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PERBEDAAN PENGARUH GLUKOSA DARAH ACAK DAN DRESSING TERHADAP LUKA DIABETES DI MALANG Taufan Arif
The Shine Cahaya Dunia Ners Vol 7, No 02 (2022): The Shine Cahaya Dunia Ners
Publisher : Universitas An Nuur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v7i02.388

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Pendahuluan: Luka kaki diabetes merupakan kondisi patologis kaki akibat diabetes mellitus atau komplikasinya dalam jangka panjang. Amputasi ulkus diabetik mencapai 1 juta setiap tahunnya. Tujuan penelitian menjelaskan perbedaan pengaruh glukosa darah acak dan dressing terhadap luka diabetes di Malang.Metode: Penelitian menggunakan cross sectional design. Populasi berjumlah 60 responden. Teknik sampling menggunakan purposive sampling. Kriteria inklusi meliputi klien DM berusia >35 tahun, DM tipe-II, dan luka grade 1 dan 2. Kriteria eksklusi meliputi klien ostoemielitis, tidak kooperatif, dan ketoasidosis diabetikum. Variabel independent adalah glukosa darah acak, dan dressing. Variabel dependent penelitian adalah luka. Instrumen glukosa menggunakan glukometer. Instrumen dressing menggunakan lembar observasi. Instrumen luka menggunakan lembar observasi BWAT. Penelitian dilaksanakan September-November 2018. Data dianalisis menggunakan uji regresi liner ganda.Hasil: Uji regresi linier berganda menunjukkan nilai p-value variabel gula darah acak adalah 0.039 dan variabel wound dressing menunjukkan nilai p-value 0.002. Dari hasil regresi tersebut menunjukkan variabel wound dressing lebih berpengaruh terhadap luka. Kesimpulan:Penggunaan wound dressing dalam perawatan luka diabetes memberikan pengaruh yang lebih besar dalam proses penyembuhan luka daripada kestabilan kadar glukosa darah acak. Penggunaan wound dressing yang menjaga moisture balance akan meningkatkan proses pertumbuhan sel, proliferasi kolagen, dan menstabilkan matrikskan jaringan sehat. Jika penelitian akan dilanjutkan oleh peneliti selanjutnya, maka perlu melanjutkan penelitian yang melihat kadar glukosa darah dengan pemeriksaan HbA1c. Kata Kunci: Luka Kaki Diabetes, Glukosa Darah Acak, Wound Dressing 
Pengaruh Teh Hijau Terhadap Penurunan Berat Badan Dan Kadar Glukosa Darah Pasien Diabetes Mellitus Sahiroh, Naufa; Arif, Taufan; Ciptaningtyas, Maria Diah; Bachtiar, Arief
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v14i2.2830

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Kasus obesitas di Indonesia mengalami peningkatan. Seseorang obesitas cenderung memiliki kadar glukosa yang tinggi dan beresiko terkena diabetes mellitus. Hal tersebut terjadi karena adanya pola makan yang tidak teratur dan aktifitas yang kurang. Secara teori teh hijau dapat menurunkan berat badan dan glukosa darah, akan tetapi manusia memiliki keunikan yaitu pada perilakunya. Oleh karena itu perlu adanya pembuktian akan hal tersebut. Penelitian ini menggunakan metode penelitian literature review. Database yang digunakan yaitu ProQuest, Pubmed, ScienceDirect, Garuda,  dan Wiley. Dengan menggunakan keyword ((((((((((green tea) OR camellia sinensis) AND weight loss) OR body weight) AND blood glucose) OR glucose) AND diabetic) OR diabetes mellitus) OR diabetes type 1) OR diabetes type 2. Dilakukan seleksi terhadap tujuh artikel dengan memerhatikan PICOS framework, kemudian artikel dianalisis menggunakan JBI Critical Appraisal tools dan memilki standarisasi hasil analisis lebih dari 50%. Tujuh artikel yang sesuai dengan kriteria inklusi. Empat artikel membahas pengaruh teh hijau terhadap berat badan dengan satu artikel signifikan terjadi penurunan, tujuh artikel membahas pengaruh teh hijau terhadap kadar glukosa dengan satu artikel yang signifikan terjadi penurunan. Tidak ada pengaruh pemberian teh hijau terhadap penurunan berat badan dan penurunan kadar glukosa darah pada pasien diabetes mellitus. Penurunan berat badan selain dipengaruhi frekuensi pemberian teh hijau juga dipengaruhi oleh asupan makanan yang dikonsumsi. Tiga artikel yang menjelaskan bahwa riwayat diabetes mellitus lima tahun atau lebih memiliki kerusakan sel beta pankreas yang tidak bisa diatasi dengan pemberian teh hijau.
HUBUNGAN USIA DENGAN PENINGKATAN TEKANAN DARAH POST HEMODIALISA PADA LANSIA DI RUMAH SAKIT IHC LAVALETTE KOTA MALANG Arif, Taufan; Pramesty, Anggy Dwi; Wiyono, Joko; Sulastyawati, Sulastyawati
Jurnal Keperawatan Terapan Vol 10 No 1 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i1.4541

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Abstract: While undergoing hemodialysis therapy, patients experience health problems, including hemodynamic disorders, which are a common problem. Factors that cause changes in post-hemodialysis blood pressure can be caused by age. Elderly patients undergoing hemodialysis treatment experience an increase in blood pressure after hemodialysis by 80%. A possible factor causing an increase in post-hemodialysis blood pressure is age. The aim of this study was to determine the relationship between age and increased post-hemodialysis blood pressure. The research design uses a "cross-sectional" approach. The sampling method used "purposive sampling" with 74 elderly people. Determination of respondents was based on the inclusion criteria of patients who experienced an increase in blood pressure after hemodialysis, and patients who routinely underwent hemodialysis therapy. Test data analysis using univariate analysis to determine the characteristics of respondents. Bivariate analysis used the Spearman rank test for the age variable which was associated with an increase in post-hemodialysis blood pressure. Age bivariate test with p-value 0.001. Age is associated with an increase in post-hemodialysis blood pressure. Keywords: Blood pressure, hemodialysis, elderly, ESRD
Community Empowerment with Stunting Filters to Create Healthy Families Solikhah, Fitriana Kurniasari; Astuti, Erlina Suci; Ernawati, Naya; Arif, Taufan; Tyas, Maria Diah Ciptaning; Hamarno, Rudi; Wiyono, Joko; Subekti, Imam
Inovasi Lokal Vol. 1 No. 2 (2023): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v1i2.74

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Stunting is a condition where a child experiences growth disorders, so that the child's height does not correspond to his age, as a result of chronic nutritional problems, namely lack of nutritional intake for a long time (Ministry of Health, 2020). The results of the 2018 Regional Health Research (Riskesdas 2018) show that toddlers in Indonesia aged 0-23 months still experience shortness of breath or very shortness of breath. This shows that there is a bright spot in the implementation of intervention programs in accelerating the reduction of stunting rates which cannot be separated from the cooperation of every existing element. The difference in the average knowledge of pre- and post-education cadres providing education to improve care for low birth weight babies was obtained by a mean pre-education value of 2.60 and a mean post-education value of 1.40. The standard deviation value for pre-training is 0.308 and post-training is 0.40. The Wilcoxon z value is -4.102. The statistical test results of the Wilcoxon signed rank test obtained a value of p = 0.000 (p < 0.05). Thus, it can be concluded that there is a significant difference between before and after training in cadres' knowledge about early detection of stunting in toddlers. The community service program to assist families at risk of stunting is a new breakthrough in determining effective and integrated, community-based strategies to reduce the risk of stunting.
Providing Education About Caesarean Sectio Operations To Pregnant Women Who Will Understand Caesarean Sectio Operations To Reduce Pre-Operative Anxiety Solikhah, Fitriana Kurniasari; Arif, Taufan; Tyas, Maria Diah Ciptaning
Inovasi Lokal Vol. 2 No. 1 (2024): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v2i1.126

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Sectio caesarea (SC) is a method of expelling a baby by performing surgery on the mother's abdominal wall and uterus. Apart from having painful side effects and a large risk of complications, a Caesarean section is also a major medical procedure that can cause fear, anxiety, worry and stress for pregnant women who will undergo it. Providing appropriate education to pregnant women who will undergo a cesarean section can help reduce anxiety levels before surgery. This community service activity is to increase pregnant women's knowledge about caesarean section operations. reduce the anxiety of pregnant women who will undergo caesarean section surgery. and prepare pregnant women physically and mentally to face caesarean section surgery. The number of participants in this community service activity was 20 pregnant women who were about to undergo a Caesarean section. Pregnant women understood about Caesarean section operations, benefits, risks and surgical procedures. The anxiety of pregnant women who will undergo caesarean section surgery has decreased. Pregnant women feel more physically and mentally prepared to face caesarean section surgery. Education about caesarean section surgery can increase knowledge and reduce anxiety of pregnant women who will undergo caesarean section surgery.
Effects Of Laxatives On Postoperative Intestinal Sound Recovery Wahyuni, Eko Sari; Hamarno, Rudi; Arif, Taufan; Astuti, Erlina Suci; Septiasih, Rossyana
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 2 No. 1 (2024): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v2i1.124

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Intestinal sound is produced by muscle movements in the digestive tract. The return of intestinal sound after surgery is an important indicator for patients to return to eating and drinking normally. This study aimed to determine whether the administration of laxatives before surgery can speed up the recovery of intestinal sound in patients undergoing surgery with general anesthesia. The study involved 30 patients divided into two groups: a laxative group and a control group. The laxative group received laxatives before surgery, while the control group did not. Intestinal sound recovery time was measured in both groups. The sampling technique uses purposive sampling with the Mann Whitney statistical test. The results showed that the administration of laxatives before surgery had a significant effect on intestinal sound recovery time in postoperative patients under general anesthesia (p < 0.05). The laxative group showed faster recovery of intestinal sound than the control group. From this study it can be concluded that the administration of pre-operative laxatives can be beneficial for postoperative patients under general anesthesia to accelerate the recovery of bowel function. So that suggestions to the next researcher are advised to conduct research respondents who are given more varied laxatives
Reduction of Postoperative Nausea and Vomiting Induced by Spinal Anesthesia: Peppermint and Lavender Aromatherapies as Complementary Therapies Taufan Arif; Maria Diah Ciptaningtyas; Navalia Nailin Mudviyanti; Fitriana Kurniasari Solikhah
Folia Medica Indonesiana Vol. 60 No. 4 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v60i4.58836

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Highlights:1. This study provides insight into the effectiveness of peppermint and lavender aromatherapies in reducing postoperative nausea and vomiting in patients following spinal anesthesia.2. Aromatherapies with peppermint and lavender administered three times within six hours have demonstrated potential as an easy-to-apply intervention that reduces postoperative nausea and vomiting.3. In terms of effectiveness, however, peppermint aromatherapy exhibits a higher effectiveness in reducing nausea and vomiting compared to lavender aromatherapy. AbstractNausea and vomiting are common occurrences after surgery with spinal anesthesia, potentially leading to complications and delayed recovery. Hypotension associated with spinal, epidural, and combined spinal-epidural anesthesia is a significant factor contributing to postoperative nausea and vomiting (PONV). This study aimed to determine the difference in effectiveness between peppermint and lavender aromatherapies for reducing PONV in patients receiving spinal anesthesia. This study used a pretest-posttest design with a control group. The research sample comprised at least 12 respondents in each group, resulting in a total of 36 respondents selected by a random sampling technique utilizing a wheel spinner. The inclusion criteria were respondents who experienced moderate to severe PONV, as indicated by scores of 9–24. The Rhodes Index of Nausea, Vomiting, and Retching (RINVR) instrument was utilized to measure the level of nausea and vomiting over six hours. The statistical analysis included the Mann-Whitney test and the Wilcoxon test, with a significance level set at p<0.05. The Mann-Whitney test yielded values of p=0.003 for peppermint and p=0.017 for lavender, indicating the aromatherapy effect in reducing PONV compared to the control group. Furthermore, the results showed a value of p=0.00 for the comparison between the administration of lavender and peppermint aromatherapies, demonstrating that peppermint aromatherapy was more beneficial than lavender aromatherapy in alleviating PONV. This study suggests that peppermint aromatherapy is more effective than lavender in reducing PONV, as patients may favor the refreshing effect of peppermint, which enhances relaxation and reduces nausea and vomiting.
Manfaat Teknik Relaksasi Napas Dalam Untuk Menurunkan Kecemasan Pasien Pre Operasi General Anastesi Hamarno, Rudi; Arif, Taufan; Oktavia, Devi Ayu; Supono
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.22772

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Introduction: Preoperative patients with anxiety will cause an increase in breathing frequency and heart rate, potentially resulting in the cancellation of surgery. Anxious patients will be intervened through deep breath relaxation techniques that are proven to reduce anxiety levels. Method: The research design is "quasi-experimental" with a " Non-Equivalent Group Design Pre and Post Test" approach. The sampling method used was purposive sampling with a total of 20 respondents divided into two groups. Determination of respondents based on the inclusion criteria of general anesthesia patients, compositional awareness with moderate-severe APAIS anxiety levels who have scheduled surgery at Karsa Husada Batu Hospital. The independent variable is deep breath relaxation, and the dependent variable is anxiety level. Univariate analysis to determine the characteristics of respondents. Bivariate analysis using paired t-test and independent t-test to determine the difference between the two groups. Results: The paired t-test in the pre-post control group resulted in a p-value of 0.823, indicating an average increase of 0.80. Conversely, in the pre-post treatment group, the p-value was 0.000, signifying a mean decrease of 4.00. In the independent t-test between the control and treatment groups in the post-test, the p-value was 0.002. Discussion: Deep breath relaxation improves lung ventilation and blood oxygenation, involving the medulla oblongata which controls the cardiovascular and HPA which regulates the neuendocrine system. Activation of ACTH and CRH increases cortisol secretion, which is associated with anxiety.
Hubungan Status Fisik Pra Anestesi Dengan Waktu Pulih Sadar Pasien Post Operasi Dengan General Anesthesia Hamarno, Rudi; Arif, Taufan; Arifaen, Aditya Mauludin Afkar Nur Arij; Ciptaningtyas, Maria diah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.23184

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Introduction: The duration of recovery of consciousness in postoperative patients with general anesthesia is a common problem after the patient is transferred to the recovery room. The recovery period of patients after surgery and general anesthesia is influenced by several factors, one of which is the physical condition before anesthesia based on ASA status. The purpose of this study was to determine the relationship between ASA status and the recovery time of patients after surgery with general anesthesia in the recovery room. Method: The study design used a "cross-sectional" approach. The average population per month was 139 postoperative patients using general anesthesia aged 26-65 years. The sampling method used purposive sampling with 59 respondents. Determination of respondents was based on the inclusion criteria of patients undergoing elective surgery aged 26-65 years, patients who received ASA status 1 and 2. Data analysis tests used descriptive statistical tests to determine the characteristics of respondents. Results: Bivariate analysis used the Spearman rank test to determine the relationship between pre-anesthesia physical status and the recovery time of patients after surgery with general anesthesia. The results of the bivariate test of ASA physical status with a p-value of 0.000. Discussion: Pre-anesthesia physical status is related to the recovery time of patients after surgery with general anesthesia. Physical status conditions with accompanying illnesses can interfere with the anesthesia process and post-anesthesia recovery.
MedisInfo : Keamanan Inovasi Kesehatan Digital sebagai Perwujudan Artificial Intelligence (AI) dalam Penyebaran Informasi Kesehatan Bahrudin; Arif, Taufan
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.24366

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Objective: AI in healthcare faces major challenges in patient data privacy and security, risking ethical issues. Additionally, insufficient technical support and training for healthcare staff may impede effective implementation across facilities. This study aims to (1) analyze the role of Artificial Intelligence (AI) in digital health innovation, (2) identify key challenges related to privacy and data security in AI applications within the healthcare sector, and (3) propose policies that support data privacy and security in AI implementation in the 5.0 era. Methods: A qualitative descriptive approach was used through a literature review from leading sources on AI applications in digital health, with analysis of key themes such as transparency, consent, data security, data minimization, user access, and routine audits. Literature evaluation compares data security practices and regulations in different countries. Results: The findings show that AI applications in digital health face major challenges, particularly in protecting data privacy. Key insights include (1) the need for transparency in data usage, (2) limitations in the current informed consent practices, (3) the need for stronger data security measures, and (4) the lack of regular audits to assess compliance with privacy policies. These factors highlight the need for stricter policies to ensure user data protection. Conclusion: Supporting AI applications in digital health requires thorough privacy and data security policies that address user access, security, transparency, permission, data minimisation, and frequent audits. Robust regulation will safeguard users' rights and privacy while fostering long-term, reliable digital health innovation