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INDONESIA
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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PENGARUH PENDIDIKAN KESEHATAN DENGAN MEDIA VIDEO TENTANG SPINAL ANESTESI TERHADAP TINGKAT KECEMASAN PASIEN YANG AKAN DILAKUKAN TINDAKAN OPERASI SPINAL ANESTESI Arvin Wahyu Hartanto; Reko Priyonggo; Kaslinda Nur Umifa; Amin Zakaria
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.v12i01.587

Abstract

Introduction: Surgery involves invasive procedures using anesthesia, this can cause anxiety and fear in patients and their families. Anesthesia aims to relieve pain, fear and discomfort so that patients feel more comfortable during medical procedures. Pre-operative preparation is very important to ensure the patient's physical and psychological condition is ready to undergo anesthesia and surgical procedures. More than 50% of pre-operative patients experience anxiety worldwide, with 5-25% of them over the age of 20 years. In Indonesia, around 11.6% of the population experiences anxiety. Anxiety can cause delays in surgery, lengthen recovery time, and increase the risk of complications. Health education through videos about spinal anesthesia is considered an effective method because it can be done anytime and anywhere, and can increase patient knowledge and skills. The aim of this study was to analyze the effect of patient education using spinal anesthesia training videos on reducing anxiety levels. Methods: Prae experimental research design, one group pre-post test design, in the population of patients admitted via outpatient who will undergo surgery with spinal anesthesia totaling 30 respondents, the research was carried out in the waiting room of the operating room within a two week research period. Independent variable: provision of health education using video media about spinal anesthesia. Dependent variable: anxiety level. Data were collected using the observation method, carried out pre and post providing health education using video media about spinal anesthesia. The instrument uses The Amsterdam Preoperative Anxiety and Information Scale (APAIS) and is recorded on an observation sheet. Bivariate data analysis, namely by using the Independent T-Test of data, was carried out to determine the difference in the average value of anxiety levels between pre and post treatment, and the data obtained was processed using the SPSS 22 computer application. Results: Hypothesis testing, the significance value is 0.000, which is 0.000. which is less than 0.05. Conclusion: therefore the decision made for this test is that providing health education using video media about spinal anesthesia has an effect on reducing the anxiety level of patients who will undergo surgery with spinal anesthesia and the effect is very strong.  Keywords: Video Media, Health Education, Spinal Anesthesia, Anxiety Level.
HUBUNGAN ANTARA TINGKAT NYERI DENGAN KEMAMPUAN AKTIVITAS PADA PASIEN POST OPERASI SECTIO CAESAREA DENGAN ANESTESI SPINAL Muhammad Yusuf; Suryanto Suryanto; Kaslinda Nur Umifa; Amin Zakaria
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.v12i01.596

Abstract

Background: Post-operative caesarean section pain will cause limited mobilization due to the intensity of the pain. Significant pain can make it difficult for a person to move freely and carry out activities that require the use of the abdominal and pelvic muscles. This study aims to analyze the relationship between pain levels and activity ability in post-caesarean section surgery patients with spinal anesthesia. Method: This type of research is correlation analysis with a cross-sectional design on the patient population in the recovery room unit 24 hours after surgery, sampling quota with 30 respondents. The independent variable is the level of pain and the dependent variable is the ability to carry out activities. Pain levels were measured using a numeric rating scale pain scale observation sheet, ratio data scale. The ability to carry out activities is measured using an observation sheet, namely the ability to sit, stand and walk. Data analysis used the Pearson correlation test, using a computer aided by the SPSS 22 application. Results: There is a relationship between the level of pain and the activity ability of post-SC surgery patients with spinal anesthesia. The relationship is negative, namely the higher the level of pain, the lower the activity capacity. The level of relationship is very strong, namely -0.886. Conclusion: To be able to carry out walking activities, there would be at least moderate pain. The patient's advice is to reduce the level of pain to moderate and light levels so that they are able to carry out walking activities. Keywords: Pain, Activity Ability, Spindal Anesthesia, Sectio Caesarea
PENGARUH PEMBERIAN KOMBINASI SHORT WAVE DIATHERMY DAN STRETCHING HAMSTRING TERHADAP PENINGKATAN KEMAMPUAN FUNGSIONAL PADA PASIEN OSTEOARTHRITIS KNEE UNILATERAL Apriana Rahayuningsih; Fransisca Xaferia Hargiani; Rachma Putri Kasimbara; Nurul Halimah
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.v12i01.598

Abstract

Introduction: Osteoarthritis of the knee is a degenerative joint disease that causes limited joint mobility. As a result, limited joint mobility can cause a decrease in the knee's functional ability. Hamstring stretching is a form of exercise that aims to stretch or stretch muscles that have decreased elasticity and flexibility, so it reduces scope limitations motion of the knee joint to repair the walking patterns in order to improve knee functional abilities. The purpose of this study is to determine the effect of giving a combination of short-wave diathermy and stretching toward improving functional abilities in osteoarthritis knee unilateral patients. Methods: This type of research uses quasi-experiments with one group pretest and posttest design methods. With a population of 30 people taken randomly. It uses the Womac scale measuring instrument with a combination exercise design of short-wave diathermy and hamstring stretching which is given 2 times a week for one month. Results: Wilcoxon hypothesis test obtained a median value pre 47.00 and post 44.00 with a difference of 3.00, p-value=0.000 (p <0.005). Conclusion: there is an effect of giving a combination of short-wave diathermy and hamstring stretching for 8 treatments on functional improvement in unilateral knee osteoarthritis conditions.  Keywords: knee osteoarthritis, short wave diathermy, stretching hamstring
PENGARUH DRY NEEDLING TERHADAP PENURUNAN NYERI PADA PASIEN KASUS SPASME UPPER TRAPEZIUS DI RW 1 DESA GURAH KECAMATAN GURAH KABUPATEN KEDIRI Rizky Pratama Putra; Agung Hadi Endaryanto; Sartoyo Sartoyo; Nurul Halimah
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.v12i01.603

Abstract

Background: Spasm is an informal, non-specific term often used to describe musculoskeletal pain. Pain is an uncomfortable and unpleasant feeling associated with tissue damage. Pain is also a subjective feeling that is felt. Spasm pain that often occurs is pain in the upper trapezius muscle area which is caused by work, stress and posture. Dry needling is a method that uses dry and sterile needles which is often used to help reduce pain in muscle trigger points. The aim of this study was to determine the effect of dry needling on reducing pain in patients with cases of upper trapezius spasm. Methods: The research design used was quasi experimental with a pre and post-test one group design research type with a total of 17 respondents who met the exclusion and inclusion criteria using a purposive sampling technique. Pain was measured using a visual analog scale (VAS) which was carried out before and after physiotherapy treatment in 1 group, namely; dry needling with 1 administration. Statistical tests use the Wilcoxon test. Results: When giving dry needling, the median value was pre 6 to post 2 with a P value = 0.00. Conclusion: it can be concluded that dry needling is effective in reducing upper trapezius spasm pain. Keywords: Dry Needling, Pain, Spasm
PENGARUH ULTRASOUND DIATHERMY DAN OPEN KINETIC CHAIN EXERCISE TERHADAP KEMAMPUAN FUNGSIONAL PADA PENDERITA OSTEOARTHRITIS GENU Kristiani Hariskawati; Sartoyo Sartoyo; Yohanes Deo Fau; Fransisca Xaveria Hargiani
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.v12i01.605

Abstract

Introduction: Osteoarthritis is one of the joint disorders that has decreased joint function, resulting in decreased functional ability in daily activities. Physiotherapy treatment to reduce complaints felt by giving ultrasound diathermy and open kinetic chain exercises. The purpose of this study was to determine the effect of ultrasound diathermy and open kinetic chain exercises in improving functional ability in patients with osteoarthritis genu. Methods: This study used pre-experimental methods in a one-group pretest-posttest design. Functional ability was measured using the knee injury and osteoarthritis outcome score (KOOS) scale before and after treatment, namely the administration of diathermic ultrasound and open kinetic chain exercises 2 times a week for 1 month, with a sample of 22 randomly selected respondents. Results: The paired sample t-test hypothesis showed a p-value = 0,000 (0,000<0,05). Conclusion: there is an effect of ultrasound diathermy and open kinetic chain exercise on improving functional ability in patients with osteoarthritis genu. Keywords: functional ability, open kinetic chain exercise, osteoarthritis genu, ultrasound diathermy
EFEKTIFITAS ULTRASOUND DIATHERMY DAN MUSCLE ENERGY TECHNIQUE DENGAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DAN MUSCLE ENERGY TECHNIQUE TERHADAP KEMAMPUAN FUNGSIONAL PASIEN OSTEOARTHRITIS GENU : PERBANDINGAN MUSCLE ENERGY TECHNIQUE DAN ULTRASOUND DIATHERMY DENGAN MUSCLE ENERGY DAN TENS TERHADAP KEMAMPUAN FUNGSIONAL PASIEN OSTEOARTHRITIS GENU marli susanti; Sartoyo Sartoyo; Yohanes Deo Fau; Fransisca Xaveria Hargiani
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 02 (2024): Jurnal Kesehatan Hesti Wira Sakti Vol. 12 Issue 02
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.v12i02.610

Abstract

Osteoarthritis is a disease that damages the knee joint due to aging and progressivity It affects two-thirds of humans over 65 years old. The physiotherapy treatment used is a combination of ultrasound and muscle energy technique with transcutaneous electrical nerve stimulation and muscle energy technique The purpose of this study was to determine the difference in the effectiveness of ultrasound diathermy and muscle energy technique with transcutaneous electrical nerve stimulation and muscle energy technique on changes in functional abilities of patients with genu osteoarthritis. The design of this study was quasi-experimental with a pre test post test with a study population consisting of 30 knee pain respondents at rsud dr.iskak tulungagung in july-september 2023, who met the inclusion criteria of 30 respondents with purposive sampling technique. Functional ability of genu osteoarthritis patients was measured by the womac scale before and after physiotherapy treatment, namely; giving ultrasound and muscle energy technique 15 respondents and transcutaneous electrical nerve stimulation and muscle energy technique 15 respondents every 2 times a week for 4 weeks.Using the Wilcoxon hypothesis test with the results of the median value of usd and met; pre value 65; post value 59; and P value 0.001, and median value of tens and met; pre value 61; post value 57; and P value 0.000. Shapiro-wilk comparison test sig value usd and met 0.271 > 0.05 means the data is normally distributed, sig value tens and met 0.802 > 0.05 means the data is normally distributed. Because the data is normally distributed, the statistical test to determine the treatment comparison, using the Independent Sample T Test p / sig value (2-tailed) 0.601> 0.05, conclusion: H0 accepted H1 rejected. So it can be concluded that there is no significant difference between the administration of usd and met with the administration of tens and met on changes in the functional abilities of patients with genu osteoarthritis.
INTERVENSI TERAPI BEKAM DAN SENTUHAN QUANTUM MENURUNKAN KADAR GULA DARAH PENDERITA DIABETES MELITUS (DM) Irmayani Irmayani; Antok Nurwidi Antara; Yuli Ernawati
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.v12i01.628

Abstract

Introduction: In many nations, the number of diabetics (DM) is steadily increasing. Diabetes mellitus treatment begins with implementing a healthy lifestyle (medical nutrition therapy and physical activity), as well as pharmaceutical intervention using anti-hyperglycemic medications orally or by injection. Wet cupping therapy is complementary non- pharmacological therapy that is often used by people with diabetes mellitus and has been proven to reduce blood sugar level. Cupping is a method of drawing blood from the peripheral skin surface by suctioning or cupping. Small incisions are then made on the outer skin, and suction is applied again to draw out blood. This is believed to remove toxins from the body, which can decrease blood sugar levels. Methods: This research design uses pre-experimentation with a one-group pre-test - post-test research plan. The number of samples used was 15 respondents, while data collection was carried out using the Non-probability Sampling technique with the Total Sampling method. This research was held at Rumah Sehat Insani Kalasan Clinic with 1 time of intervention of quantum healing touch and wet cupping therapy. Results: There was an effect of wet cupping therapy and quantum touch therapy on reducing blood sugar levels in diabetes mellitus sufferers after intervention, a significant value of p=0.001 (p<0.05) was obtained. Conclusion: Cupping complementary therapy is one of the therapies used by diabetes mellitus (DM) sufferers to lower their blood sugar levels. Nurses in implementing nursing care can add this therapy. However, it needs to be further developed on how many times cupping therapy should be carried out so that blood sugar levels can be controlled. Keywords: Wet cupping, diabetes mellitus, blood sugar, quantum touch therapy
HUBUNGAN KELENGKAPAN PENGISIAN DISCHARGE SUMMARY RAWAT INAP DENGAN MUTU REKAM MEDIS Elysa Rahmatillah; Mochamad Malik Ibrahim
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.v12i01.631

Abstract

Introduction: Some health care facilities regarding medical resumes are still often incomplete, one of which is at Aisyiyah Siti Fatimah Sidoarjo Hospital, where the completeness of medical record files has not yet reached 100% complete. This study aims to analyze the relationship between the completeness of the inpatient discharge summary and the quality of medical records. Methods: This type of research uses quantitative analytical correlation, with a cross sectional approach, the number of samples used is 164 in the inpatient discharge summary form, the sampling used is consecutive sampling. And using a research instrument check list sheet and data analysis using the chisquare test. Results: Research obtained on the discharge summary of hospitalization with an incomplete category of 77.4%. The quality of medical records with the category is quite good 86.0%, there is a relationship with a Pvalue of 0.000. Conclusion: From the results of the study that there is still an incomplete inpatient discharge summary, and the quality of medical records is quite good. This shows that there is a relationship between the completeness of the inpatient discharge summary and the quality of medical records, it is advisable to make a special SOP regarding the completeness of the discharge summary. Keywords: Discharge Summary, Completeness, Quality of Medical Records
ETIKA DALAM ASURANSI KESEHATAN: MENEMUKAN KESEIMBANGAN DAN KEADILAN Annisya Putri Salsabila; Putri Naira Kusuma; Riswandy Wasir; Cahya Arbitera
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.v12i01.632

Abstract

Background: Ethics is an important component of business. In the world of health insurance, ethics are needed to support justice and balance for companies and consumers. Companies are obliged to fulfil consumer rights in full, but there are still many companies that prioritize profit alone by committing fraud. This research is expected to provide in-depth insight into ethical issues and help health insurance companies run their businesses in an ethical and responsible manner. Method: The method used in this research is a systematic review using Google Scholar and PubMed databases over the last 5 years. Result: From the results of the analysis, it was found that ethical violations in health insurance still frequently occur. Fraudulent acts are often carried out by insurance companies, such as falsifying documents and rejecting insurance claims. This is certainly not in accordance with health insurance business ethics and does not uphold consumer justice. Conclusion: From the research conducted, it can be concluded that awareness regarding ethics in the health insurance business is still low. However, there are several solutions that can be implemented, such as increasing cooperation between the government, regulators, and insurance companies. Keywords: Health Insurance, Ethics, Justice, Balance
- PENGARUH EDUKASI GAGAL GINJAL KRONIS TERHADAP POLA NUTRISI DAN STATUS KESEHATAN PASIEN HEMODIALISA: SEBUAH STUDI PRE EKSPERIMENTAL: - MUHAMMAD ARIF BASTOMI NASAH HUDIN; Dodik Hartono; Alwin Widhiyanto
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 02 (2024): Jurnal Kesehatan Hesti Wira Sakti Vol. 12 Issue 02
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.v12i02.633

Abstract

Chronic Kidney Disease (CKD) occur in the majority of adults in the world (11-13%). CKD ranks as the 10th class of non-communicable diseases. The prevalence of CKD in Indonesia is the highest age ≥ 15 years, in 2013 (0.2%), in 2018 (0.38%), in 2019 in the group of 45-64 years (30.45%). in East Java Province (4,828) new cases. The preliminary study on 10 patients, 6 patients (60%) said they did not understand CKD, dietary, maintain health status, while 4 patients (40%) knew CKD but did not understand dietary patterns, maintain health status. The purpose to analysis effect of CKD education on nutritional patterns, health status of hemodialysis patients. Methods Pre experimental one group pretest-postest. The population all hemodialysis patients in June-August 2022 werw 40 people, sample 20 people, consecutive sampling, education sheet, instruments, leaflets, questionnaires, Wilcoxon. The results 41-60 y.o (55.0%), male (60.0%), high school education (55.0%), 35.0% entrepreneurship, nutrition patterns before intervention were not good (40.0%), after it were quite good (65.0%), health status before it was quite good (90.0%), after it was good (55.0%); p values of nutritional patterns; health status (p1=0.000; p2=0.003 <α 0.05). Conclusion is an influence of CKD education on nutritional patterns and health status.

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