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INDONESIA
Jurnal Penelitian Kesehatan Suara Forikes
Published by Forum Ilmiah Kesehatan
ISSN : 20863098     EISSN : 25027778     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Journal of Health Research "Forikes Voice" is a medium for the publication of articles on research and review of the literature. We accept articles in the areas of health such as public health, medicine, nursing, midwifery, nutrition, pharmaceutical, environmental health, health technology, clinical laboratories, health education, and health popular.
Arjuna Subject : -
Articles 295 Documents
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Search results for , issue "2023" : 295 Documents clear
Pengembangan Instrumen Prediktor Risiko Gagal Ginjal pada Pasien Diabetes Mellitus Tipe 2 Desy Rinawaty; Tri Johan Agus Yuswanto; Mardiyono Mardiyono
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk107

Abstract

Type 2 Diabetes Mellitus is a chronic disease that occurs due to decreased insulin secretion by the pancreas gland. Instrument development is an activity that builds or arranges instruments to produce new instruments. The purpose of this study was to develop a predictor instrument in the form of a questionnaire to determine the risk of kidney failure in patients with type 2 diabetes mellitus. The study design was posttest only with a control group, involving 50 respondents selected by purposive random sampling technique. The results showed that CVI = 0.93, with a high reliability value of 0.75. The sensitivity = 100% and the specificity = 88%. The identification of the KFRS instrument score obtained an average value = 17.74 with the percentage of patients at risk of 100%, while the identification of the SCORED instrument score obtained an average value = 5.04 with the percentage of patients at risk = 84%. It was concluded that KFRS can be used to detect the risk of kidney failure.Keywords: instrument development; risk of kidney failure; type 2 diabetes mellitus ABSTRAK Diabetes Mellitus tipe 2 merupakan suatu penyakit kronis yang terjadi karena penurunan sekresi insulin oleh kelenjar pankreas. Pengembangan instrumen merupakan suatu kegiatan yang membangun atau menyusun instrumen yang dilakukan untuk menghasilkan instrumen baru. Tujuan penelitian ini adalah untuk mengembangkan instrumen prediktor yang berbentuk kuesioner untuk mengetahui adanya risiko gagal ginjal pada pasien diabetes mellitus tipe 2. Rancangan penelitian ini posttest only with control group, yang melibatkan 50 responden yang dipilih dengan teknik purposive random sampling. Hasil penelitian menunjukkan bahwa CVI = 0,93, dengan nilai reliabilitas yang tinggi yaitu 0,75. Nilai sensitivitas adalah 100% dan nilai spesifisitas adalah 88%. Identifikasi skor instrumen KFRS didapatkan nilai rata-rata = 17,74 dengan persentase pasien beresiko sebesar 100%, sedangkan identifikasi skor instrumen SCORED didapatkan nilai rata-rata = 5,04 dengan persentase pasien beresiko = 84%. Disimpulkan bahwa KFRS dapat digunakan untuk mendeteksi adanya risiko gagal ginjal.Kata kunci: pengembangan instrumen; risiko gagal ginjal; diabetes mellitus tipe 2
Efektifitas Penggunaan Streptokinase Pada Pasien Infark Miokard Akut: A Literature Review Septin Nabila Fakhira Driela Putri; Wachidah Yuniartika
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v14i2.3173

Abstract

Acute coronary syndrome (ACS) is one of the largest cardiovascular diseases in the world, resulting in high hospitalization and mortality. The importance of early intervention and optimal treatment strategies with an emphasis on diagnosis is necessary to reduce mortality from heart disease, especially myocardial infarction. One such strategy is the timely reperfusion of infarcted coronary arteries using fibrinolysis in which streptokinase therapy is used. The aim of this study is to determine the efficacy of streptokinase use in patients with acute myocardial infarction. The search methodology was a literature search using database sources such as Cochrane, Crossref, Google Scholar, PubMed and Scopus, and included seven articles reviewed with publication coverage from January 1st 2015 to September 19th 2022. Results of a literature review show that administration of streptokinase thrombolysis is effective in the initial treatment of patients with acute myocardial infarction. This literature review concludes that fibrinolytic therapy with streptokinase class drugs is effective in patients with acute myocardial infarction due to its high efficacy, high availability, low cost, and low incidence of bleeding complications. It means that it can be used for nonetheless, if patients require rigorous follow-up while on streptokinase therapy associated with complications including death, patient follow-up or observation for long-term measures is warranted.
Air Perasan Wortel untuk Menurunkan Intensitas Dismenore pada Remaja Putri Wardani, Hasbiah; Rejeki, Irma Sri; Syam, Nurul Fitri Sugiarti
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v14i2.2843

Abstract

Dysmenorrhea can be reduced by pharmacological, nonpharmacological and complementary actions. Carrot juice has antioxidant activity, also has analgesic (anti-pain) and anti-inflammatory effects. The purpose of this study was to determine the effect of giving carrot juice on dysmenorrhea in young women at SMP Wahyu Makassar. The design used in this study was posttest only with control group. The population in this study were all class VII students of Wahyu Makssar Middle School, with a sample size of 40 students who experienced dysmenorrhea, who were selected by purposive sampling technique. Pain levels in both groups were measured using a numerical rating scale (NRS) pain rating scale. Differences in pain levels between the treatment group and the control group were analyzed using the t test. The results showed that the p-value of the test results was 0.010, so it was interpreted that there was a difference in pain levels between the treatment group and the control group, with lower pain levels in the group that was given carrot juice. It was concluded that there was an effect of giving carrot juice to dysmenorrhea in young women at SMP Wahyu Makassar.Keywords: dysmenorrhea; teenager; carrot juice ABSTRAK Dismenore dapat dikurangi dengan tindakan farmakologis, nonfarmakologis dan komplementer. Jus wortel memiliki aktivitas antioksidan, juga memiliki efek analgesik (anti nyeri) dan anti inflamasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian jus wortel terhadap dismenore pada remaja putri di SMP Wahyu Makassar. Rancangan yang digunakan dalam penelitian ini adalah posttest only with control group. Populasi dalam penelitian ini adalah seluruh siswa kelas VII SMP Wahyu Makssar, dengan ukuran sampel 40 siswa yang mengalami dismenore, yang dipilih  dengan teknik purposive sampling. Tingkat nyeri pada kedua kelompok diukur menggunakan skala penilaian nyeri numeral rating scale (NRS). Perbedaan tingkat nyeri antara kelompok perlakuan dan kelompok kontrol dianalisis menggunakan uji t. Hasil penelitian menunjukkan bahwa nilai p dari hasil uji adalah 0,010, sehingga ditafsirkan bahwa ada perbedaan tingkat nyeri antara kelompok perlakuan dan kelompok kontrol, dengan tingkat nyeri lebih rendah pada kelompok yang diberi perlakuan berupa pemberian jus wortel. Disimpulkan bahwa ada pengaruh pemberian air perasan wortel terhadap dismenore pada remaja putri SMP Wahyu Makassar.Kata kunci: dismenorea; remaja; air perasan wortel
Pemanfaatan Kacang Kedelai (Glycine max (L.) Merill) Varietas Anjasmoro dan Dega-1 Sebagai Media Alternatif PDA (Potato Dextrose Agar) untuk Pertumbuhan Candida Albicans Putri, Ervina Wahyu; Sasongkowati, Retno; Astuti, Sri Sulami Endah; Istanto, Wisnu
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk123

Abstract

PDA (Potato Dextrose Agar) is a medium containing many nutrients needed by fungi, especially Candida albicans. Several researchers found alternative media for fungal growth using various carbohydrate sources such as cassava dextrose agar, canna tubers, yam tubers and arrowroot tubers on Candida albicans and Aspergillus niger. One of the components contained in PDA media is carbohydrates. Soybeans (Gllycine Max L. Merill) are a source of carbohydrates which are usually used as ingredients for food and beverage preparations (such as soy sauce, tempeh, tofu, and milk). Several soybean varieties that are included in the top 10 best quality with high nutritional content are the Anjasmoro variety and the Dega-1 variety. This study aimed to answer that the soybean (Glycine max (L.) Merill) varieties Anjasmoro and Dega-1 can be used as an alternative PDA medium for the growth of Candida albicans. The research method used was experimental to test the potential of the Anjasmoro variety and the Dega-1 variety as alternative media for PDA by analyzing the growth characteristics of Candida albicans with variations in the mass of soybean powder for each variety. The results showed that soybean variety Anjasmoro variety was better than soybean variety Dega-1 and has the potential to be an alternative media because the average number of colonies and morphology of Candida albicans at 4.4 gram mass variation was almost equivalent to the fungus growing on Gold media standard.Keywords: Candida albicans; Potato Dextrose Agar; soybean variety Anjasmoro; soybeans of the Dega-1 variety ABSTRAK PDA (Potato Dextrose Agar) merupakan media berisi banyak kandungan nutrisi yang dibutuhkan oleh jamur terutama Candida albicans. Beberapa peneliti menemukan media alternatif untuk pertumbuhan jamur menggunakan berbagai sumber karbohidrat seperti singkong dextrose agar, umbi ganyong, umbi gembili dan umbi garut pada Candida albicans dan Aspergillus niger. Salah satu komponen yang terdapat dalam media PDA yaitu karbohidrat. Kacang kedelai (Gllycine Max L. Merill) merupakan sumber karbohidrat yang biasanya dimanfaatkan sebagai bahan olahan makanan dan minuman (seperti kecap, tempe, tahu, dan susu). Beberapa varietas kacang kedelai yang termasuk 10 besar kualitas terbaik dengan kandungan gizi yang tinggi yaitu varietas Anjasmoro dan varietas Dega-1. Penelitian ini bertujuan untuk menjawab bahwa kacang kedelai (Glycine max (L.) Merill) varietas Anjasmoro dan Dega-1 dapat dimanfaatkan sebagai media alternatif PDA untuk pertumbuhan Candida albicans. Metode penelitian yang digunakan adalah eksperimental untuk menguji potensi kacang kedelai varietas Anjasmoro dan Varietas Dega-1 sebagai media alternatif PDA dengan menganalisis karakteristik pertumbuhan Candida albicans dengan variasi massa serbuk kacang kedelai masing-masing varietas. Hasil penelitian menunjukkan bahwa kacang kedelai varietas Anjasmoro lebih baik dibandingkan kacang kedelai varietas Dega-1 dan berpotensi untuk menjadi media alternatif dikarenakan pada rata-rata jumlah koloni dan morfologi Candida albicans pada variasi massa 4,4 gram hampir setara dengan jamur yang tumbuh pada media Gold standart.Kata kunci: Candida albicans; Potato Dextrose Agar; kacang kedelai varietas Anjasmoro; kacang kedelai varietas Dega-1
Pengaruh Diabetes Self-Management Education (DSME) Pada Penderita Diabetes Melitus: Literature Review Setiawan -
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v14i2.2581

Abstract

Diabetes Mellitus (DM) is a chronic disease that has complications that can be life-threatening and requires extensive involvement of patients and their families in daily self-care. The Purpose of this study to see the effects of Diabetes Self-Management Education (DSME) in patients with diabetes mellitus. This literature review was conducted from online database such as GoogleScholar, ScienceDirect, ProQuest, Scopus, and Pubmed. The articles was published between 2017-2022 finding 10 relevant journals. The result was the implementation of DSME in patients could been carried out in various timescales.  The more often DSME was given, the better the impact.  DSME could also been given through a variety of media that could been tailored to the needed of people with diabetes.  DSME also provides many benefits for people with diabetes, including increasing knowledge and attitudes about self-care, helping to lowered blood glucose levels, increasing commitment to self-management, reducing anxiety and stressed levels and improving the quality of life for people with diabetes.  Therefore, nurses needed to provided DSME intensively by used effective and efficient learned media for people with diabetes.Keywords: diabetes self-management education; diabetes management;health education
Hasil Evaluasi Kinerja Berbasis Balance Scorecard di Instalasi Farmasi Klinik Telkomedika Health Center Madiun Isna Nur Khasanah; Gunawan Pamudji Widodo; Tri Wijayanti
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 1 (2023): Januari 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14146

Abstract

The Telkomedika Health Center (THC) Madiun Clinic requires a good performance evaluation/measurement of the THC Madiun Clinic Pharmacy Installation. Therefore, research is needed which aims to determine the performance of the THC Madiun Clinical Pharmacy Installation using the Balanced Scorecard method based on 4 perspectives, namely finance, internal business processes, growth and learning, and customers. This research was a descriptive study. Data were obtained retrospectively and concurrently through interviews with pharmacists at pharmacy installations, filling out questionnaires by employees and patients, as well as direct observation. Data were analyzed descriptively and compared with applicable standards. The research results showed that: 1) finance was efficient, but still needs to be improved; 2) provision of drug information needs to be improved; 3) employee job satisfaction was in the moderate range; 4) patients were satisfied with the quality of service, but there was a gap between patient expectations and performance. It was concluded that the performance of the Madiun THC Clinic Pharmacy Installation was quite good, but there were still a number of things that needed to be improved. Managers should conduct regular monitoring and evaluation to improve organizational performance.Keywords: performance evaluation; balanced scorecard; clinical pharmacy installation ABSTRAK Klinik Telkomedika Health Center (THC) Madiun membutuhkan evaluasi/pengukuran kinerja Instalasi Farmasi Klinik THC Madiun secara baik. Maka diperlukan penelitian yang bertujuan untuk mengetahui kinerja Instalasi Farmasi Klinik THC Madiun dengan metode Balance Scorecard berbasis 4 perpesktif yaitu keuangan, proses bisnis internal, pertumbuhan dan pembelajaran, serta customer. Penelitian ini merupakan studi deskriptif. Data diperoleh secara  retrospektif dan concurrent melalui wawancara kepada apoteker instalasi farmasi, pengisian kuesioner oleh karyawan dan pasien, serta observasi langsung. Data dianalisis secara deskriptif dan dibandingkan dengan standar yang berlaku. Hasil penelitian menunjukkan bahwa: 1) keuangan sudah efisien, namun masih perlu ditingkatkan; 2) pemberian informasi obat perlu ditingkatkan; 3) kepuasan kerja karyawan berada pada rentang cukup; 4) pasien merasa puas dengan kualitas pelayanan, namun terdapat gap antara harapan dan kinerja pasien. Disimpulkan bahwa kinerja Instalasi Farmasi Klinik THC Madiun cukup baik, namun masih ada beberapa hal yang perlu ditingkatkan. Sebaiknya pengelola melakukan monitoring dan evaluasi secara berkala untuk meningkatkan kinerja organisasi.Kata kunci: evaluasi kinerja; balanced scorecard; instalasi farmasi klinik
Efektifitas Terapi Hipnosis Lima Jari untuk Menurunkan Tingkat Kecemasan Pasien Hipertensi Riza Berlianasari; Nurlaila Fitriani
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk127

Abstract

People with hypertension who experience anxiety will show somatic symptoms (symptoms that occur in the body) and feel nervous or afraid. So research is needed which aims to determine the effect of the five finger hypnosis technique on reducing anxiety levels in hypertensive patients. This study used a pretest-posttest design with a control group. The level of anxiety before and after treatment was measured by the HARS (Hamilton Anxiety Rating Scale) questionnaire. The intervention group was given five days of hypnosis therapy for 10-15 minutes. Differences in anxiety levels between before and after the intervention in the two groups were analyzed using the Wilcoxon test. The results showed that the p-value for the control group was 0.239 (no difference), while for the intervention group was 0.001 (there was a difference). Thus a drastic decrease in anxiety levels occurred in the intervention group with five finger hypnosis. It was concluded that five finger hypnosis was effective in reducing the anxiety level of hypertensive patients in the emergency room at UNS Hospital.Keywords: five finger hypnosis; hypertension; worry ABSTRAK Penderita hipertensi yang mengalami kecemasan akan memperlihatkan gejala somatis (timbul gejala pada tubuh) dan rasa gugup atau ketakutan. Maka diperlukan penelitian yang bertujuan untuk mengetahui pengaruh teknik hipnosis lima jari terhadap penurunan tingkat kecemasan pada pasien hipertensi. Penelitian ini menggunakan desain pretest-postest with control group. Tingkat kecemasan sebelum dan sesudah perlakuan diukur dengan kuesioner HARS (Hamilton Anxiety Rating Scale). Kelompok intervensi diberi terapi hipnosis lima hari selama 10-15 menit. Perbedaan tingkat kecemasan antara sebelum dan sesudah intervensi pada kedua kelompok dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan bahwa nilai p untuk kelompok kontrol adalah 0,239 (tidak ada perbedaan), sedangkan pada kelompok intervensi adalah 0,001 (ada perbedaan). Dengan demikian penurunan tingkat kecemasan secara drastis terjadi pada kelompok intervensi dengan hipnosis lima jari. Disimpulkan bahwa hipnosis lima jari efektif untuk menurunkan tingkat kecemasan pasien hipertensi di ruangan IGD RS UNS.Kata kunci: hipnosis lima jari; hipertensi; kecemasan
Status Entomologi di Daerah Endemis, Sporadis dan Non Endemis Penyakit Demam Berdarah Dengue di Kota Ambon Isak Roberth Akollo; Lisse Pattipeluhu; Vernando Yanri Lameky; Lydia Maria Ivakdalam
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk125

Abstract

Dengue hemorrhagic fever is still a public health problem, including in Ambon City. The Aedes aegypti mosquito is the primary vector, while the Aedes albopictus mosquito is the secondary vector. The increase in cases is influenced by several factors, one of which is vector density, which can be identified by measuring the HI (House index), CI (Container index) and BI (Breateu index) values. Entomological surveys need to be carried out as a first step to determine appropriate preventive measures such as eradication of Aedes spp mosquitoes and their habitat. The purpose of this study was to determine the entomological status of HI, CI and BI in endemic, sporadic and non-endemic areas in Ambon City. This research was descriptive research. The larvae survey used a visual method based on WHO entomological survey guidelines for dengue hemorrhagic fever. The survey was carried out in 3 locations, namely in the working areas of the Waihoka, Lateri and Hative Health Centers. Total houses surveyed were 60 locations. The results showed that the Work Area of the Waihoka Community Health Center had HI (30), CI (18.06) and BI (130); the work area of the Lateri Health Center has HI (25), CI (6.02), and BI (50); and the working area of the Hative Health Center has HI values (25), CI (5.76), and BI (40). It was concluded that the highest HI, CI and BI values were found in the Work Area of the Waihoka Health Center.Keywords: dengue hemorrhagic fever; entomological status; Aedes aegypti ABSTRAK Demam berdarah dengue sampai saat ini masih menjadi masalah kesehatan di masyarakat, termasuk di Kota Ambon. Nyamuk Aedes aegypti merupakan vektor primer, sedangkan nyamuk Aedes albopictus merupakan vektor sekunder. Peningkatan kasus dipengaruhi oleh beberapa faktor salah satunya adalah kepadatan vektor, yang dapat diketahui melalui pengukuran nilai HI (House index), CI (Kontainer index), dan BI (Breateu index). Survei entomologi perlu dilakukan sebagai langkah awal untuk menentukan tindakan pencegahan yang tepat seperti pemberatasan nyamuk Aedes spp dan habitatnya. Tujuan dari penelitian ini adalah mengetahui status entomologi HI, CI, dan BI di daerah endemis, sporadis, dan non-endemis di Kota Ambon. Penelitian ini adalaah penelitian deskriptif. Pelaksanaan survei jentik menggunakan metode visual berdasarkan pedoman survei entomologi demam berdarah dengue menurut WHO. Pelaksanaan survei dilakukan di 3 lokasi, yaitu di wilayah kerja Puskesmas Waihoka, Lateri, dan Hative. Total rumah yang disurvei sebanyak 60 lokasi. Hasil penelitian menunjukkan bahwa Wilayah Kerja Puskesmas Waihoka memiliki nilai HI (30), CI (18,06) dan BI (130); wilayah kerja Puskesmas Lateri memiliki nilai HI (25), CI (6,02), dan BI (50); dan wilayah kerja Puskesmas Hative memiliki nilai HI (25), CI (5,76), dan BI (40). Disimpulkan bahwa nilai HI, CI, dan BI yang paling tinggi terdapat di Wilayah Kerja Puskesmas Waihoka.Kata kunci: demam berdarah dengue; status entomologi; Aedes aegypti
FFaktor Pendukung Tingkat Kepatuhan Lansia Mengikuti Posyandu pada Era Pandemi Covid-19 di Klaten Eni Maryati; Mei Rianita Elfrida Sinaga
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 1 (2023): Januari 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14149

Abstract

One of the Indonesian government's programs to create healthy, independent and productive elderly people is Posyandu. The low number of elderly visits to posyandu during the Covid-19 pandemic has become the focus of attention, and this is influenced by several supporting factors. So research is needed that aims to describe the factors that support the level of compliance of the elderly in participating in the elderly Posyandu in the era of the Covid-19 pandemic in Klaten. This type of research was a descriptive study, involving 63 elderly as respondents, who were selected using a proportioned simple random sampling technique. Factors supporting the level of compliance of the elderly were measured using a questionnaire with 25 question items that have been declared valid and reliable. Data were analyzed descriptively in the form of frequency and proportion. The results showed that the proportion or percentage for each of the supporting factors for elderly adherence in attending the elderly Posyandu was: distance = 92.1%, cadre role = 77.8%, motivation = 71.4%, and family role = 50.8 %. It could be concluded that distance, the role of cadres, motivation, and the role of the family were supporting factors for the level of adherence of the elderly in attending the elderly Posyandu during the Covid-19 pandemic in Klaten.Keywords: elderly posyandu; the Covid-19 pandemic; elderly obedience; the role of cadres; family role ABSTRAK Salah satu program pemerintah Indonesia untuk mewujudkan lansia yang sehat, mandiri dan produktif yaitu posyandu. Rendahnya kunjungan lansia ke posyandu di era pandemi Covid-19 menjadi fokus perhatian, dan hal ini dipengaruhi oleh beberapa faktor pendukung. Maka diperlukan penelitian yang bertujuan untuk mendeskripsikan faktor-faktor yang mendukung tingkat kepatuhan lansia dalam mengikuti posyandu lansia di era pandemi Covid-19 di Klaten. Jenis penelitian ini adalah studi deskriptif, yang melibatkan 63 lansia sebagai responden, yang dipilih dengan teknik proportioned simple random sampling. Faktor pendukung tingkat kepatuhan lansia diukur menggunakan kuesioner dengan 25 item pertanyaan yang sudah dinyatakan valid dan reliabel. Data dianalisis secara deskriptif berupa frekuensi dan proporsi. Hasil penelitian menunjukkan bahwa proporsi atau persentase untuk masing-masing faktor pendukung kepatuhan lansia dalam mengikuti posyandu lansia adalah: jarak = 92,1%, peran kader = 77,8%, motivasi = 71,4%, dan peran keluarga = 50,8%. Dapat disimpulkan bahwa jarak, peran kader, motivasi, dan peran keluarga merupakan faktor pendukung tingkat kepatuhan lansia mengikuti posyandu lansia pada masa pandemi Covid-19 di Klaten.Kata kunci: posyandu lansia; pandemi Covid-19; kepatuhan lansia; peran kader; peran keluarga
Latihan Aktivitas (NYHA) Meningkatkan Hemodinamik pada Klien dengan Chronic Heart Failure Apriliani, Dyah Tri; Yuswanto, Tri Johan Agus; Sulistyowati, Dina Indrati Dyah
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk203

Abstract

Heart disease is a non-communicable disease that is included in the category of diseases that cause many deaths in the world. One of the consequences that often arise from heart disease is dyspnea and also shortness of breath which will later be directly related to the occurrence of activity intolerance in patients, it is necessary to carry out nursing care based on the activity level that the patient is still able to carry out. This study was conducted to determine the effect of implementing activity training on hemodynamic changes in patients with Chronic Heart Failure. This study applied a pretest-posttest with control group design, which involved 60 respondents who were divided into 3 groups namely the NYHA 1 intervention group, the NYHA 2 intervention group, and the control group which was a combination of NYHA 1 and NYHA 2. The pretest was carried out by measuring hemodynamics (pressure blood pressure, pulse, respiratory rate, oxygen saturation). Intervention in the NYHA 1 group was given light walking activity for 23 minutes, in the NYHA 2 group for 18 minutes and the control group was given 6SMWT activity or walking with a duration of 6 minutes. Each group was given diving treatment 3 times in 1 week. Posttest was carried out by measuring hemodynamics (blood pressure, pulse, respiratory rate, oxygen saturation) which was carried out after the respondent had rested for 15 minutes. Data analysis was performed using the Wilcoxon test to compare the hemodynamics before and after each treatment. On systolic blood pressure measurements, the p values were: control = 0.049, NYHA 1 = 0.000, NYHA 2 = 0.007. On measuring diastolic blood pressure, the p values were: control = 0.020, NYHA 1 = 0.001, NYHA 2 = 0.004. On pulse measurement, the p values were: control = 0.015, NYHA 1 = 0.003, NYHA 2 = 0.004. In measuring the respiratory rate, the p values were: control = 0.015, NYHA 1 = 0.005, NYHA 2 = 0.005. On oxygen saturation measurements, the p values were: control = 0.034, NYHA 1 = 0.000, NYHA 2 = 0.001. The conclusion in this study is that giving exercise activities improves hemodynamics in clients with Chronic Heart Failure.Keywords: chronic heart failure; hemodynamics; physical training ABSTRAK Penyakit jantung merupakan salah satu penyakit tidak menular yang masuk dalam kategori penyakit yang mengakibatkan banyak kematian di dunia. Salah satu akibat yang sering ditimbulkan dari penyakit jantung yakni dyspnea dan juga sesak nafas yang nantinya akan berhubungan langsung dengan terjadinya intoleran aktifitas pada pasien, maka perlu dilakukan asuhan keperawatan dengan berpedoman pada tingkat aktifitas yang masih mampu dilakukan oleh pasien. Penelitian ini dilakukan untuk mengetahui pengaruh penerapan latihan aktivitas terhadap perubahan hemodinamik pada pasien dengan Chronic Heart Failure. Penelitian ini menerapkan rancangan pretest-posttest with control group, yang melibatkan 60 responden yang dibagi menjadi 3 kelompok yaitu kelompok intervensi NYHA 1, kelompok intervensi NYHA 2, dan kelompok kontrol yakni gabungan antara NYHA 1 dan NYHA 2. Pretest dilakukan dengan pengukuran hemodinamik (tekanan darah, nadi, respiratory rate, saturasi oksigen). Intervensi pada kelompok NYHA 1 diberikan aktifitas berjalan ringan selama 23 menit, pada kelompok NYHA 2 selama 18 menit dan pada kelompok kontrol diberikan aktifitas 6SMWT atau berjalan dengan durasi 6 menit. Masing-masing kelompok diberikan perlakuan selam 3 kali dalam 1 minggu. Posttest dilakukan dengan pengukuran hemodinamik (tekanan darah, nadi, respiratory rate, saturasi oksigen) yang dilakukan setelah responden beristirahat selama 15 menit. Analisis data dilakukan menggunakan uji Wilcoxon untuk membandingkan hemodinamik masing-masing sebelum dan sesudah perlakuan. Pada pengukuran tekanan darah sistolik, nilai p adalah: kontrol = 0,049, NYHA 1 = 0,000, NYHA 2 = 0,007. Pada pengukuran tekanan darah diastolik, nilai p adalah: kontrol = 0,020, NYHA 1 = 0,001, NYHA 2 = 0,004. Pada pengukuran nadi, nilai p adalah: kontrol = 0,015, NYHA 1 = 0,003, NYHA 2 = 0,004. Pada pengukuran respiratory rate, nilai p adalah: kontrol = 0,015, NYHA 1 = 0,005, NYHA 2 = 0,005. Pada pengukuran saturasi oksigen, nilai p adalah: kontrol = 0,034, NYHA 1 = 0,000, NYHA 2 = 0,001. Kesimpulan pada penelitian ini adalah pemberian latihan aktivitas meningkatkan hemodinamik pada klien dengan Chronic Heart Failure.Kata kunci: chronic heart failure; hemodinamik; latihan fisik

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