Hipertensi merupakan peningkatan tekanan darah sistolik >140 mmHg dan diastolik >90 mmHg. Hipertensi dapat menyebabkan kualitas hidup rendah, hal ini dikarenakan efek dari penyakit. Salah satu faktor yang dapat mempengaruhi kualitas hidup adalah efikasi diri. Efikasi diri merupakan keyakinan diri dalam kemampuan seseorang untuk menghasilkan suatu pencapaian. Penelitian ini bertujuan untuk menganalisis hubungan antara efikasi diri dengan kualitas hidup pasien hipertensi di Wilayah Kerja Puskesmas Silo Jember. Desain penelitian menggunakan korelasional analitik dengan pendekatan cross sectional. Pengumpulan data pada variabel efikasi diri menggunakan kuesioner general perceived self efficacy scale dan pada variabel kualitas hidup menggunakan kuesioner whoqol-bref. Analisis data menggunakan uji spearmen rank dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa efikasi diri pada kategori baik yaitu 76,9 %. Nilai kualitas hidup pada kategori sedang yaitu 70,3%. Terdapat hubungan antara efikasi diri dengan kualitas hidup pasien hipertensidi wilayah kerja Puskesmas Silo Jember (p value < 0,001; r= 0,356). Semakin tinggi efikasi diri maka akan semakin baik kualitas hidupnya. Perawat dapat memberikan edukasi maupun motivasi dalam meningkatkan efikasi diri pasien hipertensi.
Stress becomes one of the factors causing hypertension. The correlation of stress and hypertension occurs through sympathetic nerve activities, which can gradually increase blood pressure. Spirituality is one of coping to deal with stress. Someone who has a high spiritual level is believed that his belief and relationship with God are better. This study analyzed the correlation between spirituality and stress in hypertension patients at the Cardiology unit of dr. H. Koesnadi Hospital-Bondowoso. The variables were Spirituality and Stress. The research design was observational analytic with a cross-sectional approach with 84 respondents obtained using consecutive sampling technique. The data collection was carried out by giving the Daily Spiritual Experience Scale (DSES) and Perceived Stress Scale (PSS) questionnaire on August 14th-28th 2018. The results of analysis using the Spearman correlation test were p value = 0.001 and r = -0,429 (p <0, 05), indicated a significant correlation between spirituality and stress in hypertension patients. A person who has good spirituality can control his chronic disease and help him to manage his conditions patiently, calmly and can determine his life goals. Suggestions for nurses are to be able to provide motivation to patients to accept the disease and improve adherence to the treatment.
The risk of complications in patients with hypertension can be prevented by good self-care behaviour. Self-care is the main factor that can be done to control blood pressure. Motivation is one of the determining factors for someone to do something they want. This study aims to analyze the correlation between motivation and self-care of hypertensive patients. A total of 84 respondents were selected in the study by using consecutive sampling techniques. Data was collected by distributing questionaires of Hypertension Self Care Profile (HBP-SCP) behaviour scale and Motivation Scale. Data were analyzed by using Spearman correlation test with a significance value of 0.05. The results showed that mean of motivation and self-care was 59,92 and 56,43. There was significant positive correlation between the two variables (p-value: 0,000 r: +0,444). This result means that the higher the motivation of a person, the higher the self-care behavior. Based on these results, the authors suggest increasing patient motivation in order to improve self-care behavior of hypertensive patients independently.
Diabetes mellitus type 2 is a chronic disease that requires self-management. Self-efficacy of patients with type 2 diabetes focuses on improving management education and support services. This study aimed to determine the effect of diabetes self-management education and support on self-efficacy in patients with type 2 diabetes mellitus in Dr. Soebandi hospital Jember. This type of research was a quasi-experiment using a two-group pre-post-test design. The research sample consisted of 30 respondents from 15 controls and 15 consecutive sampling groups. Technique sampling used. Inclusion criteria included 1) diagnosed with type 2 diabetes mellitus; the level of consciousness is compos mentis; 2) aged 30-65 years. The statistical test used t-tests dependent and independent t-test. Stages there were 6 sessions. Implementation of 1-4 sessions in the hospital and at home 5-6 sessions patients. The results showed that a score of self-efficacy increased by 17:53 in the treatment group and 4.93 in the control group (p=0.001). The results showed that there was a significant difference between self-efficacy, the treatment group and the control group after administration amounted to 10.495 (p=0.001). The conclusion suggests that there is a significant influence on the self-efficacy of patients with type 2 diabetes in Dr. Soebandi hospital Jember. It is expected that this study found is a recommended intervention for health workers to improve the self-efficacy of patients with type 2 diabetes so as to improve healthy lifestyles, reduce complications, and improve quality of life.
Background: Ischemic stroke is characterized by abrupt changes in brain blood flow that impair neurological function. Circulatory imbalance causes nerve damage, especially autonomic nervous system dysfunction, which results in gastrointestinal and vascular disorders. As the result, individual is more likely to have headache, nausea, and blood circulation issues.Objective: To examine the impact of Benson's relaxation therapy and head up 30° position combination treatments on a patient with post-ischemic stroke who experiences nausea.Case report: A 50 years old male was admitted to the post stroke treatment area with complaints of dizziness, nausea, and vomiting for 10 straight days. An NGT was attached because he had swallowing difficulties. The internal capsule of the left posterior limb had an infarction, according to the results of the CT scan.Outcome: Benson's relaxation therapy and the 30° head position combination treatments reduced the frequency of nausea and increased patient compliance with nausea management. Clinical indicators following therapy were within normal ranges, and the Glassgow coma scale state indicated excellent consciousness.Conclusion: The combination of non-pharmacological therapy is intended to help the effectiveness of anti-emetic drugs by improving the psychological structure.ABSTRAKLatar belakang: Stroke iskemik dikenal dengan tanda-tanda perubahan sirkulasi darah ke otak secara tiba-tiba, yang mengakibatkan gangguan fungsi neurologis. Ketidakseimbangan sirkulasi dapat menyebabkan individu mengalami kerusakan saraf, terutama disfungsi saraf otonom yang dapat menyebabkan gangguan vaskular, maupun gastrointestinal. Oleh karena itu, pasien rentan mengalami gejala sakit kepala, nausea, dan gangguan sirkulasi darah.Tujuan: Menganalisis pengaruh kombinasi terapi posisi relaksasi Benson dan head up 30° pada pasien pasca-stroke iskemik dengan nausea.Laporan kasus: Laki-laki 50 tahun dirujuk ke ruang perawatan stroke, pasca-rehabilitasi stroke dengan keluhan pusing, mual dan muntah, selama 10 hari berturut-turut, dan terpasang selang NGT akibat kesulitan menelan. Hasil pemeriksaan CT Scan menunjukkan adanya gambaran infark capsula interna limb pada posterior kiri.Hasil: Hasil yang didapatkan dari kombinasi terapi relaksasi Benson dan posisi head up 30° adalah terjadinya penurunan frekuensi mual serta kepatuhan dalam manajemen mual, pada pasien dengan nausea. Setelah pemberian terapi, clinical sign dalam batas normal dan kondisi Glasgow Coma Scale (GSC) menunjukkan kesadaran yang baik.Simpulan: Kombinasi terapi nonfarmakologi bermaksud untuk membantu efektivitas obat anti-emetik dengan perbaikan pada struktur psikologis.
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