Pengobatan menggunakan terapi komplementer akhir-akhir ini berkembang dan menjadi sorotan di berbagai negara. Beberapa pengobatan komplementer yang telah ditemukan untuk membantu menurunkan tekanan darah diantaranya dengan tanaman tradisional,akupuntur,akupressur, bekam, dan lain-lain. Literature review ini bertujuan untuk mengetahui keefektifan dari beberapa jenis terapi komplementer terhadap tekanan darah pada penderita hipertensi. Pencarian literature review ini menggunakan database pubMed dan google scholar. Pencarian dilakukan dengan keywords: Complementary Therapy AND Hypertention, Complementary Therapy AND Blood Pressure, Complementary Therapy OR Acupunture OR Music Therapy OR Rose Aromatherapy OR Wet-Cupping, Effect of ”Complementary therapy”Hypertention Patients”+Journal. Didapatkan hasil 7 Jurnal dari rentang waktu 2016-2019 yang sesuai dengan kriteria inklusi. Hasil dari 7 jurnal yang direview secara penuh melalui literature review ini didapatkan 6 jurnal pada terapi komplementer (Rose Aromaterapy, Meditasi & yoga, akupresure, bekam, akupuntur pada thaicong acupoint) menunjukan hasil yang signifikan terhadap keefektifan dari terapi komplementer dalam menurunkan tekanan darah pada penderita hipertensi, sedangkan 1 jurnal pada terapi musik menunjukan hasil yaitu terjadi peningkatan pada tekanan darah sistolik setelah diberikan terapi. kesimpulan dari literature revies ini bahwa terapi komplementer seperti, rose aromaterapy, meditasi & yoga, akupresure, bekam basah, akupuntur pada thaicong acupoint efektif dalam menurunkan tekanan darah pada penderita hipertensi
Salah satu penatalaksanaan asma yaitu latihan pernapasan diafragma yang dapat meningkatkan fungsi paru pasien asma. Tujuan penelitian untuk menguji pengaruh latihan pernapasan diafragma terhadap peningkatan Arus Puncak Ekspirasi (APE) dan penurunan frekuensi kekambuhan pasien asma. Penelitian true experiment pretest-posttest with control group melibatkan 28 subjek penelitian secara random. Subjek dibagi menjadi kelompok intervensi dan kelompok kontrol melalui randomisasi sejumlah 14 orang untuk masing-masing kelompok. Pengukuran APE menggunakan peak flow meter dan frekuensi kekambuhan dicatat dengan lembar catatan observasi. Hasil penelitian terdapat perbedaan yang signifikan rerata selisih APE kelompok intervensi (mean 126,43±22,05 L/menit) dan kelompok kontrol (mean 52,14±56,45 L/menit) dengan p 0,001, serta terdapat perbedaan yang signifikan rerata selisih frekuensi kekambuhan kelompok intervensi (mean 1,29±0,61) dan kelompok kontrol (mean 0,79±0,57) dengan nilai p 0,038. Latihan pernapasan diafragma menjadi pertimbangan dalam penatalaksanaan pasien asma. Kata kunci: arus puncak ekspirasi, asma, frekuensi kekambuhan, latihan pernapasan diafragma
Endothelial cells inhibit platelet aggregation by releasing thromboregulators, such as prostacyclin and nitric oxide. Male subject is a traditional risk factor for cardiovascular diseases. Platelet hyperreactivity has been frequently found in patient with diabetes mellitus. To examine whether testosterone and high glucose modify platelet aggregation through endothelial cells, we did an in vitro study using endothelial cells culture from human umbilical vein (HUVEC). Treatments were performed in HUVEC sub culture as either normoglucose (5.6 mM) or high glucose (22.4 mM) medium, with or without testosterone (0, 1, 10, 100 nM), for 24 hours. HUVEC were trypsinized, resuspended, and then incubated with platelet rich plasma from healthy male donors with ratio 1:10 4 for 3 minutes. Platelet aggregation measured by turbidimetry methode. This study showed that testosterone did not significantly influence platelet aggregation through endothelial cells in normoglucose (p = 0.144) or high glucose (p = 0.916) medium. There was no main effect of testosterone (p = 0.73) as well as no interaction between testosterone and glucose (p = 0.69), but there was a main effect of glucose (p = 0.004), to platelet aggregation through endothelial cells. In conclusion, high glucose, but not testosterone, inhibits platelet aggregation mediated by endothelial cells.
Pos pelayanan terpadu (posyandu) mengalami vakum kegiatan semenjak pandemi Corona Virus Disease-2019 (Covid-19). Walikota Yogyakarta menerbitkan surat edaran mengenai operasional Posyandu di masa pandemi Covid-19 dengan protokol kesehatan. Pusat Kesehatan Masyarakat (Puskesmas) Mergangsan menunjuk Posyandu Keji Beling RW 05 Kampung Pujokusuman sebagai posyandu pertama di lingkungan Kecamatan Mergangsan Kota Yogyakarta untuk menyelenggarakan posyandu lanjut usia (lansia) dengan protokol kesehatan. Tujuan kegiatan pengabdian masyarakat ini adalah mempersiapkan dan mendampingi kader kesehatan posyandu Keji Beling untuk dapat menyelenggarakan posyandu lansia di masa pandemi Covid-19. Metode pengabdian pada kegiatan pertama adalah dengan ceramah. Kader posyandu diberikan refreshing pengetahuan mengenai landasan hukum penanganan wabah penyakit menular di Indonesia, usaha-usaha untuk meningkatkan imunitas tubuh, panduan pencegahan dan pengendalian Covid-19 dari Kementrian Kesehatan Republik Indonesia, serta pembagian hand sanitizer dan face shield. Metode pengabdian pada kegiatan kedua adalah pendampingan kegiatan lapangan dalam pelaksanaan posyandu lansia di masa pandemi Covid-19. Posyandu Lansia Keji Beling pada masa pandemi Covid-19 dilaksanakan dengan membatasi jumlah peserta (25%) dan kader posyandu (50%). Peserta posyandu lansia yang diundang berjumlah 17 orang, terdiri atas 4 laki-laki (24%) dan 13 perempuan (76%) dengan rentang usia 60-69 tahun 11 orang (65%), 70-79 tahun 5 orang (29%), dan 80-89 tahun 1 orang (6%). Pemeriksaan kesehatan lansia meliputi penimbangan berat badan, pengukuran tekanan darah, pemeriksaan kadar glukosa darah sewaktu dan kadar kolesterol. Hasilnya adalah prevalensi hiperkolesterolemia 53%, hipertensi 47%, obesitas 12%, dan diabetes 5,9%. Kesimpulannya adalah posyandu lansia dapat terselenggara pada masa pandemi Covid-19 melalui pemberdayaan kader posyandu, pembatasan jumlah peserta, dan penerapan protokol kesehatan.
Introduction: At present progress in the health, the sector requires health workers to provide professional services. The patient's problem is also increasingly complex. Health workers are required to work in an integrated manner, therefore good collaboration and collaboration between healthcare professionals is needed in realizing patient satisfaction. Health services in hospitals are carried out by various health professionals. Effective interprofessional collaboration practices are key to providing health services. The management of the patient's health and all actions must be patient-focused. The model of providing care with interprofessional collaboration is very important so that all services are coordinated and there is good communication between caregivers. This study aims to find out about the effect of implementing interprofessional collaboration on patients. Methods: This research is a literature review. The research source was taken from several databases, with the keywords "Interprofessional collaboration, patient safety, health services". The Google Scholar database was found in 15,455 journals, EBSCO found 32, NCBI found 98, MEDLINE 23, and ProQuest 61. From the total database, only 11 met the inclusion criteria. Results: This meta-analysis shows that interprofessional collaboration has a positive impact. There are several benefits obtained from the application of interprofessional collaboration, namely affecting patient safety, patient quality of life, reducing the risk of falls, preventing medication errors, increasing the patient's functional status. elderly patients. Conclusion: Interprofessional collaboration or Interprofessional Collaboration (IPC) is collaboration between people with different professional backgrounds and working together to solve patient health problems and realize professional health services that focus on patients.Keywords: health services, interprofessional collaboration (ipc), patient safety
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