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Jurnal Kesehatan Hesti Wira Sakti
Published by Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen
ISSN : 23024283     EISSN : 25809571     DOI : https://doi.org/10.47794
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal ini berisi tulisan tentang gagasan konseptual, kajian dan aplikasi teori, tulisan praktis dan hasil penelitian bidang kesehatan, umumnya bidang keperawatan, kebidanan, akupunktur, farmasi, fisioterapi, dan aplikasi kesehatan.
Arjuna Subject : Keperawatan - Riset dan Teori
Articles 184 Documents
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PERBEDAAN KUALITAS HIDUP LANSIA HIPERTENSI DAN TIDAK HIPERTENSI DI DESA BOKOHARJO WILAYAH KERJA PUSKESMAS PRAMBANAN SLEMAN : Rumini Widyasningrum , Antok Nurwidi Antara, Murgi Handari Rumini Widyasningrum; Antok Nurwidi; Murgi Handari
Jurnal Kesehatan Hesti Wira Sakti Vol. 11 No. 2 (2023): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v11i2.511

Abstract

ABSTRACT Background : Hypertension is one of the focuses of health attention in the world, especially in developing countries and is a cause of high morbidity and mortality throughout the world. The increase in the number of hypertension sufferers, especially in the elderly with all the biopsychosocial problems caused, has resulted in a decrease in the quality of life of sufferers Research objective: To find out the differences in the quality of life of hypertensive elderly and non-hypertensive elderly in Bokoharjo Village Prambanan Health Center, Sleman Yogyakarta Methods: This type of research is quantitative using a descriptive comparative design with a cross sectional design. The research population for elderly hypertension and non-hypertension in Bokoharjo Village, Prambanan Health Center, totaling 1293 people, was taken using the Proportional Random Sampling technique, with 102 samples consisting of 2 groups of hypertensive elderly, 51 people and 51 elderly people who were not hypertensive. The data collection tool used the World Health Organization Quality Of Life (WHOQOL) –100 questionnaire. Data analysis used an independent sample t-test Results: The results showed that the elderly with hypertension had a quality of life score of 75.02 ± 4.41 and the elderly without hypertension had a quality of life score of 80.43 ± 6.33 with a p value of 0.000 (p <0.05). Conclusion: There is a difference between the quality of life of hypertensive elderly and non-hypertensive elderly in Bokoharjo Village Prambanan Health Center, Sleman Yogyakarta keywords: Quality of Life, Elderly, Hypertension  
ST36 POINT ACUPRESSURE METHOD AS AN EFFORT TO MANAGE THE EVENTS OF EMESIS GRAVIDARUM IN THE 1st TRIMESTER PREGNANT WOMEN: Happy Firliya, Widia Shofa Ilmiah, Maria Veronika Widiatrilupi Happy Firliya Awal; Widia Shofa Ilmiah; Raden Maria Veronika Widiatrilupi
Jurnal Kesehatan Hesti Wira Sakti Vol. 11 No. 2 (2023): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v11i2.538

Abstract

The most typical main complaint experienced by pregnant women practically everywhere in the globe is emesis gravidarum. Variations in high hCG levels are a factor in emesis gravidarum. In Indonesia, 50–85% of pregnant women experience this condition. According to other research, 60–80% of primigravida and 40–60% of multigravida develop emesis gravidarum. The study was conducted at PMB Wartini Rejoyoso to examine the effects of acupressure point ST36 treatments on emesis gravidarum in first-trimester pregnant women. Pra experimental design. The population of all first-trimester pregnant women at Independent Practice Midwife (PMB) Wartini Rejoyoso who experienced emesis gravidarum was 26 people, and the samples were 16 each of acupressure SOP and PUQE-24. instrumentation, a 7-minute intervention every morning for 7 days, and Wilcoxon Match Pairs Test data analysis. According to the data, there was significant emesis in 62.5 percent of people prior to the intervention and mild emesis in 93.8 percent of people after it, with a p value of 0.03 to α 0.05. Conclusion: ST36 acupressure may have an impact on the frequency of emesis gravidarum in the first trimester. When feeling queasy or sick, pregnant women are expected to apply acupressure to ST36. Keywords: Acupressure Point ST 36, Emesis Gravidarum, First Trimester
PENGARUH PEMBERIAN AROMATERAPI CENDANA TERHADAP KEJADIAN INSOMNIA PADA IBU MENOPAUSE DI PMB ENY ISLAMIATI KECAMATAN BULULAWANG KABUPATEN MALANG Nur Aulia Putri; Rani Safitri; Anik Sri Purwanti
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.548

Abstract

Introduction: Menopause is  a period of natural process towards aging which is characterized by the cessation of the menstrual cycle. Menopause occurs at the age of 45-55 years. The diagnosis of menopause can be established when menstruation stops for at least one year. Insomnia is a difficult state of initiating sleep, maintaining sleep, and sleep that is not refreshing. According to Gunadarma, the incidence of insomnia increases faster in mothers over the age of 40 years. About 40% of women aged 40-54 years complain of insomnia. Sandalwood aromatherapy is one of the complementary therapies that can also be used in overcoming the incidence of insomnia. The study was conducted at PMB Eny Islamiati Bululawang to examine the effects of sandalwood aromatherapy on incidence of insomnia in menopausal mother. Method: Pra experimental design. The study population was 20 menopausal mothers with a sample of 16 people. This technique uses purposive sampling. The instruments used by the KRSPBJ-IRS questionnaire and observation sheet, using the Wilxocon statistical test. Result: According to the data, there was significant incidence of insomnia in 43.6 percent of people prior to the intervention and mild incidence of insomnia in 75,0 percent of people after it, with a p value of 0.02 to α 0.05. Conclusion: Sandalwood aromatherapy may have an impact on the incidence of insomnia in the menopausal mother.It is hoped that menopausal mother  will be able to improve services both in health promotion such as socialization, counseling to menopausal mothers to provide health education about the importance of rest / sleep for menopausal mothers. Keywords: Aromatherapy Administration, Incidence of insomnia, Menopausal Mother
FAKTOR PREDIKTOR TERAPI AKUPUNKTUR PADA PASIEN KELEMAHAN ANGGOTA GERAK POST STROKE ISKEMIK AKUT YANG MEMPENGARUHI SKOR BARTHEL INDEX : LITERATURE REVIEW Elies Fitriani; Maria Anastasia Darmawan; Nirawan Putranto; Adiningsih Srilestari
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.550

Abstract

Introduction: Stroke is a major health problem that has a significant impact on quality of life and disability in carrying out daily work. Acupuncture play a role in the stroke rehabilitation through serotonin reuptake inhibitors and a series of local, segmental and central mechanisms. Several RCTs have proven that there is a significant effect of acupuncture in stroke therapy in acute and subacute ischemic stroke. However, most studies use small sample sizes and weak methodology. Method: This article is a literature review which aims to determine the predictor factors that influence the success of acupuncture therapy in patients with limb weakness after acute ischemic stroke. The search was carried out using databases from Pubmed, Cochrane and Embase which were then included in appropriate journals following the PRISMA flowchart to obtain 4 reviewed journals. Result: Factors that influence the success of acupuncture therapy in post-stroke patients include age, gender, previous medical history, comorbidities, the patient's clinical condition when initially entering treatment, the course of the disease, and the severity of the infarction. Conclusion: With minimal side effects, acupuncture therapy for acute ischemic stroke can be recommended as an adjuvant therapy for acute ischemic stroke. Research involving a larger number of participants with better methodology is needed to prove the effectiveness of acupuncture and its predictor factors for post-stroke limb weakness. Keywords: acupunture, Barthel Index, post stroke rehabilitation
PENGARUH PEMBERIAN BUPIVACAINE DOSIS 0,5 % 15 mg DAN 20 mg TERHADAP PENURUNAN TEKANAN SISTOL PADA TINDAKAN URETEROSCOPIC LITHOTRIPSY DENGAN SPINAL ANASTESI: Waelan, Amin Zakaria, Sindu Sintara, Widigdo Rekso Negoro Waelan waelan; Amin Zakaria; Sindu Sintara; Widigdo Rekso Negoro
Jurnal Kesehatan Hesti Wira Sakti Vol. 11 No. 2 (2023): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v11i2.556

Abstract

Decreased blood pressure, is one of the problems that often occurs during URS procedures with spinal anesthesia, although not always significantly. Therefore, it is very important to choose the right dose of bupivacaine so that unwanted side effects can be minimized, (American Society of Anesthesiologists., 2021). Bupivacaine 0.5% doses of 15 mg and doses of 20 mg are often used to provide anesthesia, but it is still unclear whether higher doses provide significant clinical benefits or actually increase the risk of side effects, (Wang, L. Z., at. all., 2015 ). The purpose of this study was to analyze the effect of giving a dose of 0.5% bupivacaine 15 mg and 20 mg on reducing systolic pressure in ureteroscopic procedures with spinal anesthesia. This study can provide important information regarding therapeutic doses, so that postoperative follow-up care related to the risk of lowering blood pressure can be minimized. Methods: The study design was an analytic observational prospective cohort design, looking at the differences in the observed results between the two groups given injections of 0.5% bupivacaine doses: 15 mg and 20 mg. The population, namely patients who underwent URS procedures with spinal anesthesia, totaled 60 respondents who were divided into two groups: the first 30 respondents were given a dose of 15 mg and the second dose was 20 mg. The research was carried out in the operating room at the Army Hospital Level II Malang within one month of research. Independent variable: administration of 0.5% bupivacaine injection at a dose of 15 mg and 20 mg and dependent variable: decrease in systolic blood pressure in URS patients with spinal anesthesia. Using the Biocare Patient Monitor Model iM 15 instrument and recorded on the observation sheet, which was carried out before being given the local anesthetic drug bupivacaine 0.5% and after giving anesthesia in the first 5 minutes, 10 minutes and 15 minutes. Bivariate data analysis, namely by using the Independent T-Test Different Test was processed with the help of a computer using the SPSS series 22 application. Results: Injection of 5% bupivacaine doses with 15 mg and 20 mg had the same effect on reducing systolic blood pressure in URS with spinal procedures anesthesia, the decrease in blood pressure was within normal limits. There was no significant difference in the average systolic blood pressure reduction values, namely 13.13 mmHg and 15.3 mmHg so that the difference in the average value was only 1.87 mmHg and the significance values ​​were p values ​​0.000 and 0.001. This is because the use of doses is still within the safe limits recommended by pharmaceutical manufacturers, the systolic blood pressure measurement time carried out by researchers is up to 15 minutes after injection of bupivacaine which should be up to 40 minutes after injection. Suggestion: Injection of a dose of 5% bupivacaine with 15 mg and 20 mg in the URS procedure with spinal anesthesia is still effective for use and for future researchers the minimum time to measure blood pressure is up to 40 minutes after the injection is carried out.
PENGARUH SENAM YOGA TERHADAP PENURUNAN INTENSITAS DYSMENORRHEA PADA SISWI SMA ISLAM PUJON KABUPATEN MALANG Nadia Eva Tarinda; Rosyidah Alfitri; Widia Shofa Ilmiah
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.558

Abstract

Introduction: Many women experience problems during menstruation and one of them is menstrual pain. Menstrual pain is a common condition experienced by young women who have menstruated. Dysmenorrhea can cause discomfort in daily physical activity. This study aims to analyze the effect of yoga exercise on decreased dysmenorrhea intensity before and after being given and not being given yoga exercise to Pujon Islamic High School students, Malang Regency. Methode: The research method uses a quasi-experimental approach with a pretest-posttest control group design. The research population was Pujon Islamic High School students in Malang Regency with a total sample of 32 people. Sampling used quota sampling with the Universal Pain Assessment Tool pain scale research instrument. The analysis technique uses the Wilcoxon test. Result: The results showed that almost half of the experimental group before doing yoga exercise experienced moderate pain 43.7% and after being given yoga exercise most of the pain felt mild pain 56.3% and almost half had no pain 43.7%. The control group found that almost half experienced moderate pain 43.7% and after that the pain felt was mostly mild pain 75%. The results of the Wilcoxon test obtained a p-value of 0.004 <0.05, meaning that there was an effect of yoga exercise on decreased dysmenorrhea intensity in Pujon Islamic High School students, Malang Regency. Conclusion: Yoga exercise are effective in minimizing menstrual pain in adolescents. Keywords: dysmenorrhea, yoga exercise, young women
PENGARUH PEMBERIAN TERAPI BEDAK HERBAL TERHADAP PENURUNAN SUHU PADA BAYI DEMAM PASCA IMUNISASI Kasmiati Kasmiati; Nurhaeda Nurhaeda
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.570

Abstract

Introduction: An efective form of health intervention in reducing infant and toddler mortality rates is immunization. ane of the routine immunizations give at he age 11 months is the DPR-HB-Hib Imunization which is the basic imunization which is the Immunization for babies. Adverse evenths after DPT imunization, namely local reactions of redness, swelling and pain at the injection site, occurred in half of DPT recipients, seizures, fever. Fever is treated with antipyretic drugs. Apart from antipyretics, lowering the temperature can be done by Using Tradisonal medicine Methods: The research design used pre-experimental design, pre-test and post test design. using one grup, namely assessing pre-test and post-test population used all infants following immunization Sampel of this study, infants who have met the criteria, were selected based on purposive sampling method. Results: The results of the Characteristic Test of the majority of respondents aged 4 months were 27 Pople (46,5%), while the amallest respondents aged 2 months were 12 pople (20,7%), age 3 mouthe were 19 pople (32,8%), From the resulth of the paired t-statistical test, it was concluded that 58 babies in the pretest group with a mean of 37,76 and in the postest group after Giving herbal powder there was a change in the form of a decrease in body temperature, mean 37,17 with a p value of 0,000 (p<0,05). Conclusion: Herbal powder therapy on reducing the temperature of infant fever after immunization. Therefore, reducing body temperature can be done physically (nonpharmacology), namely the use of traditional medicine.  Keywords: Post-immunization febrile in infants, Herbal powder, Temperature reduction
HUBUNGAN ANTARA WAKTU LAMA PUASA DENGAN KEJADIAN MUAL MUNTAH PADA PASIEN POST OPERASI DI RSUD PIRU KABUPATEN SERAM BAGIAN BARAT Aloysius Timbu; Amin Zakaria; Widigdo Rekso Negoro; Suryanto Suryanto
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.571

Abstract

Introduction: Post Operative Nausea and Vomiting (PONV) is an unpleasant experience during the postoperative period at 24-48 hours, which is distressing for the patient and can prolong the length of stay, as well as increase the risk of postoperative complications. Fasting before surgery is necessary to minimize the risk of aspiration during anesthesia procedures. The aim of this study was to analyze the relationship between long periods of fasting and the incidence of nausea and vomiting in post-operative patients. Method: This type of research is correlation analysis with a cross-sectional design. The population of patients in the anesthesia unit who underwent caesarean section with SAB spinal anesthesia. The sample consisted of 64 consecutive sampling methods for the period April 2023. The independent variable was the duration of fasting and the dependent variable was the incidence of nausea and Vomiting was measured using an observation sheet, ratio data scale and data analysis using the one-way ANOVA correlation test with paired data. Results: The results of the hypothesis test of the relationship between the length of fasting and the incidence of nausea and vomiting in caesarean section patients with spinal anesthesia showed a significant value of 0.23, which means there is no relationship between the duration of fasting and the incidence. nausea and vomiting in patients due to post-operative nausea and vomiting with spinal anesthesia may be caused by other factors, namely: hypotension resulting in hypoperfusion, aerophagy, drug administration, surgical techniques (many manipulations of intestinal organs, and other factors. Conclusion: Suggestions for future researchers analyze the relationship between the incidence of nausea and vomiting on other factors or control confounding variables. Keywords: Length of Fasting, Post Operative Nausea and Vomiting
POLA KECEMASAN PASIEN YANG AKAN DILAKUKAN ANESTESI PADA OPERASI ELEKTIF DI INSTALASI BEDAH SENTRAL RSUD BHAKTI DHARMA HUSADA SURABAYA: POLA KECEMASAN PASIEN YANG AKAN DILAKUKAN ANESTESI PADA OPERASI ELEKTIF DI INSTALASI BEDAH SENTRAL RSUD BHAKTI DHARMA HUSADA SURABAYA Muhammad Fauzi; Reko Priyonggo; Mokhtar Jamil
Jurnal Kesehatan Hesti Wira Sakti Vol. 11 No. 2 (2023): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v11i2.580

Abstract

ABSTRACT Introduction: Preoperative anxiety is a normal response to life-threatening situations and conditions for patients. Preoperative anxiety is often associated with fear of surgical procedures, anesthetic procedures, and information needs fulfillment factors. Assessment of the right pattern of anxiety can determine the appropriate management in dealing with anxiety. The purpose of this study was to determine the anxiety patterns of preoperative patients at Bhakti Dharma Husada Hospital, Surabaya. Methods: This study used a quantitative descriptive method with a cross sectional approach. The research subjects included preoperative patients at Bhakti Dharma Husada Hospital, Surabaya. The sample is 68 people. Measurement of anxiety using the APAIS scale (Amsterdam preoperative anxiety and information scale). Data analysis using Descriptive Statistical Test. Results: The majority of respondents were female (58.8%), aged 26 -35 years (44.1%), had high school education (63.2%), had a general anesthesia plan (63.2%), and had no surgical experience ( 73.5 %). The majority of respondents experienced moderate anxiety (47.1%), then severe anxiety (32.4%), mild anxiety (14.7%), panic (5.9%), and not anxious (0%). The majority of respondents have an element of anxiety related to the need for information. Discussion: The pattern of respondents' anxiety based on the APAIS instrument shows that the majority of respondents in this study experienced moderate anxiety, with elements of anxiety related to the need for information. Researchers suggest that health workers always carry out an anxiety assessment before surgery, so that they can provide appropriate management in reducing patient anxiety. Keywords: Anxiety, Pre operative, Pre Anesthesia
HUBUNGAN JUMLAH PERDARAHAN DENGAN KEJADIAN HIPOTENSI PADA PASIEN SECTIO CAESARIA DENGAN SPINAL ANESTESI DI RSI UNISMA MALANG Paryadi Paryadi; Ardhiles Wahyu Kurniawan; Sindu Sintara; Widigdo Rekso Negoro
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.581

Abstract

Background: Cesarean section can lead to bleeding, which can reduce intravascular volume and result in a decrease in cardiac output. If this condition is not promptly addressed, it can trigger hypotension. Maternal mortality rates increase by 40-80% due to bleeding during cesarean section deliveries. The aim of this study is to determine the relationship between the amount of bleeding and the occurrence of hypotension in patients undergoing spinal anesthesia for cesarean section at RSI Unisma Malang. Method: An analytical observational study using a cross-sectional method. The total sample size was 26 patients, and data were obtained through direct observation with documentation following the informed consent procedure. Sample selection was done using purposive sampling technique. Univariate statistical analysis was followed by Spearman’s rho statistical test. Results: There is a very strong correlation between the amount of bleeding and the occurrence of hypotension in patients undergoing cesarean section with spinal anesthesia at RSI Unisma Malang (p= 0.000 < α 0.05; r = 0.902). Conclusion: There is a very strong positive correlation between the amount of bleeding and the occurrence of hypotension, meaning that higher amounts of bleeding can lead to a decrease in blood pressure (hypotension). Keywords: Hypotension, Amount of bleeding, Sectio Caesaria, Spinal anesthesia

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