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<![CDATA[TERAPI DINGIN EEFEKTIF MENURUNKAN NYERI STERNOTOMY SAAT LATIHAN NAPAS DAN BATUK EFEKTIF ]]>
<![CDATA[Setya Widyastuti, Chatarina]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Patients after coronary bypass surgery will experience pain as a result of sternotomy wounds, especially during deep breathing and coughing. They will always be given the breathing exercises and cough effectively to assist recovery and prevent respiratory complications. Pain can be reduced by cold therapy. Objective: purpose this Evidence Based Practice is determine the effectiveness of cold therapy in reducing sternotomy pain during breathing exercises and coughing. Methods: Participants (n = 6), in a randomized crossover trial, applied a frozen gel pack to their sterna incision dressing before performing deep breathing and coughing (DB & C) exercises. Pain scores from 0 to10 at rest were compared with pain scores post DB &C with and without the gel pack. Participants were also asked to describe their sensations with the frozen gelpack, as well as their preferences for gel pack application. Results: The analysis of differences in pain scores between pre- and post-application of the gel pack is significant reduce 0,5 -0,7. Pain scores post DB &C without the gel pack is increase 1,4 -1,5. All 6 (100%) participants would reapply the gel pack in the future. Conclusion: cold therapy is effective reducing pain during deep breathing exercise and coughing from moderate become mild. Application of cold therapy is an affordable, low risk and can be easily integrated in nursing practice. Keywords: Cold therapy, CABG, pain, sternotomy]]>
<![CDATA[EMOTIONAL FREEDOM TECHNIQUES DAPAT PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI ]]>
<![CDATA[Teti]]>;
<![CDATA[Subiyanto, Paulus]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Hypertension is a condition when the systolic blood pressure over 120 mmHg and diastolic blood pressure was more than 80 mmHg. Untreated hypertension will lead to complications such as stroke, coronary heart disease, narrowing of blood vessels, kidney failure, heart failure and diabetes mellitus can even cause death. There by preventing these complications do one non-pharmacological therapy is by using the Emotional Freedom Technique. Objective: Knowing there any influence of emotional freedom techniques to decrease blood pressure in people with hypertension. Methods: This research was aquasi-experimental. Sampling using purposive sampling with the number of respondents 30 people were divided into two groups: an intervention group(n =15) andcontrol group (n=15). Interventions carried 6 times for 2 week session. The statistical test used is Paired t-test and Independent t-test with significance level α=0.05. The results: The results of this study indicate that patients with hypertension in the intervention group had a mean value of 21.33 mmHg lower post test than the pretest value, whereas in the control group had a mean value of 7.33 mmHg decrease from pretest value. Results Paired sample t-test obtained p value =0.000 (p <0.005). Then Ho is rejected and Ha accepted. Mean while, according totest result sobtained by the Independent t-test t value=-6.212 (p =0.000) can be concluded there is a significant difference between the decrease in average blood pressure between emotional freedom technique intervention group and the control group. Conclusion: Emotional Freedom Technique has influence in lowering blood pressure in people with hypertension are significant compared with the control group without the Emotional Freedom Technique. Keywords: Emotional Freedom Technique, Blood Pressure, Hypertension.]]>
<![CDATA[MUSIK BERMANFAAT UNTUK NADI BBLR SELAMA KANGAROO MOTHER CARE ]]>
<![CDATA[Kustio Priliana, Wiwi]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Kangaroo Mother Care (KMC) is a means or method of caring for LBW, where there is direct skin contact between mother and baby makes automatic adjustments to the mother's body temperature to protect her baby. Some interventions such as massage treatments in the NICU babies, Kangaroo Mother Care and listening to music has benefits baby's growth and readiness to go home and reduce maternal anxiety. Objectives: Given the benefits of music on maternal anxiety and response Kangaroo Mother Care for low birth weight. Methods: Quasi-experimental study design with Pretest and posttest Non Equivalent Control Group Design. Population: the mother and low birth weight who implement KMC. This study sampled 40 mothers and her babies. Purposive sampling with sampling, a research site in Ward General Hospital NICU Wates and RS Jogja. Independent variabel : music, the dependent variable: heart rate LBW and external variables: gestational age. The music used was Lullaby music which was captured from the internet. Analysis Data include: univariabel, bivariabel, and multivariable. Statistical tests using the Paired t-test, Independent t-test and Linear Regression with a significance level of p <0.05 and confidence interval (CI) 95%. Results: After treatment decreased heart rate of LBW 3,8 x/minute, p = 0.004. Gestational age the results were not significant (p> 0.05). Conclusion: Music has an influence on the reduction lower heart rate on the Kangaroo Mother Care for low birth weight. Keywords: Kangaroo Mother Care, LBW, Music.]]>
<![CDATA[FAKTOR-FAKTOR YANG MEMPENGARUHI MINAT BEROBAT MASYARAKT GAMPING KE PUSKESMAS ]]>
<![CDATA[Warseno, Agus]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Community Health Center Gamping II is a community-based health care unit where Showed an increased number of visit or severy day. On the other hand, the increasing private health care facilities around the Gamping community environment may affect the public interest toutilize medical services at the health center . Objective:Knowing the factors that affect the interests of the Gamping’s people treatedat the health center Gamping II . Method:This study is a cross-sectional survey.This study is non-experimental research (observation with out intervention) with survey located in the regionof Gamping. Subjects were people who in the last 6 months sick and need treatment .Determination sample with sistematic random sampling, 74 samples obtained from the 299 number. Retrieval of data using question naires. The data analys is was done by quantitative descriptive and statistical regression test . Results: This study found that community service is desired to haveacle an environment , providefriendly service, strategic location and easy to reach, complete drug inventory, easy toconsult withadoctor. Subjective norm is mainly influenced by parents, family members/relatives, friends and doctors/healthworkers. Quantitative data analysis with multiple regression statistical test showednoeffect oftheweakagainst the interestsof theactual behavior of treatment (p=0.044and r =0.221), there was no effect of attitudes toward interest treatment (p=0.325 and r =-0.094), there was no influence of subjective norm to intention treatment (p=0.081 and r =0.217), therewasnoeffect together thanactual behavior, attitudes,subjectivenorms to intention treatment (p=0.072). Conclusion: Basedon this research can beconcluded that theactual behavioral factors have aweak influence on the treatment interest,attitude does not affect the interest of treatment and subjective norm is not having an effect on the interest . Keywords: Actual behavior, attitudes, subjective norms, interest in treatment, Community health center]]>
<![CDATA[KECEMASAN MENGHAMBAT ONSET LAKTASI IBU POST PARTUM ]]>
<![CDATA[Lia Puspita, Rizki]]>;
<![CDATA[Nursanti, Ida]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Lactation is the overall process of breastfeeding production until the baby suckling. Exclusive breastfeeding has many benefits for mother and the baby, it is supported by UNICEF and WHO with Baby friendly Hospital Initiative program. However, exclusive breastfeeding rates remain low. Some studies show that delayed onset of lactation are less likely to continue full breastfedding. One factor that may influence the delayed onset of lactation is anxiety levels in the postpartum. Purpose: To knew how the relationship between the anxiety levels with onset lactation postpartum mothers in RSUD Panembahan Senopati Bantul. Methods: The study used cohort prospective to 60 respondents were recruited with purposive sampling. Analysis of the data devided be univariable and bivariabel analysis using chi-square with a significance level of p <0.05. Results: There was a significant association between levels of anxiety with the onset of lactation on postpartum mothers. Mothers who experienced mild levels of anxiety most rapid onset of lactation 81.7%, and mothers with severe levels of anxiety experienced were delayed onset of lactation (p = 0.000). Conclusion: The level of anxiety in postpartum influence to delayed onset of lactation. Suggestion: Good preparation for pregnancy and family support may affect on anxiety levels in postpartum. Keywords: Levels of anxiety, Onset Lactation]]>
<![CDATA[PERBEDAAN PARAMETER KARDIO PULMONAL SETELAH TINDAKAN OPEN SUCTION ]]>
<![CDATA[Nofiyanto, Muhamat]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Endotracheal suctioning is often performed by nurses and beneficial for critically ill patients. Suctioning is essential for removing secretions, maintaining airway patency and prevent unexpected complications. Open suctioning is performed by disconnecting patients with the ventilator. Suctioning not only removed secretions in the airway but also oxygen. Suctioning must be done correctly, safely, effectively and efficiently to prevent unexpected events in critically ill patients. Objective: This study aimed to determine differences on cardiopulmonary parameters after open suction in critically ill patients Methods: The study design was comparatif cross sectional analytic approach, using one group pre test and post test. The sample of the research amounted to 34 people, using purposive sampling technique. Catheter size 14 Fr on ETT number 7 mm used in this research to performed endotracheal suctioning. Cardiopulmonary parameters (Heart rate/ HR, respiratory rate/RR, oxygen saturation/SpO2, systolic blood pressure/ SBP and diastolic blood pressure/DBP) measured by pulse oxymeter and bedside monitor before suction and immediately thereafter. Results: The results showed increase average heart rate 6.412 (from 106.62 into 113.03), Respiratory rate has increased 4.971 (from 20.62 into 25.59), SpO2 decreased 1.68 (from 99.09 into 97.41), and systolic blood pressure increased 5.71 (from 118.29 into 124.00) after performed open suction. The results of paired t-test statistical analysis (for RR, HR) obtained a < 0.05 (0.000), whereas Wilcoxon statistical analysis (for SpO2, SBP) obtained a < 0.05 (0.000 and 0.001). So it can be said that the difference cardiopulmonary parameters was statistically significant after perfomed open suction in critically ill patients. Keywords: Endotracheal suctioning, cardiopulmonary parameters, critically ill patients.]]>
<![CDATA[ATUR INTERVAL KEHAMILAN UNTUK KELAHIRAN BAYI SEHAT ]]>
<![CDATA[Dita Sulistyowati, Bety]]>;
<![CDATA[Mawarti, Retno]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background : Causes of neonatal deaths aged 0-7 days was highest preterm birth and low birth weight that is equal to 35% . Several studies have shown that the interval of pregnancy can be a cause of low birth weight babies, especially in the short interval that is <2 years or the length of the interval> 4 years). Objective : Knowing the relationship with the incidence of pregnancy intervals of low birth weight babies (LBWB) in hospitals Panembahan Senopati Bantul in 2011 . Method : This methods was an observational study with cross-sectional survey. The collection of samples was done by using purposive sampling with a sample of as many as 66 post partum mothers who gave birth more than once. How to use data collection instruments observation sheet. Analysis of the data used is the analysis bivariable univariabel and analysis using Chi-square test with a significance level of p <0.05. Contingency coefficient 0.251 indicates that the close relationship between the interval of pregnancy with a low incidence of LBW . Results : Based on the results of the study interval-risk pregnancies occur LBW 43.9% and very low birth weight infants19.7%. Interval pregnancies at risk of low birth weight by 33.3% and very low birth weight infants 3.0%. The results of Chi-Square test analysis obtained significance value p-value is 0.035 (p <0.05) and the value of contingency coefficient of 0.251 indicates a low relationship closeness. Conclusion : There is a significant relationship between the incidence of pregnancy interval low birth weight babies (LBWB) in hospitals Panembahan Senopati Bantul in 2011. For mothers who are prepared to pay attention to pregnancy and pregnancy interval ANC checks on a regular basis so that no babies born with LBW B. Keywords : Interval Pregnancy, Low Birth Weight Babies (LBW B)]]>
<![CDATA[FUNGSI KELUARGA BAIK MENINGKATKAN KUALITAS HIDUP LANSIA ]]>
<![CDATA[Anita, Ria]]>;
<![CDATA[Induniasih]]>;
<![CDATA[Hutasoit, Masta]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: In the year 2010 resident lansia in Indonesia reach 23,9 million or 9,77% and spark age of life become 67,4 year. Year 2020 estimate of resident lansia in Indonesia reach 28,8 million or 11,34% with the spark age of life about 71,1 year (Departmental of Health RI, 2005). Daerah Istimewa Yogyakarta (DIY) in this time there are 43.800 people lansia or almost 9% from amount of resident (Statistical Center Body of Indonesia, 2009). According to Whinney (1989) form of cycle and family function as a whole have the big influence to health of every family member especially family by lansia. Antecedent study in Orchard Geblagan show the amount lansia of counted 249 soul, counted 60 soul is men and 189 soul is woman and also most lansia still produktive Purpose: Purpose is to know the relation of between family function by the quality of life at lansia in Orchard of Geblagan Tamantirto Kasihan Bantul Yogyakarta Research Methods: Method in this research is analytic descriptive by using approach of cross sectional. Sample taken with the technique of cluster random sampling that is 89 lansia which have age to 60 year in Orchard Geblagan. Research instrument is kuesioner and result of research analysed with the formula of correlation of Kendall Tau. Result of Research : Family function at lansia in Orchard of Geblagan Tamantirto Kasihan Bantul most is goodness of counted 54 people (60,7%). Quality of life lansia in Orchard of Geblagan Tamantirto Kasihan Bantul most is] counted 42 people (47,2%). Result test the correlation of Kendal Tau obtained p- value of equal to 0,000 < ( 0,05). Conclusion: There is relation between family function with the quality of life lansia in Orchard of Geblagan Tamantirto Kasihan Bantul Yogyakarta. Keywords: Function Family, Quality of Life Lansia]]>
<![CDATA[CEGAH IKTERUS DENGAN MENINGKATKAN PENGETAHUAN IBU ]]>
<![CDATA[Nursanti, Ida]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Neonatal jaundice (icterus neonatorum) is acommon problem in infants in the first weekafter birth. Sixty percents of healthy infants born full term are at risk of neonatal jaundice. Bilirubinen cephalopathy causes severe jaundice/kernicterus and the baby suffering from kernicterus willexperience impaired growth and development. The Health education for mother is very important for improving the knowledge, disease prevention, and health improvement. Mother is expected to know and recognize the signsof icterus neonatorum so that shecan bring the baby to get help at the health facilityas fast as possible. Objective:To reduce the risk of neonatal jaundice in Yogyakarta; to know the incidence of neonatal jaundice in breastfed infants, the effect of health education against the risk of neonatal jaundice; Methods: This study was anobservational study with across-sectional design. Sampling used purposive sampling. The sample size was 115 pairs of mother-infant who met the inclusion and exclusion criteria. The data was collected using monitoring sheet sand check lists. Hypothesis test used chi-square with p<0.05 and 95% Confidence Interval. Analysis of data used univari able and bivari able analyses. Results: There was adifference in the proportion of the riskof neonatal jaundice between mothers who received good health education and those who received in adequate health education. Mothers who received in adequate health education were more likely to have chances of neonatal jaundice by 2.1 times compared with mothers who received ade quate health education. Conclusion: Mothers who received in adequate health education had ahigher risk for neonatal jaundicetooccur compared with those who received ade quate health education. Keyword: Healthy born baby, health education, neonatal jaundice (icterus neonatorum)]]>
<![CDATA[METODE PEMBELAJARAN TIDAK MENENTUKAN KEMAMPUAN MAHASISWA MELAKUKAN MANAJEMEN ASFIKSIA BAYI BARU LAHIR ]]>
<![CDATA[M.Kusuma, Reni]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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<![CDATA[Background: Neonatal jaundice (icterus neonatorum) is acommon problem in infants in the first week after birth. Sixty percents of healthy infants born full term are at risk of neonatal jaundice. Bilirubin encephalopathy causes severe jaundice/kernicterus and the baby suffering from kernicterus will experience impaired growth and development. The Health education for mother is very important for improving the knowledge, disease prevention, and health improvement. Mother is expected to know and recognize the signsof icterus neonatorum so that she canbring the baby toget help at the health facilityas fast as possible. Objective: To reduce the risk of neonatal jaundice in Yogyakarta; to know the incidence of neonatal jaundice in breastfed infants, the effect of health education against therisk of neonatal jaundice; Methods:This study was an observational study with across-sectional design. Sampling used purposive sampling. The sample size was 115 pairs of mother-infant who met the inclusion and exclusion criteria. The data was collected using monitoring sheet sand check lists. Hypothesis test use dchi-square with p<0.05 and 95% Confidence Interval. Analysis of data used univari able and bivari ableanalyses. Results:There was adifference in the proportion of the risk of neonatal jaundice between mothers who received good health education and those who received inadequate health education. Mothers whoreceived in adequate health education were more likely tohave chances of neonatal jaundice by 2.1 times compared with mothers who received adequate health education. Conclusion: Mothers who received in adequate health education hada higher risk for neonatal jaundiceto occur compared with those who received adequate health education. Keyword: Healthy born baby, health education, neonatal jaundice (icterus neonatorum)]]>
