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Hubungan Usia Dan Klasifikasi Operasi Dengan Tingkat Kecemasan Pada Pasien Pre Operasi Elektif Dirumah Sakit Lavalette Malang Ainul Haqi Fatkhul K.A, Moh; Widodo, Dyah; Marsaid; Budi Pertami, Sumirah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Objective: To examine the correlation between preoperative elective surgery patients' anxiety levels and their age in relation to the classification of operation at Lavalette Hospital Malang. Methods: This research design employs a descriptive-correlational quantitative approach using cross-sectional methods. The sampling method uses nonprobability sampling of the purposive sampling type, involving preoperative elective surgery patients in the Surgical Inpatient Ward of Lavalette Hospital Malang, with a total of 66 respondents. Results: The study's results indicated that the anxiety levels of most preoperative elective surgery patients were severe. Most respondents underwent major surgery and were aged 46-65 years. For the variables of age and anxiety levels, the Spearman's rank test revealed a pvalue of 0.001 and a correlation coefficient of -0.396. For the variables of operation categorization and anxiety levels, the pvalue was 0.017 and the correlation coefficient was 0.293. Conclusion: The study concludes that anxiety levels in preoperative elective surgery patients at Lavalette Hospital Malang are correlated with age and surgery categorization. It is hoped that healthcare professionals, especially nurses, will monitor the anxiety levels of preoperative patients to facilitate smoother preoperative procedures.
Pengaruh Edukasi Media Booklet Sindrom Geriatri Terhadap Dukungan Sosial Keluarga Lansia Di Wilayah Kelurahan Bareng Kota Malang Hafifa, Risma; Suprajitno; Marsaid; Subekti, Imam
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Objective: To identify the influence of media education booklet geriatric syndrome on the social support of elderly families in the area of Kelurahan Bareng Kota Malang. Methods: The research design uses quasi eksperimental methods with Pre Post Test Design with Two Groups. The sampling method used purposive samplings with 60 respondents divided into two groups. Results: The results showed that rhe average score of social family support before intervention was 44,73 (mid category), while the average score after the intervention was 65,47 (high category), and the results obtained were p value 0,000 (p value 0,000 < a 0,05), meaning that there is a effect of education with geriatric syndrome booklet for increase elderly’s family social support. Conclusion: Education with geriatric syndrome booklet can be used to increase elderly’s family social support.
Pengaruh Pendidikan Kesehatan Berbasis Website Terhadap Penurunan Tingkat Kecemasan Pada Pasien Pra Pemasangan Catheter Double Lumen (CDL) Alya Bhatari, Nabila; Ciptaning Tyas, Maria Diah; Supono, Supono; Marsaid
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Objective: This study aims to determine the effect of website-based health education on reducing anxiety levels in pre-treatment patients with CDL. Methods: This research is a quasy experimental type with a two-group pre-test-post test design. The sample consisted of 36 respondents who were selected using pur-posive sampling. Data analysis used the Wilcoxon test and the Mann-Whitney test. Before being given the website-based intervention, most respondents expe-rienced moderate levels of anxiety. Results: After the intervention, most respondents experienced mild levels of anxiety. Wilcoxon test analysis showed p-value = 0.000 and Mann-Whitney test analysis for anxiety levels after intervention showed p-value = 0.023. Conclusion: The conclusion is there is an influence of website-based health education on reducing patient anx-iety levels before CDL installation.
Pengaruh Kombinasi Spiritual Emotional Freedom Tehnique Dan Terapi Murottal Al-Quran Terhadap Penurunan Kadar Gula Darah Pada Penderita DM Tipe II: Keperawatan Tri Wanda Agustina; Tri Nataliswati; Marsaid; Maria Diah Ciptaningtyas
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 17 No. 2 (2025): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v17i2.1159

Abstract

Diabetes mellitus is a metabolic disorder characterized by high blood sugar levels. If left untreated, it can cause damage to organs such as the heart, brain, kidneys, eyes, nerves, and even gangrene, which carries a risk of amputation. SEFT therapy and Quranic recitation therapy can be used by people with Type II diabetes to promote relaxation, which can help reduce emotional tension and stress. The production of these endorphins hormone promotes feelings of peace and relaxation, thereby reducing the amount of cortisol produced by the adrenal glands, all of which play a role in lowering blood glucose levels. This study aims to determine the effect of this therapy on patients with type II diabetes mellitus, used a time series design with a one-group pretest-posttest approach. 54 respondents were purposively selected. The combination of SEFT and Murottal Al-Qur'an therapy was administered for 15 minutes, three times over three days. Data collection was conducted using questionnaires and blood sugar level measurements. On day 1 pretest, the mean had blood sugar levels of 286.41 mg/dL, indicating hyperglycemia. Before therapy on day 2, blood sugar levels decreased to 208.52 mg/dL. After therapy, blood sugar levels dropped to 252.78 mg/dL on posttest day 1 and 173.00 mg/dL on posttest day 2. The Wilcoxon test results significant decrease in blood sugar levels, with a p-value of 0.000 (<0.05). Nurses working in the Inpatient Ward should increase their knowledge by attending training SEFT and Al-Qur'an Murottal Therapy which can be used as alternative supporting interventions for type II diabetes mellitus sufferers
Pengaruh Relaksasi Otot Progresif Dan Slow Deep Breathing Terhadap Penurunan Tingkat Kecemasan Pasien Pre Operasi Ca Mamae Di RSUD dr.Soenono Provinsi Jawa Timur Putri Zhakia, Laila; Cahyo Sepdianto, Tri; Supono, Supono; Marsaid
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.23358

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Objective:: Preoperative patients experience a lot of anxiety due to various factors that arise. The aim of this study was to determine the effect of progressive muscle relaxation therapy and slow deep breathing on reducing the anxiety level of pre-operative patients at Dr. Soedono Hospital, East Java province. Methods: The research design is Quasi experimental. The total research sample was 30 preoperative CA mammary patients. The interventions provided are Progressive Muscle Relaxation and Slow Deep Breathing. Anxiety levels were measured using a questionnaire. The analysis used is the bivariate Wilcoxon Sign Rank Test. Results:The results of the study showed that the level of anxiety before CA mammary surgery patients were given progressive muscle relaxation was 9(60%) seriously anxious and before the patients were given slow deep breathing 8(53.3%) were seriously anxious. After the intervention, 2 (13.3%) patients had the criteria for Severe Anxiety and in the slow deep breathing relaxation technique group 6 (40%) had the criteria for Severe Anxiety. Conclusion: There was an effect of progressive muscle relaxation therapy on reducing the anxiety level of preoperative CA Mamae patients with a p value. 0.001. After CA Mamae's pre-operative patient at Dr. RSUD. Soedono was given progressive muscle relaxation so his anxiety level was reduced because physical tension was reduced through muscle relaxation and induced a feeling of calm. Based on the research results, progressive muscle relaxation is recommended to reduce anxiety in preoperative CA mammary patients.
Pengaruh Kombinasi Aromaterapi Peppermint Dan Mobilisasi Dini Pasif Terhadap Nausea Vomitingpost General Anestesi Di RSUD Soedono Madiun Provinsi Jawa Timur Tyas Prasdina Wardaningrum, Cindy; Marsaid; Hidayah, Nurul; Supono, Supono
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.23503

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Objective: To determine the effect of a combination of peppermint aromatherapy and early passive mobilization on nausea vomiting post general anesthesia. Methods: The research design was Quasi Experimental pre test and post test control group. The total research sample was 36 respondents. The intervention provided was a combination of peppermint aromatherapy and passive early mobilization. Nausea and vomiting were measured using the RINVR instrument. Analysis used the bivariate paired t test. Results: The results of the study on nausea and vomiting after general anesthesia before the intervention were 13 (72%) respondents experiencing severe nausea and vomiting and after the intervention it decreased to 7 (%) respondents with moderate nausea and vomiting. In this study, a paired t-test was used with a p value of 0.008, which showed a decrease in the level of nausea and vomiting in post general anesthesia patients after being given the intervention. Conclusion: The conclusion is that there is an effect of a combination of peppermint aromatherapy and passive early mobilization on Nausea Vomiting Post General Anesthesia at RSUD dr. Soedono Madiun. It is hoped that health workers will provide interventions using a combination of peppermint aromatherapy and passive early mobilization to reduce nausea and vomiting in post general anesthesia patients.
Pengaruh Pemberian Blanket Warmer Terhadap Kejadian Shivering Pasca Operasi Sectio Caesarea Pada Pasien Spinal Anastesi di Recovery Room RSUD dr. Soedomo Trenggalek Lurru Erawanjie, Adelia; Budiono; Marsaid; Supono
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.23633

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Objective: to determine the effect of blanket warmer on the incidence of shivering after sectio caesarea surgery in spinal anesthesia patients in the recovery room. Metods:This research used quasi experimental with Two Group Pretest-Posttest Design. The population in this study were all sectio caesarea patients with spinal anesthesia at RSUD Dr. Soedomo Trenggalek with the incidence of shivering with a total sample of 36 people, using accidental sampling. Results: The study using the Wilcoxon test in the intervention group obtained the results (p = 0.000), meaning that there was an effect of giving blanket warmers on the incidence of shivering after cesarean section surgery with spinal anesthesia. While the results of the Wilcoxon test on the control group obtained the results (p = 0.001), meaning that there is a significant difference between the results of the pre-test and post-test in the control group. Based on the results of the Mann Whitney test, the value (p = 0.000) was obtained, meaning that there was an effect of giving blanket warmers on the incidence of shivering after cesarean section surgery with spinal anesthesia. Conclusion: The provision of blanket warmer was found to have an effect in reducing the degree of shivering.
Hubungan Tingkat Self Esteem Dengan Tingkat Kecemasan Pasien Pre Operasi Sectio Caesarea Di RSI Aisyiyah Malang Intan Azzahra, Helmalia; Bachtiar , Arief; Marsaid; Nataliswati, Tri
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.23634

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Objective: To identify levels of self-esteem and anxiety, as well as analyze the relationship between self-esteem and anxiety levels in pre-caesarean section patients at RSI Asyiyah Malang. Methods: This type of research is correlational with a cross-sectional design. The population in this study was preoperative caesarean section patients; the sample size was 44 respondents. The sampling technique used was accidental sampling. Data analysis was carried out using the Spearman Rank correlation test. Results: The results of the analysis showed that the majority of patients had low self-esteem and moderate levels of anxiety. There is a significant relationship with value = 0.000 (0.005) and r = -0.557, which means there is a fairly strong relationship in the negative direction, meaning the higher the level of self-esteem, the lower the patient's anxiety level. Conclusion: Patients with low levels of self-esteem are less able to control their emotions when under pressure and overcome their anxiety. Therefore, it is very important to know the level of self-esteem in patients who experience anxiety to determine more appropriate treatment.
Hubungan Faktor Jenis Kelamin, Pekerjaan dan Pengalaman Menjalani Operasi terhadap Kecemasan pada Pasien Pre Operasi Fraktur Ekstremitas Bawah di Instalasi Bedah Sentral RSUD Mardi Waluyo Blitar Adi Saputra, Okta; Taufan; Sepdianto , Tri Cahyo; Marsaid
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.27325

Abstract

Objective: The general objective of this study was to determine the factors that influence anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar. The specific objectives of this study were 1. to analyze gender factors on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar, 2. to analyze occupational factors on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar, 3. to analyze factors of surgical experience on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar. Methods: : Cross-sectional research design, research population 30 lower extremity fracture patients, independent variables (gender, occupation, experience of undergoing surgery) and dependent variables (anxiety), Observation research instruments and APAIS questionnaires, research location premedication room central surgical installation RSUD Mardi Waluyo Blitar, research time 26 March - 19 April 2025, research data processing editing coding, data entry and cleaning, data analysis statistical test SPSS using chi square test and descriptive analysis. Results: 1. The significance value (Sig. 2-tailed) is 0.003, which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (gender factor) and variable Y (anxiety level). 2. The significance value (Sig. 2-tailed) is 0.006 which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (job factor) and variable Y (anxiety level). 3. The significance value (Sig. 2-tailed) is 0.008 which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (operation experience factor) and variable Y (anxiety level). Conclusion: 1. The gender factor is related to anxiety with a p value of 0.004, < of (p < 0.05). 2. There is a relationship between work factors and anxiety with a p value of 0.006, < of (p < 0.05). 3. The experience of undergoing surgery has a relationship with anxiety with a p value of 0.008, < of (p < 0.05).
Pengaruh Early Mobilization Terhadap Kekuatan Otot Dan Tingkat Nyeri Pada Pasien Post Operasi Orif Di RSUD Karsa Husada Batu Tyo Herfindo Putra; Marsaid, Marsaid; Astuti, Erlina Suci; Yuliwar, Roni
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.27968

Abstract

ABSTRACT Objective: The number of patients undergoing fracture surgery with Open Reduction and Internal Fixation (ORIF) continues to increase each year, accompanied by postoperative complications such as pain, decreased muscle strength, and limited mobility. Early mobilization is considered an effective intervention to prevent these complications. This study aimed to determine the effect of early mobilization on muscle strength and pain reduction in postoperative ORIF patients. Methods: This research employed a quasi-experimental design with a pre- and post-test approach. The sample consisted of 16 patients in each group, selected using the Federer formula. The intervention group received early mobilization and analgesics, while the control group received analgesics only. Muscle strength was measured using the Manual Muscle Testing (MMT) scale, and pain levels were assessed using the Numerical Rating Scale (NRS). Data were analyzed using the Wilcoxon test with a significance level of <0.05. Results: The early mobilization group showed an improvement in muscle strength to level 3 in 68.8% of patients and a significant reduction in pain, with 87.5% of patients reporting mild pain. In contrast, the control group reached only level 2 muscle strength in 87.5% of patients, and only 31.3% experienced mild pain. The p-values were 0.002 for muscle strength and 0.001 for pain level Conclusion: Early mobilization is more effective than standard care in improving muscle strength and reducing pain in postoperative ORIF patients. Failure to implement early mobilization may lead to complications such as joint stiffness, contractures, muscle weakness, and circulatory issues that increase the risk of thrombosis. It is recommended that ward nurses provide education and implement early mobilization interventions in accordance with standard operating procedures.