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Self Affirmation Reduces the Anxiety, LDH and Troponin I in the Clients with Coronary Heart Disease (CHD) Padoli Padoli; Joko Suwito; Tanto Hariyanto
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.763 KB) | DOI: 10.20473/jn.v14i3.17170

Abstract

Introduction: Positive self affirmation is one of the psychological interventions that can be applied to the treatment of coronary heart disease; its effect is currently unknown. The purpose of this study was to prove the effect of self affirmation on anxiety, troponin I and LDH in coronary heart disease patients.Methods: The type and design of the study was quasi-experimental with a non-randomized post-test control group design. Thirty patients with coronary heart disease who were treated in the Camelia room of Dr Soetomo Hospital who had been selected were divided into 2 groups. The first group was given self affirmation twice / day for 20 minutes and the second group had standard care as the control group. After the intervention, anxiety measurements were taken, in addition to the measurement of troponin I and LDH.Results: The results showed that self affirmation reduced anxiety (ρ = 0.03), decreased troponin I (ρ = 0.003) and decreased the lactate dehydrogenase (LDH) levels (ρ = 0.006).Conclusion: Self-affirmation improves the client’s emotions, preventing damage to the heart muscle cells. This is reflected by a decrease in the troponin I and LDH levels which are indicators of heart muscle damage.
PENURUNAN PERSEPSI NYERI PASIEN KANKER MENGGUNAKAN METOOE "AFFIRMASITAPPING TECHNIQUE" 01 WILAYAH KERJA PUSKESMAS PACARKELING SURABAYA Joko suwito; Padoli .; Dhiana Setyorini; Intim Cahyono
JURNAL PENELITIAN KESEHATAN Vol 13, No 1 (2015): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1617.686 KB)

Abstract

Affirmation-Taping Techniques (An) has shown good results and safe as an alternative to reduce theperception of pain after surgery. NeverthelessAn therapy to reduce the perception of pain in patientswith cancer outpatient health center hasnot been confirmed usefulness.The design of this study is a quasi experimental pre-posttest control group design, with a population ofcancer patients who are actively participating in outpatient health center PacarkelingSurabaya, in a simplerandomized into the control group and the treatment group; has signed a Letter of Approval and followAn after receiving an explanation. The research instrument with the Visual Analogue Scale (VAS) and theMcGill-Melzack Pain Questionare and An's Guide; Data were analyzed with the Kolmogorov-Smirnove.Ethical clearance was obtained from the Health Research Ethics Committee (IEC) of Ministry of HealthPolytechnicof Surabaya.Treatment with An group amounted to 10 (ten) and a control group of 10 (ten); the two groups allgained a basic drug therapy in an outpatient health center services Pacarkeling Surabaya. From theanalysis of the hypothesis test is obtained that An has shown a significant difference in reducing theperception of pain cancer patients compared to controls (p = 0.000; a = 0.05).Discussion: An which is the technique of psycho-behavioral therapy treatment, the theory of SelfAffirmationand Meridian Theory-acupuncture; has changed the perception-emotion-koqnition is notconstructive toward self-acceptance and trust and hope in God Almighty, then reinforced by tapping onacupuncture points that reinforce the perception-koqnition-constructive emotion. Prefrontal cortex,hippocampus, amygdala and thalamus translate these conditions to produce neurotransmitters, which inturn c~n activate brain plasticity to modulate the pain and reduce the perception of painKey words: Pain perception, Affirmation Tapping Techniques, Cancer patient
PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN KONSUMEN PADA CV GLOBAL AC BANJARBARU Joko Suwito
KINDAI Vol 14 No 3 (2018): KINDAI
Publisher : JURNAL KINDAI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.52 KB) | DOI: 10.35972/kindai.v14i3.228

Abstract

Abstract: The purpose of this study is to determine the quality of service in cus-tomer satisfaction servicing AC seen from the variable of evidence real, reliabili-ty, responsiveness, guarantee, and empathy. The method used is multiple linear re-gression analysis to determine the influence of each variable quality of service to customer satisfaction. The study was conducted to 103 consumer of CV Global AC Banjarbaru and conducted for 1 week. The results showed that the variables of real evidence, responsiveness, and empathy are partially significant effect on cus-tomer satisfaction of AC service and the variable of reliability and assurance are not significantly influential to customer satisfaction.Keywords: quality of service, customer satisfaction, ACserviceAbstrak: Tujuan dari penelitian ini adalah untuk mengetahui kualitas pelayanan dalam kepuasan konsumen menservis AC dilihat dari variabel bukti nyata, kehan-dalan, daya tanggap, jaminan, dan empati. Metode yang digunakan adalah analisis regresi linier berganda untuk mengetahui pengaruh dari masing-masing variabel kualitas pelayanan terhadap kepuasan konsumen. Penelitian dilakukan terhadap 103 orang konsumen CV Global AC Banjarbaru dan dilakukan selama 1 minggu. Hasil penelitian menunjukkan bahwa variabel bukti nyata, daya tanggap, dan em-pati secara parsial berpengaruh signifikan terhadap kepuasan konsumen menservis AC dan variabel kehandalan dan jaminan secara persial tidak berpengaruh signifi-kan terhadap kepuasan konsumen menservis AC.Kata Kunci: kualitas pelayanan, kepuasan konsumen, service AC
Hubungan Self Management dengan Tekanan Darah pada Klien Hipertensi di Desa Jantiganggong Kecamatan Perak Kabupaten Jombang Ariffatul Azizah; Padoli Padoli; Joko Suwito
JURNAL KEPERAWATAN Vol. 16 No. 3 (2022)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v16i3.36

Abstract

ABSTRAK Hipertensi merupakan salah satu penyakit yang banyak diderita oleh masyarakat di Indonesia. Tekanan darah akan meningkat seiring dengan pola hidup yang tidak sehat. Salah satu upaya dalam mengendalikan hipertensi agar mencegah terjadinya komplikasi yaitu dengan self management hipertensi. Self management merupakan kemauan atau kemampuan seseorang dalam mempertahankan atau mengubah perilaku tertentu untuk meningkatkan dan melindungi kesehatannya. Tujuan penelitian ini adalah mengetahui hubungan self management terhadap tekanan darah pada klien hipertensi di Desa Jantiganggong Kecamatan Perak Kabupaten Jombang. Jenis penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross sectional dan menggunakan teknik accidental sampling. Populasi dalam penelitian ini adalah seluruh klien hipertensi di Desa Jantiganggong Kecamatan Perak Kabupaten Jombang dengan jumlah sampel 54 klien. Instrumen pengumpulan data pada penelitian ini dilakukan dengan cara mengisi kuisioner self management hipertensi dan pengukuran tekanan darah dengan menggunakan sphygmomanometer. Setelah data terkumpul dianalisis menggunakan tabel dengan distribusi frekuensi. Untuk mengetahui hubungan antara self management dengan tekanan darah menggunakan uji korelasi Spearman Rho dengan nilai signifikan 0,05. Hasil penelitian menunjukkan bahwa hampir seluruhnya memiliki self management cukup (64,8%) dan sebagian besar memiliki tekanan darah dalam kategori hipertensi derajat 1 (51,9%). Terdapat hubungan antara self management dengan tekanan darah Hasil analisis didapatkan nilai p value = 0,000 p< 0,05 dimana apabila seseorang memiliki self management yang baik maka tekanan darah akan terkontrol dengan baik. Untuk itu diharapkan pada klien hipertensi agar dapat melakukan pola hidup yang lebih baik lagi sehingga tekanan darah dapat terkontrol dengan baik. Kata Kunci : Self Management, Tekanan Darah, Hipertensi ABSTRACT Hypertension is one of the most common diseases in Indonesia. Blood pressure will increase along with an unhealthy lifestyle. One of the efforts in controlling hypertension in order to prevent complications by self-management of hypertension. Self-management is a person's willingness or ability to maintain or change certain behaviors to improve and protect their health. The purpose this study was to determine the relationship of self-management to blood pressure in hypertensive clients in Jantiganggong Village, Perak District, Jombang Regency. The type of research used is descriptive correlation with cross sectional approach and uses accidental sampling technique. The population in this study were all hypertensive clients in Jantiganggong Village, Perak District, Jombang Regency with a total sample of 54 clients. Data collection instruments in this study were carried out by filling out hypertension self-management questionnaire and measuring blood pressure using a sphygmomanometer. After the data collected were analyzed using table with frequency distribution. To determine the relationship between self-management and blood pressure using the Spearman Rho correlation test with a significant value of 0.05. The results showed that almost all of them had sufficient self-management (64.8%) and most had blood pressure in the category 1 hypertension (51.9%). There is a relationship between self-management and blood pressure. The results of the analysis obtained p value = 0.000 p <0.05, where if someone has good self-management, blood pressure will be well controlled. For this reason, it is expected that hypertensive clients can carry out healthy lifestyle so that blood pressure can be controlled. Keywords : Self Management, Blood Pressure, Hypertension
Hubungan Self Management dengan Tekanan Darah pada Klien Hipertensi di Desa Jantiganggong Kecamatan Perak Kabupaten Jombang Ariffatul Azizah; Padoli Padoli; Joko Suwito
JURNAL KEPERAWATAN Vol. 16 No. 3 (2022)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v16i3.36

Abstract

ABSTRAK Hipertensi merupakan salah satu penyakit yang banyak diderita oleh masyarakat di Indonesia. Tekanan darah akan meningkat seiring dengan pola hidup yang tidak sehat. Salah satu upaya dalam mengendalikan hipertensi agar mencegah terjadinya komplikasi yaitu dengan self management hipertensi. Self management merupakan kemauan atau kemampuan seseorang dalam mempertahankan atau mengubah perilaku tertentu untuk meningkatkan dan melindungi kesehatannya. Tujuan penelitian ini adalah mengetahui hubungan self management terhadap tekanan darah pada klien hipertensi di Desa Jantiganggong Kecamatan Perak Kabupaten Jombang. Jenis penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross sectional dan menggunakan teknik accidental sampling. Populasi dalam penelitian ini adalah seluruh klien hipertensi di Desa Jantiganggong Kecamatan Perak Kabupaten Jombang dengan jumlah sampel 54 klien. Instrumen pengumpulan data pada penelitian ini dilakukan dengan cara mengisi kuisioner self management hipertensi dan pengukuran tekanan darah dengan menggunakan sphygmomanometer. Setelah data terkumpul dianalisis menggunakan tabel dengan distribusi frekuensi. Untuk mengetahui hubungan antara self management dengan tekanan darah menggunakan uji korelasi Spearman Rho dengan nilai signifikan 0,05. Hasil penelitian menunjukkan bahwa hampir seluruhnya memiliki self management cukup (64,8%) dan sebagian besar memiliki tekanan darah dalam kategori hipertensi derajat 1 (51,9%). Terdapat hubungan antara self management dengan tekanan darah Hasil analisis didapatkan nilai p value = 0,000 p< 0,05 dimana apabila seseorang memiliki self management yang baik maka tekanan darah akan terkontrol dengan baik. Untuk itu diharapkan pada klien hipertensi agar dapat melakukan pola hidup yang lebih baik lagi sehingga tekanan darah dapat terkontrol dengan baik. Kata Kunci : Self Management, Tekanan Darah, Hipertensi ABSTRACT Hypertension is one of the most common diseases in Indonesia. Blood pressure will increase along with an unhealthy lifestyle. One of the efforts in controlling hypertension in order to prevent complications by self-management of hypertension. Self-management is a person's willingness or ability to maintain or change certain behaviors to improve and protect their health. The purpose this study was to determine the relationship of self-management to blood pressure in hypertensive clients in Jantiganggong Village, Perak District, Jombang Regency. The type of research used is descriptive correlation with cross sectional approach and uses accidental sampling technique. The population in this study were all hypertensive clients in Jantiganggong Village, Perak District, Jombang Regency with a total sample of 54 clients. Data collection instruments in this study were carried out by filling out hypertension self-management questionnaire and measuring blood pressure using a sphygmomanometer. After the data collected were analyzed using table with frequency distribution. To determine the relationship between self-management and blood pressure using the Spearman Rho correlation test with a significant value of 0.05. The results showed that almost all of them had sufficient self-management (64.8%) and most had blood pressure in the category 1 hypertension (51.9%). There is a relationship between self-management and blood pressure. The results of the analysis obtained p value = 0.000 p <0.05, where if someone has good self-management, blood pressure will be well controlled. For this reason, it is expected that hypertensive clients can carry out healthy lifestyle so that blood pressure can be controlled. Keywords : Self Management, Blood Pressure, Hypertension
Terapi Musik Menurunkan Kecemasan Pada Pasien Diabetes Melitus Tipe Ii Di Wilayah Kerja Puskesmas Perak Timur Surabaya Rafida Indah Wastantri; Joko Suwito; Endah Suprihatin; Aida Novitasari
JURNAL KEPERAWATAN Vol. 18 No. 2 (2024)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v18i2.171

Abstract

ABSTRAK Pasien DM termasuk DMT2 sering mengalami kecemasan akibat penyakit yang dideritanya dan perubahan hidup yang mendadak. Kecemasan apabila tidak dikelola dengan tepat dapat mengakibatkan terjadinya berbagai komplikasi. Tujuan penelitian ini adalah mengetahui efek terapi musik terhadap kecemasan pada pasien diabetes tipe 2. Jenis penelitian ini quasi eksperimen dengan  pendekatan one grou pre post . 40 pasien diabetes tipe 2 yang berobat  di Puskesmas Perak Timur Surabaya dijadikan sampel penelitian. Variabel bebas dalam penelitian ini adalah pemberian terapi musik dan variabel terikat adalah kecemasan. Pengumpulan data kecemasan menggunakan skala HARS, Untuk mengetahui efektifitas intervensi dilakukan analisis hasil uji Wilcoxon. Hasil penelitian diperoleh sebelum pemberian terapi musik sebagian kecil(12,5%)  pasien mengalami kecemasan ringan, hampir seluruhnya (87%) mengalami kecemasan sedang. Setelah pemberian terapi musik, sebagian besar (55%) pasien  DM tipe 2 mengalami kecemasan ringan dan hampir setengahnya(45%) mengalami kecemasan sedang. Terdapat perbedaan terapi musik terhadap kecemasan p =0,000 (p<0,05), artinya terapi musik menurunkan kecemasan pasien Diebetes mellitus tipe 2. Terapi musik dapat menjadi pilihan non-farmakologis yang efektif untuk menurunkan tingkat kecemasan pada pasien diabetes tipe 2 Kata kunci: Terapi Musik, Kecemasan, Diabetes Melitus Tipe II   ABSTRACT DM patients including T2DM often experience anxiety due to their disease and sudden life changes. Anxiety if not managed appropriately can lead to various complications. The purpose of this study was to determine the effect of music therapy on anxiety in patients with type 2 diabetes. This type of research is quasi-experimental with a one-group pre post approach. 40 patients with type 2 diabetes who seek treatment at Puskesmas Perak Timur Surabaya were used as research samples. The independent variable in this study is the provision of music therapy and the dependent variable is anxiety. To determine the effectiveness of the intervention, the results of the Wilcoxon test were analyzed. The results obtained before the provision of music therapy, a small proportion (12.5%) of patients experienced mild anxiety, almost all (87%) experienced moderate anxiety. After giving music therapy, most (55%) patients with type 2 DM experience mild anxiety and almost half (45%) experience moderate anxiety. There is a difference in music therapy on anxiety p = 0.000 (p < 0.05), meaning that music therapy reduces the anxiety of patients with type 2 diabetes mellitus. Music therapy can be an effective non-pharmacological option to reduce anxiety levels in patients with type 2 diabetes.  Keywords: Music Therapy, Anxiety, Type II Diabetes Mellitus