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All Journal Indonesian Journal of Human Nutrition Proceeding Muhammadiyah International Public Health and Medicine Conference
Ninik Yunitri
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Humanities Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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THE EFFECTIVENESS OF EARLY MOBIL EFEKTIFITAS MOBILISASI DINI TERHADAP KEKUATAN OTOT DAN SKALA NYERI PADA PASIEN POST ORIF FRAKTUR TIBIA FIBULA DI RUMAH SAKIT DI JAKARTA PUSAT Erwan Setiyono; Yani Sofiani; Ninik Yunitri; Nurma Dewi
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.441

Abstract

Fracture is a condition where there is a break in bone tissue. ORIF is a surgical procedure that aims to restore the condition of the fracture as before. The problems that arise after ORIF is the occurrence of pain and limited activity. To reduce the problems that arise is to implement ROM (Range Of Motion) early mobilization. ObjectiveROM is to increase muscle strength and reduce the pain scale experienced by patients with tibia and fibula fractures. The method in this study was quasi-experimental with the total sampling technique. The analysis in this study used the Jamovi application with the Paired Samples T-Test and Repeated Measurement ANOVA. After ROM training there was a significant increase (P-value = <0.001) during the 4 days of hospitalization with a mean difference ranging from 2.00. In early mobilization exercises carried out independently at home for 10 days there was a significant increase in muscle strength (P-value = <0.001) with a mean difference ranging from 3.40. In measuring the pain scale after the ROM intervention was carried out for 4 days in the hospital, the results showed a significant decrease (P-Value = <0.001) with a mean difference of around -2.00. Meanwhile, in measuring the pain scale on days 7 and 14 of independent ROM exercises at home, the results were not significant where the P-value = 0.363 with a difference in mean values ​​ranging from +0.100. The application of EBNP, namely the provision of early mobilization exercises (ROM) has proven effective in increasing muscle strength and gradually reducing the pain scale in patients with tibia and fibula fractures.
WhatsApp Use in Weight Intervention for Adults with Obesity venti agustina; Syamsul Anwar; Ninik Yunitri
Indonesian Journal of Human Nutrition Vol. 11 No. 2 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.02.10

Abstract

Unhealthy lifestyles are thought to contribute to the growing burden of obesity among adults, despite a preventable condition. Changing these behaviors requires appropriate and modern educational interventions. Social media platforms are increasingly used to contribute positively to supporting health behavior change. This study aimed to investigate the effect of using a social media module, specifically WhatsApp, on behavioral changes among adults with obesity. By using G-Power 3.1 software with an alpha level of 0.05, a power (1 - ß) of 0.95, an effect size of 0.64, and adding up to 10% buffer, the final sample consisted of 40 participants recruited using purposive random sampling based on inclusion and exclusion criteria. A pre-experimental one-group pre-test post-test design was conducted in this study. Data were collected using a questionnaire, biochemical markers, and anthropometry measurements, before and after intervention. Jamovi 2.3.28 software was used to test statistical analyses with a p-value < 0.05. Forty adult females (38.92 ± 3.79) participated in the six-week intervention. Significant relationships were found in knowledge (Z = -3.36, p = 0.003), attitudes (Z = -3.78, p = 0.001), and practices (Z = -8.90, p < 0.00) related to obesity. A significant shift in participants’ stages of behavioral change was also found (χ² = 17.8, p < 0.001), and waist circumference significantly decreased post-intervention (p < 0.001). No significant changes were observed in body weight (p = 0.323), BMI (p = 0.314), random blood glucose (p = 0.116), total cholesterol (p = 0.105), and uric acid (p = 0.058) after the intervention. Although the intervention did not significantly affect body weight, BMI, or biochemical profiles, the use of WhatsApp is an effective tool in improving knowledge, attitude, and practice related to obesity, shifting the stages of behavioral changes, and reducing waist circumference.
Co-Authors Erwan Setiyono Nurma Dewi Syamsul Anwar Venti Agustina Yani Sofiani