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Pendidikan Kesehatan dengan Media Audiovisual dan Media Leaflet secara Bersamaan Meningkatkan Pengetahauan, Sikap, dan Tindakan Caregiver Lansia dalam Pencegahan Infeksi Covid-19 Irwadi Irwadi; Yenni Elfira; Aric frendi Andriyan; Iswenti Novera; Tosi Rahmaddian
Jurnal Keperawatan Vol 14 No 4 (2022): Jurnal Keperawatan: Desember 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.143 KB) | DOI: 10.32583/keperawatan.v14i4.210

Abstract

Penyebaran Coronavirus Disease (COVID-19) meningkatan resiko infeksi pada lansia, terutama lansia yang memiliki penyakit comorbid jika terinfeksi akan memperburuk keadaan lansia. Selain itu penurunan fungsi organ-organ pada seluruh sistem tubuh termasuk imun akibat proses penuaan. Faktor lain yang dapat meningkatkan resiko infeksi pada lansia yaitu kurangnya pengetahuan, sikap dan tindakan caregiver lansia tentang pencegahan COVID-19. Pendidikan kesehatan merupakan salah satu upaya untuk meningkatkan pengetahuan, sikap dan tindakan caregiver lansia tentang pencegahan COVID-19. Tujuan penelitian untuk mengetahui perbedaan tingkat pengetahuan, sikap dan tindakan caregiver lansia dengan comorbid dalam pencegahan infeksi COVID-19. Desain penelitian Quasi Eksperimen Pre Posttest With Non ­Equivalent Control Group. Jumlah sampel 76 orang terdiri dari 38 kelompok intervensi dan 38 kelompok kontrol. Metode pengambilan sampel probability sampling dengan menggunakan teknik Sampel Random Sampling imana penentuan sampel dari populasi yang dilakukan secara acak tanpa memperhatikan strata yang ada dalam populasi. Hasil uji paired Simples T-test menunjukkan ada perbedaan tingkat pengetahuan, sikap dan tindakan pre test dan post test perlakuan kelompok intervensi dan kontrol (p < α = 0.05). dapat disimpulkan pemberian pendidikan kesehatan melalui media audiovisual dan leaflet dapat meningkatkan pengetahuan, sikap dan tindakan caregiver lansia dengan comorbid dalam pencegahan infeksi COVID-19.
Hubungan Pekerjaan, Genetik, dan Usia Klien Dengan Kejadian Hipertensi di Puskesmas Petaling Kabupaten Banyuasin Tahun 2022 Irwadi I; Dedi Fatrida; Yenni Elfira
Madani: Jurnal Ilmiah Multidisiplin Vol 1, No 7 (2023): Agustus
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.8220332

Abstract

Hypertension is an increase in systolic pressure greater than or equal to 160 mmHg or diastolic pressure equal to or greater 95 mmHg (Kodim Nasrin, 2003). High blood pressure is one risk factor for stroke, heart attack, heart failure and arterial aneurysm, and is a major cause of chronic heart failure. The purpose of this study was to determine the relationship between employment, genetic and age with the incidence of hypertension in Petaling District Health Center Banyuasin 2022. Samples were obtained using the method of accidental sampling with total sample of 61 respondents, by using accidental sampling technique. Data analysis was carried out by two stages of data analysis of univariate and bivariate analysis with Chi-Square test statistics program SPSS. Results of univariate analysis showed that respondents who suffer from hypertension as much as 38 respondents (62.3%), while those not suffering from hypertension were 23 respondents (37.7%). From the results of the bivariate analysis found no significant relationship between the job with hypertension in which p-value = 0.006 and significant relationship between genetic with hypertension in which p-value = 0.011. From the results of the bivariate analysis found no significant relationship between age with hypertension in which p-value = 0.006. Based on these results, it can be concluded that there is a significant relationship between employment, genetic and age with hypertension in Petaling district health centers Banyuasin 2022.
Effectiveness of Peppermint Aromatherapy in Reducing the Incidence of PONV in Post-Anesthesia Bone Patients Fatimah Fatimah; Ikhsan Amran; Iswenti Novera; Yenni Elfira; Irwadi Irwadi; Futi Hanna A’la
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6550

Abstract

Post Operative Nausea and Vomiting (PONV) is a common complication after surgery with spinal anesthesia, with an incidence reaching 20–30%. PONV can prolong hospitalization, increase treatment costs, and reduce patient comfort. Peppermint aromatherapy is an effective, easy, and patient-accepted alternative to reduce PONV symptoms. Peppermint contains menthol which is carminative and antispasmodic, and can provide a relaxing effect through stimulation of the central nervous system. Objective to determine the effect of peppermint aromatherapy on the incidence of PONV in patients after spinal anesthesia. Method: This study was a quasi-experiment with a pre and post test design without control. Thirty post-spinal anesthesia patients were given peppermint aromatherapy, then PONV incidence was measured before and after the intervention using the Gordon scale. Data analysis used the Wilcoxon test. Results: Peppermint aromatherapy has been proven to be effective in reducing the incidence of PONV in patients after spinal anesthesia. Of the 30 respondents, the majority experienced nausea (73.3%) and vomiting (26.7%) before the intervention. After aromatherapy, 36.7% did not experience symptoms, and only 6.7% still vomited. The Wilcoxon test showed a significant difference (p = 0.000), indicating that peppermint aromatherapy was statistically effective in reducing PONV. Conclusions: Peppermint aromatherapy is effective in reducing the incidence of PONV in post-spinal anesthesia patients, as indicated by a decrease in nausea and vomiting symptoms after the intervention.
Preoperative Fasting and Blood Sugar Highlights Emergency Complications in General Anesthesia Patients Yenni Elfira; Irwadi Irwadi; Fatimah Fatimah
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6556

Abstract

Fasting that is too long will affect the patient's condition, one of which is the patient's blood sugar levels. In this case, it is necessary to control the start time of fasting with the time of the operation that the patient will undergo. The purpose of the study was to determine Preoperative Fasting and Blood Sugar Highlighting Emergency Complications in General Anesthesia Patients at Dr. Reksodiwiryo Class III Hospital in Padang. A correlational analytical observational study was conducted using a cross-sectional approach. This observational analytical correlational study was conducted with a cross-sectional approach. The number of samples was 34 people, the sampling technique used consecutive sampling. This research instrument used an observation sheet and a blood sugar level monitoring tool (Glucometer) With the respondent criteria determined according to the inclusion and exclusion criteria. The test results showed that there was a relationship between the length of fasting and blood sugar levels highlighting emergencies in preoperative general anesthesia patients at Dr. Reksodiwiryo Class III Hospital in Padang with a p value = 0.005. It can be concluded that the duration of preoperative fasting can affect blood sugar levels in general anesthesia patients which causes patients to become hypoglycemic or hyperglycemic which triggers various emergency complications that can worsen the patient's clinical condition when undergoing general anesthesia.
The Impact of Variations in Fasting Duration on Hemodynamic Status and Blood Sugar Levels in Electional Surgery Patients Irwadi Irwadi; Fatimah Fatimah; Yenni Elfira
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.669

Abstract

Preoperative fasting is a standard applied in surgical services to prevent aspiration, but in hospital practice, fasting often occurs that exceeds the recommendations of the American Society of Anesthesiologists (ASA) which recommends a minimum fast of 6-8 hours, the negative impact of extended fasting will affect the hemodynamic and metabolic status of patients. This study aims to analyze the impact of variations in fasting duration with hemodynamic status and blood sugar levels in patients. This study used a quantitative design with a cross-sectional approach with a sample of 252 elective surgical patients collected by purposive sampling. Data collected included demographic characteristics, ASA physical status I-II, fasting duration, and preoperative clinical parameters. with inclusion criteria: respondents aged 18-55 years, ASA physical status I-II, undergoing elective surgery while exclusion criteria were patients with metabolic disorders such as diabetes mellitus or unstable cardiovascular disorders and cytotoxic patients. Data were collected using observation sheets related to demographics, physical status, type of surgery, last meal, and post-operative complaints, as well as a Non-Invasive Blood Pressure Monitor (NIBP) to measure hemodynamics, a pulse oximeter for oxygen saturation, and a glucometer for glucose levels. The results of the one way anova test showed that variations in fasting duration did not affect hemodynamics (p > 0.05), but did affect blood sugar levels where the value (p < 0.05). It was found that these findings confirm that pre-operative fasting beyond the recommendation can affect the patient's metabolic status, so that fasting duration management according to ASA standards is important to maintain the patient's metabolic and physiological stability.