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PENGARUH PROGRESSIVE MUSCLE RELAXATION TERHADAP KUALITAS NYERI PASIEN KANKER PAYUDARA DENGAN KEMOTERAPI DI RSUD ARIFIN ACHMAD Didi Kurniawan; Reni Zulfitri; Ari Pristiana Dewi
Jurnal Ners Indonesia Vol 10, No 1 (2019): SEPTEMBER 2019
Publisher : Fakultas Keperawatan, Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.026 KB) | DOI: 10.31258/jni.10.1.61-70

Abstract

Nyeri merupakan keluhan paling sering terjadi pada pasien kanker. Nyeri pada kanker payudara terjadi karena kerusakan ujung-ujung saraf reseptor akibat adanya peradangan atau terjepit oleh pembengkakan. Penanganan nyeri kanker membutuhkan terapi non farmakologis yang efisien dan mudah diterapkan, salah satunya yaitu Progresive Muscle Relaxation (PMR). Penelitian pre-ekperimental ini menggunaan desain one group pre test - post test. Sampel penelitian ini adalah pasien kanker payudara yang menjalani kemoterapi di ruang Dahlia RSUD Arifin Achmad Provinsi Riau periode perawatan bulan Januari sampai Maret 2019 sebanyak 20 responden yang dipilih dengan teknik purposive sampling sesuai dengan kriteria inklusi. Pengumpulan data diperoleh secara langsung dari responden dengan menggunakan alat ukur Comparative Pain Scale (CPS). Analisis data melalui dua tahapan, yaitu univariat dan bivariat dengan menggunakan uji t-dependen. Hasil penelitian didapatkan nilai rata-rata skala nyeri kanker payudara sebelum diberikan intervensi adalah 6,50 dan nilai rata-rata sesudah diberikan intervensi adalah 1,35. Hasil analisis bivariat menunjukan bahwa t = 17,596 dan p-value = 0,001 sehingga terdapat pengaruh intervensi PMR terhadap kualitas nyeri kanker payudara dengan kemoterapi. PMR disarankan dapat digunakan sebagai terapi nonfarmakologis untuk menurunkan nyeri yang dialami pasien kanker payudara
Pengendalian Hipertensi Lansia dengan Program Merona Didi Kurniawan; Etty Rekawati; Junaiti Sahar
Jurnal Kesehatan Komunitas Vol 7 No 3 (2021): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol7.Iss3.1028

Abstract

Hypertension is a silent killer is the most common health problem experienced by the elderly. Control of hypertension in the elderly is very necessary to reduce complications of hypertension. Based on these conditions, the MERONA Program was developed. The purpose is to provide an overview of the implementation of the blush program in the elderly with hypertension. The method used is a family case study and an aggregate using a family and community nursing process approach involving 10 foster families and 60 elderly people in the community selected using cluster random sampling. This program is an integration of hypertension self-management and relaxation therapy, namely music therapy, progressive muscle relaxation, and deep breathing relaxation which is carried out for 12 weeks. Evaluation of changes in behavior and family independence was carried out at the end of the 12th week using a questionnaire. Blood pressure measurements were carried out at weeks 4, 8, and 12. The results of the implementation were an increase in the behavior of the elderly, an increase in the level of family independence, and a significant decrease in systolic and diastolic blood pressure (p<0.05). The MERONA program is recommended to be applied in community health services.
PEMBERDAYAAN KELUARGA DALAM DAN PENCEGAHAN DEMAM BERDARAH DI KELURAHAN SRI MERANTI Arneliwati Arneliwati; Aminatul Fitri; Herlina Herlina; Ari Rahmat Aziz; Didi Kurniawan; Reni Zulfitri; Musfardi Rustam; Nopriadi Nopriadi
Jurnal Pengabdian Masyarakat Putri Hijau Vol 3 No 1 (2022): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v3i1.1139

Abstract

This study aims to see an increase in family knowledge, attitudes, and actions in the prevention of Dengue Hemorrhagic Fever (DHF) after socialization of family empowerment on the prevention of Dengue Hemorrhagic Fever in RW 12, Sri Meranti Village and training and education on mosquito eradication by examining larvae and spreading abate powder. The research design used a quasi-experimental pre- and post-test design on 50 respondents in the RW 12 area of Sri Meranti Village. This study used a questionnaire instrument. Test analysis using dependent T test analysis. The results showed a significant difference between family knowledge before and after being given counseling related to Dengue Hemorrhagic Fever with a p Value of 0.00. It is hoped that families will apply the knowledge they have gained in socialization, with the hope that dengue cases will decrease or even disappear. Keywords: Dengue Fever, Family Empowerment, , Family Knowledge
Sekolah siaga Covid-19: Metode 3T+3M-3K sebagai upaya pencegahan Covid-19 di sekolah Kelurahan Tobek Godang Herlina Herlina; Reni Zulfitri; Agrina Agrina; Arneli Arneli; Didi Kurniawan
Unri Conference Series: Community Engagement Vol 4 (2022): Seminar Nasional Pemberdayaan Masyarakat
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/unricsce.4.157-163

Abstract

Covid-19 is an infectious disease that causes respiratory problems and pneumonia. These symptoms can affect anyone, including school-age children. The need for prevention efforts by implementing health protocols with 3T (Test, Trace, and Treat); do the 3M (wear a mask, keep your distance, wash your hands); and avoid 3K (close contact, crowds, and closed rooms/spaces) as an effort not to be infected with covid 19. The purpose of this service is the establishment of a Covid 19 alert school as an effort to increase knowledge and behavior of students, teachers and the community in implementing health protocols for the prevention of covid 19 at school. The method used is the formation of Covid -19 cadres, education, training about covid-19 and prevention of covid-19 with the 3T + 3M - 3K Method. The result of this activity is the formation of a covid 19 alert school, cadres (students and teachers) who are trained in implementing and becoming role models for students and teachers as well as the community in the application of 3T + 3M - 3K with post-test results increasing by 80% in each activity and activity. outside the house residents use 3M, avoid 3K.
IMPLEMENTASI TERAPI SEKITAR (SENAM KAKI DIABETES DAN MUROTTAL AL-QUR’AN) PADA KLIEN DENGAN DIABETES MELITUS Siti Jamariah; Didi Kurniawan; Cucup Pradila
Serulingmas Health Journal Vol. 3 No. 1 (2023): Juni
Publisher : Stikes Serulingmas Cilacap

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

Abstract

Proses penuaan pada lansia berdampak pada perubahan fisik. Penurunan sistem organ yang dapat menimbulkan penyakit degeneratif salah satunya Diabetes Melitus. Nenek S (65 tahun) menderita Diabetes Melitus tipe 2 dengan GDS 400 mg/dL, gejala hiperglikemia, polifagia, polidipsia, dan poliuria. Diagnosa keperawatan berdasarkan hasil pengkajian yaitu ketidakstabilan kadar glukosa darah dan resiko jatuh. Intervensi yang dilakukan berdasarkan panduan SLKI & SIKI adalah manajemen hiperglikemia dan pencegahan cedera ditambah dengan terapi non farmakologis Senam Kaki Diabetes dan Murrotal Al-Qur’an. Penelitian terkait membuktikan bahwa Senam Kaki Diabetes dan Murrotal Al-Qur’an. terbukti efektif dalam penurunan kadar gula darah pada pasien Diabetes Melitus tipe 2. Nenek S diberikan Senam Kaki Diabetes dan Murrotal Al-Qur’an selama 30 menit dalam 3 hari berturut-turut. Pada pelaksanaan terapi dilakukan pretest dan posttest untuk memonitoring kadar serta membandingkan hasilnya. Hasil implementasi dan evidence based practice selama 3 kali pertemuan menunjukkan penurunan kadar gula darah. Rata-rata kadar gula darah sebelum terapi yaitu sebesar 440 mg/dL dan setelah dilakukan terapi sebesar 387.67 mg/dL. Setelah dilakukan implementasi, Nenek S merasa lebih rileks, tenang dan otot-otot kaki lebih nyaman untuk digerakkan, serta rasa kesemutan dan kebas pada kakinya berkurang setelah pemberian terapi. Oleh karena itu, terapi Senam Kaki Diabetes dan Murrotal Al-Qur’an dapat direkomendasikan pada pasien Diabetes Melitus tipe 2 untuk penurunan kadar gula darah.
Experience of Women of Reproductive Age in Early Detection of Cervical Cancer Through IVA Examination Gita Permata Mulya; Masrina Munawarah Tampubolon; Didi Kurniawan
JETISH: Journal of Education Technology Information Social Sciences and Health Vol 2, No 2 (2023): September 2023
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/jetish.v2i2.871

Abstract

Cervical cancer ranks second as a cancer that causes death in women worldwide. Thus, it is necessary to increase efforts to treat cervical cancer by carrying out early detection through VIA examination. This study aims to explore the experiences of women of childbearing age who have had IVA examinations. This research method uses qualitative research through a phenomenological approach. The participants in this study were 5 main participants and 1 supporting participant who were selected based on a purposive sampling technique. The data analysis used is the Colaizzi technique. The results of this study resulted in 4 themes, namely: (1) Initiatives for early detection, (2) Feelings of WUS during the IVA test process, (3) Support systems in undergoing IVA tests, (4) Expectations for IVA test services. Conclusion: Women of childbearing age who have had an IVA examination have a high self-initiative to take an IVA test. The participants thought that the IVA examination was very useful for early detection of cervical cancer. Feelings of embarrassment and fear were not obstacles for the participants to carry out the IVA examination. It is hoped that further IVA examinations can be carried out with wider counseling and given a room that supports more privacy.
Hubungan Dukungan Keluarga dengan Tingkat Depresi pada Lansia di Daerah Lahan Basah Ikke Gustianti; Didi Kurniawan; Niken Yuniar Sari
Jurnal Ners Vol. 7 No. 2 (2023): OKTOBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i2.16058

Abstract

Pendahuluan: Lansia mengalami kemunduran diberbagai aspek kehidupan seperti perubahan fisik, kognitif dan psikososial. Kemunduran psikososial yang berkelanjutan dapat menimbulkan masalah depresi. Apabila tidak segera ditangani dapat berakibat pada masalah kesehatan. Selain masalah kesehatan lingkungan juga berpengaruh terjadinya depresi. Lingkungan di wilayah daerah lahan basah dijumpai dengan status kesehatan, kualitas hidup, aktivitas sosial itu masih kurang. Dengan adanya dukungan dari keluarga mampu membantu lansia memenuhi kebutuhannya, memotivasi lansia dan meningkatkan rasa percaya diri. Penelitian ini bertujuan mengetahui hubungan dukungan keluarga dengan tingkat depresi pada lansia didaerah lahan basah. Metode: Penelitian ini merupakan deskriptif korelasi dengan pendekatan cross sectional. Sampel berjumlah 95 responden yang diambil berdasarkan kriteria inklusi dengan menggunakan teknik purposive sampling. Alat ukur yang digunakan berupa kuesioner dukungan keluarga dan tingkat depresi. Hasil: Hasil uji statistik menunjukkan adanya hubungan dukungan keluarga dengan tingkat depresi pada lansia di daerah lahan basah, dengan p value (0,000) < alpha (0,05). Kesimpulan: Semakin baik dukungan keluarga maka semakin ringan tingkat depresi pada lansia. Kata kunci: Dukungan keluarga, Lansia, Tingkat depresi
Pola Interaksi Sosial Pada Lansia di Daerah Lahan Basah Siti Nurdiyanah; Didi Kurniawan; Niken Yuniar Sari
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 3 (2023): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i3.1283

Abstract

Pendahuluan: Lansia dikatakan sebagai tahap akhir dari kehidupan manusia. Setiap manusia tidak akan lepas dari kehidupan sosial untuk berinteraksi dengan orang lain. Interaksi sosial memiliki pola yang terdiri dari; pola kerjasama, persaingan, pertentangan dan persesuaian. Pola tersebut terbentuk berdasarkan bagaimana sikap individu beriteraksi dengan orang lain Metode: Desain penelitian yang digunakan adalah deskriptif kuantitatif dengan teknik pendekatan cross sectional. Sampel penelitian adalah 174 responden diambil menggunakan teknik simple random sampling. Pengumpulan data menggunakan kuesioner dan wawancara terstruktur berdasarkan kuesioner pola interaksi sosial yang dimodifikasi kemudian dilakukan uji validitas dan reliabilitas. Analisis yang digunakan adalah analisis univariat. Hasil: Hasil analisis univariat mayoritas usia responden penelitian berada pada usia elderly 60-74 tahun (93,1%), berjenis kelamin perempuan (58,6%), berada pada tingkat pendidikan dasar (51,1%) bekerja sebagai IRT (42,5%). Responden memiliki pola kerjasama (27%) persaingan (25%), pola pertentangan (27%), pola persesuaian (21%), Kesimpulan: Lansia di daerah lahan basah memiliki pola interaksi sosial berupa pola kerjasama, pola persaingan, pola pertentangan dan pola persesuaian.
Hubungan Interaksi Sosial dengan Tingkat Kemandirian dalam Pemenuhan Activity Of Daily Living pada Lansia Dita Fadhila; Didi Kurniawan; Fathra Annis Nauli
Jurnal Vokasi Keperawatan (JVK) Vol. 5 No. 2 (2022): DESEMBER
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/jvk.v5i2.23091

Abstract

The ultimate stage of human existence is old age, which causes physical and mental changes. These changes make it difficult for the elderly to adapt to their surroundings and restrict social interaction. Poor social connection has an impact on independence in daily life tasks. The purpose of this study is to establish a relationship between social interaction and the degree of independence in performing daily life tasks. This study employs a correlational descriptive methodology with a cross-sectional approach, implemented in the working area of ​​the Payung Sekaki public Health Center from February to July 2022. Purposive sampling was used to choose 92 respondents depending on inclusion criteria. The measuring instrument utilised is a social interaction questionnaire with r findings (cronbach's alpha) of 0.941 and an activity of daily life instrumental with a correlation value (r) of 0.400. There is a significant link with a p value of 0.000 between the two variables. The more social interacti The ultimate stage of human existence is old age, which causes physical and mental changes. These changes make it difficult for the elderly to adapt to their surroundings and restrict social interaction. Poor social connection has an impact on independence in daily life tasks. The purpose of this study is to establish a relationship between social interaction and the degree of independence in performing daily life tasks. This study employs a correlational descriptive methodology with a cross-sectional approach, implemented in the working area of ​​the Payung Sekaki public Health Center from February to July 2022. Purposive sampling was used to choose 92 respondents depending on inclusion criteria. The measuring instrument utilised is a social interaction questionnaire with r findings (cronbach's alpha) of 0.941 and an activity of daily life instrumental with a correlation value (r) of 0.400. There is a significant link with a p value of 0.000 between the two variables. The more social interaction the elderly have, the more independent the elderly in fulfilling the Activity of Daily Living in the elderly. This study suggests that the elderly remain active in social interactions and remain independent in carrying out daily activities if the conditions are supportive. on the elderly have, the more independent the elderly in fulfilling the Activity of Daily Living in the elderly. This study suggests that the elderly remain active in social interactions and remain independent in carrying out daily activities if the conditions are supportive.
Hubungan Praktik Pemberian Makan dengan Kejadian Picky Eater pada Anak Usia Toddler Nurul Hijja; Agrina; Didi Kurniawan
Jurnal Vokasi Keperawatan (JVK) Vol. 5 No. 2 (2022): DESEMBER
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/jvk.v5i2.24177

Abstract

Picky eater is an eating behavior disorder that occurs in toddlers appetite , refusing to be fed, picky eating and refusing to eat a varied menu behavior Picky eater that continues in the long term will cause growth and development disorders. Objective: To analyze the relationship between feeding practices and the incidence of picky eaters in toddlers. Methods: The research design used was descriptive correlation, with a cross sectional approach. The sample in this study amounted to 72 mothers who have toddler age children, which were taken using accidental sampling technique. The measuring instrument used is a questionnaire on maternal feeding practices and a questionnaire on picky eater that have been valid and reliable. Data were analyzed using chi-square test. Results: Chi-square showed that there was a significant relationship between feeding practices and the incidence of picky eaters age children toddler with pvalue (0.000) < (0.05). The majority of mothers with inappropriate feeding practices resulted in children experiencing picky eater (91.3%). So that the more inappropriate the mother's feeding practices are, the higher the risk of the child becoming a picky eater. Conclusion: Mothers who show inappropriate feeding practices in toddlers willbehavior picky eater.