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EFEKTIVITAS FOOT HAND MASSAGE TERHADAP RESPON FISIOLOGIS DAN INTENSITAS NYERI PADA PASIEN INFARK MIOKARD AKUT : STUDI DI RUANG ICCU RSUD.DR. ISKAK TULUNGAGUNG Hariyanto, Awan; Hadisaputro, Suharyo; -, Supriyadi
Jurnal Ilmu Keperawatan dan Kebidanan Vol 7, No 3 (2015): Desember 2015
Publisher : Jurnal Ilmu Keperawatan dan Kebidanan

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Abstract

Latar Belakang : Infark miokard akut (IMA) terjadi kerusakan jaringan jantung akibat kekurangan suplai oksigen menimbulkan nyeri dada, nyeri ini dapat menyebabkan frustasi dan penurunan kualitas hidup. Berbagai intervensi dapat dilakukan untuk mengatasi nyeri dada baik dengan farmakologis dan non farmakologis, salah satu intervensi nonfarmakologis adalah foot hand massage. Metode : Desain penelitian ini menggunakan  Randomized Pretest-Postest Control Group Design. Pengambilan sampel dengan simple random sampling besar sampel  36 responden terdiri 18 kelompok perlakuan dan 18 kelompok kontrol. Analisis data secara univariat dengan table distribusi frekuensi dan analisis bivariat dengan paired t-test, wilcoxon untuk kelompok berpasangan, untuk kelompok tidak berpasangan menggunakan independen t-test, mann-whitney dengan taraf signifikansi ≤ 0,05 Hasil: Foot hand massage berpengaruh terhadap respon fisiologis nyeri ( kelompok berpasangan ) p-value: tekanan darah systole  0,001 diastole 0,004, nadi 0,004, respirasi 0,001, suhu 0,059, lekosit 0,001, intensitas nyeri 0,001. Kelompok tidak berpasangan sesudah perlakuan p-value : tekanan darah sistole 0,034, diastole 0,010 nadi 0,001, respirasi 0,024, suhu 0,557, lekosit 0,019, intensitas nyeri 0,001. Simpulan: Pasien infark miokard akut yang diberikan foot hand massage selama 4 kali 20 menit dalam 2 hari bersama dengan pengobatan standart dapat memberikan respon fisiologis nyeri pada tekanan darah sistole, diastole, nadi , respirasi, lekosit darah dan pada kelompok perlakuan 94% intensitas nyeri menurun skala ringan, tapi tidak berespon terhadap suhu. Saran: Foot hand massage sangat efektif dan dapat digunakan sebagai salah satu intervensi keperawatan non farmakologi untuk mengatasi nyeri infark miokard akut Kata Kunci : Foot Hand Massage, Nyeri, Infark Miokard Akut
UPAYA PEMBERDAYAAN KELUARGA DALAM MENGATASI KECEMASAN DENGAN INTRADIALITIK EXERCISE DAN FOOT HAND MASSAGE UNTUK PENINGKATAN KUALITAS HIDUP PADA PASIEN GAGAL GINJAL YANG DILAKUKAN HEMODIALISIS DI RSUD. DR. SOEDOMO TRENGGALEK Hariyanto, Awan; Christiani, Mimik; Subekti, Arik
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 7 No. 1 (2023): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v7i1.3767

Abstract

Renal failure is an end-stage renal disease that needs proper treatment. Hemodialysis is one of the final options for treating kidney failure, however, this action can cause saturation and anxiety which can affect vital sign stability and can also affect the success of hemodialysis. Family empowerment in an effort to overcome anxiety can be done with Intradialytic Exercise and Foot Hand Massage as an effort to improve the quality of life of family members. This community service method includes health education, family involvement in intradialytic exercise and foot hand massage, measurement of family empowerment to overcome anxiety is observed based on blood pressure, pulse, respiration and anxiety levels. Family empowerment with the implementation of health education is very effective in increasing the knowledge of 30 participants after health education 24 family members knowledge increased well, family involvement in intradialityc exercise and foot hand massage from 30 family members response to anxiety systole blood pressure from 25 family members blood pressure more than 140mmHg decreased to 12 people, 29 family members stable respiration 16-20x/min, stable pulse 60-80x/min there were 16 family members, and there was a decrease in anxiety levels. Family empowerment in Intradialytic exercise and foot hand massage has a positive impact on vital signs, reduces anxiety and can improve the quality of life of hemodialysis patients
PEMBERDAYAAN MASYARAKAT PEDULI STROKE DENGAN PEMBENTUKAN RINTISAN PUSAT HOME CARE STROKE DAN PELATIHAN HOME CARE STROKE DI KOTA TRENGGALEK hariyanto, awan; Christiani, Mimik; Niningasih, Rahayu
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 8 No. 1 (2024): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v8i1.4208

Abstract

Stroke is a disease with a sudden onset and causes death and disability both in urban and rural areas. The consequences of a stroke in the community include paralysis of the upper and lower limbs, vision problems, difficulty speaking and difficulty swallowing, while the psychological impacts that can occur are frustration and irritability. Stroke home care services providing nursing care to stroke patients after post-hospital treatment with home care are very much needed by the family. This community service method includes holding Focus Group Discussions with stakeholders and training for stroke home care cadre participants. The offline home care stroke training method of bedside teaching is very effective in increasing knowledge and care skills for stroke patients from 12 cadre participants. After the training, 91.6% of cadre participants' knowledge of skills improved well. From the results of the Focus Group Discussion, the formation of stroke home care is really needed in society in form health facilities with permits in accordance with applicable regulations. Empowerment of the Stroke Care Community in Efforts to Establish Stroke Home Care which is carried out through training is very effective in increasing knowledge and understanding skills in stroke home care care and its establishment and operation requires in the form of health facilities with permits in accordance with applicable regulations.
The Effect of Observational Education About Stroke on Family Function in Preventing Recurrent Stroke: observational education, stroke, family function Wulandari, Dewi; Ixora, Ixora; Hariyanto, Awan; Yuswantoro, Edi
Jurnal Keperawatan Terapan Vol 10 No 02 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i02.4217

Abstract

Stroke is one of the causes of death and disability in both urban and rural areas. Stroke is caused by reduced blood flow to the brain which lasts for several seconds to several minutes, where if it occurs for more than a few minutes an infarction will occur in the brain tissue. The aim of the research is to determine the effect of observational education about stroke on family function in preventing recurrent strokes in family members who suffer from stroke. The research was carried out in the Baruharjo Community Health Center Work Area. Quasy Experimental research design with control group pretest-posttest design. The independent variable is Observational stroke education while the dependent variable is family function. The research population was all families of stroke patients in the Baruharjo Community Health Center Working Area. The sampling technique uses purposive sampling with a sample of 30 people. Data were analyzed using the Wilcoxon test. The research results showed that before observational education about stroke was carried out, the majority (17 respondents or 56.7%) had family function in preventing recurrent stroke in the sufficient category. Meanwhile, after observational education about stroke was carried out, almost all respondents (29 respondents or 96.7%) had the family function in preventing recurrent strokes in family members who suffered stroke in the good category. The results of quantitative data analysis using the Wilcoxon signed ranks test using the SPSS program showed that the statistical test results had a p value of <0.000 which was smaller than the value of p= 0.05. The family plays a very important role during the post-acute stage of care for stroke patients in hospital to meet daily care and rehabilitation needs. Caring for patients with stroke is a serious matter. Families, whatever their age and circumstances, need information, education and social support to be able to carry out patient care and be able to adapt to their new roles.
KAJIAN KEBUTUHAN LAYANAN HOME CARE PADA PASIEN POST HOSPITAL STROKE Hariyanto, Awan; Christiani, Mimik; Niningasih, Rahayu
Jurnal Keperawatan Karya Bhakti Vol. 11 No. 2 (2025)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.234

Abstract

Abstrak Stroke merupakan defisit neurologis yang dikaitkan dengan adanya cedera fokal akut dari sistem saraf pusat (SSP) dan merupakan penyebab utama kecacatan dan kematian di seluruh dunia. Dampak yang ditimbulkan stroke adalah terjadi kelumpuhan anggota gerak atas maupun bawah, gangguan penglihatan, sulit bicara dan sulit menelan, dan dampak psikologis yang bisa terjadi adalah frustasi dan mudah tersinggung yang membutuhkan perawatan lanjutan pasca perawatan post hospital. Perawatan post hospital dapat berupa pelayanan baik medis maupun perawatan secara umum dalam bentuk home care untuk pemulihan dan mempertahankan kesehatan .pasien stroke .Desain penelitian menggunakan deskripstif kuantitatif , teknik pengambilan sampel dengan purposive sampling, jumlah sampel yang digunakan 30 responden. Analisis data menggunakan prosentase distrbusi frekuensi. Kebutuhan layanan home care pada pasien post hospital stroke yang dibutuhkan yaitu pemeriksaan medis secara umum, pemeriksaan cek tekanan darah rutin, layanan laboratorium sederhana cek asam urat, gula darah dan cholesterol, penyuluhan tentang diet makanan stroke, fisioterapi pasca serangan stroke, senam stroke sesuai kondisi pasien dirumah, layanan konsul ke dokter spesialis, layanan pijat relaksasi dan layanan penguatan spiritual. Pasien post hospital stroke membutuhkan layanan lanjutan home care stroke baik layanan medis oleh dokter maupun layanan perawatan.