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Exercise Habits and Family Disease History as Determinant of Activity Intolerance and ECG Patterns of Patients with Acute Coronary Syndrome (ACS) Wiwiek Retti Andriani; Agus Wiwit Suwanto; Heru Wiratmoko; Agung Eko Hartanto; Sumy Dwi Antono; Endang Purwaningsih; Gandes Widya Hendrawati; Mirza Failasufi; Langgeng Cahyono
Health Notions Vol 6, No 4 (2022): April
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Acute Coronary Syndrome (ACS) occurs due to blockage of coronary blood vessels which causes a decrease in oxygen flow and advanced conditions has an impact on physical activity. Factors associated with activity intolerance and ECG patterns suc as: sex, age, education, history of previous illnesses, exercise habits, family history of illness. The study involved all patients diagnosed with NSTEMI in the ICCU room at RSUD Dr. Harjono, a sample of 30 respondents was selected using a consecutive sampling technique. This research was analyzed by multivariate analysis. The result of this research showed that factors that influence the tolerance of the activities of patients with coronary heart disease were sports habits and a history of previous illnesses. The respondent's habit of exercising affected the complaints that arise during the activity (each p-value was less tha 0.05). As conclusion, factors that affect the activity intolerance of coronary heart disease patients are physical exercise habits and family history of disease. Keywords: determinant factors; activity intolerance; ECG patterns; acute coronary syndrome

PENGEMBANGAN STRATEGI PELAKSANAAN MASYARAKAT TERHADAP PENURUNAN STIGMA MASYARAKAT PADA PASIEN GANGGUAN JIWA Agung Eko Hartanto; Gandes Widya Hendrawati; Esti Sugiyorini
Indonesian Journal for Health Sciences Vol 5, No 1 (2021): March
Publisher : Universitas Muhammadiyah Ponorogo

Stigma negatif oleh lingkungan terhadap pasien gangguan jiwa tidak hanya menyebabkan terkucilkannya pasien dari lingkungan, tetapi beban psikologis bagi keluarga yang akan menjadi penghambat dalam kesembuhan pasien. Tujuan penelitian ini untuk menganalisis perbedaan antara pemberian Strategi Pelaksanaan Masyarakat sebelum dan sesudah terhadap penurunan stigma masyarakat Desa Sukosari adalah suatu desa dengan jumlah pasien gangguan jiwa yang cukup banyak di wilayah Puskesmas Ngrandu Ponorogo. Rancangan penelitian ini menggunakan jenis eksperimental, dengan tipe True experimental pre-post test group. Populasi sebanyak 22 Kepala Keluarga, dengan sampel sebanyak 20 orang yang diambil dengan teknik purposive sampling. Pengumpulan data bulan September – Oktober 2020 di Desa Sukosari Wilayah Puskesmas Ngrandu Ponorogo. Instrumen penelitian dengan kuesioner Peer Mental Illness Stigmatization Scale (PMISS). Analisis data menggunakan Uji Wilcoxon Signed Ranks Test dengan Asymp.Sig (2-tailed) dengan signifikansi 0,05. Hasil penelitian didapatkan bahwa tidak ada perbedaan antara pemberian Strategi Pelaksanaan Masyarakat sebelum dan sesudah terhadap penurunan stigma masyarakat. Stigma masyarakat sebanyak 65% memiliki peningkatan nilai yang positif melalui dukungan sosial yang diberikan kepada pasien gangguan jiwa dan keluarga. Stigma masyarakat yang positif dapat bermanfaat dalam memberikan dukungan terhadap terjadinya kekambuhan pada pasien gangguan jiwa

EFEKTIFITAS PELATIHAN KADER KESEHATAN JIWA TERHADAP KEMAMPUAN DETEKSI DINI MASALAH PSIKOSOSIAL AKIBAT PANDEMI COVID-19 DI KABUPATEN MADIUN Gandes Widya Hendrawati; Agung Eko Hartanto; Yustina Purwaningsih
Indonesian Journal for Health Sciences Vol 6, No 2 (2022): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v6i2.4982

Masalah psikososial adalah perasaan tidak nyaman atau kekhawatiran yang sama disertai respon autonom, perasaan takut yang disebabkan oleh antisipasi terhadap bahaya. Kader kesehatan dapat membantu mengurangi dampak negatif pandemi Covid 19 terhadap kesehatan mental masyarakat. Tujuan penelitian adalah mengetahui efektifitas pelatihan kader kesehatan jiwa terhadap pencegahan dan deteksi dini masalah psikososial akibat pandemi Covid-19 pada masyarakat. Metode penelitian dengan penelitian kuantitatif menggunakan true experimental one group pre post test design. Jumlah populasi 150 orang. Besar sampel 30 responden. Teknik pengambilan sampel dengan purposive sampling. Variabel dependen penelitian ini adalah pelatihan kader kesehatan jiwa. Variabel independen penelitian ini adalah deteksi dini masalah psikososial. Instrumen penelitian: kuesioner. Pelatihan kader kesehatan jiwa dapat meningkatkan kemampuan kader dalam deteksi dini masalah psikososial akibat pandemi Covid-19. Analisis menggunakan uji Paired T test bahwa pelatihan kader kesehatan jiwa secara bermakna dapat meningkatkan kemampuan deteksi dini masalah psikososial (t = 0,000 0,05). Pelatihan deteksi dini masalah psikososial kepada kader kesehatan jiwa bermanfaat untuk membantu kader meningkatkan kemampuannya dalam mendeteksi secara dini adanya masalah psikososial akibat pandemi covid-19. Dengan diketahui secara awal adanya masalah psikososial maka

Mental Health DUKUNGAN KESEHATAN JIWA DAN PSIKOSOSIAL BAGI KELUARGA DI MASA PANDEMI Agung Eko Hartanto; Yustina Purwaningsih; Gandes Widya Hendrawati
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 6 No 1 (2022): 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.v(6)i(1)y(2022).page:19-23

Indonesia and the world community are currently still busy with the outbreak of the corona virus pandemic (Covid-19). The increase in the number of cases and the impact of the pandemic felt by all levels of society including the family as the smallest unit. The presence of Covid-19 is a stressor for the community which can have an impact on mental and psychosocial health. Depression and anxiety about an illness cause strong emotional disturbances in both adults and children. Nurses' support for families in providing education and increasing mental health and psychosocial resilience is a priority during the current pandemic. PSKDJI data on mental health during the Covid-19 pandemic recorded 66% depression, 63% experiencing anxiety from 1,552 respondents. The purpose of this activity is to increase knowledge and ability to overcome psychosocial problems for families during a pandemic. The activities carried out are providing education accompanied by relaxation exercises. The participants' speed decreased from 9 (30%) to 2 (7%) after education and relaxation exercises.

PEMBERDAYAAN KELUARGA DALAM PERAWATAN PENDERITA DIABETES MELITUS DI WILAYAH KERJA PUSKESMAS NGRANDU KABUPATEN PONOROGO Gandes Widya Hendrawati; Agung Eko Hartanto; Yustina Purwaningsih
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 6 No 2 (2022): 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.v(6)i(2)y(2022).page:63 - 67

The increase in the number of non infectious diseases has brought changes in disease patterns from infectious diseases to non infectious diseases. One of the non infectious diseases whose number is increasing is Diabetes Mellitus (DM). The role of the family is very necessary because the family is the main companion and nurse while people with DM are at home. Families can play a role in providing and monitoring diet, monitoring discipline in eating patterns, monitoring activity and exercise, monitoring treatment regimens and monitoring for signs of complications. Counseling was given to 10 families with DM in Sukosari Village, the working area of ??the Ngrandu Ponorogo Health Center. Implementation of counseling by visiting the home of DM patients. Before being given counseling, the majority (60%) lack of knowledge and ability of the family. And after being given counseling, the knowledge and ability of the family in caring for DM patients became all good (100%). Increased knowledge and abilities are obtained because counseling with exposure and training methods is easier to understand. In addition, it is supported by enthusiastic family factors in counseling on the grounds that they want their families to be healthy and there are no complications.

DIABETES MELLITUS GYMNASTICS IMPACTS RESILIENCE AND STRESS LEVELS: FACT OR MYTH? Hartanto, Agung Eko; Hendrawati, Gandes Widya; Purwaningsih, Yustina
Indonesian Journal for Health Sciences Vol 8, No 2 (2024): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v8i2.7938

Diabetes Mellitus type II is a condition of increased blood glucose caused by disturbances in insulin resistance and insulin secretion that causes metabolic disorders of the body, is a silent killer disease. Living with DM causes stress in a person because most of the patient's time is spent on treatment. It is estimated that around 1.6 million deaths are caused by diabetes globally. Decreased quality of life often occurs in patients with chronic diseases, one of which is DM which has an impact on stress and resilience. The purpose of this study was to determine the effect of Diabetes Exercises on the level of stress and resilience of DM sufferers. This study used a Quasy Experimental design (pre- and post-test), involving 20 intervention groups and 20 control groups taken with purposive sampling techniques. The paired sample t-test results showed a p-value of 0.448 which means there was no difference before and after DM Exercise to stress and resilience. DM Exercise indirectly does not affect the resilience and stress of DM sufferers, it contributes to reducing the stress of DM patients. In future studies, it is expected that Diabetes Resilience Training and Mindfulness actions in DM patients to improve their quality of life

Intervensi Management Jalan Nafas Dalam Mengatasi Pola Nafas Tidak Efektif Di RSU Dr. Harjono Ponorogo Abimanyu, Anindito; Purwaningsih, Yustina; Purwaningsih, Endang; Hendrawati, Gandes Widya; Hartanto, Agung Eko
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25497

Tuberculosis is a disease caused by infection with the bacteria Mycobacterium tuberculosis which can attack the lungs and other organs. Manifestations of TB are characterized by shortness of breath, coughing, increased sputum production so that TB sufferers can experience problems with ineffective breathing patterns due to airway obstruction. This study aims to carry out and analyze nursing care for TB patients with ineffective breathing pattern problems. Case study research method. Data collection techniques use interviews, observation, physical examination and documentation studies. Data collection instruments used observation sheets, interview methods, and nursing care formats. Based on the results of the assessment, complaints of shortness of breath accompanied by coughing were found. The nursing diagnosis determined was ineffective breathing pattern. Nursing intervention with airway management is implemented for 3 x 24 hours. The results of the evaluation on the 3rd day of treatment showed that the breathing pattern had improved, as indicated by no complaints of shortness of breath, no nostril breathing, no use of accessory muscles for breathing, normal breathing pattern with improved respiratory frequency, SpO2 98% and regular breathing rhythm. The conclusion is that the problem of ineffective breathing pattern nursing can be improved with airway management interventions. Airway management interventions can be carried out to overcome problems with ineffective breathing patterns

Asuhan Keperawatan Pada Pasien Diabetes Melitus Dengan Gangguan Integritas Jaringan Di Ruang Mawar RSUD Dr. Harjono Ponorogo Hartanto, Agung Eko; Aini, Linda Nur
Tirtayasa Medical Journal Vol 3, No 1 (2023): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i1.24953

Diabetes melitus adalah penyakit kronis yang ditandai dengan tigginya kadar gula dalam darah akibat adanya defisiensi insulin atau resistensi insulin yang dapat menyebabkan komplikasi. Makorangiopati dan mikroangiopati merupakan salah satu komplikasi terjadi gangguan sensori pada organ tubuh terutama pada ekstremitas (neuropati) sehingga dapat menimbulkan gangguan integritas kulit/jaringan. Penelitian ini bertujuan untuk mengidentifikasi asuhan keperawatan pada pasien diabates melitus dengan gangguan integritas jaringan di Ruang Mawar RSUD Dr. Harjono Ponorogo. Desain penelitian yang digunakan dalam studi kasus ini adalah penelitian deskriptif dengan menggunakan kuesioner modifikasi Bates Jansen Wound Assesment Tool (BJWAT) dan pemeriksaan ABI. Subjek yang digunakan adalah pasien dengan diagnosa medis diabetes melitus berusia ≥45 tahun dengan masalah keperawatan gangguan integritas kulit/Jaringan. Pada penelitian ini dilakukan tindakan keperawatan perawatan luka selama 7 hari dengan hasil evaluasi keperawatan masalah belum teratasi karena dipengaruhi oleh beberapa faktor diantaranya proses penyembuhan luka, usia, nutrisi, ketidakstabilan kadar gula darah, sirkulasi, komplikasi penyakit, tindakan debridement.

Afirmasi positif & Relaksasi Autogenik dalam mengatasi Ketidakberdayaan pasien DM tipe II Hartanto, Agung Eko; Elvareta, Nabella Syifa
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25500

Diabetes Mellitus (DM) is a chronic disease that cannot be cured until now and requires sufferers to undergo long-term treatment. Prolonged physical problems experienced by people with type 2 diabetes mellitus and loss of self-control due to the absence of significant changes to heal make individuals feel helpless. Powerlessness if not overcome will lead to a psychosocial crisis that affects more severe psychiatric problems. This study aims to carry out nursing care for diabetes mellitus patients with helplessness at the South Ponorogo Health Center. This research is descriptive in the form of a case study. Powerlessness can be measured using a powerlessness questionnaire. The subject used was one respondent at the age of 54 years, suffering from type 2 diabetes mellitus since 6 years ago, moderate helplessness score, and cooperative. The results of this study showed that the main intervention was positive affirmation and autogenic relaxation therapy was performed on the first day, a score of 8 (moderate powerlessness) was obtained, while on the fourth day a score (low powerlessness) was obtained. Positive affirmation intervention and autogenic relaxation therapy is a combination that can help patients with diabetes mellitus reduce stress and improve the patient's mental well-being. The synergy of the two implementations that are carried out at each meeting, negative thoughts are changed through positive affirmations and autogenic relaxation therapy is effective in helping patients overcome the anxiety experienced by patients.

Intervensi Management Jalan Nafas Dalam Mengatasi Pola Nafas Tidak Efektif Di RSU Dr. Harjono Ponorogo Abimanyu, Anindito; Purwaningsih, Yustina; Purwaningsih, Endang; Hendrawati, Gandes Widya; Hartanto, Agung Eko
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25497

Tuberculosis is a disease caused by infection with the bacteria Mycobacterium tuberculosis which can attack the lungs and other organs. Manifestations of TB are characterized by shortness of breath, coughing, increased sputum production so that TB sufferers can experience problems with ineffective breathing patterns due to airway obstruction. This study aims to carry out and analyze nursing care for TB patients with ineffective breathing pattern problems. Case study research method. Data collection techniques use interviews, observation, physical examination and documentation studies. Data collection instruments used observation sheets, interview methods, and nursing care formats. Based on the results of the assessment, complaints of shortness of breath accompanied by coughing were found. The nursing diagnosis determined was ineffective breathing pattern. Nursing intervention with airway management is implemented for 3 x 24 hours. The results of the evaluation on the 3rd day of treatment showed that the breathing pattern had improved, as indicated by no complaints of shortness of breath, no nostril breathing, no use of accessory muscles for breathing, normal breathing pattern with improved respiratory frequency, SpO2 98% and regular breathing rhythm. The conclusion is that the problem of ineffective breathing pattern nursing can be improved with airway management interventions. Airway management interventions can be carried out to overcome problems with ineffective breathing patterns

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