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Pengaruh Aromaterapi Lemon Diffuser Terhadap Post Operative Nausea and Vomiting (PONV) Pada Pasien Post Anestesi General Di RSUD Ngudi Waluyo Arif, Taufan; Vashti, Laily Evania; Marsaid, Marsaid; Sulastyawati, Sulastyawati
Jurnal Keperawatan Vol 22 No 1 (2024): Jurnal Keperawatan Maret 2024
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v22i1.1288

Abstract

Post Operative Nausea and Vomiting adalah salah satu kondisi yang sering dikeluhkan oleh pasien setelah operasi sebanyak 61-79%. Salah satu alternatif dalam menurunkan PONV dapat menggunakan cara nonfarmakologis yaitu aromaterapi. Aromaterapi sendiri merupakan salah satu pengobatan alternatif yang menggunakan bahan cairan tanaman yang mudah menguap. Penelitian ini bertujuan menganalisis pengaruh aromaterapi lemon diffuser pada pasien general anestesi. Metode penelitian ini menggunakan desain quasy eksperiment dengan purpose sampling. Banyak sampel sejumlah 36 orang. Penelitian ini menggunakan uji Wilcoxon dan Man-Whitney. Penelitian ini dilakukan pada bulan Mei - Juli 2023 di ruang Bima RSUD Ngudi Waluyo Wlingi. Hasil penelitian pada kelompok perlakuan yang diberi intervensi aromaterapi lemon diffuser menunjukkan perubahan dari yang awalnya pasien mengalami mual sedang sebanyak 16 pasien dan mual ringan sebanyak 2 pasien dengan p-value 0,000. Hasil penelitian pengaruh aromaterapi lemon diffuser terhadap PONV menunjukkan nilai p-value kurang dari 0,05. Ada pengaruh aromaterapi lemon diffuser terhadap Post Operative Nausea and Vomiting pada pasien post operasi dengan general anestesi. Pemberian aromaterapi lemon menyebabkan penghambat pengeluaran serotin sehingga serotin dalam darah tidak berkurang, jika serotin dalam darah tidak mengalami penurunan maka mual-muntah tidak akan meningkat.
Hubungan Riwayat Hipertensi pada Keluarga dan Usia dengan Peningkatan Tekanan Darah Post Hemodialisa pada Lansia Arif, Taufan; Wiyono, Joko; Pramesty, Anggy Dwi; Sulastyawati, Sulastyawati
Jurnal Keperawatan Vol 22 No 2 (2024): Jurnal Keperawatan September 2024
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v22i2.1377

Abstract

Selama menjalani terapi hemodialisa pasien mengalami masalah kesehatan antara lain gangguan hemodinamik dan kram otot yang menjadi masalah yang umum. Faktor-faktor yang menyebabkan perubahan tekanan darah post hemodialisa bisa disebabkan karena riwayat hipertensi pada keluarga, peningkatan berat badan, dan konsumsi yang berlebihan. Pasien lansia yang menjalani pengobatan hemodialisis mengalami peningkatan tekanan darah setelah hemodialisis sebesar 80%. Faktor kemungkinan penyebab peningkatan tekanan darah post hemodialisa yaitu riwayat hipertensi pada keluarga dan usia. Tujuan penelitian ini untuk mengetahui hubungan riwayat hipertensi pada keluarga dan usia dengan peningkatan tekanan darah post hemodialisa. Desain penelitian menggunakan pendekatan “cross-sectional”. Metode pengambilan sampel menggunakan “purposive sampling” dengan 74 lansia. Penentuan responden berdasarkan kriteria inklusi pasien yang mengalami peningkatan tekanan darah setelah hemodialisa, dan pasien yang rutin menjalani terapi hemodialisa. Variabel independen yaitu riwayat hipertensi, dan usia. Variabel dependen yaitu tekanan darah. Instrumen penelitian menggunakan kuesioner dan sfigmomanometer digital. Uji analisis data menggunakan analisis univariat untuk mengetahui karakteristik responden. Analisa bivariat menggunakan uji spearman rank untuk mengetahui hubungan riwayat hipertensi pada keluarga dan usia dengan peningkatan tekanan darah post hemodialisa. Uji bivariat riwayat hipertensi pada keluarga dengan p-value 0,007 dan usia dengan p-value 0,001. Faktor riwayat hipertensi pada keluarga dan usia berhubungan dengan peningkatan tekanan darah post hemodialisa.
Manfaat Peer Teaching Untuk Meningkatkan Pengetahuan Siswa SMK Tentang Pertolongan Pertama Pada Kasus Perdarahan dan Fraktur Terbuka Arif, Taufan; Solikhah, Fitriana Kurniasari; Hamarno, Rudi; Rahma Faradisa, Ahda Fina; Mawadati, Vida; Alfarizi, Aulia Fahmi; Habibi, Yumarsanni; Andrea, Kanesya Putri; Salva Salsa Billa, Adinda Dwi; Mabruroh, Ulum; Siswati, Siswati
Jurnal Abdi Medika Vol 4 No 2 (2024): Jurnal Abdi Medika Desember 2024
Publisher : INSTITUT TEKNOLOGI SAINS DAN KESEHATAN INSAN CENDEKIA MEDIKA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jam.v4i2.1411

Abstract

Kejadian kecelakaan dapat terjadi dimana saja dan pada waktu kapan saja. Salah satu garda terdepan dalam memberikan pertolongan korban kecelakaan adalah masyarakat umum. Salah satu masyarakat umum atau sering disebut masyarakat awam adalah siswa sekolah. Kesalahan penatalaksaan pada kasus fraktur akan membuat kondisi korban menjadi semakin parah. Tujuan Pengabdian Masyarakat ini adalah peserta dapat melakukan pertolongan pertama pada kasus fraktur terbuka yang disertai perdarahan. SMK Al-rifa’ie memiliki Palang Merah Remaja yang baru terbentuk sehingga masih banyak yang belum mengetahui tindakan yang diperlukan jika ada korban mengalami kegawatdaruratan. Target dan luaran kegiatan ini adalah menanamkan jiwa kegawatdaruratan tentang pertolongan pertama pada kasus perdarahan dan fraktur terbuka. Metode serta cara pelaksanaan Pengabdian Masyarakat terdiri dari tahap persiapan, pelaksanaan dan evaluasi. Lokasi kegiatan di SMK Modern Al – Rifa’ie Malang dengan jumlah peserta 72 orang dan dibagi 3 kelompok. Kegiatan dilaksanakan tanggal 12-27 Oktober 2024. Tingkat pengetahuan sebelum diberikan sosialisasi mayoritas termasuk dalam kategori tingkat pengetahuan kurang (61%), sedangkan setelah diberikan sosialisasi mayoritas termasuk memiliki tingkat pengetahuan baik (76%). Terdapat peningkatan pengetahuan siswa tentang pertolongan pertama pada kasus perdarahan dan fraktur terbuka di SMK Modern Al-Rifa’ie Malang. Diharapkan materi ini dalam dimasukkan kedalam kurikulum pendidikan SMK Modern Al-Rifa’ie Malang agar mendukung sistem penanggulangan gawat darurat terpadu.
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

Abstract

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

Abstract

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.
Peningkatan Vaskularisasi Perifer dan Pengontrolan Glukosa Klien Diabetes Mellitus Melalui Senam Kaki Taufan Arif
Journal of Ners and Midwifery Vol 7 No 1 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i1.ART.p082-088

Abstract

Pendahuluan: Diabetes Mellitus merupakan penyakit metabolik kronis. Diabetic foot ulcers merupakan komplikasi yang sering terjadi akibat kadar glukosa yang tidak terkontrol.  Tujuan penelitian menjelaskan pengaruh senam kaki terhadap status vaskularisasi perifer dan glukosa darah. Metode: Penelitian menggunakan quasy experimental pre-post test control group design. Populasi berjumlah 30 responden yang terbagi dalam kelompok perlakuan dan kontrol. Teknik sampling menggunakan purposive sampling. Kriteria inklusi meliputi klien DM berusia >45 tahun, DM tipe II, dan glukosa darah acak < 300 mg/dl. Kriteria eksklusi meliputi klien ulkus diabetikum, GDA >300 mg/dl, gout artritis. Intervensi senam kaki diberikan 3 kali seminggu selama 4 minggu. Pengukuran variabel capilarry refill time menggunakan observasi penekanan ujung jari. Pengukuran variabel glukosa menggunakan glukosa stick-test. Analisis data menggunakan Wilcoxon & mann whitney test digunakan mengukur variabel capillary refill time. Independent & paired t-test digunakan mengukur variabel glukosa. Hasil: Uji variabel CRT menggunakan Mann-Whitney test menunjukkan nilai p = 0.022 yang berarti ada pengaruh senan kaki tehadap capillary refill time. Hasil uji variabel Glukosa darah menggunakan paired t test menunjukkan p=0.004, dan independent t test menunjukkan p=0.012 yang berarti ada pengaruh senam kaki terhadap kadar glukosa darah. Diskusi: Senam kaki terbukti meningkatkan Nitric Oxode Syntesis, vasodilatasi arteri, terjadi pembakaran gula darah yang mengakibatkan turunnya gula darah, afinitas oksigen hemoglobin, dan viskositas darah. Sebaliknya, terjadi peningkatan sirkulasi darah, saturasi oksigen, perfusi jaringan, dan sistem imunitas sehingga dapat mencegah ulkus kaki diabetik. Dalam upaya preventif, sebaiknya dinas kesehatan khususnya puskesmas untuk menyediakan media promosi kesehatan melalui penyediakan booklet senam kaki kaki. Introduce: Diabetes Mellitus was a chronic metabolic disease. Diabetic foot ulcers were a complication that often results from uncontrolled glucose levels. This study was to explain the effect of foot exercises on the status of peripheral vascularization and blood glucose. Methods: The study was quasy experimental design. The population were 30 respondents divided into treatment and control group. The sampling technique uses purposive sampling. Inclusion criteria included client DM aged >45 years, DM type II, and random blood glucose <300 mg/dl. Exclusion criteria included respondents who had complications of diabetic foot ulcer, random blood glucose > 300 mg / dl, gout arthritis. Measurement of capillary refill time variables using fingertip emphasis observation. Measurement of random blood glucose variables using a glucose stick test.Data analysis using wilcoxon & mann whitney test was used to measure the capillary refill time variable. Independent & paired t-test was used to measure glucose variables. Interventions were given 3 times a week for 4 weeks. Result: In the CRT variable using the Mann-Whitney test showed a p value = 0.022 which means that there was an effect of foot exercises on the status of peripheral vascularization. On the blood glucose variable using paired t test showed p = 0.004, and independent t test showed p = 0.012 which means there is an influence of foot exercises on blood glucose levels. Discuss: Foot have been shown to increase Nitric Oxode Syntesis, arterial vasodilation, blood sugar burning which results in a decrease in blood sugar, oxygen affinity of hemoglobin, and blood viscosity. Conversely an increase in blood circulation, oxygen saturation, tissue perfusion, and immune system can prevent diabetic foot ulcers. In a preventive effort the health department, especially the puskesmas, should provide health promotion media through the provision of foot exercise exercises.
The Improvement of Eye Hand Foot Score of Disability through Empowerment Education, Home-Based Self Care, Peer Support Taufan Arif
Journal of Ners and Midwifery Vol 7 No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p314-319

Abstract

Introduction: Mycobacterium leprae infiltration results in inflammation of the nerves. This condition results in a progressive decline of nerve function of the eyes, hands and feet. The main burden of people with leprosy is a disability that will affect all aspects of their lives. The objective of this study was to explain the effect of empowerment education, home-based self care, and peer support for disability. Methods: True experimental randomized pre-post test control group design. The sampling technique used simple random sampling consisted 16 respondents. The independent variable was empowerment education, home-based self care, and peer support. The dependent variable was disability. The data were collected by in-vivo biological observation sheets. The data were analyzed by Mann-Whitney Test and Wilcoxon Signed test. Results: The result showed that there was an effect of intervention on disability with Wilcoxon Sign Rank Test 0.046. Discussion: Empowerment education interventions, home-based self care, peer support increase the knowledge of leprosy clients in self care. The key to disability prevention is 3M, which is checking, protecting, and caring for the eyes, hands and feet. These three interventions will increase patient confidence in self-care at home. The support of peers will also make it easier for clients to weigh the advantages and disadvantages when not complying with comprehensive treatment.
The Effect of Aloe Vera Extract on Blood Glucose Levels in Streptozotocin-Induced Rats Taufan Arif; Joko Pitoyo; Eddi Sudjarwo
Journal of Ners and Midwifery Vol 9 No 2 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i2.ART.p178-185

Abstract

Aloevera can protect and restore the function of damaged pancreatic beta cells. The content of aloe vera can work like insulin, and lower blood glucose even though all beta cells have degenerated. The aim of the study was to find out the effect of aloe vera extract on the regulation of blood glucose levels in rats induced by streptozotocin. The study was true experimental randomized pre-post test control group design. The sampling technique used simple random sampling consisting of 20 wistar strain rats divided into 4 groups, namely the placebo control group, treatment group with a dose of 250 mg/dl, a dose of 350 mg/dl, and a dose of 1000 mg/dl. Rats were given STZ injection on day 8 after acclimatization. The independent variable was aloe vera extract. The dependent variable was blood glucose levels. The intervention of giving aloe vera extract was given for 9 days. Data were analyzed by Paired t Test and ANOVA. The results showed that there was an effect of aloe vera extract at a dose of 350 mg/kgBW on blood glucose levels with a paired t test of 0.022. The ANOVA results showed that aloe vera extract at a dose of 350 mg/kgBW had the highest effectiveness with a p value of 0.05. The chromium, alprogen, and flavonoid in aloe vera will improve the beta function of the pancreas in producing the hormone insulin. Damage to the islets of Langerhans cells in the pancreas will be inhibited and restore the sensitivity of the insulin receptor cells.methods that are attractive to high school students and carried out consistently.
Positive Effect of Chewing Gum and Early Mobilization on Intestinal Peristalsis Daffa Basandra Putra; Taufan Arif; Tri Cahyo Sepdianto; Maria Diah Ciptaningtyas
Journal of Ners and Midwifery Vol 10 No 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i1.ART.p092-099

Abstract

Decreased intestinal peristalsis due to anesthesia before laparotomy surgery can result in inhibition of nerve impulses to the intestinal muscles, paralytic ileus can occur and inhibition of the work of the intestine itself. The purpose of this study was to determine the effect of chewing gum and early mobilization on intestinal peristalsis after laparotomy surgery. The research design used a quasi-experimental. The sampling technique used purposive sampling with 32 respondents divided into 2 groups. The treatment group was given an intervention of chewing gum and early mobilization, while the control group was given an intervention according to standard operating hospital procedures, namely tilting right and left and given 2 spoons of drinking after the patient was fully conscious in the room. The independent variables were chewing gum and early mobilization. The dependent variable was intestinal peristaltic. This study used univariate analysis to determine the characteristics of respondents. The bivariate analysis used paired t test and independent t test. The paired t test in the pre-posttest in the control group was 0.000, while the pre-posttest in the treatment group was 0.000. Independent T test on the post-test of the treatment group with the post-test of the control group of 0.000. There was an effect of chewing gum and early mobilization intervention on intestinal peristalsis in post laparotomy patients. Chewing gum and early mobilization can stimulate hormones in the gastrointestinal system such as gastrin, secretin, gastric inhibitory polypeptide, cholecystokinin, motilin, and enteroglukagon which will increase intestinal peristalsis
Improving School-Age Children's Knowledge on Coughing and Sneezing Ethics through Linear Multimedia Feny Dwi Aprilia; Taufan Arif; Nurul Hidayah; Tri Nataliswati
Journal of Ners and Midwifery Vol 10 No 3 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i3.ART.p365-372

Abstract

School-age children's knowledge of cough and sneeze etiquette is mostly in the low category. Cough and sneeze etiquette looks very simple, but most children admitted that they do not know and understand how to apply proper cough and sneeze etiquette. One of the recommended ways to prevent the spread of infection is to cover the mouth and nose when coughing and sneezing or often referred to as cough and sneeze etiquette. This study aimed to determine the effect of linear multimedia on students' knowledge about cough and sneeze ethics at SDN IV Tapan Tulungagung Regency. The design of the study used Quasy Experiment (pseudo experiment). The sampling technique used non-probability sampling; purposive sampling technique. Comparison of knowledge values between the pre-test and post-test indicated that there was a significant difference between the level of knowledge before and after being given education on cough and sneeze ethics through linear multimedia. Through those results, it can be concluded that there is an effect of linear multimedia on students' knowledge and attitudes about cough and sneeze ethics at SDN IV Tapan Tulungagung Regency. Therefore, linear multimedia can be used as a suitable educational media for school-age children