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Pengaruh Pemberian Token Ekonomi terhadap Kepatuhan Minum Obat pada Klien Skizofrenia di Ruang Kunti Rumah Sakit Jiwa Provinsi Bali
Julianti Tandilolo;
Ni Komang Matalia Gandasari;
Desak Putu Risna Dewi
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.1453
Treatment for schizophrenia clients requires a long period of time so that it causes saturation of taking medication and the clients level of compliance taking the drug decreases. One therapeutic technique to improve compliance behavior is to provide positive reinforcement through economic tokens. This study aims to determine the effect of economic tokens on adherence to taking medication in schizophrenic clients. This type of research is quasi experiment using One group pre post test design. The sample in this study were schizophrenic patients who were not compliant to take medication as many as 28 people using purposive sampling technique. Data collection uses observation sheets. The results showed the majority of pre test medication adherence were 67.9 percent in the low category. Compliance with taking the post test medication showed that most were 57.1 percent in the high category. Wilcoxon Sign Rank Test results obtained z count is 4.882 more than z table is 1.96 and p is 0.001, the results of this analysis indicate there is an effect of giving economic tokens on adherence to taking medication in schizophrenia patients. The study concluded that economic tokens had a significant effect on adherence to taking medication in schizophrenia patients. It is recommended to apply SPO economic token therapy, provide economic token therapy on an ongoing basis and develop further research by increasing the number of meetings in each therapy session.
EFEKTIFITAS GUIDED IMAGERY DAN SLOW DEEP BREATHING TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI RSUD dr. R. SOEDARSONO PASURUAN
Dzurrotun Nafiah;
Sumirah Budi Pertami;
mustayah .
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.395
Hypertension is one of the most influential risk factors for the incidence of heart disease and blood vessels. Lack of knowledge about the management of hypetension is a contributing factor. The purpose of this study is to determine The Effectiveness of Guided Imagery and Slow Deep Breathing Against the Decline of Blood Pressure on the Patient Hypertension. This research uses Quasi Experimental Design design withdesign non equivalent pretest posttest design and Group Comparasion, with consecutive sampling technique, great samples 30 respondents divided into 2 groups namely Guided Imagery and Slow Deep Breathing. Each group received treatment for 15 minutes once a day for three days, each treatment performed before and after the blood pressure measurement. The results of this study used dependent t test, wilcoxon sign rank test, two samples independent t test, and U Mann Whitney test showed that diatolic systolic blood pressure in each group decreased, in Guided Imagery 4.07 mmHg and 3.4 mmHg (p value sebesar 0,000), Slow Deep Breathing 8 mmHg and 6.8 mmHg (p value sebesar 0,000 , 0.001). It was concluded that Slow Deep Breathing is more effective than Guided Imagery in lowering blood pressure in hypertensive patients. As nurses are expected to apply nonpharmacology like a Guided Imagery and Slow Deep Breathing as a pharmacological companion therapy in blood pressure.
Pengaruh Senam Kaki Diabetik terhadap Ankle Brachial Index (ABI) pada Pasien Diabetes Mellitus Tipe II di Puskesmas II Denpasar Selatan
I Made Lasia;
I Gusti Ayu Ratih Agustini;
Ni Komang Purwaningsih
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.1451
Diabetes mellitus is a degenerative disease with an increasing number of patients characterized by hyperglycemia due to impaired insulin secretion, insulin performance, or both. Ineffective management in treating DM will lead to complications such as Peripheral Arterial Disease which can progress to diabetic foot ulcers. One of the examinations which can be done to determine the condition of the lower limb blood vessels is the Ankle Brachial Index. Interpretation of ABI value can be used as an indicator of effective treatment for DM patients. One of the tertiary prevention is diabetic exercise. The purpose of this study was to determine the effect of diabetic foot exercise on Ankle Brachial Index of Patients with Diabetes Mellitus Type II in Public Health Center II South Denpasar. This research design used quasy experiment. The sampling technique used a formula for quasy experimental research with pre and posttest design with control group. A number of sample was 23 respondents in treatment group and 23 respondents in control one. The result of statistical test using Wilcoxon Sign Rank test and obtained p value 0,000. From these results it can be concluded that there was an influence of diabetic foot exercise on Ankle Brachial Index of Patients with Diabetes Mellitus Type II in Public Health Center II South Denpasar.
TINGKAT STRESS ORANGTUA MEMPENGARUHI PERILAKU ADAPTIF ANAK RETARDASI MENTAL DI SLB BC KEPANJEN KABUPATEN MALANG.
Istafia .;
Faizatur Rohmi;
Ronal surya Aditya
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.1460
Parents waiting for the presence of a child can be a disappointment if the child is born experiencing mental retardation, one of which is mental retardation. Mental retardation is a disorder of intellectual function characterized by IQ below 70 and adaptive behavior disorder is an obstacle to adapt to the environment. Adaptive behavior of mentally retarded children who are different from other normal children becomes a burden for both parents, those who lack emotional control make themselves stressed because of their childrens behavior. Stress occurs more with a mother than a father, because mothers often care for their children and are closer to their children. The design of this research uses the Non Experimental method with Cross Sectional approach. The population is all respondents, namely all parents of mentally retarded children. Sampling using Total Sampling with a sample of 74 respondents. Data collection methods using the DASS 42 questionnaire were used only on the stress range of 14 questions, and used the childrens adaptive behavior questionnaire of 15 questions. The data obtained are presented in the form of frequency distribution tables and narratives. The results showed that of the 74 respondents having a severe stress level category as many as 63.5 percent with adaptive behavior of moderate children as many as 90.5 percent. The statistical test uses the Spearman Rank Test which shows the magnitude of the correlation coefficient between the two variables namely 0.837 with a significance of 0.038, which means there is a significant relationship between parental stress level and mental retardation behavior of children. The conclusion of this study is that there is a relationship that the adaptive behavior of the mentally retarded child to the level of parental stress due to the behavior of children who are different from other normal children becomes a burden for both parents. Keywords: Stress level, Adaptive Behavior, Mental Retardation.
Pengaruh Storytelling dalam Pendidikan Personal Hygiene terhadap Kepatuhan Cuci Tangan Pakai Sabun pada Anak Usia 6-7 Tahun di Sekolah Dasar Negeri 13 Sesetan
Ni Nyoman Yudiarini;
I Gusti Ayu Ratih Agustini;
Claudia Wuri Prihandini
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.1454
Hand washing is one of the clean and healthy behaviors which has become a worldwide concern. Storytelling is one of the effective solutions to deliver health education to preschool students with the selection of appropriate tools depending on the method chosen, the childrens demand to learn, and the clients ability to learn. This study aimed to determine the effect of storytelling in personal hygiene education towards the compliance of hand washing with soap in children aged 6 until 7 years. This study was a pre experimental quantitative research with one groups pretest-posttest design. This study involved 32 respondents selected by total sampling technique. The compliance of hand washing with soap was measured using a questionnaire before and after the intervention. The results showed that the compliance of hand washing with soap during the pre test was mostly 87.5 percent in fewer adherences category. The majority of posttest compliance was 93.8 percent in the compliant category. Wilcoxon Sign Rank Test results obtained p value is 0.001. These results indicated that there was an effect of storytelling in personal hygiene education towards the compliance of hand washing with soap. It can be concluded that storytelling in personal hygiene education had a significant effect towards the compliance of hand washing with soap
HUBUNGAN TINGKAT PENGETAHUAN KELUARGA DENGAN TINGKAT RESIKO GPPH DI TK MUSLIMAT NURUL ANWAR DESA TALANGAGUNG
Ika Mauditya Fitri;
Wiwit Dwi Nurbadriah;
Galuh Kumalasari
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.1463
Child health development education about GPPH is very important given to families. Therefore, with the existence of health education, the incidence of GPPH in children can be reduced through the role of families in early detection of their children. This study also aims to determine the relationship between the level of family knowledge and the level of GPPH in Muslimat Nurul Anwar Kindergarten, Talangagung Village, Kepanjen District. The design of this research is Non Experimental with Cross Sectional approach. The sampling technique uses purposive sampling with a total of 43 respondents. The results showed that of 43 respondents who had knowledge of 51.16 percent and had children who were at high risk of GPPH as many as 62.8 percent. The instrument used was a closed questionnaire with 49 questions. The statistical test uses the Spearman Rank Test which shows the magnitude of the correlation coefficient between the two variables namely 0.838 with a significance of 0.029, which means there is a significant relationship between the level of family knowledge with the level of GPPH. It can be concluded that if family knowledge about early detection of GPPH is good then the level of GPPH in children can be suppressed. So the respondent is expected to be able to apply the knowledge gained to detect their children's growth and development abnormalities, especially regarding GPPH. Keywords: GPPH, Early Detection, Knowledge, Family.
Pengaruh Teknik Relaksasi Benson Terhadap Intensitas Nyeri Pada Pasien Pasca Operasi Seksio Sesarea Di Rumah Sakit Umum Puri Raharja Denpasar
Gusti Ayu Putu Jayanti;
I Gusti Ayu Ratih Agustini;
Ni Komang Purwaningsih
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.1456
Caesarean section is a surgical procedure to give birth which is done by doing incision in the abdominal wall of the mother. Pain that is felt by mothers after cesarean section comes from wounds found in the stomach. One of the therapies used to reduce pain is the Bensons relaxation technique. The purpose of this study was to determine the effect of Benson s relaxation technique on pain intensity in postoperative patients with caesarean section at Puri Raharja General Hospital Denpasar. The design of this study was a pre experimental design with a total sample was 15 respondents. The sampling technique used was nonprobability sampling, namely purposive sampling to determine whether there was a significant correlation between the independent and the dependent variable used the Wilcoxon test. P value is 0,000, therefore it can be concluded that Benson s relaxation technique significantly influenced pain intensity in postoperative cesarean section patients. The results of this study can be used by families and nurses to implement Benson s relaxation in order to reduce the pain intensity of patients post cesarean section surgery at the Hospital.
PENGARUH RAWAT LUKA GANGRENE TERHADAP PENCEGAHAN TINDAKAN AMPUTASI DAN PENURUNAN TINGKAT KECEMASAN
lenni saragih;
Muhammad Faruq Afifuddin;
Imam Subekti;
Rossyana Septyasih
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.1548
Foot ulcer or gangrene is one of the complications of diabetes mellitus disease. with gangrene will be more at risk of amputation 10 until 30 times than in the general population and can be prevented if the condition of the wound occurs by wound care and debridement in addition to taking medication and diet as recommended. Patients with gangrene ulcers have anxiety, especially anxiety about amputation, anxiety has a strong influence on blood glucose levels in patients. The focus of this study is the effect of gangrene wound care on the prevention of amputation and decreased anxiety in type 2 diabetes mellitus patients. This research method uses descriptive case studies with 1 subject. Data collection using questionnaire interview techniques and observation for 2 weeks. The results of this study found that anxiety at the first meeting found moderate anxiety with a score of 26, with blood sugar 360 mg per dl and wounds with a degree of 4 and at the last meeting the data obtained that subjects received a mild degree of anxiety with a score of 8 and with a degree of wagner wound. In conclusion, treating wounds routinely and appropriately can reduce anxiety levels which have an impact on the decline in blood sugar levels, and a reduction in the degree of injury.
Pengaruh Pemakaian Ethyl Chloride Spray Terhadap Tingkat Nyeri Pada Pasien Hemodialisis Dengan Insersi Fistula Arterio Venous Di Klinik Utama Bali Husada Cipta Chanti
Ni Kadek Lisyawati;
I Putu Artha Wijaya;
A.A. Kompiang Ngurah Darmawan
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.1457
Hemodialysis is one of the therapies for patients with chronic kidney failure in the form of the process of cleaning blood from metabolic products that are no longer needed by the body by filtering that is done outside the human body, using a dialysis machine as a kidney replacement known as renal replacement therapy. Hemodialysis requires the access of the hemodialysis machine to connect with the patients blood vessels so that the insertion of the fistula in the arteries and veins in each action and cause pain. One way to reduce the level of pain during fistula insertion is by spraying ethyl chloride spray in the area of the arteries and veins to be carried out fistula insertion. The purpose of this study was to determine the effect of using ethyl chloride spray on pain levels in hemodialysis patients with fistula insertion of arterio venous at the Main Clinic of Bali Husada Cipta Chanti. This research method uses pre experiment with the one group pre test post test design. The sampling technique used was simple random sampling without replacement with a total sample of 69 respondents. The instrument used to measure the level of pain is the Numerical Rating Scale. The research data were analyzed with Wilcoxon signed rank test with p value is 0,000, so that it can be concluded that there is an effect of using ethyl chloride spray on pain levels in hemodialysis patients with insertion fistula in arterio venous at Main Clinic Bali Husada Cipta Chanti.
PENGARUH PEMBERIAN INFUS HANGAT TERHADAP STABILITAS SUHU TUBUH PADA PASIEN POST OPERASI GENERAL ANESTESI DI RECOVERY ROOM RSU KARSA HUSADA BATU
Shabirina Awwaliyah;
Moh. Zainol Rachman;
Naya Ernawati
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang
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DOI: 10.31290/jkt.v6i01.973
Hypothermia is a serious general complication of surgery and anesthesia which can carry out various complications. The action to overcome this problem is the administration of heating measures, one of which is by warm infusion. The aim of this study was to determine the effect of warm infusion on body temperature stability in postoperative general anesthesia patients. The research method used was a pre experimental one group without control with a pretest posttest study. Respondents of this study were postoperative patients with general anesthesia. The population of this study was post operative patients under general anesthesia. The sampling in this study was purposive sampling. The number of samples in this study was 17. Respondents received 30 degrees Celsius warming fluid infusion. The analysis in this study used a comparative test paired t test with the result of P value 0,000. The P value shows a significant effect between giving warm infusions and body temperature stability. Based on descriptive statistical analysis, 76,4 percent of respondents achieved normothermia in the 35th minute. In the 60th minute, all respondents were in a normothermic state. Suggestions for further research to conduct research with more sample sizes. Keywords: Warm Infusion, General Anesthesia, Body Temperature