in the critically ill patients difficult to assess and manage. There are many sources of pain in the critical care setting, and the effect of unrelieved pain have a significant impact on the patient’s recovery. When possible, the patient’s self-report of pain must be obtained. When the patient’s self-report is not available, behavioral indicators represent alternative measure of pain assessment (e.g., BPS, COPT) have been developed for assessment of pain in the critically ill mechanically ventilated population. Both pain management pharmacologic andnonpharmacologic can be used together in relieving pain. Using pharmacologic alone may not fully relieve all aspects of pain. Keyword: Pain management, critical patients, mechanical ventilator

EVIDENCE-BASED OF PAIN MANAGEMENT IN POSTOPERATIVE PATIENTS A CASE STUDY Chanif -
Jurnal Keperawatan Medikal Bedah Vol 1, No 2 (2013): Jurnal Keperawatan Medikal Bedah
Publisher : Jurnal Keperawatan Medikal Bedah

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Pain is the main reason encountered by hospitalized patients in general and surgical patients in particular. Postoperative pain is caused by tissue damage as a consequence of the surgical procedure. Nurse has role to control and relieve of acute postoperative pain. This study aim to describe the level of acute postoperative pain and influencing factors among the surgical patients, and evaluate the outcomes of evidence based practice interventions in relieving acute postoperative pain. Four patients who underwent surgery, cooperative, able to communicate and follow up for at least three days were selected as a subject. The DDQ and NRS were used to collect the data. The findings showed that the pain score decreased after subject received pain management intervention both pharmacologic and nonpharmacologic. Pain medication alone is not effective; they need non-pharmacologic approach as well. This study recommended both pain management pharmacologic and non-pharmacologic can be used together in relieving acute postoperative pain. To improve of knowledge, in clinical setting particularly in surgical ward, nurses have to try to apply the evidence based in managing pain.

EFEKTIFITAS TERAPI PIJAT REFLEKSI KAKI UNTUK MENURUNKAN STRES PSIKOLOGIS PASIEN YANG DIRAWAT DI INTENSIF Chanif -; Mariyam -
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2015: Prosiding Bidang MIPA dan Kesehatan The 2nd University Research Colloquium
Publisher : Universitas Muhammadiyah Semarang

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Intensif care unit are used by patients undergoing treatment program critical to get healing. The most of them experience psychological stress, both physical and psychological stress. This study aimed to compare the psychological stress in the experimental group before and after foot reflexology massage therapy using the control group. This study using quasi-experimental design using control group. Twenty critically ill patients undergoing intensive treatment chosen as sample. Sample criteria include adult conscious patients, males aged 18-60 years with and can communicate verbally. Data collection used instrument Depression Anxiety Stress Scale 42 (DASS 42) from Lovibond and Lovibond (1995). Results Matched-Pair Wilcoxon Signed Rank Test p value = 0:05, it means that there are differences in psychological stress scores in the treatment group after getting a foot reflexology massage therapy treatment for 30 minutes. Mann-Whitney test results obtained value of p = 0.317, it means that there are no significant differences in psychological stress scores between the experimental group and the control group. The existence of psychological stress that is not get attention and appropriate treatment, will have an impact on the longer treatment time, higher maintenance costs and loss of productivity of patients. It will also worsen the general condition of the patient. So that it requires the existence of stress management for critically ill patients who are undergoing treatment in the intensive care. Foot reflexology massage therapy became one of the alternatives that can be applied directly to the patient that does not cause adverse impact compared to using drugs.Keywords: foot reflexology, stress psychologic, intensive care.

PENINGKATAN KUALITAS KESEHATAN MASYARAKAT MELALUI JASA LAYANAN KESEHATAN HOLISTIK ON DELIVERY FAKULTAS ILMU KEPERAWATAN DAN KESEHATAN UNIVERSITAS MUHAMMADIYAH SEMARANG Edy Soesanto; Chanif -; Bambang Supradono
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2014: PROSIDING SEMINAR NASIONAL HASIL - HASIL PENELITIAN & PENGABDIAN
Publisher : Universitas Muhammadiyah Semarang

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Program kesehatan harus mampu membangkitkan peran serta individu, keluarga dan masyarakat sedemikian rupa sehingga setiap individu, keluarga dan masyarakat dapat menolong dirinya sendiri. Berpijak dari kebutuhan masyarakat tersebut, Fakultas Ilmu Keperawatan dan Kesehatan Universitas Muhammadiyah Semarang (FIKKES UNIMUS)mengembangkan layanan JLKH On Delivery yang berorientasi pada perawatan kesehatan holistik yang dilakukan di rumah. Usaha ini diupayakan mensinergikan hasil penelitianpenelitian dosen di bidang kesehatan, sarana yang dimiliki FIKKES, kolaburasi antar fakultaslain di UNIMUS dan melibatkan mahasiswa sebagai sarana berlatih memberikan pelayanan kesehatan di rumuah bagi masyarakat. Dengan dukungan teknologi informasi diharapkan usaha ini memungkinkan perawatan kesehatan yang bergerak (mobile) yang akan membantu dalam efektifitas dan efisiensi proses bisnis asuhan keperawatan. Upaya ini dihadirkan untuk memberikanbentuk usaha kreatif dan inovatif bagi kampus yang nantinya dapat menjadi muara income generator bagi universitas. JLKH On Delivery FIKKES UNIMUS diharapkan mampu untuk memenuhi kebutuhan masyarakat akan paripurnanya perawatan kesehatannya. Selain itu hal ini akan sangat menguntungkan masyarakat karena lebih efektif, efisien, dan terjamin karena di kelola dan dijalankan oleh tenaga-tenaga professional. Tentunya usaha ini juga dapat memberikan solusi biaya layanan kesehatan yang murah dan memenuhi 97 % keinginan masyarakat akan hadirnya layanan kesehatan di rumah dan dalam suasana kekeluargaan bagi masyarakat umum. Selain itu JLKH On Delivery di rumah membantu penderita kasus terminal, yakni kondisi penyakit yang dianggap tidak punya harapan lagi (dari sisi medis) dan tidak diterima di RS manapun. Secara lebih luas JLKH On Delivery FIKKES UNIMUS diupayakan dapat membantu pemerintah dalam meningkatkan derajat kesehatan masyarakat dan tingkat harapan hidup masyarakat

OPTIMALISASI UKS DALAM PENANGANAN KEGAWATDARURATAN DI SEKOLAH MELALUI PELATIHAN KEGAWATDARURATAN DASAR Chanif -; Maryam -; Sri Widodo
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2015: Prosiding Bidang MIPA dan Kesehatan The 2nd University Research Colloquium
Publisher : Universitas Muhammadiyah Semarang

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The Position of red cross personnel in school trained in prehospital stage in an integrated system of emergency response (SPGDT) has a very strategic position. The victim's condition requiring the airway clear, adequacy of pulmonary ventilation, blood circulation is good and avoid further bleeding and protected from disability becomes an important point that a first helper must have an adequate scientific basis on skills Patient Emergency Response. The school is one of the educational institution as a place to learn the students gain knowledge. Various circumstances in the school environment could trigger the arrival of emergency medical service that can not be estimated time for example a storied school building, a slippery floor can be at risk of risk of injury. It is necessary a safe community concept in the school environment such as in SMA 1 and SMK Muhammadiyah Semarang. This study aims to describe the knowledge of emergency first aid in members of the red cross at each school. The methodology in this study is descriptive study with number of subject is 44. Result of the study showed that the average score of knowledge before and after is 46 and 63 respectively. If members of red cross dealing with emergency cases of trauma and non-trauma or in the school environment should be able to provide first aid by using the steps appropriate action. To achieve this, the participants were given training First Emergency Aid Course (EFAC), basic emergency equipment procurement tool in each school and development activities in a sustainable manner.Key words: Training, emergency first aid course, red cross

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