ABSTRAKLatar Belakang: Bedah Sesar adalah suatu persalinan buatan, dimana janin dilahirkan melalui suatu insisi pada dinding perut dan dinding rahim serta berat janin di atas 500 gram. Dampak yang terjadi setelah bedah sesar adalah nyeri dan gangguan tidur. Tujuan: Untuk mengetahui hubungan intensitas nyeri dengan kualitas tidur pada ibu pasca bedah sesar. Metode: Menggunakan pendekatan cross sectional. Sampel penelitian berjumlah 42 ibu pasca bedah sesar yang diambil dengan teknik accidental sampling. Pengambilan data dilakukan di RS TK II Dustira Cimahi, menggunakan lembar kuesioner Maternal Pain Questionnaire (MPQ) untuk pengukuran intensitas nyeri dan The Pittsburgh Sleep Quality Index (PSQI) untuk pengukuran kualitas tidur. Data dikumpulkan pada bulan Mei 2017. Analisis data menggunakan uji Chi-Square. Hasil penelitian: Intensitas nyeri yang tertinggi terjadi pada klien pasca bedah sesar yaitu intensitas nyeri hebat dengan 22 responden (52,4%) dan tidak nyaman terdapat 20 responden (47,6%). Lebih dari setengah responden mengalami kualitas tidur yang buruk yaitu 28 responden (66,7%). Ada hubungan antara intensitas nyeri dengan kualitas tidur pada pasien pasca bedah sesar. Diskusi: Faktor yang memengaruhi kualitas tidur pasien adalah sakit yang disebabkan oleh nyeri. Nyeri pasien setelah seksio sesaria karena terputusnya kontinuitas jaringan (trauma pembedahan) sehingga terjadi gangguan kualitas tidur. Semakin berat nyeri, maka semakin terganggu kualitas tidur pasien. Kesimpulan: Terdapat hubungan yang bermakna antara intensitas nyeri dengan kualitas tidur pada pasien pasca bedah sesar. Pelayanan kesehatan diharapkan melibatkan peran aktif keluarga untuk mengatasi penanganan nyeri pasien pasca bedah sesar, sehingga pasien memiliki kualitas tidur baik.Kata Kunci: Bedah sesar, nyeri, kualitas tidurRelationship Between Pain Intensity With Sleep Quality of Patient Post Caesarean SectionABSTRACTBackground: Cesarean section is an artificial birth, in which the fetus is born through an incision in the abdominal wall and uterine wall and the weight of the fetus is above 500 grams. Impacts that occur after caesarean section are pain and sleep disorders. Aim: To know the relation of pain intensity with sleep quality of mothers post cesarean section. Method: Using cross sectional approach. The sample of the study were 42 post-cesarean mothers taken by accidental sampling technique. The data was collected at RS TK. II Dustira Cimahi using Maternal Pain Questionnaire (MPQ) questionnaire for pain intensity measurement and The Sleep Sleep Quality Index (PSQI) for sleep quality measurement, in May 2017. The MPQ and PSQI questionnaires in this study were not tested for validity and reliability because this questionnaire was standard. Data analysis using Chi-Square test. Results: The highest intensity of pain occurred in the client after cesarean section with severe pain intensity with 22 respondents (52,4%) and uncomfortable there were 20 respondents (47,6%) and more than most client experience poor sleep quality that is 28 respondents ( 66.7%) but there are still clients who experienced good sleep quality 14 respondents (33.3%). The result of the study is that there is a correlation between pain intensity and sleep quality in post cesarean patients. Discussion: The factor that influences the patient’s sleep quality is pain caused by pain. Post sectio caesaria pain due to tissue continuity (trauma from surgery) is interrupted resulting in sleep quality disruption. The more severe the pain, the more disturbed the patient’s sleep quality. Conclusion: There was a significant relationship between the intensity of pain and sleep quality in post-caesarean section patients. Health services are expected to involve the active role of the family to overcome the pain management of post-cesarean patients, so that patients have good quality sleep.Keywords: Cesarean section, pain, sleep quality
This study aims to determine the effect of buteyko breathing technique on asthma control test.The quasi experimental study with the pretest and post test one group design approach involved 14 patients with asthma selected from the Lung Polyclinic of Dr. Hasan Sadikin Bandung with consecutive sampling. Asthma control was collected using time series ACT. The collected data were analyzed descriptively and inferentially with the scale of significance p smaller than 0.05.The results showed a significantly higher mean difference between ACT scores after buteyko breathing technique 19.79 more or less 1.47 with ACT score at week III 17.50 moe or less 1.78 week II 12.64 more or less 1.82, week I 9.57 more or less 1.95, and pretest 7.64 more or less 1.82. Post hoc analysis found the fourth week post test score 19.79 more or less 1.47 significantly better than post test week III 17.50 more or less 1.78, week II 12.64 more or less 1.82, week I 9.57 more or less 1.95, and pretest 7.64 more or less 1.82 in improving asthma control. It was concluded that there was an effect of buteyko breathing technique on asthma control test. Thus, the results of this study become important as a study material for nurses at the Hospital in an effort to increase asthma control test. Keywords: ACT, Breathing Technique, Bronchial Asthma, Buteyko
Asma bronchial merupakan masalah kesehatan yang serius dengan tingkat kekambuhan yang tinggi.Terapi farmakologi jangka panjang berpotensi menimbulkan efek samping seperti peningkatan enzimhati, sakit kepala, mual, supresi adrenal, osteopenia, dan kematian. Di sisi lain teknik pernapasanbuteyko dapat memperbaiki fungsi paru, meningkatkan oksida nitrat, melembabkan danmenghangatkan udara yang berpotensi menurunkan gejala asma dan konsumsi obat-obatan. Penelitianini bertujuan untuk mengetahui pengaruh teknik pernapasan buteyko terhadap kontrol asma.Penelitian quasi eksperimental dengan pendekatan pretest and post test one group design inimelibatkan 14 pasien asma yang dipilih dari Poli Paru RSUP Dr. Hasan Sadikin Bandung denganconsecutive sampling. Kontrol asma dikumpulkan dengan menggunakan Asthma Control Test (ACT)secara time series dan pemeriksaan spirometri (nilai FEV1) pada pretest dan post test minggu keempat. Data yang terkumpul dianalisis secara deskriptif dan inferensial dengan skala signifikansip<0,05. Uji paired t-test menunjukkan terdapat perbedaan yang signifikan (p=0,00) antara nilai FEV1setelah diberikan teknik pernapasan buteyko (69,57±6,836) dengan nilai FEV1 sebelum diberikanteknik pernapasan buteyko (37,43±6,513). Uji Repeated ANOVA menunjukkan adanya perbedaanyang signifikan (p=0,00) antara skor ACT setelah diberikan teknik pernapasan buteyko (19,79±1,47)dengan skor ACT pada minggu III (17,50±1,78), minggu II (12,64±1,82), minggu I (9,57±1,95), danpretest (7,64±1,82). Post hoc analisis menemukan skor post test minggu ke empat (19,79±1,47)signifikan lebih tinggi daripada posttest minggu III (17,50±1,78), minggu II (12,64±1,82), minggu I(9,57±1,95), dan pretest (7,64±1,82). Disimpulkan bahwa ada pengaruh yang positif teknikpernapasan buteyko terhadap kontrol asma. Dengan demikian, penting menjadikan hasil penelitian inisebagai bahan telaah bagi petugas kesehatan di Rumah Sakit dalam upaya peningkatan kontrol asma.
Vega M. Tusyanawati1, Marlin Sutrisna2, Tonika Tohri3 Sekolah Tinggi Ilmu Kesehatan Rajawali Bandung IndonesiaEmail : vegatusyanawati@gmail.comBackground: Appendicitis is one of the emergency cases in the abdominal area with a major complaint of persistent lower abdominal pain that develops and increased pain. An appendectomy is a surgical intervention that has the purpose of ablative surgery or removal of body parts that contain problems or have disease. One of the postoperative treatments of apendectomy is with wound care. The current wound care treatment is modern and conventional wound care. Objective: This study was to investigate the effect of treatment of postoperative wound healing apendectomy. Methodology: The design used in this research is Quasi Experiment, with posttest-only design approach. The number of samples taken is 18 respondent. Taking sampling with accidental sampling technique. Result: The result shows that p-value 0.001, with mean value in intervention group was 5.50 and in control group 13.50. Conclusion: There is a significant difference in the wound healing process using conventional and modern wound care.Keywords : type of wound care, post operative apendectomy
Background: Sexual violence and sexual deviations that afflict children in their own environment are caused by a lack of sex education for children. The purpose of this community service is to increase mother's knowledge about preventing sexual violence in children. The method of implementation is counseling about the prevention of sexual violence in children. This Community Service activity was carried out at PAUD Muslifa Bengkulu. Implementation time in May 2022. Participants of this community service activity are mothers who have children aged 3-6 years at PAUD Muslifa Bengkulu with a total of 30 people. The activity is carried out in stages (1) providing an explanation of the prevention of sexual violence against children and the purpose of the activity; (2) provide knowledge about the prevention of sexual violence in children. The results of the activity showed that there was an increase in mother's knowledge about preventing sexual violence in children. After participating in this activity, mothers can apply knowledge about preventing sexual violence against children. Keywords: children, sexual violence, knowledge.
Bronchial asthma is still a health problem that is included in the top 10 deadly diseases in the world. The purpose of this study was to determine the relationship between Anxiety Levels and Control of Bronchial Asthma. The type of research used is descriptive research with a cross sectional research design. The place of research was carried out at the Sukamerindu Health Center in 2020. The sample in this study was bronchial asthma patients, totaling 30 respondents. Measurement of anxiety level using the HARS scale instrument and measurement of bronchial asthma control using the ACT (Asthma Control Test) instrument. Data were analyzed by chi-square. The results showed that more than some respondents had controlled asthma and more than some respondents did not experience anxiety (normal). The results of the chi-square statistical test showed that there was a relationship between anxiety levels and control of bronchial asthma in the Sukamerindu Pueskesmas Work Area, Bengkulu City. The conclusion in this study is that the level of anxiety can affect the control of bronchial asthma. Researchers suggest that the Sukamerindu Public Health Center can provide education to asthma patients so that they can control their anxiety so that asthma becomes more controlled.
ABSTRAKPenelitian ini merupakan studi perbandingan modern dressing (salep tribee) dan konvensional terhadap proses penyembuhan luka pada pasien post operasi apendiktomi. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh jenis perawatan luka terhadap penyembuhan luka post operasi apendiktomi. Metode: Desain yang digunakan pada penelitian ini adalah Quasy Experiment posttest-only design. Jumlah sampel sebanyak 18 orang dengan teknik accidental sampling. Pengambilan data dilakukan di Rumah Sakit Dustira Cimahi pada tanggal 19 April 2017–19 Mei 2017. Instrumen penelitian ini adalah lembar observasi penyembuhan luka. Ijin etik untuk penelitian dari STIKes Rajawali. Data dianalisis secara univariate dan bivariate. Hasil: rerata usia kelompok intervensi 29,6 tahun (SD 3,5) sedangkan pada kelompok kontrol 31,1 tahun (SD 3,4). Nilai median penyembuhan luka kelompok intervensi adalah 1,00 dan pada kelompok kontrol 3,00. Hasil analisis lebih lanjut didapatkan nilai p-value 0,001. Kesimpulan: Terdapat perbedaan yang bermakna pada proses penyembuhan luka dengan menggunakan perawatan luka konvensional dan modern.Kata kunci: Jenis perawatan luka; post operasi apendektomiA Comparative Modern Pressing (Tribee Ointment) and Conventional Pressing of Postoperative Wound Healing in Appendectomy ABSTRACTThe research is comparative study between modern dressing (salep tribee) and conventional toward healing process in post appendectomy patients. Objective: This study was to investigate the effect of treatment of postoperative wound healing appendectomy. Method: The design used in this research is Quasi Experiment, with posttest-only design approach. The number of samples were 18 selected with using accidental sampling technique. Collecting data in Dustira Hospital Cimahi between 19 April and 19 May 2017. The instrument of this research is observation form of wound healing. The ethical clearance from STIKes Rajawali Bandung. Data was analyzed with univariate and bivariate analysis. Result: The result shows the mean age of the intervention group was 29.6 years (SD 3.5) whereas in the control group 31.1 years (SD 3.4). The median value of wound healing in the intervention group was 1.00 and in the control group 3.00. Further analysis resulted in a p-value of 0.001. Conclusion: There is a significant difference in the wound healing process using conventional and modern wound care.Keywords: type of wound care; post-operative appendectomy
Berdasarkan data dari World Health Organization (2017) kematian akibat asma di Indonesia mencapai 14.624 jiwa. Angka ini berarti asma menyebabkan kurang lebih 1% keseluruhan kematian di Indonesia. Kira-kira 1.1% komunitas Indonesia menderita asma. Data WHO, prevalensi asma bronchial di seluruh dunia adalah sebesar 8-10% pada orang dewasa dan dalam 10 tahun terakhir ini meningkat sebesar 50%. Setiap tahun mortalitas asma bronchial meningkat di seluruh dunia dari 0,8% per 100.000 pada tahun 2016, menjadi 1,2% per 100.000 pada tahun 2017 dan meningkat lagi menjadi 2,1% per 100.000 pada tahun 2018. Desain penelitian yang digunakan dalam penelitian ini adalah quasy eksperiment design dengan pendekatan pre test-post test one group design. Jumlah sampel dalam penelitian ini adalah 25 responden, teknik pengambilan sampel dengan menggunakan accedental sampling. Hasil penelitian menunjukkan bahwa rerata frekuensi serangan asma sebelum diberikan latihan pernapasan diafragma adalah (5.20), standar deviasi (1.190) dan median (5.00), sedangkan rerata frekuensi serangan asma setelah dilakukan intervensi latihan pernafasan diafragma adalah (2.52), standar deviasi (1.229) dan median (2.00), dan ada pengaruh sebelum dan sesudah pemberian latihan pernafasan diafragma terhadap frekuensi serangan asma bronkial pada pasien asma dengan nilai (p-value = 0,000). Peneliti menyarankan kepada pihak Puskesmas Sukamerindu Kota Bengkulu untuk dapat membuat program latihan pernafasan diafragma pada pasien asma bronkial sehingga pasien asma mendapatkan pelayanan kesehatan yang terbaik.
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