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Pengaruh Diabetes Self Management Education (DSME) terhadap Resiko Terjadinya Ulkus Diabetik pada Pasien Rawat Jalan dengan Diabetes Mellitus (DM) Tipe 2 di RSD dr. Soebandi Jember (The Influence of Diabetes Self Management Education (DSME) to The Risk Alvinda yuanita; Wantiyah Wantiyah; Tantut Susanto
Pustaka Kesehatan Vol 2 No 1 (2014)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Type 2 Diabetes Mellitus (DM) is a glucose metabolism disorders caused by insulin resistance and impaired of insulin secretion and it can cause any chronic complications, such as diabetic ulcers. Diabetes Self Management Education (DSME) can facilitate patients’s knowledge, skills, and abilities for self-care to prevent diabetic ulcers. This research was intended to analyze the influence of DSME to the risk of diabetic ulcers on Type 2 DM outpatients. The research method was quasi experimental with pre-test and post-test with control group design and used consequtive sampling with 40 Type 2 DM respondents divided into 2 groups. Data were analyzed by using Paired T-test and Independent T-test with 95% of CI. The research results showed that P value of Paired T-test in experimental group is 0,000 and 0,015 in control group, while P value of Independent T-test was 0,001 (p < α ; α = 0,05). The conclusion of this research is there was an influence of DSME to reduce the risk of diabetic ulcers on Type 2 DM outpatients in dr. Soebandi Hospital Jember. It is suggested that nurses can provide DSME to prevent diabetic ulcers on Type 2 DM patients and using DSME as a health promotion program.   Keywords: diabetes mellitus, diabetic ulcers, DSME, self care
Pengaruh Open Suction System terhadap Kolonisasi Staphylococcus aureus pada Pasien dengan Ventilator Mekanik di Ruang Intensive Care Unit (ICU) RSD dr. Soebandi Jember (The Effect of Open Suction System on Staphylococcus aureus Colonization in Patients wi Rahma Yunita; Rondhianto Rondhianto; Wantiyah Wantiyah
Pustaka Kesehatan Vol 3 No 1 (2015)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Patients who are treated using mechanical ventilation is more prone to pnumonia nosocomial infection. It is the highest contributing symptoms to mortality found at the Intensive Care Unit (ICU). The bacteria which accounts for the infection is Staphylococcus aureus. One of the avaliable treatments for preventing the incidence of pneumonia nosocomial infection is using the Open Suction System. This research employed pre-experiment design and was set using the one group pretest-posttest design. The sampling collection technique used in this research was consecutive sampling. The statistical testing employed by this research was the dependent t-test. The result showed that the p value = 0,025 < α and t value = +3,177, indicating that there was significant effect of open suction system on the colonization of Staphylococcus aureus in patients with mechanical ventilation at intensive care unit RSD dr. Soebandi Jember. Open suction system could increase the colonization of Staphylococcus aureus with an average 33,33 CFU/ml. The result of this research helps to provide consideration in fixing the Standard Operating Procedure of open suction system in patients with mechanical ventilation at ICU because open suction system has better capability to prevent pneumonia nosocomial than closed suction system if applied with appropriate procedure Keywords: open suction system, mechanical ventilation, Staphylococcus aureus colonization.
Perbedaan Tingkat Kecacatan Klien Kusta yang Aktif dan Tidak Aktif Mengikuti Kegiatan Kelompok Perawatan Diri (KPD) di Kabupaten Jember (The Difference in Impairment Level of Leprosy Clients who were Active and Inactive participating Self Care Group ( S Frandita Eldiansyah; Wantiyah Wantiyah; Siswoyo Siswoyo
Pustaka Kesehatan Vol 4 No 2 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Leprosy is an infectious disease caused by Mycobacterium leprae due to problems quite complex involve physical, psychological, social, economic, cultural, and spiritual problems. Physical problems such as impairment experienced by clients leprosy generally occur in the feet, hands, and eyes. Self-care group is a group of leprosy patients who come together to support each other primarily in prevention and reduction disabilities, also to find solutions for problems related to leprosy. The aim of this research was to analyze the difference in impairment levels of leprosy clients who were active and inactive participating Self Care Group (SCG) activities in Jember. This research used historical cohort study. The sampling collection technique used was total sampling involving 44 individuals, divided into 23 active leprosy clients and 21 inactive leprosy clients who participate SCG. Data analysis used Mann Whitney U-test with the significance level of 95% (α = 0.05). The research result showed that the average value of the active leprosy clients in impairment degree was 0.83 while the impairment degree of the inactive leprosy clients was 2.57. Data analysis showed that there was significant difference in impairment levels of leprosy clients who were active and inactive in participate Self Care Group (SCG) activities in Jember (p value 0.042, α = 0.05). Nurses are expected to create new innovations in the implementation of the SCG to increase participation of leprosy client's in the activities of the SCG then the impairment of leprosy client can be prevented and treated. Keywords: Leprosy, Impairment levels, Self Care Group (SCG)
Pengaruh Teknik Relaksasi Afirmasi terhadap Stres Mahasiswa yang Menempuh Skripsi di Program Studi Ilmu Keperawatan Universitas Jember Rommiyatun Zainiyah; Erti Ikhtiarini Dewi; Wantiyah Wantiyah
Pustaka Kesehatan Vol 6 No 2 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i2.7781

Abstract

One of stressor in college students is taking a final project as a graduation requirement. The body'sresponse toward stress includes a rise of heart rate, diarrhea and insomnia. One of stressmanagement is affirmation relaxation (AR) technique. This research aimed to analyze the influenceof AR technique towards stress on students who take a final project in Faculty of Nursing, UniversityOf Jember. This research used a quasi experiment with Pretest-Post test approach and controlgroup design. Sampling technique that used is purposive sampling with respondent divided into twogroups, the treatment group and control group with 15 respondents for each group. Data wasanalyzed by using Dependent t test and Independent t test with 95% CI. The result showed thatthere was a significant difference stress before and after given AR technique within average 19,2 to10,87 (p = 0,001). Mean while, there was no significant difference of stress between pretest and posttest in control group within average 18,73 to 18,4 (p = 0,841). Overall, there was a difference ofstress between treatment group and control group (p =0,02, α = 0,05). The AR techniques reducestress because it can influence the sympathetic and parasympathetic nerves to produce endorphinehormone. The conclusion of this research is there was an influence of AR technique towards stresson students who Taking a Final Project in Faculty of Nursing University of Jember.Keywords: affirmation relaxation technique, stress, final project.
Hubungan Tingkat Pengetahuan Perawat dengan Tindakan Keperawatan pada Pasien Pasca Operasi dengan General Aenesthesia di Ruang Pemulihan IBS RSD dr. Soebandi Jember Riezky Dwi Eriawan; . Wantiyah; Anisah Ardiana
Pustaka Kesehatan Vol 1 No 1 (2013)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Knowledge comes from education, teaching, training and experience. The higher the education of a person, the knowledge level. Will be the knowledge is influential factor in performing a nursing actions, the better the knowledge of nurses the better the action taken by nurses in managing postoperative patients. The design of this research was study correlation with observational analytic study used cross sectional method. The sampling technique used was total sampling. Research sample in this study were 20 nurses in the recovery room, the the data analysis used chi-square statistical test with 95% Cl (α : 0.05) in get (p value : 0.005), these result indicate that p value is lower than the significant level (p <0.05), so there is a correlation between nurse’s knowledge level and nursing actions of postoperative patients with general anesthesia in the recovery room IBS RSD dr. Soebandi Jember. The result showed that 18 respondens (90%) nurses have a good knowledge and 18 respondens (90%) nurses have a good nursing action.Hopefully the leader of the room give support to the nurses in the recovery room so that nurses can improve and increase their knowledge and skills of nursing’ in managing postoperative patients. Keywords: Knowledge level, Nursing Action of Postoperative Patiens, General Anesthesia
Perbedaan Motivasi Siswa Usia 6-12 tahun dalam Upaya Pencegahan Tuberkulosis Paru di Daerah Prevalensi Tinggi dan Prevalensi Rendah di Kabupaten Jember (The Difference Levels of Motivation in 6-12 years-old Students Regarding Pulmonary Tuberculosis Prev Risha Putri Mahardika; Latifa Aini Susumaningrum; Wantiyah Wantiyah
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Pulmonary tuberculosis control is one of important aspect to decrease mortality in children. One of factors that influence health behaviors to prevent tuberculosis is motivation. This research aimed to analyze the difference levels of motivation in 6-12 year-old students regarding pulmonary tuberculosis preventions between high and low prevalence area at Jember. This research used comparative analytical study with cross sectional design. The subjects of this study were students aged 6-12 years old in elementary schools that located in high and low prevalence area. Samples were obtained by probability sampling technique with multistage random sampling revealed 129 students in high prevalence area and 107 students in low prevalence area. The data were gained by using questionnaire and analyzed by Mann Whitney with CI=95% and α=0,05. The results showed that in both areas more than half students had high motivation; 71 respondents (55%) in high prevalence area, and 71 respondents (66.4%) in low prevalence area. Furthermore, the result showed that there were difference levels of motivation in students aged 6-12 year-old regarding pulmonary tuberculosis preventions between high and low prevalence area at Jember (p value=0,000). Overall, every health care setting should give health education to improve public motivation in preventing pulmonary tuberculosis. Keywords: tuberculosis prevention, motivation, high prevalence, low prevalence
Pengaruh Pendidikan Kesehatan Metode Demonstrasi terhadap Tingkat Pengetahuan dan Motivasi Penggunaan Alat Pelindung Diri (APD) pada Petani Desa Wringin Telu Kecamatan Puger Kabupaten Jember (The Effect of Health Education of Demonstration Methods to the Sufyan Stauri; Wantiyah Wantiyah; Hanny Rasni
Pustaka Kesehatan Vol 4 No 1 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Knowledge and motivation are factors influencing the using of PPE for farmers to protect them from injured or disease due to chemical fertilizers, insects, worm, sunlight, sharp objects, grinding machines, etc. Health education by demonstration method is one of learning method purposed to improve knowledge and motivation of using PPE of farmers. The purpose of this research was to find out the effect of health education by demonstration method toward the levels of knowledge and motivation in using PPE of farmers in Wringin Telu village. This research was a quasy experiment with two groups pretest-posttest treatment design. The population was 875 farmers with 30 respondents as sample, conducted by purposive sampling, and divided into two groups: 15 respondents as treatment group and 15 respondents as control group. Data were analyzed used t- test dependent and t- test independent with 95% CI. The result showed that there were significant defferences of knowledge levels (k) and motivation (m) before and after health education by demonstration methode in treatment group (pVk: 0,000; pVm: 0,000;α: 0,05). Meanwhile, there were no defferences of knowledge levels (k) and motivation (m) in control group (pVk: 0,418; pVm: 0,467;α: 0,05). Moreover, there were significant defferences of knowledge level and motivation between treatment grup and control group after health education by demonstration methode (pVk: 0,000, pVm: 0,000;α: 0,05). Overall, health education by demonstration method can improve both knowledge levels and motivation of using PPE. It is recommended for nurses to do health education by demonstration method to improve knowledge level and motivation of using PPE for farmers when they are working on the field   Keywords: Health Education demonstration method, knowledge, motivation, personal protective equipment.
Pengaruh Pendidikan Kesehatan Metode Brainstorming dan Video terhadap Pengetahuan tentang Demam Berdarah pada Keluarga di Wilayah Kerja Puskesmas Puger Kabupaten Jember (The effect of Health Education Brainstorming Method and Video to the Knowledge about Mukhammad Syafi`udin; Wantiyah Wantiyah; Kushariyadi Kushariyadi
Pustaka Kesehatan Vol 6 No 1 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i1.6869

Abstract

The increasing cases of dengue hemorrhagic fever disease in both children and adults can beinfluenced by several factors. One of that influences increasing of dengue fever is lack of communityknowledge about dengue hemorrhagic fever. Brainstorming is a form of discussion to gather theinformation from all participants. This research was to find out the effect of health educationbrainstorming method and video toward knowledge of dengue fever in the work area of Puger PublicHealth Center the distric of Jember. This was a quasy experiment research with two groups pretestposttesttreatment design. The population were 88 families with 30 respondents as sample,conducted by simple random sampling, and divided into two groups 15 respondents as treatmentgroup and 15 respondents as control group. Treatment group got health education brainstormingmethod combined with video and control group got health education brace method. Data wereanalyzed used t-test dependent and t-test independent with 95% CI (α: 0,05). The result showedthere were significant differences of knowledge before and after in both treatment group and controlgroup (p: 0,000) and there were significant differences between treatment group and control afterhealth education (p: 0,001). Overall, health education by brainstorming method and can improveknowledge of dengue hemorrhagic fever. It is recommended for nurses to do health educationpreventation and treatment about dengue hemorrhagic fever to improve knowledge people.Keywords: health education brainstorming method and video, knowledge, dengue hemorrhagicfever
Pengaruh Range of Motion (ROM) Aktif Kaki terhadap Risiko terjadinya Ulkus Kaki Diabetik pada Pasien Diabetes Mellitus Tipe 2 di Desa Kaliwining Kabupaten Jember Yulfa Intan Lukita; Nur Widyati; Wantiyah Wantiyah
Pustaka Kesehatan Vol 6 No 2 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i2.7776

Abstract

Diabetic foot ulcer is one of serious complications in diabetic patients which can lead to amputation.Active Leg range of motion (ROM) exercise is one of physical activities which can improve bloodcirculation in lower extremities. The objective of this research was to analyze the effect of active legROM on the risk of diabetic foot ulcer. This research employed non randomized control group pretestpostest design. The sampling technique was purposive sampling involving 30 repondents whichwere divided into 15 respondents as intervention group and 15 respondents as control group. Thedata were analyzed using dependent t test and independent t test with significant level of 0.05. Theresult revealed a significant difference between pretest and posttest in the intervention group (p =0.000) but no significant difference in the control group (p = 0.582). Furthemore, independent t testshowed a significant difference between intervention group and control group (p = 0.000). This resultindicates that there is a significant effect of active leg ROM on the risk of diabetic foot ulcer in clientwith type 2 diabetes mellitus. Nurse is expected to apply range of motion as one of intervention toprevent diabetic foot ulcer in diabetes mellitus patients.Keywords: type 2 diabetes mellitus, active leg range of motion, risk of diabetic foot ulcer
UJI EFEK ANALGETIKA EKSTRAK RIMPANG TEMU KUNCI (Boesenbergia pandurata (Roxb.) Schlechter PADA MENCIT JANTAN GALUR SWISS Lina Winarti; Wantiyah Wantiyah
Majalah Obat Tradisional Vol 16, No 1 (2011)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.696 KB) | DOI: 10.22146/tradmedj.8019

Abstract

This research is conducted to evaluate analgetics effect of Boesenbergia pandurata (Roxb.) Schlechter extract using Witkin et al method. This method is conducted to see the elimination effect of pain after the administration of acetate acid by intraperitoneal injection to swiss furrow male mice. Pain effect by the administration of acetate acid causing stomach wall contraction, till the head and feet pulled rear and abdomen touch the cage room base. This symptom is named by writhing reflex and this symptom can be eliminated with an analgesic. Analysis was done by comparing the amount of writhe that happened after the giving of Boesenbergia pandurata (Roxb.) Schlechter extract with acetosal as positive comparator and aquadest as negative control. Writhing effect calculated during 30 minute after the administration of acetate acid by intraperitoneal injection. Boesenbergia pandurata (Roxb.) Schlechter extract between dose 15; 30 and 60 mg / kgBW have significant difference ( P<0.05). In the dose-effect relation it can be seen that more higher the dose give more higher effect. The amount of writhing in Boesenbergia pandurata (Roxb.) Schlechter extract dose 30 mg / kgBW not significantly differ with Acetosal, while Boesenbergia pandurata (Roxb.) Schlechter extract dose 15 mg / kgBW and 60 mg / kgBW have significant difference with Acetosal. Boesenbergia pandurata (Roxb.) Schlechter extract dose 15 mg / kgBB showing the amount of writhing larger than Acetosal and Boesenbergia pandurata (Roxb.) Schlechter extract dose 60 mg / kgBB has amount of writhing fewer than Acetosal. From the calculation of protection percentage administration significant difference between group. Boesenbergia pandurata (Roxb.) Schlechter extract dose 30 mg / kgBW and 60 mg / kgBW do not show significant difference with Acetosal. While from effectiveness percentage analysis also showing significant difference between group except Boesenbergia pandurata (Roxb.) Schlechter extract dose 30 mg / kgBW with Acetosal 130 mg / kgBW. So from overall of analysis resulting that analgetics activity of Boesenbergia pandurata (Roxb.) Schlechter extract start from dose 30 mg / kgBW have effective effect to reduce the pain induced with acetatic acid which equivalent with Acetosal as positive control. More great the dose give higher activity. From this research the dose of Boesenbergia pandurata (Roxb.) Schlechter extract 60 mg / kgBW have analgetics activity stronger than Acetosal