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PENGARUH TERAPI LINTAH TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI DI KLINIK TERAPI LINTAH MEDIS PURBA KAWEDUSAN KEBUMEN Herlin Widaswara; Ery purwanti; Bambang Utoyo
Jurnal Ilmiah Kesehatan Keperawatan Vol 8, No 3 (2012): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

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Abstract

Hypertension is known as the silent killer because we can not find physical signs accompanying. One of the hypertension managements is the alternative treatment. Many reasons why people choose alternative medicine, such as the expensive charge of medical treatment, side effects of long-term use of chemical medicines, and medical treatment that does not reach 100 % heal especially for chronical diseases. One alternative treatment for hypertension is with leech therapy. Leech saliva contains anti-coagulant substance called hirudin that can facilitate blood flow. The aim of this study was to determine the influence of leech therapy to blood pressure of hypertension patiens in Medis Purba Leech Therapy Clinic Kawedusan-Kebumen. The method used in this study was quasi experimental with pre-test and post-test group design. There were 104 respondents taken as the sample by using accidental sampling method. The data were analyzed by paired t-test. The result showed that there are significant influence of leech therapy to blood pressure of hypertension patients in Medis Purba leech therapy clinic Kawedusan-Kebumen with p value = 0.000 that meant (P) = < 0.005. There are significant influence of leech therapy to blood pressure of hypertension patient in Medis Purba leech therapy clinic Kawedusan-Kebumen. Keywords : hypertension, leech therapy, blood pressure changes
PENGETAHUAN PERAWAT DALAM MENERAPKAN EARLY WARNING SCORE SYSTEM (EWSS) DI RUANG PERAWATAN Putra Agina Widyaswara Suwaryo; Rahmat Sutopo; Bambang Utoyo
Jurnal Ilmiah Kesehatan Keperawatan Vol 15, No 2 (2019): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v15i2.376

Abstract

Salah satu strategi untuk menurunkan angka kematian akibat henti jantung adalah dengan menerapkan Early Warning Score System (EWSS). EWSS merupakan sistem skoring fisiologis dalam menganalisis hasil pemeriksaan tanda-tanda vital untuk mendeteksi perubahan atau perburukan kondisi pasien sebelum terjadi kegawatan. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan Early Warning Score System (EWSS) di Ruang Perawatan RSUD dr Soedirman Kebumen. Penelitian ini menggunakan metode non-eksperimen dengan desain analitis deskriptif. Subjek penelitian diambil menggunakan teknik total sampling sebanyak 39 responden. Hasil penelitian didapatkan pengetahuan perawat tentang EWSS baik (35.9%), sebagian besar pendidikan perawat D3 (61.5%), mengikuti pelatihan BT&CLS (87.1%), lama kerja kurang dari 5 tahun (48.7%), dokumentasi EWSS lengkap (35.8%) dan penerapan EWSS dalam kategori cukup (51.3%). Ada hubungan tingkat pengetahuan perawat dengan penerapan Early Warning Score System (EWSS) di ruang perawatan yaitu Dahlia dan Terate RSUD dr Soedirman Kebumen. Sosialisasi yang berkaitan dengan Early Warning Score System (EWSS) perlu dilakukan untuk meningkatkan pengetahuan perawat dan meningkatkan mutu pelayanan keperawatan.
PENGARUH TEKNIK RELAKSASI GENGGAM JARI TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN POST OPERASI LAPARATOMI Iin Pinandita; Ery Purwanti; Bambang Utoyo
Jurnal Ilmiah Kesehatan Keperawatan Vol 8, No 1 (2012): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

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Abstract

Pain is the most common reason for people to seek health careand is one of the most common complaint of patients after a surgery. Tocope with pain, pain management is needed that includes nonpharmacologicaland pharmacological management. Hand grip relaxationtechnique is one of non-pharmacological techniques to emotions whichcan cause pain increase for the post laparotomy patients. The aim of thisstudy is to find out the influence of hand grip Relaxation Technique toDecrease pain Intensity of Post Laparatomy Patients in PKUMuhammadiyah Gombong Hospital.This research method is a Quasiexperimentwith the pre test-post test approach with control groupdesign. The study was conducted in PKU Muhammadiyah GombongHospital with 34 respondents using purposive sampling based oninclusion and exclusion criteria.The paired t-test shows that mean pain intensity in theexperimental group pre-test = 6.64 and the mean postoperative painintensity of the test = 4.88. While the mean pain intensity in the controlgroup pre test = 6.58 and the mean postoperative pain intensity test =6.47. The average difference of pre and post test in the experimentalgroup =1.764, whereas the average difference of the pre and post test inthe control group = 0.117. Based on independent t-test results, it wasobtained significance (p), with p-value = 0.000, where the value (p <0.05),meaning that there is an influence of hand grip Relaxation Technique toDecrease pain Intensity of Post Laparatomy Patients in PKUMuhammadiyah Gombong Hospital.Keywords Hand grip relaxation technique, Pain, Post Laparatomy
PENGARUH PEMBERIAN CAIRAN KOLOID-KRISTALOID DAN KRISTALOID PRE OPERASI SECTIO CESAREA DENGAN ANESTESI SPINAL TERHADAP MEAN ARTERIAL PRESSURE (MAP) DI RSUD CILACAP Budi Joko Santoso; Edi Sucipto; Bambang Utoyo
Jurnal Ilmiah Kesehatan Keperawatan Vol 9, No 2 (2013): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

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Abstract

Sebagai prosedur operasi, makapelaksanaan sectiocesarea memerlukan tindakan anestesi.Anestesia yang digunakan pada operasi sectio cesarea tidak sama denganjenis anestesi pada prosedur operasi lain. Operasi sectio cesarea,anestesi regional lebih sering digunakan dibandingkan anestesi general. Potensiuntuk hipotensi dengan teknik spinal merupakan risiko terbesarbagi ibu bersalin.  Salah satu penatalaksanaanuntuk mencegah hipotensi pasca anestesi spinal adalah dengan pemberian cairan intravena sebelum pembiusan. Mengetahui pengaruhpemberian cairan koloid-kristaloid dan kristaloid pre operasi sectio cesarea dengan anestesi spinalterhadap tekanan darah di RSUD Cilacap Tahun    2012.Jenispenelitian quasi eksperimental dengan pendekatan pre test post test with control group. Populasi pada penelitian iniadalah seluruh ibu sectiocesarea dengan anestesi spinal di Ruang Instalasi Bedah Sentral RSUD Cilacap. Teknik sampling yang digunakan adalah purposive sampling, sejumlah 40 orang. Uji beda untukmengetahui perbedaan tekanan darah antara kelompok kontrol dengan kelompokkasus menggunakan Independent SampleT-Test dan untuk mengetahui perbedaan tekanan darah antara kelompok kontrolatau kelompok intervensi sebelum perlakuan menggunakan Paired Sample T-Test.Secara statitik ada pengaruh pemberian cairan koloid-kristaloidpre operasi sectio cesarea  dengananestesi spinal terhadap Mean ArterialPressure di RSUD Cilacap Tahun 2012. Kata Kunci : Cairan Koloid, Operasi Cesarea, Anestesi Spinal, MAP
PROSES PENGAMBILAN KEPUTUSAN KONSUMEN DALAM PEMBELIAN PRODUK LADA DI PROVINSI LAMPUNG Nuni Anggraini; Clara Yolandika; Bambang Utoyo; Luluk Irawati
Jurnal Agrisep Vol 23, No 1 (2022): Volume 23 Nomor 1 Juni 2022
Publisher : Program Studi Agribisnis, Fakultas Pertanian, Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17969/agrisep.v23i1.26152

Abstract

This research aims to analyse the stages of the consumer decision-making process for buying processed pepper products in Lampung. The research was conducted in several districts in Lampung. Primary data were obtained through direct observation and interviews using a questionnaire. The number of samples was 84 respondents. The data analysis method used in this research is qualitative analysis at the stage of the decision-making process. Analysis of the stages of the consumer purchasing decision making process is used to determine consumer behaviour in purchasing processed pepper products. The results of this study is that there are five stages in the consumer purchasing decision-making process in choosing, namely: (1) recognition of needs or problems, where most consumers choose with consideration of good quality, easy to reach and good taste; (2) information retrieval, mostly from oneself; (3) alternative evaluation, most of them buy because of quality and habits that have been done for a long time; (4) purchasing decisions, most consumers have planned to buy and buy products that look fresher; and (5) post-purchase behaviour, where most consumers feel satisfied with the product, so they make a repurchase of the product. Even if the products not available, most consumers are willing to look elsewhere.
Polycentric Urban Structure and Growth Dynamics in Bandar Lampung: A Kernel-Based Approach Berliana Adinda; Citra Persada; Bambang Utoyo
International Journal of Economics and Management Research Vol. 3 No. 3 (2024): December : International Journal of Economics and Management Research
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijemr.v3i3.413

Abstract

The growth of the Greater Bandar Lampung Metropolitan area shows indications of the development of a polycentric spatial structure, along with the emergence of activity centers outside the core city. This study aims to identify the form of urban polycentric structures in the area as a basis for developing new growth centers. The method used is spatial analysis with the Kernel Density Estimation (KDE) approach using Landsat 8 satellite imagery data, distribution of public facilities, and population density in 2018 and 2023. The results of the analysis show the formation of several new sub-activity centers in the Metro, Central Lampung, and Pesawaran areas which have quite high activity intensity. The distribution pattern of facilities and built-up land indicates a transition from a monocentric structure to a polycentric one. These findings can be the basis for formulating spatial planning policies that support connectivity between regions and equitable development in the metropolitan area.