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Efektifitas Kompres Hangat dan Nafas dalam terhadap Nyeri Perut Pasien Typus Abdominalis di RSUD Dr. R Goeteng Taroenadibrata Purbalingga Taat Sumedi
JURNAL KEPERAWATAN MERSI Vol 8, No 1: April 2019
Publisher : Prodi Keperawatan Purwokerto

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Abdominalis Typhus is a disease that attacks the gastrointestinal tract in the small intestine. This disease is occupying sequence of number one for three consecutive in RSUD dr. R. Goeteng Taroenadibrata Purbalingga. This objective of this research is to determine the effectivity of warm compresses and deep breath towards patient’s abdominal pain of abdominalis typhus in RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Type of study is a quasi experimental design with pretest posttest with control group design. Sampling using the purposive sampling techniques. Sample as many as 76 respondent, that 38 responden were given a warm compresses treatment and 38 other respondents as control group were given a deep breath. Data analysis is done by using univariate analysis and independent t-test. The result of this research there is a significant decrease in pain level after warm compresses amounted to 2.053. While those given a deep breath has decrease amounted to 0.921. Independent t test results indicate a warm compresses are more effective in decreasing the level of pain in patient’s abdominalis typhus compared with a deep breath in the p value 0,001.

Pengaruh Reminiscence Therapy Terhadap Fungsi Kognitif Pada Lansia Ani Kuswati; Taat Sumedi; Hartati Hartati
JURNAL KEPERAWATAN MERSI Vol 9, No 1: April 2020
Publisher : Prodi Keperawatan Purwokerto

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Aging process (aging process) is a natural process characterized by a decreasing or changing in physical, psychological and social conditions when elderly people is interacting with others. Aging process can decrease cognitive people and develop dementia, declining cognitive and memory. Reminiscence therapy is one technique to recall people memory and remind something in the pastThe purpose of this study is to know the effect of reminiscence therapy with group therapy method towards cognitive function of elderly peopleThis method of this study is quasy experimental with pre-posttest design. The population in this study is elderly in Panti Werda Catur Nugroho Banyumas . Respondents were selected by Simple random sampling. The number of respondent was. Mini Mental Status Exam (MMSE) was used to measure cognitive function of the elderly people before and after being given reminiscence therapy. Statistical analysis in this study was using Wilcoxon Sign Rank Test and Mann Whitney-U Test.The results showed that there was a significant effect of increasing cognitive function by applying reminiscence therapy on elderly people with p = 0,000 (α = 0,005) and the mean value of elderly cognitive function in the treatment group increased by 4,416.The conclusion in this research is reminiscence therapy with group therapy method (TAK) is one of therapy modality that can improve cognitive function in elderly.

Pengaruh Video Animasi “Menstruasi” Terhadap Pengetahuan Dan Sikap Siswi Sekolah Dasar Dalam Menghadapi Menarche Hartati Hartati; Wahyudi Wahyudi; Handoyo Handoyo
JURNAL KEPERAWATAN MERSI Vol 8, No 2: Oktober 2019
Publisher : Prodi Keperawatan Purwokerto

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Menarche for women is a sign that someone is entering puberty or adolescence which is marked by changes physically and mentally. Young women who do not have proper preparation about menarche tend to show negative attitudes, such as excessive emotions, fear and confusion.This study aims to determine the effect of menstrual videos on the knowledge and attitudes of elementary school students in dealing with menarche.This type of research is quantitative research Quasi Experimental using design pre and post test design with control group. The population in this study were all students in grades V and VI in SDN Mersi 3 Purwokerto. The sampling technique is simple random sampling on students who have not experienced menarche. The instrument used to assess the level of knowledge and attitudes is a questionnaire. To analyze the effect of animated videos on the knowledge and attitudes of elementary school students in dealing with menarche is using Wilcoxon Signed Rank Test and Mann-Whitney U.The results showed that there was a significant effect of animation video on the level of knowledge of female students in the treatment and control groups (p=0,000 α=0,050) but there was no significant effect on the attitudes of students in the control group (p=0,000 α=0,055). Based on Mann-Whitney U test showed that treatment group (animation video) is more effective than control group with p=0.000 to increase knowledge and attitude menarche. The conclusion in this study is that there is a significant effect of animation video on the level of knowledge and attitudes of V and VI students in SDN Mersi 3 Purwokerto.

Supplementary Feeding Treatment toward Tuberculosis Patients in The Community Walin Walin; Herry Prasetyo; Ulfah Agus Sukrillah
JURNAL KEPERAWATAN MERSI Vol 9, No 1: April 2020
Publisher : Prodi Keperawatan Purwokerto

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Tuberculosis patients, who are taking anti-tuberculosis drugs, often have problems in the gastrointestinal system such as anorexia, nausea and vomiting. So, they will tend to have problems with poor nutritional status and weight loss. This research aims to identify supplementary feeding treatment toward body weight gain of tuberculosis patients in the community. The research method uses quasi experimental with pre-post test with non-equivalent control group design. The population was tuberculosis patients who participated in tuberculosis treatment program in the Banyumas Community Health Center. The sample was 46 tuberculosis patients both male and female with aged 15-65 years, joint with the DOTS program and were taking anti tuberculosis drugs. The treatment provided were providing supplementary nutrition and assisting to take tuberculosis drugs. Research data collection was obtained through questionnaire. The results showed there was a significant difference in the level of weight gain between the intervention and control group. The mean pretest body weight in the intervention group was 48,43 and the post-test was 52,62 with p value = 0,000. On the other hand, there was no significant difference body weight in control group, whereas pre-test was 48,65 and post-test was 48,61 with p value = 0,933. Therefore, the supplementary feeding must be given for tuberculosis patients in the community as supportive therapy to maintain their quality of life.

Penerapan 4S dan 1R (Senyum, Salam, Sapa, Salim dan Rapih) dalam Peningkatan Kinerja Perawat Aris Fitriyani; Maisje Marlyn Kuhu; Munjiati Munjiati
JURNAL KEPERAWATAN MERSI Vol 8, No 1: April 2019
Publisher : Prodi Keperawatan Purwokerto

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Nurses need to implement 4S and 1R (Smile, Greeting, Sapa, Salim, and Natty), which will support the implementation of the tasks of nurses in providing nursing care to patients. Implementation 4S and 1R allows the nurse was not emotional in dealing with patients who are good variety of attitudes, behaviors, socioeconomic status and so on. Implementation 4S and 1R nurses make positive personality that can improve the performance of nurses.To determine the effect of the application of 4S and 1 R on the performance of nurses in Hospital Family Dadi Purwokerto.This type of research is pre experimental research design pre-post test one group. The study population was a nurse at the Hospital Purwokerto Family Dadi much as 39 nurses. Samples were taken with total sampling of nurses hospitalization in Purwokerto RSDK with kriteria inclusion: nurse graduate Nursing DIII, and length of employment 3 years amounted to 35 nurses. The intervention will involve the implementation of a shared commitment 4S and 1 R for 1 week working in the inpatient unit RSDK Purwokerto. Data analysis techniques used in this study is a statistical test Pairs T-test.Nurses majority 24 years old, Muslim, unmarried, has a female gender, education background and has a long working DIII 1 year. There is a significant influence on the performance of nurses before and after being given the shared commitment and implementation 4S 1R and there are significant differences in the performance of nurses between before and after being given the shared commitment and 1R 4S application on nurse-patient RSDK Purwokerto with p = 0.000.

Efektivitas Water Tepid Sponge Suhu 37°C Dan Kompres Hangat Suhu 37°C Terhadap Penurunan Suhu Pada Anak Dengan Hipertermia Anggraeni Beti Dwi Lestari; Bambang Sarwono; Adi Isworo
JURNAL KEPERAWATAN MERSI Vol 8, No 2: Oktober 2019
Publisher : Prodi Keperawatan Purwokerto

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Background: Most of the fever that occurs in children results from changes in the heat center (thermoregulation) in the hypothalamus. The results of a preliminary study conducted at the Dahlia Children's Ward of Tidar City Hospital, Magelang, that there were 326 children with fever in November 2018-January 2019 and in January 2019 there were 123 children. The action taken at the Tidar City Hospital in Magelang if the child has a fever is the administration of antipyretics and warm compresses. Objective: To determine the effectiveness of water tepid sponge at 37 ° C and warm compresses at 37 ° C for temperature reduction in children with hyperthermia. Method: Quantitative research type, Quasi Experimental research design with Non Equivalent Control design, which is an experiment where the observation is done twice, namely before (Pre Test) and after experiment (Post Test). Analysis using univariate and bivariate with Mann Whitney test. Results: Analysis of data using the Mann Whitney test results were p = 0.001 (p 0.1). Conclusion: This study concludes that Water Tepid Sponge is more effective in lowering body temperature in children with hyperthermia.

Penatalaksanaan Diabetes Mellitus (DM) Secara Mandiri Dengan Buku Saku Terhadap Pengetahuan, Sikap, Dan Kadar Gula Darah Siti Mulidah; Asrin Asrin; Ulfah Agus Sukrillah
JURNAL KEPERAWATAN MERSI Vol 9, No 2: Oktober 2020
Publisher : Prodi Keperawatan Purwokerto

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Background: Diabetes mellitus (DM) is one of progressive chronic disease that attack million of people in the world. This disease is one significant cause of natality and mortality and also many complications accompany the patient. So, based on earlier study the educational program of DM that focus on self management is one good choice for developing in relating of increasing the quality of patient lifeMetode: The purpose of this study is to prove self management of DM by using pocket book toward knowledge, attitude, and the level of blood glucose. Type of this study is quasi experimental by using static pre and post test with control group design. The respondents were DM patients in area of Puskesmas II Sokaraja, Banyumas Regency. There were 40 respondents that were participated in this study. The knowledge and attitude of patients were measured by using pre and post test questioner. The level blood glucose was assessed by checking temporally blood glucose . Data analyse was used paired t test.Result: Majority of respondents education were primary school (SD and SMP) in range of 35 - 60 years old, majority of them were jobless, and duration of suffering from DM was short term dominantly. Pocket book of self DM management can increase knowledge of 17.4 point, attitude of 17.5 point and blood glucose of 17.45 point. Statistically, there was not effect of giving pocket book for self management of DM of knowledge (p = 0.07) and the level of blood glucose (p = 0.46). The pocket book of self management of DM was increase significantly of patients attitude (p = 0.00).Conclusion: Self management of DM by giving pocket book influence the attitude and the was not influence of knowledge and the level of blood glucose.

Analisis Faktor Lingkungan Yang Mempengaruhi Tingkat Kecemasan Pelayanan Kesehatan Anak Di Puskesmas Pubalingga Taat Sumedi
JURNAL KEPERAWATAN MERSI Vol 9, No 2: Oktober 2020
Publisher : Prodi Keperawatan Purwokerto

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Background: Sick children should be taken to the health services of the Primary Level Service Unit at the Puskesmas (UPTD) first, with their families is a stressful experience, both for children and parents. Some scientific evidence shows that the health center environment itself is a major cause of stress for children and parents, both physical environments such as buildings or nursing rooms, equipment, distinctive odors, white clothes for health workers and the social environment, such as fellow child patients, or interactions and health workers themselves Scientific research illustrates that the health center environment causes major stress for both children and their parents, including the physical environment, and the social environment such as interactions between patients between children, and even the attitudes reflected by doctors and nurses.Metode: To see the factors that affect the error rate in children who seek treatment at Purbalingga Health Center.This research is a research that carries out a cross-sectional design, purposive sampling method, and chi square statistical analysis.Result: Based on the results of the study, 7 patients (30,458%) who underwent short and medium-term treatment experienced normal loss. Most of the respondents in the age range of 4-8 years and 9-11 years were in the medium anxiety category as many as 18 respondents (69.55%). Children aged 4-8 years who have just entered school and lack of interaction with the surrounding environment will experience anxiety more often, in fact there are 4 respondents (8.70%) of whom experience severe anxiety compared to those above.It shows that the proportion of anxiety in the sexes of men and women is almost the same. Two male respondents (4.80%) were in the mild anxiety category, 7 respondents (31.68%) were in the moderate category and 3 respondents (4.35%) were in the heavy category. Likewise, 3 respondents (8.70%) were in the mild anxiety category, 10 respondents (40.12%) were in the moderate category, and 5 respondents (10.35%) were in the severe anxiety category. Shows environmental factors, 13 respondents (52.17%) who enter into moderate anxiety and feel familiar with the environment and 8 respondents (26.09%) feel unfamiliar with the environmental conditions of all 18 respondents (65.22%), feel the environment that is felt familiar.Conclusion: length of treatment, the activities constraint, and separated, it means that there is influence toward apprehensive level in children getting puskesmas

Role Play Therapy In Under Five-Year-Old Children And Mothers In Providing Of Balanced Nutrition Food To Prevent Stunting In The Puskesmas II Area Sokaraja, Banyumas Esti Dwi Widayanti; Munjiati Munjiati; Ruti Wiyati
JURNAL KEPERAWATAN MERSI Vol 9, No 2: Oktober 2020
Publisher : Prodi Keperawatan Purwokerto

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Background: Children with malnutrition will experience disruption of physical growth and mental development, have lower IQ ( intelligence quotient ) and susceptible to infection (Ministry of Health, 2012). Only little nutritious food is consumed by children because at this age problems often arise, especially in feeding because of the difficulty of eating in children. Role play methods can change behavior. According to Tejasari, (2011) nutritional status is influenced by the family's attention through feeding, nurture, and health care where parents, especially mothers have a significant role in determining the nutritional status of children to prevent stunting. To determine the effect of role playing therapy in under five-year-old children and mothers in providing balanced nutritional feeding for under five-year-old children to prevent stuntingMetode: The design used in this study is quasi experiment. Pre-posttest control group design is used with the design of start and end with the comparison group. The population of this study is mothers who have under five-year-old children. Furthermore, sampling is done by purposive sampling method . This research will measure before and after treatment using a single intervention group with time series design. The treatment given is role playing therapy in a group of under five-year-old children with 3 treatments for one month. Data collection using questionnaire sheets and the data obtained will be analyzed using a statistical Paired Sample T Test to find out the difference in balanced nutritional feeding for under five-year-old children before and after treatment.Result: This study shows that a significant difference p 0.05, which means that therapy of role play about providing balanced nutritional food to respondents between the intervention group and the control group is different after doing role play therapy.Conclusion: This study shows that a significant difference p 0.05, which means that therapy of role play about providing balanced nutritional food to respondents between the intervention group and the control group is different after doing role play therapy

Pengaruh Latihan Peregangan Mc.Kenzie Exercise dan William’s Flexion Exercise (WFE) terhadap Penurunan Derajat Nyeri Pada Pasien Low Back Pain (LBP) di RSOP Purwokerto Aris Fitriyani; Welas Haryati
JURNAL KEPERAWATAN MERSI Vol 9, No 2: Oktober 2020
Publisher : Prodi Keperawatan Purwokerto

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Background: Low Back Pain (LBP) is one of the musculoskeletal disorders caused by deficient activity of the body. LBP can be experienced by anyone, at any age. Hazards and risks LBP one of which is a result of the lack of flexibility of the body. Flexibility is very important in everyday life, especially for ease of movement, reduce stiffness, improve skills, reduce injury and reduce pain. Stretching exercises are exercises that can be done to improve flexibility.Metode: The purpose of this study was to determine the effect of stretching exercises Mc.Kenzie Exercise and William's Flexion Exercise (WFE) to decrease the level of pain in patients with LBP in RSOP Purwokerto. This study used pre-experimental research design with pretest-posttest approach with a total sample were 28 respondents. Data were analyzed using the Kolmogorov-Smirnov test for normality. Wilcoxon test was used to analyze difference of pre and post-test and Mann Whitney test was used to analyze between each treatment. Limitation of statistical tests of significance was p=0.05.Result: The results showed respondents' average age was 58.14 years, 75% were female with elementary educational employment as housewife. While the level of pain prior to stretching exercisesan average of 6.46. After Mc.Kenzie Exercise and William's Flexion Exercise (WFE) for 2 month sequally influence the decrease in the degree of pain, but there is differences on the effects of stretching exercises between Mc.Kenzie and William method. William method is better than Mc.Kenzie method to decrease the level of pain in patients with LBP with the difference in the level of pain the average value on Mc.Kenzie Exercise 0.21 and1.07 at William's Flexion Exercise.Conclusion: It can be concluded that both methods are able to decrease the level of pain in LBP but William's Flexion Exercise method is better than the Mc.Kenzie Exercise. There fore William's Flexion Exercise and Mc.Kenzie Exercisecan be recommended as one of therapy to decrease the level of pain of patients with LPB.

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