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PENERAPAN TERAPI AKUPRESUR MANDIRI SEBAGAI UPAYA PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Sri Rahayu; Ade Sucipto; Rukmini Syahleman
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 4 (2023): Volume 4 Nomor 4 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

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Abstract

Hipertensi adalah suatu kondisi ketika tekanan pada pembuluh darah meningkat dengan sistol >140 mmHg dan diastole >90 mmHg, disebut silent killer yang menjadi masalah serius di dunia termasuk negara Indonesia. Prevalensi hipertensi yang tinggi jika tidak terkontrol menyebabkan masalah kesehatan dan komplikasi seperti, stroke, penyakit jantung koroner, dan ginjal. Pengabdian masayarakat ini bertujuan untuk meningkatkan pengetahuan serta kemampuan penderita hipertensi dan keluarga dalam menerapkan akupresur secara mandiri untuk mengontrol tekanan darah dan mencegah segala resiko komplikasi. Pelaksanaan kegiatan meliputi edukasi, pelatihan dan pendampingan masyarakat dalam menerapkan terapi akupresur sebagai terapi komplementer, media yang digunakan leaflet dan penayangan power point terkait terapi akupresur.Peserta yang hadir saat kegiatan sebanyak 30 orang penderita hipertensi grade 1 dan 2. Pada postest setelah diberikan edukasi, pelatihan dan pendampingan masyarakat dalam menerapkan terapi akupresur sebagai terapi komplementer menunjukkan terdapat perbedaan bermakna penurunan tekanan darah sistol dan diastol pada peserta sebelum dan sesudah diberikan terapi akupresur, selisih penurunan pada sistol 22,33 mmHg dan selisih penurunan pretest-posttest diastol 10,67 mmHg. Terdapat peningkatan pengetahuan peserta terkait hipertensi dan manfaat penerapan terapi komplementer akupresur mandiri sebagai salah satu penatalaksanaan nobfarmakologi yang dapat menurunkan tekanan darah serta masyarakat mampu mengikuti demonstrasi teknik dan titik-titik akupresur untuk hipertensi dan masyarakat mampu menerapkan terapi akupresur tersebut yang berkaitan dengan penatalaksanaan hipertensi.
Effectiveness of Complementary Yoga and Lemon Aromatherapy Therapy on Scores of Burnout Signs and Symptoms in Health Workers in Hospitals Eko Budi Laksono; Rukmini Syahleman; Wahyono Wahyono; Larantika Hidayati
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.v6iS6.5186

Abstract

Schizophrenia is a condition characterized by abnormal social behavior and an inability to understand reality. Mental health Schizophrenia is a severe and serious mental disorder that can become chronic from a young age because it involves changes in physical, psychological and socio-cultural aspects. Inappropriate treatment of schizophrenia patients will always have an impact on anxiety conditions, slurred or confused thinking, decreased auditory hallucinations, reduced social involvement and emotional expression, and lack of motivation. Management is carried out with pharmacological and non-pharmacological complementary, one of which is Burnout is a chronic stress condition related to work and can cause psychological disorders such as low self-esteem, which can ultimately lead to depression and reduce work ability, and affect patient satisfaction with nursing services. One way to overcome burnout is through non-pharmacological therapy, such as yoga and aromatherapy. The purpose of this study was to analyze the application of complementary yoga and aromatherapy to the score of signs and symptoms of burnout in nurses in hospitals. The research method used the Quasi experimental method with two control groups. The population in this study were nurses in hospitals consisting of group 1 (Combination of Yoga Therapy and Lemon Aromatherapy), 2 (Aromatherapy Therapy) and 3 for (Yoga) with 15 pieces each then put into a sealed envelope as many as 45 respondents. The results of the study showed the effect of the combination of yoga and lemon aromatherapy on the score and signs of burnout in nurses in hospitals.
Correlation of Adequate Urea Reduction Rate (URR) with the Degree of Uremic Pruritus and Sleep Quality in Chronic Kidney Disease Patients Undergoing Hemodialysis Sri Rahayu; Ni Wayan Rahayu Ningtyas; Rukmini Syahleman
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.v7i4.7045

Abstract

Chronic kidney disease (CKD) patients undergoing hemodialysis are at risk of dialysis inadequacy, which can be assessed through the Urea Reduction Rate (URR) parameter. A low URR reflects a suboptimal hemodialysis process, leading to the accumulation of uremic toxins in the body. This inadequacy can trigger complications such as uremic pruritus, a chronic itching sensation that disrupts comfort and reduces the patient's quality of life. Furthermore, the accumulation of toxic substances due to inadequate URR impacts sleep quality, characterized by difficulty falling asleep, frequent awakenings, and restless sleep. These two conditions are often overlooked in clinical practice, yet they significantly contribute to the decline in the physical and psychosocial well-being of hemodialysis patients. The study aims to analyze the Correlation of Adequate Urea Reduction Rate (URR) with the Degree of Uremic Pruritus and Sleep Quality in Chronic Kidney Failure Patients Undergoing Hemodialysis. This study used a correlational analytical design with a cross-sectional approach. The sample consisted of 50 respondents of chronic kidney failure patients undergoing hemodialysis using a purposive sampling technique. URR data were obtained from laboratory records and using the URR calculation formula using the formula URR = 100 × (1 - C1/C0), while data on the degree of pruritus were collected using a Numerical Rating Scale (NRS) questionnaire and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using the Spearman Rank test to determine the relationship between variables. The results of the study showed that there was a significant relationship between URR and the degree of uremic pruritus p value 0.001 (p < 0.05) with a Correlation Coefficient value of 0.628 meaning a strong level of relationship, and there was a significant relationship between URR and the sleep quality of respondents undergoing hemodialysis p value 0.001 (p < 0.05) with a Correlation Coefficient value of 0.656 meaning a strong level of correlation. Dialysis adequacy measured by URR has an important role in reducing uremic pruritus symptoms and improving sleep quality in CKD patients.