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PENGARUH KEROKAN TERHADAP TEKANAN DARAH PADA PASIEN HIPERTENSI Juliansyah, Rahmad Aswin; Syokumawena, Syokumawena
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 17 No 2 (2022): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v17i2.1390

Abstract

Latar Belakang. Kerokan adalah suatu metoda pengobatan dengan cara menekan dan menggeserkan benda tumpul (biasanya uang logam) secara berulang-ulang di permukaan kulit sampai terjadi bilur-bilur berwarna merah. Secara fisiologi efek kerokan terhadap tubuh adalah menyebabkan terjadinya ekspresi gen yang memproduksi enzim heme oxygenase-1 (HO-1) di organ tubuh setelah perlakuan dan beberapa hari setelah perlakuan. HO-1 adalah suatu enzim yang memiliki peran sebagai antioksidan dan antiinflamasi dan berperan terhadap pengaturan tekanan darah. Berdasarkan pernyataan diatas, penelitian ini diarahkan untuk menjawab pertanyaan sebagai berikut: apakah terdapat pengaruh kerokan terhadap tekanan darah pada pasien hipertensi. Metode. Penelitian ini menggunakan rancangan penelitian kuasi eksperimen dengan One-group pretest-posttest design, yaitu desain penelitian yang terdapat pretest sebelum diberi perlakuan dan posttest setelah diberi perlakuan, dengan besar sampel adalah 35 sampel. Sebelum perlakuan, 35 pasien hipertensi dilakukan pengukuran tekanan darah, kemudian diberi perlakuan kerokan, setelah 15 menit dilakukan perlakuan kerokan, dilakukan pengukuran tekanan darah kembali. Hasil. Hasil uji beda rerata nilai mean arterial pressure (MAP) sebelum perlakuan dengan sesudah perlakuan, menunjukkan bahwa terdapat perbedaan yang bermakna pada rerata nilai mean arterial pressure (MAP) sebelum dan sesudah perlakuan (p=0,000) dengan penurunan sebesar 5,37 mmHg, hasil uji beda rerata nilai sistole sebelum perlakuan dengan sesudah perlakuan, menunjukkan bahwa terdapat perbedaan yang bermakna pada rerata nilai sistole sebelum dan sesudah perlakuan (p=0,000) dengan penurunan sebesar 8,94 mmHg, Kesimpulan : hasil uji beda rerata nilai diastole sebelum perlakuan dengan sesudah perlakuan, menunjukkan bahwa terdapat perbedaan yang bermakna pada rerata nilai diastole sebelum dan sesudah perlakuan (p=0,009) dengan penurunan sebesar 3,57 mmHg
Pengobatan Alternatif Bekam Kering terhadap Kadar Kolesterol Darah Syokumawena Syokumawena; Marta Pastari
Jurnal Keperawatan Silampari Vol 5 No 1 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.608 KB) | DOI: 10.31539/jks.v5i1.2109

Abstract

This study aimed to determine the effectiveness of dry cupping alternative treatment on blood cholesterol levels. The research method in this study used a pre-experimental design with a two-group pre-and post-test design. The results showed that most of the blood cholesterol levels before cupping were nine people (30.0%) with worrying blood cholesterol levels (200-239). Most of the blood cholesterol levels before 13-point cupping were 11 people (36.7%) with High Blood Cholesterol Levels (>240), then after 13-point cupping, 11 people (36.7%) had Worrying Blood Cholesterol Levels (200-239). In conclusion, groups 9 and 13 cupping points affect reducing blood cholesterol levels. Keywords: Cupping, Cholesterol, Alternative Medicine
Penerapan Senam Otak dan Relaksasi Otot Progresif terhadap Tingkat Kecemasan pada Lembaga Pembinaan Khusus Anak Putra, Sumitro Adi; Syokumawena, Syokumawena; Sulistini, Rumentalia
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 6 No 2 (2024): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v6i2.2603

Abstract

Stress is a physical and psychological response due to internal pressure which can disrupt balance and cause tension. There is positive stress, called eustress, if the individual can control the stressor very well. However, there is also stress that is negative in nature, called distress, that is, the individual cannot overcome the stressor they are experiencing. Considering that LPKA life is not conducive and their developmental age is still children, the children assisted by LPKA Class I Palembang have a tendency to experience stress. The situation of correctional institutions is that most of them exceed their proper capacity. This condition is also a source of stress for the inmates. Activities to reduce anxiety levels can be used in various ways, such as brain exercises and relaxation techniques. This community service activity involved 50 juvenile prison participants. Participants were divided into 2 groups where group 1 was given brain exercise therapy and group 2 was given muscle relaxation. The anxiety results were evaluated and there was a decrease in anxiety level.
Vital Signs Changes of Brick Industry Workers Exposed to Heat Pressure in Sukarami Palembang Syokumawena Syokumawena; Marta Pastari; Rahmad A. Juliansyah; Hanna S.W. Kusuma; Dwi D. Rihibiha
Journal of Medicine and Health Vol 2 No 1 (2018)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v2i1.737

Abstract

Brick workers are exposed to dust contained of mixtures of chemical substances andhigh temperature. Those environmental factors can affect the health status of the workers;mainly the cardiovascular system. The aim of this research was to observe the effect of heatpressure on vital sign of brick factory manufacturing workers in Sukarami Palembang. Theresearch was conducted in RT 07/13 Sungai Durian, Kecamatan Sukarami, Palembang. Thesubjects were 40 people brick workers; 20 workers were exposed to heat pressure and 20workers did not. We found that in the workers with heat pressure exposure,the average vitalsigns before working are blood pressure of 117/76 mmHg, pulse of 77 x/minutes, and bodytemperature of 36,5°C and after working are blood pressure of 130/84 mmHg, pulse of 92x/minutes, and body temperature of 38°C. In the workers without heat pressure exposure, theaverage vital signs before working are blood pressure of 107/80 mmHg, pulse of 75 x/minutes,and body temperature of 36°C and the average vital signs after working are blood pressure of112/81 mmHg, pulse of 79 x/minutes, and body temperature of 37°C. Conclusion, heat pressurehas effects on vital sign of brick factory manufacturing workers in Sukarami Palembang.Keywords: blood pressure, body temperature, brick factory pulse, heat pressure
Effect of Proprioceptive Neuromuscular Facilitation (PNF) on Muscle Strength in Post-Stroke Patients Syokumawena Syokumawena; Sumitro Adi Putra; Rumentalia Sulistini; Wahyu Dwi Ari Wibowo; Efa Trisna
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4843

Abstract

Post-stroke rehabilitation often involves improving muscle strength and motor function to enhance the quality of life for stroke survivors. Proprioceptive Neuromuscular Facilitation (PNF) has emerged as an effective therapy in this context, particularly in enhancing muscle strength and upper limb function. PNF techniques use specific patterns of movement to activate proprioceptors and improve muscle coordination, which may aid in recovery for stroke patients. Despite its potential, limited research has evaluated its impact on muscle strength improvement, making this study significant.Research Objective: The primary aim of this study was to assess the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) in improving muscle strength in post-stroke patients, with a focus on the upper limbs. The research was conducted to evaluate the pre-test and post-test muscle strength scores, and to analyze the impact of PNF on muscle strength recovery.Research Methods: This research employed a pre-experimental design with a one-group pre-post test. A sample of 34 post-stroke patients was selected using purposive sampling from the Merdeka Health Center and 1 Ulu Palembang, South Sumatra, Indonesia. The intervention consisted of PNF exercises conducted three times a week for three months. Muscle strength was measured using a hand dynamometer both before and after the intervention. Statistical analysis using Cohen’s d and paired t-tests was performed to evaluate the effectiveness of the intervention.Results: The results revealed a significant improvement in muscle strength after PNF intervention. The mean muscle strength score increased from 2.50 ± 0.570 (pre-test) to 3.64 ± 0.570 (post-test), with a difference of 1.14 ± 0.570. Cohen’s d coefficient of 2 indicated a large effect size, confirming substantial improvement. The paired t-test yielded a p-value of 0.001, demonstrating that the changes were statistically significant.Conclusion: Proprioceptive Neuromuscular Facilitation (PNF) significantly improves muscle strength in post-stroke patients, particularly in the upper limbs.
Implementasi Keperawatan Manajemen Nyeri Masalah Nyeri Akut Pasien Pasca Bedah Benigna Prostat Hiperplasia Mediarti, Devi; Sashabila, Alaika; Syokumawena, Syokumawena
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2717

Abstract

Background: Benign Prostate Hyperplasia (BPH) is a common problem in men because they often hold urine when they want to urinate, and this causes increased enlargement of the prostate gland. The procedure for Benign Prostate Hyperplasia (BPH) sufferers is surgery. Surgical procedures usually have side effects that are definitely felt by patients undergoing surgery, one of which is pain. Objective: This case study is to provide deep breathing relaxation therapy to reduce the level of pain in patients after surgery for benign prostate hyperplasia at Siti Fatimah Regional Hospital, Palembang. Method: This research uses descriptive methods in the form of a case study. The approach used is a nursing care approach which includes assessment, nursing diagnosis, planning, implementation and evaluation. The subjects in this study were 2 people with the same criteria, namely patients after surgery for benign prostate hyperplasia. Results: Research shows that by providing deep breathing relaxation therapy, the pain scale for Mr. Y and Mr. A decreased. Conclusion: The deep breathing relaxation therapy technique is a non-pharmacological therapy to treat pain in patients after surgery for benign prostate hyperplasia. This nursing action can be an intervention to reduce the acute pain felt by the patient
Implementasi Keperawatan Manajemen Nyeri Pada Pasien Post Operasi Mastektomi Dengan Masalah Nyeri Akut Syokumawena, Syokumawena; Mediarti, Devi; Amelia, Rizka
JKM : Jurnal Keperawatan Merdeka Vol 5 No 1 (2025): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v5i1.2722

Abstract

Background: Breast cancer is one of the leading causes of death worldwide. Breast cancer is a malignant tumor that attacks the breast and spreads throughout the body. The surgical procedure most often used for the management of breast cancer is mastectomy. Mastectomy is a surgical procedure of removing breast tissue. A problem that often arises in postoperative patients is pain. Method: The design of this research method uses a descriptive method in the form of a case study with a nursing process approach consisting of nursing review, diagnosis, intervention, implementation and evaluation. The subjects of the study were 2 postoperative mastectomy patients with acute pain problems at Muhammadiyah Palembang Hospital. Results: After the implementation of pain management nursing deep breath relaxation therapy for 3 days, it was obtained that from both patients postoperative mastectomy there was a decrease in pain scale from moderate pain scale to mild pain scale. In patient 1 of the pain scale 5 drops to pain scale 2 and patient 2 of the pain scale 5 decreases to pain scale 3. Conclusion: The application of deep breath relaxation therapy in both postoperative mastectomy patients can reduce pain intensity from a moderate pain scale to a mild pain scale.
IMPLEMENTASI KEPERAWATAN PADA PASIEN POST OPERASI APENDISITIS DENGAN MASALAH NYERI AKUT Mediarti, Devi; Syokumawena, Syokumawena; Akbar, Hary; Jaya, Herawati
Jurnal 'Aisyiyah Medika Vol 7, No 1: Februari 2022 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v7i1.780

Abstract

Latar Belakang: Apendisitis merupakan peradangan pada apendiks (Umbai cacing). Salah satu penatalaksanaan apendisitis adalah dengan pembedahan apendiktomi. Keluhan yang sering timbul pasca pembedahan adalah nyeri akut. Untuk mengatasi nyeri maka perlu dilakukan implementasi keperawatan pada pasien post operasi apendisitis.  Implementasi keperawatan yang dilakukan adalah manajemen nyeri akut yaitu teknik relaksasi napas dalam, pengaturan posisi dan tindakan kolaborasi pemberian obat. Bila implementasi keperawatan ini tidak dilakukan maka pasien pasien akan terfokus pada nyerinya sehingga nyeri tidak berkurang. Metode: Desain penelitian ini menggunakan metode deskriptif dalam bentuk studi kasus. Tempat penelitian dilakukan di salah satu rumah sakit yang berada di Palembang. Waktu penelitian dilakukan di bulan April 2021. Sampel penelitian ini 2 orang pasien post operasi apendisitis. Pendekatan yang digunakan adalah pendekatan implementasi keperawatan. Penelitian ini dilakukan untuk membandingkan dua responden yang telah diberikan implementasi berupa manajemen nyeri akut yaitu teknik relaksasi napas dalam, pengaturan posisi dan tindakan kolaborasi pemberian obat.  Hasil: Terjadi penurunan skala nyeri dimana pasien 1 nilai skala nyeri pre adalah  5 dan nilai post turun menjadi 2 dan  pasien 2 dengan nilai skala nyeri pre adalah 6 turun menjadi 2 pada nilai post nya . Implementasi keperawatan mengkaji nyeri, teknik relaksasi napas dalam, mengatur posisi semi fowler dan kolaborasi pemberian obat untuk mengurangi nyeri akut yang dirasakan pasien. Saran: Agar manajemen nyeri akut bisa diterapkan oleh pasien yang berada di rumah sakit terutama pasien yang mengalami nyeri akut. Kata Kunci: Nyeri akut, Post Operasi Apendisitis
PERAWATAN LUKA METODE MOIST WOUND HEALING PADA PASIEN DIABETES MELITUS TIPE II DENGAN MASALAH GANGGUAN INTEGRITAS JARINGAN: STUDI KASUS Syokumawena, Syokumawena; Mediarti, Devi; Ramadhani, Putri
Jurnal 'Aisyiyah Medika Vol 8, No 2: Agustus 2023 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v8i2.1113

Abstract

Latar belakang Diabetes Melitus adalah penyakit metabolik yang disebabkan karena masalah pada tubuh dalam memproduksi insulin. Pada pasien diabetes melitus yang memiliki kadar gula darah tinggi bisa menyebabkan timbulnya ulkus.Ulkus diabetes merupakan kejadian luka yang timbul pada penderita diabetes melitus akibat dari gangguan pembuluh darah kecil dan gangguan pembuluh darah besar. Tujuan: melakukan perawatan luka dengan metode moist wound healing pada pasien diabetes melitus tipe II dengan masalah gangguan integritas jaringan. Metode: Desain penelitian ini menggunakan metode kualitatif dalam bentuk studi kasus dengan pendekatan proses keperawatan yang terdiri dari pengkajian, diagnosa keperawatan, perencanaan, pelaksanaan, evaluasi serta dokumentasi. Studi kasus ini memfokuskan perawatan luka dengan  mengajarkan perawatan luka dan pemberian pendidikan kesehatan tentang diabetes melitus. Subjek studi kasus berjumlah 2 pasien diabetes melitus tipe II dengan masalah gangguan integritas jaringan Hasil: Hasil penelitian menunjukan pemberian tindakan keperawatan luka dengan metode  moist wound healing berpengaruh secara efektif untuk penyembuhan luka. Saran: Perawatan luka metode  moist wound healing efektif digunakan dalam mempercepat penyembuhan luka pada diabetes melitus tipe II. Kata Kunci: diabetes melitus,  integritas        jaringan
Pelaksanaan Terapi Bekam Kering pada Penderita Kolesterolemia Syokumawena, Syokumawena; Sulistini, Rumentalia; Mediarti, Devi
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 4 No 1 Juni (2022): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v4i1.1209

Abstract

The incidence of dyslipidemia has a number that is not small, it needs proper monitoring and management so as not to cause severe problems or complications in the community. Service is carried out to increase cadre knowledge and provide opportunities for the community to get cupping therapy in lowering cholesterol levels. Cadres and 35 people who have cholesterolemia are present in community service activities. Activities are carried out in the Working Area of puskesmas and Integrated construction posts (Posbindu). As a result of this activity cadres gain knowledge about how to check cholesterol and the community gets cupping therapy. This activity should be sustainable so that it can improve the quality of life of the community.