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Pengaruh Therapeutic Exercise Walking terhadap Risiko Ulkus Kaki Diabetik pada Klien Diabetes Melitus Tipe 2 di Kelurahan Gebang Kecamatan Patrang Kabupaten Jember (The Effect of Therapeutic Exercise Walking on the Risk of Diabetic Foot Ulcer in Client with Type 2 Diabetes Mellitus at Gebang Village of Patrang District Jember Regency) Siti Zumrotul Mina; Nur Widayati; Mulia Hakam
Pustaka Kesehatan Vol 5 No 1 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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

Abstract

Diabetes Mellitus is metabolic disease characterized by hyperglycemia. Diabetic foot ulcer is serious complication in diabetic patients which can lead to lower extremity amputation. Therapeutic exercise walking is one of physical activities which can improve blood circulation in the body. This research aimed to analyze the effect of therapeutic exercise walking on the risk of diabetic foot ulcerin patients with type 2 diabetes mellitus. This research employed randomized control group pretest postest design. The sampling technique was simple random sampling involving 15 respondents as intervention group and 15 respondents as control group. Therapeutic exercise walking was done three times a week within a month with the duration of 40 minutes. The data were analyzed using dependent t test and independent t test with significant level of 0.05. The results revealed a significant difference between pretest and postest either in the intervention group (p=0.001) or control group (p=0.048). Furthermore independent t test showed a significant difference between intervention group and control group (p=0.015). This result indicates that there is a significant effect of therapeutic exercise walking on the risk of diabetic foot ulcer. Nurse is expected to apply therapeutic exercise walking to prevent diabetic foot ulcer in diabetes mellitus patients. Keywords: type 2 diabetes mellitus, therapeutic exercise walking, risk of diabetic foot ulcer
Nurses' Attitude Toward End of Life Care in Emergency Departement and Intensive Care Unit In Rural Hospital Muhamad Zulfatul A'la; Zumrotul Farikhah; Mulia Hakam
IJNP (Indonesian Journal of Nursing Practices) Vol 4, No 1 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (15.723 KB) | DOI: 10.18196/ijnp.41103

Abstract

Background: Death is a psychological and physical event that affects patients caring for, especially in Emergency Departement (ED) and the Intensive Care Unit (ICU). Patients and families need the end of life care from a health professional, including nurses. Nurses need to have knowledge, skill, attitude, and interpersonal competencies to provide end of life care. Objective: This study aimed to explored differences of attitudes towards dying care between ED and ICU ward nurses in a rural hospital.Method: Variable in this study was the nurse's attitude. This study used a quantitative comparative cross-sectional research design. The samples were 24 nurses from the emergency ward and 16 from the intensive care unit who were recruited by total sampling. Data were collected to use Frommelt Attitudes Towards the Care of the Dying Care Form B Indonesian version (FATCOD-BI).Result: The results revealed that nurses' attitudes toward caring for dying patients in the ED were 101.42±6.646 (30-150) on average, and in the intensive care unit was 106.44±7.633 (30-150) on average. Nurses in the ICU had a more positive attitude than the ED (p = 0.034). There are differences between the proportion of respondents based on gender, level of education, length of time working in the emergency ward, and ICU. The result showed gender, level of education, and range of time working could influence nurses' attitudes towards caring for dying patients in the emergency ward and ICU.Conclusion: There is a difference between nurses' attitudes towards EOLC in the ED and ICU room at rural hospitals. Moreover, the ICU nurses have a more positive attitude than ED nurses.
THE CORRELATION BETWEEN RELIGIOSITY AND SELF-EFFICACY IN PATIENTS WITH CORONARY ARTERY DISEASE Wantiyah Wantiyah; Firda Romadhonia Putri Rivani; Mulia Hakam
Belitung Nursing Journal Vol. 6 No. 5 (2020): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1134

Abstract

Background: In managing life with coronary artery disease, having self-efficacy is considered important. Self-efficacy reduces risk factors for coronary artery disease by encouraging the self-control process. The involvement of religiosity aspects can be a motivation to increase self-efficacy in maintaining an individual’s health status. Objective: This study aimed to examine the correlation between religiosity and self-efficacy in patients with coronary artery disease. Methods: This was a correlational study with a cross-sectional approach involving 112 respondents selected using an accidental sampling method in a hospital at Jember District, East Java, Indonesia. Data were collected from December 2019 to January 2020 using the Religiosity Scale and Cardiac Self-Efficacy (CSE). The Spearman’s rank test was used to analyze data. Results: The results showed that the respondents’ religiosity had a median value of 3.84 (min-max: 3.00-4.00), while the median value of self-efficacy was 3.60 (min-max: 2.90-4.00). There was a significant correlation between religiosity and self-efficacy (p = <0.001, r = 0.540, α = 0.05). Conclusion: The moderate positive correlation between religiosity and self-efficacy indicated that the higher value of religiosity leads to a higher value of self-efficacy. The religious value through rituals of prayer or meditation could increase the self-efficacy of patients with coronary artery disease. Nurses are recommended to maintain the religiosity of patients at a good level to improve their self-efficacy and maintain the optimal health status.
Gambaran Activity of Daily Living pada pasien post operasi Ramayana Lestari Dewi; Mulia Hakam; Murtaqib Murtaqib
Pustaka Kesehatan Vol 10 No 3 (2022): Volume 10 No.3, 2022
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v10i3.20884

Abstract

One of the most postoperative problems is limited movement. The impact of limited movement affects a person's dependence on doing activities of daily living (ADL). The purpose of this study was to determine the Activity of Daily Living Description of postoperative patients. This study is a descriptive research design. Samples were obtained using a consecutive sampling technique with a total of 57 respondents who fulfilled the inclusion criteria. The instrument used in this study was the CDS questionnaire. The results of this study showed most of the respondents have partially dependent ADL (56,1%); the ADL of great extent care dependent was 31,6% and 1.8% postoperative patients in the category of completely care dependent. The ADL of mind care dependent was 7% and almost independent was 3,5%. Success in fulfilling ADL needs that can be done by patients independently will accelerate the recovery period and improve the quality of life for postoperative patients. Therefore the role of nurses is very important in fostering the independence of postoperative patients so that postoperative patient ADL dependence is reduced or is able to do ADL independently.
Gambaran Activity Of Daily Living pada Pasien Post Operasi Fraktur Femur : Literature Review Mulia Hakam; Cristina Esria Valentin Tambunan; Jon Hafan Sutawardana; Murtaqib Murtaqib; Kushariyadi Kushariyadi
Bima Nursing Journal Vol 4, No 2 (2023): Mei
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/bnj.v4i2.1117

Abstract

ABSTRACTPatients with femoral fractures who have limited range of motion will have difficulty performing ADLs, so they need the help of others. Patients with conditions also require postoperative recovery to restore normal physical, psychological, social, habitual and daily life activities. Therefore, with the prevalence of cases of femur fractures, the importance of the role of nurses in meeting the needs of daily life is important. The research design used was a literature review using 5 database (Proquest, Science Direct, PubMed, Google Scholar, dan Neliti). The process of searching for articles using keyword and Boolen operators (AND, OR, or NOT) aim to define and expand the literature. Of the 10 articles found, the results of the analysis showed that femoral fractures according to their location were femoral head fractures, femoral neck fractures, intertrochanteric fractures, subtrochanteric fractures, femoral shaft fractures, femoral supracondylar/intercondylar fractures (distal femoral fractures). With open, closed and multiple fracture types. And the type of femur fracture surgery is ORIF with several approaches. Activity of Daily Living is an activity that is recommended after surgery to reduce complications and speed up rehabilitation. With several causative factors, namely age, gender, physical health, cognitive abilities, motor skills, perceptual abilities, education, and surgical cases. With several types of daily life activities, namely basic ADL, instrumental ADL, non-vocational ADL. All articles show that people who tend to be older have a higher risk of developing fracture femurcases that inhibition of physical activity that causes disability to death. So it is necessary to expand the scope of information about the importance of activity of daily living so that all people with fracture disease have high vigilance Keywords: Activity of Daily Living, Post Operasi, Femur
TEKNOLOGI BERBASIS ANIMASI SEBAGAI SARANA EDUKASI ANAK DALAM MENCEGAH PENULARAN HEPATITIS AKUT DI SEKOLAH Ana Nistiandani; Lantin Sulistyorini; Siswayo; Jon Haffan Sutawardana; Mulia Hakam; Mochammad Ubaidillah
Panrita Abdi - Jurnal Pengabdian pada Masyarakat Vol. 8 No. 1 (2024): Jurnal Panrita Abdi - Januari 2024
Publisher : LP2M Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/pa.v8i1.22516

Abstract

TEKNISI is a technology that has modified its appearance in animated videos. TEKNISI is designed to increase children's knowledge to prevent transmission of acute hepatitis in the school environment. TEKNISI contains clean and healthy living behavior (PHBS) material. Children under 16 years of age are the main concern of Acute Hepatitis of Unknown Aetiology (acute hepatitis). The purpose of this activity is to increase participants' knowledge of clean and healthy living behavior (PHBS) in preventing hepatitis transmission in schools. The method is carried out through technology-based health education called "TEKNISI". This activity is carried out in four stages: education, demonstration and re-demonstration, discussion, and evaluation. The participation of partners involved are PAUD and kindergarten children of the Al-Fitroh Jember Foundation, totaling 58 students. The results of the animated video intervention showed that 58 participants (100%) could mention PHBS to prevent acute hepatitis transmission in schools. The PHBS includes 6 steps: hand washing, drinking boiled water, bringing your eating utensils, consuming vegetables and fruit, disposing of garbage, and exercising. Thus, it is concluded that this animation-based video technology can increase the knowledge of children in the age category ≥ 3 - ≤ 7 years by 100%.  ---  TEKNISI merupakan teknologi yang dimodifikasi tampilannya dalam video animasi. TEKNISI di desain untuk meningkatkan pengetahuan anak sebagai upaya mencegah terjadinya penularan hepatitis akut di lingkungan sekolah. TEKNISI mengandung materi perilaku hidup bersih dan sehat (PHBS). Anak-anak usia dibawah 16 tahun menjadi perhatian utama dari kasus Acute Hepatitis of Unknown Aetiology (hepatitis akut). Tujuan dari kegiatan ini untuk meningkatkan pengetahuan perilaku hidup bersih dan sehat (PHBS) peserta dalam mencegah penularan hepatitis di sekolah. Metode yang dilakukan melalui edukasi kesehatan berbasis teknologi yang disebut “TEKNISI”. Kegiatan pengabdian dilakukan dengan empat tahap, meliputi pemberian edukasi, demonstrasi dan re-demonstrasi, diskusi, dan evaluasi. Partisipasi mitra yang terlibat adalah anak-anak PAUD dan TK dibawah Yayasan Al-Fitroh Jember yang berjumlah 58 siswa. Hasil dari kegiatan pengabdian pemberian intervensi video animasi, didapatkan 58 peserta (100%) dapat menyebutkan PHBS untuk mencegah penularan hepatititis akut disekolah. PHBS tersebut meliputi cuci tangan 6 langkah, minum air yang matang, membawa peralatan makan sendiri, mengkonsumsi sayur dan buah, membuang sampah pada tempatnya, serta olahraga. Dengan demikian, teknologi video berbasis animasi ini disimpulkan dapat meningkatkan pengetahuan anak PAUD dan TK pada kategori usia ≥ 3 - ≤ 7 tahun sebanyak 100%.
Literature Review : Gambaran Tindakan Perawat Mengatasi Nyeri Pasien Post Operasi Laparatomi Di Rumah Sakit mulia hakam; Kushariyadi Kushariyadi; Noviana Intan Putri Chayaning Pribadi
Bima Nursing Journal Vol 5, No 2 (2024): Mei
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/bnj.v5i2.1295

Abstract

Introduction:the pain of post-operative laparotomy is caused by tissue discontinuity or surgical wounds due to surgical incisions, so the skin's nerve cells become damaged. Laparotomy pain is often found in severe and moderate levels of pain intensity due to damage to the integument, muscle tissue, and vessels, and it causes in longer pain during the recovery period. Purpose: describe the actions of nurses in dealing with the pain of post-operative laparotomy patients in the hospital. Methods: this literature review uses the Google Scholar, PubMed, and Science Direct databases with cohort study designs, cross-sectional studies, case studies, randomized control trial studies, quasi-experimental studies published between 2019-2023. Result: the 10 articles reviewed in this study showed that the pain felt by post-operative laparotomy patients in the hospital experienced a decrease in the pain scale, from moderate pain to mild pain. Nursing actions related to pain can be done with pharmacological and non-pharmacological approaches. Analysis:the pharmacological approach can be carried out by administering analgesic therapy to reduce the intensity of pain felt by the patient while the non-pharmacological approach can be carried out by providing therapy such as; murottal Al-Qur'an therapy, lemon aromatherapy, deep breathing relaxation, finger grip relaxation, and hand massage therapy. Discussion: Pharmacological and non-pharmacological nursing actions carried out can reduce the pain scale of post-operative laparotomy patients in hospital from moderate to mild Keywords: pain, post-operative laparotomy, nurse actions
Mitigation Of Non-Natural Disaster Outbreaks Through Increasing Awareness Of The COVID-19 Protocol In Mayang Village, Jember Indonesia: Mitigasi Bencana Non-Alam Wabah Penyakit Melalui Peningkatan Kesadaran Protokol Covid-19 Pada Masyarakat Desa Mayang Jember Sutawardana, Jon Hafan; Hakam, Mulia; Nistiandani, Ana; Siswoyo, Siswoyo
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (350.976 KB) | DOI: 10.58545/djpm.v1i1.40

Abstract

At the end of the COVID-19 Pandemic, as it is today, people tend to lose their self-awareness regarding implementing their health protocols. On the other hand, a new variant of Covid 19 threatens public health, as evidenced by the recent increase in the number of cases in Indonesia. The community needs to get educated about mitigating non-natural disasters of the Covid 19 outbreak, so they can prepare themselves when the danger of this outbreak re-emerges in the community through self-awareness of the Covid 19 Protocol. The time of health education is about 60 minutes. Health education methods are used through lectures, discussions, and demonstrations using information media such as LCD projectors, leaflets, posters, and X-banners. Understanding evaluation methods using pre-test and post-test. The community showed enthusiasm during the activity, as evidenced by the many questions asked. Participants could also practice washing their hands properly and wearing a mask. When the verbal evaluation was carried out, participants could also answer the questions the teaching team posed correctly. The results of the written test evaluation showed an increase in the average value, namely from the pre-test score of 70.5 to 90.1 for the post-test average value. The community expressed their commitment to implementing the COVID-19 protocol in their daily lives to prevent the spread of COVID-19 cases.
Hubungan Tingkat Nyeri dengan Kualitas Tidur pada Pasien Post Operasi di Rumah Sakit Baladhika Husada Jember Kazharo, Antik; Hakam, Mulia; Murtaqib, Murtaqib
Pustaka Kesehatan Vol 12 No 2 (2024): Volume 10 No.2, 2024
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v12i2.19901

Abstract

One of the complaints experienced by patients after surgery is postoperative pain. The impact of postoperative pain that is increasingly severe and uncontrolled can disrupt a person's sleep so that it can affect the quality of sleep. The purpose of this study was to determine the relationship between pain level and sleep quality in postoperative patients at the Baladhika Husada Hospital, Jember. The independent variable of this study is the level of pain and the dependent variable is the quality of sleep. This research is a correlational study with a cross sectional approach. Sampling using consecutive sampling technique with 63 respondents. Data collection used NRS and PSQI questionnaire. Data analysis used spearman test with p value <0.05. The results of this study showed that the most pain levels were moderate and the quality of sleep was poor. There is a relationship between pain level and sleep quality in postoperative patients at Baladhika Husada Hospital, Jember (p value = 0.004, r = 0.358). The results showed that the higher the pain level, the higher the quality of sleep. Therefore the role of nurses is very important by providing pharmacological and non-pharmacological therapeutic interventions to overcome and control patient pain so that the sleep disturbance felt by postoperative patients is reduced
Implementasi terapi relaksasi murottal terhadap tekanan darah pasien dengan chronic kidney disease Za'im, Putra Pramadita Fachruz; Ridla, Akhmad Zainur; Hakam, Mulia; Sugiharto, Achmad Sigit
Ners Muda Vol 5, No 1 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v5i1.14215

Abstract

Tekanan darah tinggi dan penyakit ginjal adalah dua masalah yang saling terkait karena tekanan darah tinggi yang tidak terkendali dapat menyebabkan kegagalan ginjal atau sebaliknya, kegagalan ginjal menyebabkan tekanan darah tinggi. Selain terapi farmakologis, terapi non-farmakologis juga dapat dilakukan untuk dapat membantu mengatasi masalah tekanan darah tinggi pada pasien, salah satunya adalah dengan menggunakan terapi relaksasi murottal. Penelitian ini menggunakan metode studi kasus. Dari hasil penerapan terapi murottal Al-Quran Surah Ar Rahman pada Ibu S. selama 3 hari, terlihat penurunan tekanan darah pada setiap intervensi. Pada hari pertama intervensi nilai tekanan darah turun dari 160/100 mmHg menjadi 140/90 mmHg dengan MAP 120 mmHg turun menjadi 107 mmHg. Pada hari keuda intervensi nilai tekanan darah turun dari 150/100 mmHg menjadi 135/90 mmHg dengan MAP 117 mmHg turun menjadi 105 mmHg. Pada hari ketiga intervensi nilai tekanan darah turun dari 145/95 mmHg menjadi 130/85 mmHg dengan MAP 112 mmHg turun menjadi 100 mmHg. Penurunan tekanan darah terjadi karena mekanisme murottal Al-Quran dalam tubuh, yaitu akan mengaktifkan dampak psikologis positif sebagai terapi relaksasi, yang akan merangsang sensasi relaksasi yang dihasilkan oleh murottal Al-Quran. Ketika otak diberi stimulus berupa suara, dan suara tersebut sebanding dengan frekuensi alami, sel akan beresonansi dan kemudian menjadi aktif serta memberikan sinyal ke kelenjar pituitari. Selanjutnya, tubuh akan melepaskan hormon endorfin. Kondisi ini akan membuat tubuh rileks sehingga akan terjadi penurunan epinefrin dan tekanan darah. Berdasarkan hasil penelitian, terapi murottal terbukti memberikan pengaruh terhadap penurunan tekanan darah pasien. Hasil penelitian ini diharapkan dapat menjadi landasan pengembangan manajemen perawatan pasien Chronic Kidney Disease (CKD) dengan tekanan darah tinggi dan memberikan kontribusi terhadap kualifikasi pelayanan keperawatan yang lebih tinggi.
Co-Authors Ahmat Robbi Tricahyono Akhmad Zainur Ridla Al Alawi, Rafi Izuddin Amanda Putri Anugerah Aripratiwi, Cirilia Baskoro Setioputro Cristina Esria Valentin Tambunan Dewi Amaliyah Wahidah Dewi, Risma Eka Putri Arlyani Kusuma Dhimas Rizky Handoko Enggal Hadi Kurniyawan Erti Ikhtiarini Dewi Erti Ikhtiarini Dewi Esti Utarti Faiqotul Himmah Firda Romadhonia Putri Rivani Fitria, Dellia Ayu Fitrio Deviantony Hafan Sutawardana, Jon Heri Siswanto Irma Yanti Hidayah Jon Haffan Sutawardana Kadek Novi Andani Kazharo, Antik Khoirunisak, Naretta Krisna Yetti Kurniawan, Fandi Ahmad Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kushariyadi Lantin Sulistiyorini, Lantin Latifa Aini Susumaningrum Lina Nur Khumairoh Mahda Febriyanti Eka Pertiwi Putri Mila Yuni Sahlia Mochammad Ubaidillah Muhamad Zulfatul A’la Murtaqib Murtaqib Mustakim Mustakim Mustakim Mustakim Naili, Naila Khoirun Nisa Nabila Sandy Nisrina Na'ilah Rahmatika Nistiandani, Ana Noka, Isara Abda Noviana Intan Putri Chayaning Pribadi Nur Rofi'ah, Siti Nur Widayati Olifia Nafa Jelita Olifia Nafa Jelita Pratama, Fernanda Reza Pribadi, Noviana Intan Putri Chayaning Ramayana Lestari Dewi Ratna Sari Hardiani Retno Purwandari Rondhianto Rondhianto Rr Tutik Sri Hariyati Santoso, Sofi Fitriyah Shera, Salma Dena Shodikin, Mohammad Sinta Wijayanti Siswayo SISWOYO Siswoyo Siswoyo Siswoyo Siswoyo Siti Nur Rofi'ah Siti Zumrotul Mina Sofi Fitriyah Santoso Sugiharto, Achmad Sigit Sulis Setyowati, Sulis Sutawardana, Jon Haffan Syamsul Arifin Tita Saskia Asmoro Umayanah Umayanah Wantiyah Wantiyah Yeni Fitria Yeni Fitria Yustika Amalia Za'im, Putra Pramadita Fachruz Zahratul Umniyyah Zumrotul Farikhah