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Brain Gymnastic Decreases Dementia Levels in the Elderly Sahrul Widyastuti; Budi Widiyanto; Arwani Arwani
JENDELA NURSING JOURNAL Vol 4, No 1 (2020): June 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v4i1.4659

Abstract

Background: Dementia (senility) is a condition where somebody examine the decrease in memory and thinking ability, and this ability causing daily life disorder. The number of elderly who has dementia from year by year showed an increase. Dementia that is not treated properly will get worse to Alzheimer's. However, until now there has been no research that shows in what age range brain exercise has an effect or impact to reduce the level of dementia in the elderly.Purpose: To analyze the effect of brain gymnastics on decreasing the level of dementia in different elderly groups.Methods: The research design was quasi experimental with non-randomized control group. The number of respondents was 45 respondents. The respondents were intervented with brain gymnastic. The instrument used was a Mini Mental State Examination (MMSE) questionnaire. Data were analised using kruskal wallis and Mann Whitney test.Results: The results of the three groups research before and after given brain gymnastics showed that there were significant changes. Old elderly make a significant difference with a p value of 0,000 (p 0.05). Mann Whitney test result obtained pre and old elderly with p value 0.001.Conclusion: Brain gymnastics affects the decrease level of dementia in different age groups of elderly.
Hubungan Karakteristik dengan Tingkat Pengetahuan Perawat Tentang Tuberculosis (TB) Paru pada Anak Fadhilah Rosyid Pradana; Sri Widiyati; Arwani Arwani
JENDELA NURSING JOURNAL Vol 4, No 2 (2020): December 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v4i2.4941

Abstract

Background: Tuberculosis (TB) in children needs special attention. Enforcement of the diagnosis of childhood TB which is an important component in controlling pulmonary TB itself. Nurses as health workers have a role as providers of nursing care, educators, communicators and extension agents needed in an effort to overcome diseases including pulmonary TB in children. The nurse is also one of the human resources or health workers trained and responsible for implementing pulmonary TB prevention programs. For this reason nurses are required to have competent knowledge.Purpose: To determine the relationship of characteristics with the level of knowledge of nurses about pulmonary TB in children in the Health Center’s area of Semarang City.Methods:.This study used a descriptive survey design with a cross sectional study design. The sampling technique uses purposive sampling. The number of respondents was 44 respondents. The instruments used were questionnaires about demographic data and the level of knowledge about pulmonary TB in children. The data was analised using chi square.Results:.The results of this study using the Chi-square test obtained p value (Age 0.677), (Gender 0.531), (Education Level 0.230), and (Working Period 0.424) which shows p-value 0.05.Conclusion: There is no correlation between the characteristics and level of knowledge of nurses about pulmonary TB in children in Health Center’s area of Semarang.
The Effect Of Dietary Approach To Stop Hypertension (Dash) Counseling On Reducing Blood Pressure Siti Nur Luthfiana; Arwani Arwani; Budi Widiyanto
JENDELA NURSING JOURNAL Vol 3, No 2 (2019): December 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v3i2.4611

Abstract

Background: Hypertension is an increase blood pressure through arterial contractions which complicate stroke and heart. Hypertension explains by high salt consumption habits, smoking, obesity, stress, and alcohol which are at risk of death. In addition, the habit of consuming anti-hypertensive drugs results in kidney and liver damage to control hypertension by choosing a healthy diet DASH diet.Purpose: This study purpossed to find the effect of diet DASH counseling on reducing blood pressure in patients with hypertension.Methods: The study design used queasy experimental with a pre-post test non equivalent control group. The sample of this study was 46 hypertensive primary clients, 46 people explain into intervention and control groups with purposive sampling technique. The instruments used were booklets and sphygmomanometers. Interventions were given 3 times for 1 week then continued mentoring every day for the next 3 weeks. Data analysis used the Wilcox test and the Mann Whitney test. Results: The results showed that there was a reduction from dietary approach to stop   hypertension (dash) counseling on blood pressure in hypertensive patients significantly with a difference in the mean difference of 0.0215 for systole and 0.0232 for diastole.Conclusion: Dash diet counseling can reduce blood pressure in patients with hypertension.
Meningkatkan Keselamatan Pasien dalam Deteksi Dini Perburukan Kondisi Fisiologis Pasien Menggunakan National Early Warning Score (NEWS) Irmalita Wigati; Arwani Arwani; Martha Cintia Dewi
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 3 No. 2 (2020)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

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

Abstract

Early Warning System (EWS) adalah suatu sistem yang umumnya digunakan di unit medikal bedah untuk mengatasi masalah kesehatan pasien secara dini, didasarkan atas penilaian terhadap perubahan keadaan pasien melalui pengamatan yang sistematis terhadap semua perubahan fisiologi pasien dan merupakan konsep pendekatan proaktif untuk meningkatkan keselamatan pasien dan hasil klinis pasien yang lebih baik dengan standarisasi pendekatan asesmen dan menetapkan skoring parameter fisiologis yang sederhana. Tujuan studi ini adalah mengidentifikasi penerapan National Early Warning Score (NEWS) untuk deteksi dini perburukan kondisi pasien melalui kajian literatur. Kajian pustaka telah dilakukan melalui database jurnal PubMed, Proquest dan EBSCO. Kata kunci yang digunakan yaitu National Early Warning System AND Deterioration. Kriteria inklusi yang ditetapkan adalah artikel yang dipublikasikan dalam rentang 5 tahun terakhir, tipe artikel clinical trial, journal article, randomized controlled trial, human, best match, full text. Kriteria eksklusi dari sumber referensi yang diambil yaitu artikel yang isinya tidak lengkap, referensinya tidak jelas serta artikel yang tidak sesuai topik. Data dianalisis berisi judul, penulis, tahun, metodologi, dan hasil. Peneliti mengidentifikasi 44 judul dan disaring menjadi 5 artikel yang membahas NEWS untuk deteksi dini perburukan kondisi pasien. Hasil penelitian menunjukkan penerapan NEWS dapat meningkatkan monitoring vital sign 95 %, membantu perawat untuk mendeteksi perubahan kondisi pasien dan sebagai alat bantu dalam berkomunikasi dengan petugas kesehatan lainnya. NEWS merupakan sistem skoring yang sederhana, praktis dan terbukti dapat meningkatkan kewaspadaan dan respon terhadap tanda-tanda perubahan fisiologis yang buruk sehingga keselamatan pasien dapat dipantau secara optimal dan angka mortalitas dapat menurun
Combination of Warm Infusion Fluid and Warm Electric Blanket on the Body Temperature of Patients Post-Sectio Caesarea Tri Nova Aprianti; Ta'adi Ta'adi; Arwani Arwani; Roro Sri Endang Pujiastuti; Mardiyono Mardiyono
Media Keperawatan Indonesia Vol 5, No 3 (2022)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.671 KB) | DOI: 10.26714/mki.5.3.2022.222-230

Abstract

Sectio Caesarea has various complications during the postoperative period, one of which is a decrease in body temperature, if not handled properly it can cause hypothermia and cause discomfort to the patient. This study aims to determine the effectiveness of the combination of warm infusion fluids and warm electric blankets on the body temperature of post-sectio caesarea patients in the recovery room. This research is a true-experimental study with pretest and post-test with control group design approach. The research sample was divided into 4 groups, each group was given treatment for 60 minutes. The results showed that warm infusion fluids and warm electric blankets were adequate compared to other groups, with p-value = 0.000 (p<0.05). Based on this study, it can be concluded that the combination of warm infusion fluids and warm electric blankets effectively increases the body temperature of post-sectio caesarea patients.
PENGARUH PEMBERIAN EDUKASI KESEHATAN DENGAN MEDIA AUDIOVISUAL TERHADAP PENGETAHUAN KELUARGA DALAM PENANGANAN KEJADIAN KEJANG DEMAM PADA ANAK Rosmiati Saleh; Suryo Pratikwo; Arwani .; Mardi Hartono; Tri Anonim
Jurnal Lintas Keperawatan Vol 3, No 1 (2022): April 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.545 KB) | DOI: 10.31983/jlk.v3i1.8514

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Latar Belakang : Tingkat pengetahuan keluarga dapat menjadi kunci dalam penanganan kejang demam pada anak. Salah satu cara yang dapat digunakan untuk meningkatkan pengetahuan adalah dengan melakukan edukasi kesehatan menggunakan media audiovisual. Media audiovisual dapat memberikan stimulus pada dua indera manusia, yaitu penglihatan dan pendengaran. Edukasi kesehatan yang dilakukan secara terstruktur dan konsisten dapat memberikan informasi yang efektif bagi seseorang.Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi kesehatan berbasis audiovisual untuk meningkatkan pengetahuan keluarga dalam penanganan kejangdemam pada anak.Metode : Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi kesehatan berbasis audiovisual untuk meningkatkan pengetahuan keluarga dalam penanganan kejangdemam pada anak. Penelitian ini menggunakan metode quasy eksperimen dengan kelompok kontrol. Kelompok kontrol diberikan intervensi berupa edukasi kesehatan secara tradisional sedangkan kelompok intervensi diberikan intervensi berupa edukasi menggunakan media audiovisual. Teknik sampling menggunakan total sampling dengan menggunakan seluruh responden yang memenuhi kriteria. Responden dibagi menjadi dua kelompok yaitu kelompok kontrol dan kelompok intervensi. Masing-masing kelompok berisi 20 responden yaitu keluarga yang memiliki anak 3 bulan hingga 5 tahunHasil : Hasil membuktikan kedua responden mengalami peningkatan kemampuan berkenalan. Kata Kunci : Audiovisual; Pengetahuan; Kejang Demam.
Massage with methoxy method increasing breast milk production in post-cesarean section mothers Siti Syarashinta Cahyaningsih; Krisdiana Wijayanti; Arwani Arwani
Jurnal Kesehatan Ibu dan Anak Vol. 15 No. 2 (2021): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v15i2.1084

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The mortality of infants can be affected by the nutritional status caused by infection. To avoid the risk of death and illness, breastfeeding is very important. The most important factor for breastfeeding is smooth milk production. Massage with the methoxy method can increase milk production based on baby weight indicators. The study aims to prove the effectiveness of massage using the methoxy method to increase milk production in post- cesarean section mothers. This study used a quasi-experiment with a non-randomized pretest-posttest control group design. The samples were 54 mothers with the post-cesarean section who were divided into 3 groups (the methoxy massage method, the marmet massage technique, and the control group were given breast care). The baby's weight was measured before and after intervention (day 7, day 14, and day 21). The data were analyzed using Repeated ANOVA, Friedman, Kruskal-Wallis dan Mann Whitney. The result showed that there was a difference in increasing breast milk production between the group with methoxy method massage and the marmet technique (p=0.001). The conclusion was massage with the methoxy method is more effective as its effect of 1.4 compared to the marmet technique in increasing breast milk production in post-cesarean section mothers.
Evaluation of Community Health Volunteers Training on Early Detection Skills of Pulmonary Tuberculosis Muhamad Jauhar; Siti Wahyuni; Sri Widiyati; Arwani Arwani
JENDELA NURSING JOURNAL Vol 6, No 2 (2022): DECEMBER 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v6i2.9027

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Background: achievement of coverage numbers of cases of pulmonary TB cases that meet the target impact on the prevention of disease transmission, complications, and even death due to pulmonary TB. Increasing the capacity of community health volunteers as partners of health workers in the early detection of pulmonary TB becomes a program that needs to be considered.Purpose: this study aims to identify the effect of community health volunteer training on the early detection of pulmonary tuberculosis.Methods: the study design used quasi-experimental pre-test and post-test types with a control group. The study was conducted in February-March 2020 in the working area of the Kutowinangun Primary Health Care Facilities. The total sample of 32 community health volunteers for each intervention and control group was selected by purposive sampling based on inclusion and exclusion criteria. The instruments used were observation sheets and modules developed by researchers. The training was conducted in 5 sessions over 5 days with a duration of 60 minutes per session. Data analysis using paired t-test and independent t-test. This research has passed the ethical test from the Ethics Committee of the Faculty of Public Health, University of Muhammadiyah Semarang.Results: there was an effect of community health volunteers' training on improving early TB pulmonary detection skills significantly with a p-value = 0,000 (p 0.05).Conclusion: refreshments of community health volunteers must be planned in the annual work plan program design. Increased skills have a positive impact on the increasing findings of new cases of pulmonary TB. Community health volunteer training can be integrated with the DOTS program in primary health care facilities. 
Effectiveness of Different Physical Activities toward Glycemic Control in Prediabetes Mellitus Clients Arwani Arwani; Budi Widiyanto; Sri Widiyati
JENDELA NURSING JOURNAL Vol 7, No 1 (2023): JUNE 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v7i1.9876

Abstract

Background: the proportion of people with prediabetes is 2-4 times higher than the proportion of people with diabetes. One of the prevention efforts is through physical activity. Several studies have shown that physical activity has a significant effect on glycemic control.Purpose: this study aims to determine the effectiveness of different physical activities to glycemic control in prediabetic clients in Semarang municipality.Methods: a randomized control trial (RCT) with a pretest-posttest design was conducted on 60 prediabetic clients using different treatments (healthy / slow walking, brisk walking, combination of both slowly and brisk walking). An initial measurement (pretest) of glycemic control was carried out using an indicator of HbA1c levels and was remeasured (posttest) after 3 months.Results: the average level of glycemic control (HbA1c levels) before intervention in the healthy walking group was 5.57% and decreased to 5.46% after intervention; the combination group decreased from 5.93% to 5.78%, and in the slowly walking group decreased from 5.74% to 5.71%. However, there was no significant effect of slowly walking on glycemic control (HbA1c levels). Meanwhile, brisk walking and combination of slowly walking and brisk walking had a significant effect on glycemic control (HbA1c levels) (p0.05).Conclusion: the combination of physical activity group (brisk walking and slowly walking) has a better effect on glycemic control (HbA1c levels). 
Pengelolaan Penyakit Tidak Menular (Diabetes Melitus) Melalui Program “MASDARMin” (Masyarakat Sadar DM Secara Independen) Di Kelurahan Banyumanik, Kecamatan Banyumanik Kota Semarang Arwani Arwani; Sugih Wijayati
Jurnal Pengabdian Perawat Vol. 1 No. 1 (2022): Mei 2022
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jpp.v1i1.1516

Abstract

Pengelolaan penderita diabetes melitus tipe 2 di Indonesia saat ini masih lebih berfokus pada peran sentral tenaga kesehatan (health officers-centered care) dibandingkan dengan berpusat pada pasien (patient-centered care), keluarga (family-centered care), ataupun masyarakat. Pasien dan keluarganya masih terkesan dianggap sebagai objek yang pasif dan bukan sebagai mitra dalam pengelolaan diabetes melitus tipe 2. Kesempatan untuk mengambil keputusan penting seperti meminum obat belum didasarkan pada aspek-aspek latar belakang pasien dan keluarga pasien seperti nilai dan budaya serta aspek spiritualitas. Pengelolaan diabetes melitus tipe 2 menjadi tidak optimal dan dan tidak tuntas. Pemberdayaan masyarakat menjadi penting untuk pengelolaan penyakit diabetes melitus secara mandiri melalui program MASDARMIn. Metode kegiatan pengabdian kepada masyarakat ini dilaksanakan dengan cara melakukan pendampingan kepada masyarakat yang anggota keluarganya terdapat penderita diabetes melitus tipe 2. Hasil pendampingan melalui program MASDARMIn berdampak pada peningkatan tingkat pemahaman dan pengetahuan keluarga dan penderita DM tentang DM dan cara pengelolaannya; meningkatkan pelibatan secara aktif anggota keluarga; memampukan keluaraga memilih alternatif tindakan yang baik; memunculkan rasa nyaman pada klien karena dikelola oleh orang yang sangat dikenal dan dekat dengan klien seperti pasangan hidup (suami-istri) dan anak dewasa yang sangat memahami karakter dan latar belakang budaya; memberikan dampak secara nyata pada perilaku keluarga dan penderita DM tipe 2 untuk melakukan Diabetes Self-Management (DSM). Disarankan untuk melakukan sosialisasi program MASDARMIn di wilayah yang lebih luas dan diberikan pada kelompok prediabetes.