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PENGARUH TEKNIK RELAKSASI PROGRESIF TERHADAP PENURUNAN TINGKAT KECEMASAN PADA PASIEN HIPERTENSI DI PUSKESMAS MAKRAYU PALEMBANG Gunardi Pome; Sri Endriyani; Fahmi Rizal
Jurnal Keperawatan Sriwijaya Vol 6, No 2 (2019)
Publisher : Universitas Sriwijaya

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Abstract

AbstrakTujuan: Kecemasan merupakan masalah psikososial yang banyak dialami pasien hipertensi.Kecemasan yangdialami berupa kekhawatiran yang tidak jelas dan menyebar, yang berkaitan dengan perasaan tidak pasti dantidak berdaya. Tujuan penelitian ini adalah untuk mengetahui pengaruh teknik relaksasi progresif terhadappenurunan tingkat kecemasan pada pasien hipertensi di Puskesmas Makrayu Palembang.Metode: Desain yang digunakan dalam penelitian ini adalah Quasy experiment pre-post test with controlgroup dengan intervensi relaksasi progresif. Penelitian dilakukan untuk mengetahui perbedaan tingkatkecemasan pada pasien hipertensi sebelum dan sesudah diberikan perlakuan berupa relaksasi progresif.Hasil: Ada hubungan yang signifikan antara lamahipertensi dengan tingkat kecemasan responden. Padakejadian kecemasan penderita hipertensi, respon fisiologis terjadinya stres terutama pada sistemkardiovaskular, stimulasi adrenergik mengakibatkan vasokonstriksi perifer dan peningkatan tekanan darahsistemik.Simpulan: Terdapat penurunan tingkat kecemasan pasien hipertensi di Puskesmas Makrayu lebih besarpada kelompok yang intervensi yang mendapatkan terapi relaksasi progresif daripada kelompok kontrol (pvalue <0,05).Kata kunci: Relaksasi Progresif, Hipertensi, KecemasanAbstractAim: Anxiety is a psychosocial problem that many hypertensive patients experience. Anxiety is experienced inthe form of vague and pervasive worries, which are associated with feelings of uncertainty and helplessness.The aims of this study was to determine the effect of progressive relaxation techniques on reducing anxietylevels in hypertensive patients at the Makrayu Public Health Center in Palembang.Method: The design used in this study was the Quasy experiment pre-post test with control group withprogressive relaxation interventions. The study was conducted to determine differences in anxiety levels inhypertensive patients before and after treatment in the form of progressive relaxation.Results: There was a significant relationship between patient's hypertension and respondent's anxiety level.In the case of anxiety sufferers of hypertension, physiological responses to stress, especially in thecardiovascular system, adrenergic stimulation results in peripheral vasoconstriction and an increase insystemic blood pressure.Conclusion: There was a decrease in the level of anxiety of hypertensive patients at the Makrayu PublicHealth Center in the intervention group receiving progressive relaxation therapy than the control group (pvalue <0.05).Keyword: Progressive Relaxation, Hypertension, Anxiety
Hubungan Kekerasan Selama Kehamilan Dengan Kelahiran Bayi Berat Lahir Rendah Di RSUD DR IBNU SOETOWO Baturaja Kabupaten OKU Tahun 2011 Eni Folendra Rosa; Gunardi Pome; Marwan Baits
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 1 No 11 (2012): Jurnal Kesehatan
Publisher : POLITEKNIK KESEHATAN KEMENKES PALEMBANG

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Abstract

Background: Low birth weight (LBW) is a risk factor which contributes to infant mortality during perinatal period and the greatest contributor to neonatal mortality in Indonesia. Some studies show that there is significant relationship between violence during pregnancy and LBW delivery. At District of Ogan Komering Ulu (OKU) there were 18 cases of violence domestic (2010) whereas the prevalence of LBW in 2010 was 7.1%. Objective: To identify the relationship between violence during pregnancy and LBW delivery at District of OKU. Method: This was an observational study which used unmatched case control study design and both quantitative and qualitative approaches. Subject of the study consisted of intervention group and control group at a comparison 1:2. Data analysis used univariable, bivariable with chi square (x), stratification and multivariable with logistic regression. Result: The result of bivariable analysis showed that the group of LBW had physical violence 3 times greater during pregnancy than the group with normal birth weight; and the group of mothers having LBW infants had psychological violence 2.5 times greater than the group with normal birth weight. Sexual violence, age, education and economic status statistically had no significant relationship with LBW; whereas frequency of antenatal care (ANC) had relationship with LBW delivery. The result of stratification analysis showed that the frequency of ANC was a modified effect and was not assumed as confounding variable. The result of multivariable analysis showed that the group of mothers with LBW infants had 2.5 times greater for violence during pregnancy than the group with normal birth weight infants. Conclusion: The group of mothers with LBW infants had more violence during pregnancy than the group with normal birth weight infants. Frequency of ANC, apart from violence during pregnancy, independently had significant relationship with the LBW delivery.
Gambaran Tingkat Kulitas Hidup Pasien Hipertensi di Wilayah Binaan UPTD Puskesmas Sukaraya Rohana I Gusti Ayu Putu Desy; Gunardi Pome; Masayu Hartina Ulfa
Lentera Perawat Vol. 4 No. 1 (2023): Lentera Perawat
Publisher : LPPM STIKES Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v4i1.198

Abstract

Penyakit menular (PTM) terus mengalami peningkatan setiap tahunnya, salah satu PTM yang tinggi angka peningkatan kejadiannya adalah hipertensi. Kelompok ibu rumah tangga (IRT) merupakan kelompok yang rentan terhadap keluhan fisik, baik karena faktor fisiologis maupun karena penyakit. Angka kejadian penyakit tertinggi di kabupaten OKU adalah hipertensi, dengan kejadian terbesar pada kelompok jenis kelamin perempuan. Hipertensi pada IRT menimbulkan banyak masalah yaitu kesehatan fisik, psikologi, hubungan social, maupun hubungan lingkungan sehingga mengakibatkan turunnya kualitas hidup penderitanya. Penelitian ini menggunakan desian deskriptif analitik yang akan memberikan gambaran tingkat kualitas hidup pasien hipertensimenggunakan instrumen WHOQOL-BREF di wilayah binaan UPTD Puskesmas Sukaraya, OKU. Sampel pada penelitian ini berjumlah 60 orang IRT yang mengalami hipertensi dan sedang menjalani pengobatan di UPTD Puskesmas Sekarjaya, OKU. Hasil penelitian ini menunjukkan  bahwa karakteristik responden yang mengikuti penelitian didominasi oleh responden dengan jenis kalamin perempuan 60 orang (100%), usia terbanyak pada kelompok usia dewasa akhir sebanyak 20 orang (33,3%), dan waktu lamanya terdiagnosis hipertensi terbanyak < 1 tahun sebanyak 44 orang (73,3%). Kualitas hidup pasien hipertensi pada penelitian ini didapatkan responden dengan kualitas hidup sangat baik sebanyak 13 orang (21,67%), kualitas hidup baik sebanyak 23 orang (38,33%), dan kualitas hidup sedang sebanyak 24 orang (40%). Kualitas hidup responden dalam penelitian ini juga dikategorikan pada 4 (empat) dimensi. Kualitas hidup responden pada dimensi yang diukur terdapat kualitas rendah pada kategori dimensi fisik 17 orang (28,33%), dimensi hubungan social 6 orang (10%), dan dimensi hubungan lingkungan 4 orang (6,67%). Hasil penelitian ini menunjukkan bahwa secara umum kualitas hidup pasien hipertensi berada pada kualitas sedang, terdapat kualitas rendah pada dimensi kesehatan fisik dan hubungan social yang cukup tinggi. Diharapkan penelitian ini dapat menjadi landasan data untuk penelitian selanjutnya dalam menentukan intervensi yang tepat untuk meningkatkan kualitas hidup pasien hipertensi.
Application of Cold Drink in Post Operation Nausea and Vomiting (PONV) Appendectomy Cases in Lubuklinggau Jhon Feri; Wella Juartika; Eva Oktaviani; Derison Marsivova Bakara; Gunardi Pome
Babali Nursing Research Vol 4 No 1 (2023): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.41154

Abstract

Introducition: Post Operative Nausea and Vomiting (PONV) is one of the most common complications after surgery, it affects the patient's time recovery and causes discomfort including: pain, electrolyte imbalance, dehydration, risk of aspiration, risk of wound opening and bleeding. The purpose of this study was to see a decrease in postoperative nausea and vomiting scores. Methods: The research design used was quasi-experimental with 2 pre-post test groups. The sample in this study were 42 people with a total of 21 people in the intervention group and 21 people in the control group. The variable in the study looked at the score of postoperative nausea and vomiting. Instruments used by Rhodes INVR. Data analysis used SPSS test with Mann-Withney. Results: There was a significant difference in respondents' scores (p-value = 0.000, < 0.05). In addition, it showed a difference in the average score of the test between the control group (19.00) and the invention group (3.00), with an average difference of 16.00. Conculsion: The application of cold drinks in PONV has proven to be more effective in reducing vomiting nausea. This method can be used as an alternative method in meeting the needs of body fluids when getting complaints of nausea vomiting. To achieve the goal of preventing the occurrence of the impact of vomiting nausea such as preventing dehydration.
Latihan Autogenik Meningkatkan Kualitas Hidup Klien Hipertensi I Gusti Ayu Putu Desy Rohana; Gunardi Pome; Masayu Hartina Ulfa; D. Eka Harsanto; Muhamad Jauhar
JURNAL KEPERAWATAN RAFLESIA Vol 5 No 1 (2023): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengkulu
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jkr.v5i1.877

Abstract

The quality of life of people with hypertension is influenced by a sense of comfort that arises from the symptoms of the disease. Autogenic exercise is a nursing intervention that is often used for hypertensive patients. Autogenic training is a type of psychophysiological psychotherapy that provides self-sourced suggestions of calm. This research aims to determine the effect of autogenic training on the quality of life of hypertensive patients. This research with a quasi-experimental design with control group with pretest and posttest types. The sample size in this study was 30 hypertension clients in each intervention and control group. The intervention provided was 5 sessions of Autogenic Training with an internalization period of 1 month of independent practice. Data collection using the WHOQOL-BREF questionnaire to measure the quality of life of hypertension patients. Statistical test results obtained a significant change in the quality of life with p-value=0,001 (p<0.005). The results showed a significant effect on the quality of life of the respondents after carrying out the autogenic exercise intervention. The results of the study are expected to be applied as an alternative to caring in improving the quality of life of hypertensive patients in the community.
Pelatihan Kader Posyandu Kesehatan Jiwa: Identifikasi dan Mendampingi Orang dengan Disabilitas Psikososial Lisdahayati Lisdahayati; Gunardi Pome; D Eka Harsanto; Saprianto Saprianto
SWARNA: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 4 (2024): SWARNA: Jurnal Pengabdian Kepada Masyarakat, April 2024
Publisher : LPPM Sekolah Tinggi Ilmu Ekonomi 45 Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/swarna.v3i4.1298

Abstract

Kesehatan jiwa merupakan kondisi dimana seorang individu dapat berkembang secara fisik, mental, spiritual dan sosial sehingga individu menyadari kemampuan yang dimiliki. Masalah kesehatan Jiwa diwilayah kerja Puskesmas Lubuk Batang tinggi, ditandai dengan adanya data lebih dari 100 kasus pasien yang mengalami gangguan jiwa. Untuk dapat melakukan Kegiatan identifikasi dan mendampingi orang dengan disabilitas psikososial di masyarakat perlu adanya pelatihan bagi kader kesehatan tentang identifikasi dan mendamping orang dengan disabilitas psikososial dimasyarakat diwilayah kerja Puskesmas Lubuk Batang. Kegiatan pelatihan kader kesehatan jiwa bertujuan meningkatkan pengetahuan kader tentang identifikasi dan mendampingi orang dengan disabilitas psikososial. Kader kesehatan jiwa perlu mengetahui masalah orang dengan disabilitas psikososial agar dapat melakukan identifikasi dan melakukan tindakan yang tepat apabila ada anggota keluarga atau dilingkungan keluarga ada yang mengalami disabilitas psikososial, Kader kesehatan jiwa diharapkan dapat memberikan motivasi kelompok sehat agar tetap sehat; kelompok resiko tidak menjadi gangguan; dan kelompok gangguan tetap produktif di masyarakat. Metode yang digunakan adalah ceramah, diskusi, tanya jawab demostrasi dan observasi .Hasil kegiatan pelatihan terjadi peningkatan pengetah an sebesar 41% dari hasil pre dan post test kegiatan.