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Progressive Muscle Relaxation (PMR) dan Range Of Motion (ROM) untuk Meningkatkan Nilai Lower Extremity Functional Scale (LEFS) pada Pasien Post Operasi Fraktur Ekstremitas Bawah di RSUD Jombang Prawito, Prawito; Nur A, Aditiya; Zihni Z, Eliza
Jurnal Sains Kesehatan Vol 31, No 3 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Tri Mandiri Sakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/jsk.31.3.153-161

Abstract

Pasien post operasi fraktur sering kali mengalami ketakutan akan bergerak. Hal ini mengakibatkan penurunan kondisi dan penurunan fungsi. Fase rehabilitasi pada fraktur ekstremitas bawah harus diikuti dengan proggram latihan yang efektif agar pasien dapat kembali pulih seperti sediakala. Tujuan dari penelitian mengetahui pengaruh penerapan teknik Progressive Muscle Relaxation (PMR) terhadap peningkatan nilai Lower Extremity Functional Scale  (LEFS) pada penderita fraktur ekstremitas bawah paska operasi di Poli bedah RSUD Jombang. Design penelitian ini adalah penelitian quasi eksperimen dengan pendekatan one group pretest-posttest design. Penelitian dilaksanakan di Poli Bedah ortopedi RSUD Jombang. Populasi dalam penelitian ini adalah penderita fraktur ekstremitas bawah paska operasi yang melakukan pengobatan di Poli Ortopedi RSUD Jombang yaitu 46 Pasien (laki-laki 23 dan Perempuan 11 orang) di bulan Juli 2024. Teknik sampling yang digunakan adalah Consecutive sampling sesuai dengan kriteria insklusi dan eksklusi. Jumlah sampel penelitian sejumlah 34 Pasien. Respondent dilakukan pengukuran LEFS Pretest. Intervensi penelitian yaitu terapi menggunakan terapi relaksasi otot progresive dan ROM pada pertemuan yang berbeda. Peningkatan nilai LEFS akan diamati diawal dan akhir penelitian. Hasil pengukuran LEFS kategori rendah sebanyak 47% sebelum dan menjadi 26% Setelah Intervensi penelitian. Analisis data dilakukan dengan menggunakan uji Wilcoxon signed rank test dengan nilai p=0,002. Hal ini menunjukkan adanya pengaruh penerapan teknik progresive musclce relaxation (PMR) terhadap peningkatan LEFS. Penerapan teknik otot progressive dan ROM dapat meningkatkan skala fungsional ekstremitas bawah yang menunjukkan semakin mandiri pasien beraktifitas.Penderita fraktur ekstremitas harus terhindar dari kinesphobia (takut Bergerak) kondisi rileks dan siap melakukan Latihan menjadi kunci keberhasilan fase rehabilitasi.  Kata Kunci: ekstremitas bawah., latihan rentang gerak, relaksasi otot progresive, skala fungsional
DIABETES SELF MANAJEMEN EDUCATION SEBAGAI UPAYA PENINGKATAN KUALITAS HIDUP PENDERITA DIABETES MELLITUS TIPE II DI DESA TUGUSUMBERJO PETERONGAN JOMBANG: DIABETES SELF MANAGEMENT EDUCATION AS AN EFFORT TO IMPROVE THE QUALITY OF LIFE OF TYPE II DIABETES MELLITUS PATIENTS IN TUGUSUMBERJO VILLAGE PETERONGAN JOMBANG Zatihulwani, Eliza Zihni; Nanang Bagus Sasmito; Kusuma Wijaya Ridi Putra; Prawito
Jurnal Abdimas Pamenang Vol. 3 No. 1 (2025): Jurnal Abdimas Pamenang - JAP
Publisher : STIKES Pamenang Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jap.v3i1.289

Abstract

Abstrak   Latar Belakang: Diabetes Mellitus adalah ancaman serius untuk kesehatan global dan menjadi salah satu dari sepuluh penyebab kematian yang disebut sebagai silent killer. Seseorang dapat terdiagnosis diabetes mellitus jika hasil dari pemeriksaan kadar gula darah ≥200mg/dl. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan penderita DMT2 tentang pentingnya manajemen diri. Metode: Pengabdian ini dilakukan di Desa Tugusumberjo Peterongan Jombang. Peserta yang mengikuti kegiatan sebanyak 22 penderita DMT2. Pengabdian masyarakat dilakukan selama dua hari. Hasil: Setelah diberikan edukasi penderita DMT2 terkait Dabetes Self Management, peserta lebih paham terkait pentingnya manajemen diri pada pasen DMT2. Setelah diberikan edukasi, tingkat pengetahuan pengetahuan baik dari 18,18% menjadi 31,82%, pengetahuan cukup dari 50% menjadi 63,64% serta pengetahuan kurang dari 31,82% menjadi 4,54%. Kesimpulan: Edukasi tentang Diabetes Self Management meliputi edukasi tentang pengetahuan dasar diabetes, pengobatan, monitoring, nutrisi, olahraga dan aktivitas, manjemen stres, perawatan kaki, dan sistem pelayanan kesehatan. DSME dapat meningkatkan pengetahuan penderita DMT2 terkait manajemen diri pasien Diabetes sehingga dapat berdampak pula untuk meningkatkan Kualitas Hidup. Penderita DMT2 diharapkan patuh dengan pengobatan farmakologi dan dapat kombinasi dengan non farmakologi serta menerapkan DSME untuk menjaga kestabilan kadar glukosa darah. Kata kunci : Edukasi Managemen Diri Diabetes, Diabetes Mellitus Tipe II   Abstract  Background: Diabetes Mellitus is a serious threat to global health and is one of the ten causes of death known as the silent killer. A person can be diagnosed with diabetes mellitus if the results of a blood sugar level examination are ≥200mg/dl. The aim of this community service is to increase the knowledge of T2DM sufferers about the importance of self-management. Method: This service was carried out in Tugusumberejo Village, Peterongan, Jombang. There were 22 participants who took part in the activity with T2DM. Community service was carried out for two days. Results: After being given education for T2DM sufferers regarding Diabetes Self Management, participants understood better the importance of self-management for T2DM patients. After being given education, the level of knowledge was good from 18.18% to 31.82%, sufficient knowledge from 50% to 63.64% and insufficient knowledge from 31.82% to 4.54%. Conclusion: Education about Diabetes Self Management includes education about basic diabetes knowledge, treatment, monitoring, nutrition, exercise and activity, stress management, foot care, and the health service system. DSME can increase the knowledge of T2DM sufferers regarding self-management of Diabetes patients so that it can also have an impact on improving Quality of Life. T2DM sufferers are expected to comply with pharmacological treatment and can combine it with non-pharmacological treatment and apply DSME to maintain stable blood glucose levels. Keywords : Diabetes Self Management Education, Type 2 Diabetes Mellitus
Pengaruh Air Perasan Jeruk Nipis terhadap Mortalitas Kutu Rambut (Pediculus Humanus Capitis) pada Santriwati di Pondok Pesantren prawito, Prawito; Solehah, Ike Fitriatus; Niah, Najah Soraya; Puspita, Sylvie
Jurnal Kesmas Asclepius Vol 6 No 2 (2024): Jurnal Kesmas Asclepius
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jka.v6i2.12655

Abstract

Tujuan penelitian ini yaitu untuk menganalisis perbedaan mortalitas kutu rambut pada kelompok eksperimen dan kelompok kontrol pada santriwati di Pondok Pesantren Al–Falah Daerah Utara Karanghajo Silo Jember. Metode Penelitian menggunakan design Pre eksperimen dengan rancangan Intac Group Comparison Design. Jumlah populasi sebanyak 145 santriwati dengan sampel 30 responden dengan masing–masing 15 responden pada kelompok eksperimen dan kontrol. Teknik yang digunakan yaitu Quota sampling dan analisis data menggunakan Uji Mann – Whitney U. Hasil penelitian mortalitas kutu rambut setelah diberikan intervensi pada tanggal 15 Juni 2024 yaitu pada kelompok eksperimen didapatkan hampir seluruhnya kutu rambut mati setelah diberi air perasan jeruk nipis, yaitu 12 reponden (80%) dan kelompok kontrol didapatkan seluruhnya kutu rambut hidup setelah diberi air hangat, yaitu 15 responden (100%). Analisa hasil Uji Mann – Whitney U dengan p < 0,05 didapatkan p < 0,05 = 0,000 artinya terdapat perbedaan yang signifikan. Kandungan senyawa limonoid di dalamnya berperan sebagai insektisida alami. Aroma khas, rasa yang sedikit pedas dan pahit berguna sebagai penolak serangga. Sehingga peneliti memanfaatkan jeruk nipis untuk mengoptimalkan pengobatan non farmakologi pada penderita kutu rambut dandapat menjadi solusi alami yang efektif dan aman. Kesimpulan studi ini ada pengaruh penggunaan air perasan jeruk nipis terhadap mortalitas pediculus humanus capitis pada santriwati pondok pesantren. Kata Kunci: Jeruk Nipis, Kutu Rambut, Santriwati
THE INFLUENCE OF HEALTH EDUCATION THROUGH LEAFLETS AND VIDEO MEDIA ON KNOWLEDGE ABOUT THE DANGERS OF SMOKING IN STUDENTS OF JUNIOR HIGH SCHOOL 1 PETERONGAN Prawito, Prawito; Ibura, Djihan; Zatihulwani , Eliza Zihni
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 8 No 3 (2024): Volume 8 Issue 3, October 2024, Literasi Kesehatan Husada: Jurnal Informasi Ilmu
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v8i3.58

Abstract

Background: Smoking is an unhealthy habit that can cause various diseases. Health education is essential to improve understanding of the dangers of smoking. Objectives: This study aimed to evaluate the effect of health education through leaflets and video media on students' knowledge about the dangers of smoking at Junior High School 1 Peterongan. Design: This research method uses quasi-experimental methods with one group, pretest-posttest. The population is 225 students of class VII of SMPN 1 Peterongan with a sample of 56 respondents using random sampling techniques. Data were taken using a knowledge questionnaire. Data were analyzed using the Wilcoxon Test, the Asymp. Sig. (2-tailed) value was obtained at 0.000 <α 0.05, so it can be concluded that H1 is accepted, which means that there is an Effect of Health Education Through Leaflets and Video Media on Knowledge of the Dangers of Smoking in Students of Junior High School 1 Peterongan. Results: The results of the study showed that before the treatment, most respondents had a low level of knowledge, with a total of 32 people (57.1%), and no respondents had knowledge in the good category. After the treatment, most respondents had sufficient knowledge, namely 28 people (50.0%), while only a few respondents were still in the low category, namely 2 people (3.6%). Conclusion: Health education has a significant impact on students' knowledge of the dangers of smoking. Increasing knowledge about the dangers of smoking is very important for teenagers. The role of parents in supervising teenagers is also crucial to prevent smoking behavior and achieve the expected results.
Wound Degrees and Body Image in Diabetes Mellitus Patients with Diabetic Foot Ulcers Zatihulwani, Eliza Zihni; Prawito, Prawito; Sasmito, Nanang Bagus
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 7, No 2 (2024): JKPBK Desember 2024
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v7i2.17205

Abstract

Diabetic ulcers are one of the serious complications that can cause open wounds and infections in the feet and other parts of the body. Sufferers often feel uncomfortable, lose self-confidence, and even fear amputation. The purpose of this study was to determine the relationship between wound severity and body image in diabetic ulcer patients. This study used a correlational analytical design through a cross-sectional approach. The population in this study were 37 diabetic ulcer patients using a purposive sampling technique and a sample of 34 respondents. The instruments used were observation sheets and questionnaires. Data analysis used Spearman rank, the time of the study was conducted in December 2023. Based on the results of the study, it was found that the degree of the wound showed that most of the respondents had deep ulcers as many as 20 people (58.8%). Body image in diabetic ulcer patients showed that most of the respondents had a body image in the sufficient category as many as 23 people (67.7%). There is a relationship between the degree of injury and body image in diabetic ulcer patients with a p value of 0.004 (
AGE, GENDER, EDUCATIONAL LEVEL, OCCUPATIONAL, AND KNOWLEDGE LEVEL ABOUT MULTIDRUG RESISTANT TUBERCULOSIS (MDR-TB) AMONG TUBERCULOSIS PATIENTS Rozi, Fahrur; Fiddaroini, Fakhrun Nisa’; Prawito, Prawito
Nurse and Holistic Care Vol. 3 No. 1 (2023): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v3i1.4603

Abstract

Background: Resistance of Mycobacterium Tuberculosis is a condition in which Anti-Tuberculosis (OAT) drugs are unable to kill the Mycobacterium Tuberculosis germs. One type of resistance is Multidrug Resistant Tuberculosis. Multidrug Resistant Tuberculosis (MDR-TB) is TB caused by TB bacteria that are resistant to 2 types of OAT, namely INH and Rifampin. The consequences if resistance to OAT are deterioration of health, increased costs, prolonged treatment, high rates of therapy failure and death. Objective: This study aimed to determine relationship between age, gender, educational level, occupational, and knowledge level about multidrug resistant tuberculosis (MDR-TB) among tuberculosis patients at the Kanigaran Public Health Center, Probolinggo City. Methods: This study used a cross sectional research design with a sample of 60 respondents with pulmonary TB undergoing treatment at the Kanigaran Public Health Center, Probolinggo City. Data was collected using a questionnaire with an ordinal scale which was then analyzed using the Spearman Rank statistical test. Result: Based on the research results, it was found that only age and educational level had a relationship with knowledge level (r = -.291, p = .024; r = .470, p = .000; respectively). Conclusion: The level of knowledge of TB patients about multidrug-resistant TB (MDR-TB) can be influenced by education level and age, so that health workers can provide an understanding related to MDR-TB according to the level of education and age of the TB patient.
The Effectiveness of Melati Book Program to Improve Healthy Behavior and Reduce Blood Pressure in Hypertensive Patients at Sidorejo Kidul Community Health Center in Salatiga Suciati, Ony; Tamtomo, Didik Gunawan; Prawito, Prawito
Journal of Health Promotion and Behavior Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Abstract

Background: 319 cases of hypertension pati­ents occurred in the community health center in the last 2 years throughout 2019 and 256 cases up to March 2020. Therefore, fighting hypertension was one of the main programs at Sidorejo Kidul Community Health Center. This program was realized by publishing and distri­buting Melati Book or Books Against Hyper­tension to hypertension patients. However, the hospital has never conducted a study on whether the distribution of the Melati Book was effective in fighting hypertension in patients in Sidorejo Kidul Community Health Center.Subjects and Method: The study method was Quasi-experiment. This study used a random-number method to obtain the sample. A sample of 150 hipertensive patients was classified into 2 groups: 75 patients were in the intervention group and 75 other patients were in the control group. The data were analyzed by t-test.Results: After intervention, mean score of healthy behavior in the intervention group (Mean= 3.57; SD= 0.10) was higher than the control group (Mean= 0.49; SD= 0.19) and it was statistically significant (p<0.001). After intervention, mean score of systolic blood pressure in the intervention group (Mean= -32.59; SD= 1.02) was lower than the control group (Mean= -6.83; SD= 1.02) and it was statistically significant (p<0.001).Conclusion: Melati book can be used to improve the healthy behavior and reducing blood pressure in hypertensive patients at Sidorejo Kidul Community Health Center in Salatiga.Keywords: melati book, healthy behavior, decrease in blood pressureCorrespondence: Oni Suciati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ony­suci­ati975@gmail.com. Mobile: 081327073562.Journal of Health Promotion and Behavior (2020), 06(04): 264-271https://doi.org/10.26911/thejhpb.2020.05.04.04. 
The Length Of Surgery Is Associated With The Occurrence Of Shivering In Patients Who Have Undergone Spinal Block Anesthesia After Surgery At Masyithoh Bangil Hospital Prawito, Prawito; Zatihulwani, ELiza Zihni; Sholikhah, Dwi Uswatun
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 1 (2025): EDITION MARCH 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i1.6701

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Shivering is a problem that often occurs in patients undergoing surgery due to spinal block anesthesia or general anesthesia After spinal anesthesia, shivering is common during the intraoperative phase until the postoperative recovery phase. This study aims to analyze the relationship between the duration of surgery and the incidence of shivering in postoperative patients using spinal block anesthesia technique at RSI Masyithoh Bangil. The sampling method in this study used the accidental sampling technique involving 62 respondents. The instrument used was a patient observation form that recorded the duration of surgery and the occurrence of shivering. The results of the Spearman rho test showed a relationship between the duration of surgery and the incidence of shivering in patients using the spinal block anesthesia technique, with a p-value of 0.000 (p0.05) and a value of r=0.872. Based on these findings, it can be concluded that there is a very strong relationship between the duration of surgery and the occurrence of shivering in postoperative patients using the spinal anesthesia technique at RSI Masyithoh Bangil