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KARAKTERISTIK PASIEN TB-MDR DI RSUD CILACAP PERIODE JANUARI - DESEMBER 2017 Kasron; Edhi Rahayu, Yuni Sapto; Sobirin
MEDIA ILMU KESEHATAN Vol 8 No 2 (2019): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: Cilacap General Hospital or RSUD Cilacap is a referral center for patients with multidrug resistance tuberculosis (MDR-TB) in western Central Java (Cilacap, Banyumas, Purbalingga, Brebes, Kebumen, Bumiayu, Banjarnegara). Until now there are still few reports on the characteristics of patients with MDR-TB in hospitalsObjective: To identify the characteristics of MDR TB patients in 2017, such as age, gender, education, working status, criteria suspected, treatment and comorbidities.Methods: This was quantitative research with descriptive design uses a survey approach with document analysis. The sampling technique was total sampling. Research subjects was 68 peoples. Data were analyzed using descriptive statisticResults: The age characteristics of patients 20-40 years 50%, women 58.8%, elementary education 42.6%, non-working 32.4%, suspected relapse criteria 42.6%, still under treatment 72.1% and no comorbidities 70.6%, with comorbid DM 22.1%, HIV 5.9%, CHF 1.5%Conclusion: The characteristics of MDR-TB patients in Cilacap General Hospital are half of patients aged 20-40 years, more than half of women, almost half have elementary school education, almost half do not work, almost half have suspected relapse criteria, most are still in the treatment process and most are not comorbid

PELATIHAN PROGRESSIVE MUSCLE RELAXATION (PMR) UNTUK MENINGKATKAN KUALITAS TIDUR PENDERITA HIPERTENSI DI MENGANTI KABUPATEN CILACAP Kasron, Kasron; Susilawati, Susilawati; Subroto, Wishnu
Jurnal EMPATI (Edukasi Masyarakat, Pengabdian dan Bakti) Vol 2, No 1 (2021): Jurnal Empati
Publisher : Universitas Muhammadiyah Gombong

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/empati.v2i1.508

Hypertension (HT) is a major risk factor for cardiovascular disease which is the leading cause of death in the world. HT is in the first rank as the most common disease due to lifestyle changes. Patients with HT may experience several signs and symptoms such as changes in the retina, headaches, dizziness, and difficulty breathing. HT can cause sleep dissorder. Poor sleep quality can have an effect on decreasing people's productivity. This community service was carried out in RW 10 in Menganti Village, where information was obtained that there were still many residents who did not know specific information about sleep quality and its management using the Progressive Muscle Relaxation (PMR) method. The service method is carried out by training, demonstrations about PMR. In this service, demonstrations about PMR were successfully carried out. The results obtained were that cadres and residents were able to know about sleep quality and were able to demonstrate PMR intervention. After this service was carried out, residents with sleep disorders began to be moved by the importance of sleep quality.

KARAKTERISTIK PASIEN TB-MDR DI RSUD CILACAP PERIODE JANUARI - DESEMBER 2017 Kasron; Yuni Sapto Edhi Rahayu; Sobirin
MEDIA ILMU KESEHATAN Vol 8 No 2 (2019): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v8i2.314

Background: Cilacap General Hospital or RSUD Cilacap is a referral center for patients with multidrug resistance tuberculosis (MDR-TB) in western Central Java (Cilacap, Banyumas, Purbalingga, Brebes, Kebumen, Bumiayu, Banjarnegara). Until now there are still few reports on the characteristics of patients with MDR-TB in hospitalsObjective: To identify the characteristics of MDR TB patients in 2017, such as age, gender, education, working status, criteria suspected, treatment and comorbidities.Methods: This was quantitative research with descriptive design uses a survey approach with document analysis. The sampling technique was total sampling. Research subjects was 68 peoples. Data were analyzed using descriptive statisticResults: The age characteristics of patients 20-40 years 50%, women 58.8%, elementary education 42.6%, non-working 32.4%, suspected relapse criteria 42.6%, still under treatment 72.1% and no comorbidities 70.6%, with comorbid DM 22.1%, HIV 5.9%, CHF 1.5%Conclusion: The characteristics of MDR-TB patients in Cilacap General Hospital are half of patients aged 20-40 years, more than half of women, almost half have elementary school education, almost half do not work, almost half have suspected relapse criteria, most are still in the treatment process and most are not comorbid

PENGARUH SPIRITUAL EMOTIONAL FREEDOM TEHNIQUE (SEFT) TERHADAP KUALITAS TIDUR PENDERITA HIPERTENSI DI CILACAP SELATAN Kasron Kasron; Susilawati susilawati
Viva Medika Vol 10 No 2 (2017)
Publisher : Universitas Harapan Bangsa Purwokerto

Introduction Patients with hypertension patients can have sleep disorders such as dizziness or headache, feeling tired during the day, anxiety, decreasing concentration and irritability. This study aimed to evaluate the effect of spiritual emotional freedom tehnique (SEFT) and progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. Method The research used quasi-experiment with two group pre-post test group. Respondents were patients with hypertension in South Cilacap City, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done SEFT and PMR regularly for 7 days. the exclusion criteria was patients with impaired osteoarthritis and rheumatoid arthritis. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions SEFT. Statistic analysis used Mann-Whitney test. 32 respondents included in the criteria. Result The quality of sleep before treatment SEFT was 7 people (43.8%) poor, 9 people (56.3%) very bad. After treatment SEFT was 4 people (25%) rather good, 12 people (75%) less good. The quality of sleep before treatment PMR was 7 people (43.8%) poor, 9 people (56.3%) very bad. After treatment PMR was 3 people (18.8%) rather good, 13 people (81.3%) less good. The analysis shown the sleep quality was difference between SEFT and PMR after intervention with p-value 0.002. Discussion The study shows there is difference between SEFT and PMR after intervention in hypertensive patients in South Cilacap. SEFT and PMR can be used to improve the sleep quality of hypertensive patients.

Teknik Berjalan 6 Menit Untuk Pencegahan dan Penurunan Tekanan Darah pada Warga di RW 10 Menganti Kabupaten Cilacap: Kasron, Susilawati, Wishnu Subroto Kasron kasron
JURNAL PENGABDIAN MASYARAKAT AL-IRSYAD (JPMA) Vol. 1, No. 1, April 2019
Publisher : JURNAL PENGABDIAN MASYARAKAT AL-IRSYAD (JPMA)

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

Hipertensi merupakan faktor penyebab utama kematian dunia. Pengobatan penyakit hipertensi tidak hanya menggunakan pengobatan modern, namun dapat menggunakan pengobatan alternatif. Pengendalian hipertensi sangat penting dilakukan untuk mencegah komplikasi. Pengabdian kepada masyarakat ini dilakukan di RW 10 Desa Menganti, dimana kader belum mengetahui informasi khusus tentang hipertensi, penyebab, komplikasi, pencegahan dan penatalaksanaannya. Tujuan dari pengabdian masyarakat ini adalah meningkatkan pengetahuan dan keterampilan kader dan warga tentang hipertensi, penyebab, komplikasi, pencegahan dan penatalaksanaannya.Meningkatkan kemampuan kader dan warga tentang upaya terapi aktifitas berjalan 6 menit untuk menjaga tekanan darah tetap stabil serta untuk menurunkan tekanan darah pada warga yang mengalami hipertensi. Metode kegiatan bertahap dengan: 1) Meningkatkan pengetahuan kader. 2) Meningkatkan pengetahuan dan keterampilan warga 3) Simulasi praktek berjalan 6 menit 4) Evaluasi hasil praktik berjalan 6 menit. Hasil kegiatan ini adalah peningkatan pengetahuan dan keterampilan kader dan warga tentang tentang hipertensi, penyebab, komplikasi, pencegahan dan penatalaksanaannya. Harus sering dilakukan pelatihan tentang pencegahan dan penatalaksanaan hipertensi untuk kader dan warga.

The Effect Of Progressive Muscle Relaxation On Sleep Quality In Patients With Hypertension In South Cilacap City KASRON KASRON; SUSILAWATI SUSILAWATI
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 3, No 2 (2017): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.3.2.20-28

Introduction : Patients with hypertension patients can have sleep disorders such as dizziness or headache, feeling tired during the day, anxiety, decreasing concentration and irritability. This study aimed to evaluate the effect of progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. Method : The research used quasi-experiment with pre-post test without control group. Respondents werw patients with hypertension in South Cilacap City, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done PMR regularly for 7 days, and the exclusion criteria was patients with impaired osteoarthritis and rheumatoid arthritis. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions PMR. Statistic analysis used wilcoxon test. 16 respondents included in the criteria. Result : The quality of sleep before treatment PMR was 7 people (43.8%) poor, 9 people (56.3%) very bad. After treatment PMR was 3 people (18.8%) rather good, 13 people (81.3%) less good. The analysis shown the sleep quality was difference between before and after PMR with p-value <0.001. Discussion : The study shows there is difference between before and after PMR in hypertensive patients in South Cilacap. PMR can be used to improve the sleep quality of hypertensive patients.

PERBANDINGAN SPIRITUAL EMOTIONAL FREEDOM TEHNIQUE DAN PROGRESSIVE MUSCLE RELAXATION TERHADAP KUALITAS TIDUR PENDERITA HIPERTENSI DI CILACAP SELATAN Kasron Kasron
JURNAL KESEHATAN POLTEKKES KEMENKES RI PANGKALPINANG Vol 6, No 1 (2018): JKP JUNI 2018
Publisher : Poltekkes Kemenkes Pangkalpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32922/jkp.v6i1.46

Patients with hypertension patients can have sleep disorders such as dizziness or headache,. This study aimed to evaluate the effect of spiritual emotional freedom tehnique (SEFT) and progressive muscle relaxation (PMR) on sleep quality in patients with hypertension in South Cilacap City. The research used quasi-experiment with two group pre-post test group. Respondents were patients with hypertension, with the criteria forthose who were active in health care programme, able to perform independent activities, consume of anti-hypertensive drugs, have done SEFT and PMR regularly for 7 days. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality twice, before and 7 days after interventions SEFT. Statistic analysis used Mann-Whitney test. 32 respondents included in the criteria. The quality of sleep before treatment SEFT was 43.8% poor, 56.3% very bad. After treatment SEFT was 25% rather good, 75% less good. The quality of sleep before treatment PMR was 43.8% poor, 56.3% very bad. After treatment PMR was 18.8% rather good, 81.3% less good. The analysis shown the sleep quality was difference between SEFT and PMR after intervention with p-value 0.002. The study shows there is difference between SEFT and PMR after intervention in hypertensive patients in South Cilacap

PEMBERDAYAAN KADER DALAM UPAYA PENINGKATAN PRODUKSI ASI DENGAN KOMPRES HANGAT DI DESA MENGANTI KABUPATEN CILACAP Susilawati Susilawati; Kasron Kasron
Jurnal Pengabdian Masyarakat Kebidanan Vol 3, No 1 (2021): Jurnal Pengabdian Masyarakat Kebidanan
Publisher : Jurnal Pengabdian Masyarakat Kebidanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jpmk.v3i1.6859

Air Susu Ibu (ASI) merupakan makanan yang pertama, utama, dan terbaik bagi bayi, yang bersifat alamiah yang dibutuhkan dalam proses pertumbuhan dan perkembangan bayi. Produksi ASI yang sedikit menjadi penyebab paling sering kegagalan dalam menyusui. Peran serta kader masyarakat terhadap upaya menyusui masih kurang, dengan menganggap jika bayi sudah minum susu baik ASI maupun formula maka ibu tidak perlu meningkatkan ASInya. Tujuan pengabdian ini untuk meningkatkan pengetahuan dan keterampilan kader dan ibu menyusui tentang ASI dan produksi ASI dengan kompres hangat di Desa Menganti. Metode pengabdian ini dilakukan dengan tahapan kegiatan sebagai berikut: 1) Pemberian materi dan demonstrasi kompres hangat, 2) Simulasi praktek kompres hangat untuk meningkatkan produksi ASI 3) Evaluasi hasil praktik dan cek-list ASI. Adapun mitra dalam pengabdian ini adalah kader, warga dan ibu menyusui. Hasil pengabdian ini adalah kader, warga dan ibu menyusui paham dengan keterampilan kompres hangat dan produksi ASI pada ibu menyusui meningkat. Kesimpulan harus sering dilakukan pelatihan tentang upaya peningkatan produksi ASI untuk kader, warga dan ibu menyusui.

Pengaruh Interdialytic Weight Gain (IDWG) dan Besar Ultrafiltrasi dengan Kejadian Intradialytic Hypertension (IDH) pada Pasien Chronic Kidney Disease (CKD) yang Menjalani Hemodialisis Rutin di RS Islam Fatimah Cilacap Kasron Kasron; Susilawati Susilawati
JURNAL AKADEMI KEPERAWATAN HUSADA KARYA JAYA Vol 3, No 2 (2017): JAKHKJ September 2017
Publisher : Akademi Keperawatan Husada Karya Jaya Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3455.174 KB)

Hipertensi intradialitik (HID) merupakan salah satu komplikasi pada pasien Chronic Kidney Disease (CKD) yang menjalani hemodialisis. Perubahan berat badan dan besar ultrafiltrasi mempengaruhi jumlah cairan yang ada dalam tubuh pasien. Tujuan penelitian ini adalah mengetahui pengaruh interdialytic weight gain dan besar ultrafiltrasi dengan kejadian intradialytic hypertension pada pasien chronic kidney disease (CKD) yang menjalani hemodialisis (HD) rutin. Metode penelitian menggunakan deskriptive analitic dan desain korelasi. Responden adalah pasien CKD yang menjalani HD, pemilihan responden menggunakan dengan purposive sampling, dengan kriteria penderita menjalani HD rutin 2 kali seminggu, usia lebih 18 tahun, mengkonsumsi obat antihipertensi, kadar Hb normal, pengukuran tekanan darah menunjukan HID. Analisis statistik menggunakan Chi-Square test. Sejumlah 57 responden memenuhi kriteria penelitian. Responden dengan IDWG lebih dari 2 kg sebesar 66,7%, dan besar ultrailtrasi lebih dari 2 liter sebesar 68,4%. Hasil analisis menunjukan bahwa tidak terdapat pengaruh antara IDWG dan besar ultrafiltrasi dengan kejadian HID dengan p-value 0,393 dan 0,268. Penelitian menunjukan tidak terdapat terdapat pengaruh antara IDWG dan besar ultrafiltrasi dengan kejadian HID pada pasien CKD yang menjalani HD rutin di RS Islam Fatimah Cilacap. Perlu tetap adanya evaluasi terhadap IDWG dan besar Ultrafiltrasi pada pasien CKD yang menjalani hemodialisis. Serta perlunya penelitian lanjutan tentang faktor lain yang mempengaruhi kejadian HID untuk faktor-faktor yang belum diteliti. Kata kunci: CKD, Hemodialisis, IDWG, Intradialytic Hypertension, Ultrafiltrasi.

Pijat Kaki Efektif Menurunkan Foot Edema pada Penderita Congestive Heart Failure (CHF) Kasron Kasron
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 2 No. 1 (2019): Mei 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Oedema kaki merupakan salah satu gejala pada pasien CHF. Oedema kaki dapat menyebabkan penurunan kualitas hidup, ketidaknyamanan, perubahan postur tubuh, menurunkan mobilitas dan meningkatkan resiko jatuh, gangguan sensasi di kaki dan menyebabkan perlukaan di kulit. Tujuan penelitian untuk mengetahui pengaruh pijat kaki terhadap penurunan oedema kaki pada pasien CHF. Metode penelitian menggunakan quasi-experiment dengan pendekatan pre-post test without control group. Responden penelitian adalah pasien CHF yang mengalami oedema kaki, pemilihan responden menggunakan non-probability sampling dengan metode accidental sampling. Responden diukur lingkar oedema pada lingkar angkle, instep dan MP-Joint menggunakan metline pada sebelum intervensi, hari pertama, kedua dan ketiga. Analisis statistik menggunakan wilcoxon test. Sejumlah 13 responden memenuhi kriteria penelitian. Pada kaki kanan lingkar angkle pre: 27,7±1,8, post 1: 27,6±1,8, post 2 27,5±1,7, post 3: 27,2±1,7, lingkar instep pre: 27,6±1,7, post 1: 27,6±1,8, post 2: 27,2±1,7, post 3: 26,9±1,7, lingkar MP-joint pre: 27,0±1,6, post 1: 27,0±1,6, post 1: 27,0±1,6, post 2: 26,7±1,7, post 3: 26,3±1,7. Kaki kiri lingkar angkle pre: 27,6±1,8, post 1: 27,6±1,8, post 2: 27,3±1,8, post 3: 27,0±1,8, lingkar instep pre: 27,6±1,7, post 1: 27,5±1,7, post 2: 27,2±1,7, post 3: 26,8±1,7, lingkar MP-joint pre: 27,0±1,6, post 1: 26,9±1,8, post 2: 26,5±1,8, post 3: 26,2±1,8. Hasil analisis menunjukan bahwa terdapat perbedaan yang bermakna lingkar oedema pada kaki kanan setelah hari kedua dan ketiga dengan p-value <0,001. Kesimpulan penelitian adalah terdapat perbedaan lingkar oedema angkle, instep, dan MP-joint pada hari kedua dan ketiga setelah pemijatan kaki pada pasien CHF yang mengalami oedema kaki. Perlu penelitian lanjutan untuk penatalaksanaan oedema kaki pada pasien CHF yang mengalami oedema kaki.

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