Iskandar, Mohamat
Proceedings of the International Conference on Applied Science and Health

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THE EFFECT OF HEALTH EDUCATION IN SURGERY PREPARATION TO ANXIETY LEVEL OF PATIENTS WITH PRE HERNIORRHAPHY IN RAA SOEWONDO HOSPITAL PATI Iskandar, Mohamat
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: RAA Soewondo Hospital Pati treated herniorrhaphy patients around 454 patients every year. The results of the preliminary study a study of 10 patients undergoing surgery herniorrhaphy through interviews revealed that most patients do not understand the circumstances that will be experienced, still worried by the operation, and yet ready to undergo surgery. Aims: The purpose of this study was to determine the effect of health education on surgery preparation to anxiety level of patients with pre herniorrhaphy in RAA Soewondo hospital Pati. Method: This study used quasi-experimental design, One Group with Pretest and Posttest. Thirty patients were selected by accidental sampling with variables health education and level of anxiety patient pre herniorrhaphy. HARS (Hamilton Rating Scale For Anxiety) was employed as instrument for data analysis. Result: Twenty two respondents experienced moderate anxiety before health education. After health education, only 17 respondents experienced mild anxiety. Wilcoxon test obtained the mean difference of anxiety level before and after health education is 0.49 with a difference of standard deviation 0.077 and p-value 0.001 which mean there is a significant difference of anxiety level before and after health education. Conclusion: There is the influence of health education on the preparation procedure of surgery on the patients anxiety level pre herniorrhaphy in hospitals RAA SoewondoPati. To reduce anxiety in patients with pre herniorrhaphy, expected that the comprehensive health education in patients with pre herniorrhaphy. 
The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients Iskandar, Mohamat
Global Health Management Journal Vol 2, No 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital. Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength. Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients. Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412. Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress.