Chemotherapy drugs are proven to be effective in killing cancer cells, but chemotherapy drugs can also cause side effects such as hair loss. These side effects make patients less motivated to undergo chemotherapy programs. The drop-out rate for chemotherapy program patients at the RSCM Polyclinic is 5%. The research objective was to prove the relationship between the knowledge and attitude of the patient and the support of the husband and the patient's motivation to undergo the chemotherapy program. The research method used was cross sectional. Respondents were patients undergoing chemotherapy programs at the RSCM polyclinic. The sampling strategy used was patients who had undergone breast surgery and were actively undergoing chemotherapy. Respondents amounted to 30 people. The results of the bivariate test showed that there was a significant relationship between knowledge and motivation with a value of p = 0.032, attitudes with motivation p = 0.0001, support from husbands with motivation p = 0.0001. Meanwhile, the results of the multivariate test obtained a correlation model where two independent variables (knowledge and family support) had a very strong positive relationship with the patient's motivation to undergo chemotherapy at a significance level of 5% (p = 0.011; R-square model = 0.700). The conclusion is that the better the level of knowledge and attitude of the patient and the full support of the husband, the higher the motivation of the patient to undergo the chemotherapy program. Research recommendations for patients who have dropped out of chemotherapy.
Peningkatan jumlah lansia menimbulkan berbagai masalah kesehatan seperti meningkatnya penyakit gangguan sirkulasi darah, diantaranya hipertensi. Apabila tidak terkontrol dengan baik, hipertensi akan mengakibatkan kerusakan organ yang bersifat irreversible bertahap dan mengancam jiwa. Relaksasi Benson merupakan salah satu pengobatan non farmakologis dengan metode respon relaksasi internal untuk membantu menurunkan hipertensi. Penelitian ini bertujuan mengetahui pengaruh relaksasi Benson terhadap penurunan tekanan darah pada lansia dengan hipertensi. Desain penelitian quasi eksperimental dengan one group pretest-posttest. Sampel adalah lansia dengan hipertensi berjumlah 30 orang. Tehnik sampling yang digunakan adalah purposive sampling. Lokasi penelitian di wilayah Puskesmas Kecamatan Cipayung Jakarta Timur selama 3 (tiga) bulan. Data dikumpulkan dengan menggunakan kuesioner. Metode analisis yang digunakan adalah uji Paired t test. Hasil analisis menyimpulkan ada perbedaan bermakna pada pengukuran pertama sistolik sebelum dan sesudah intervensi (p= 0,007) dengan selisih nilai rata-rata 5,233. sedangkan pada pengukuran pertama diastolik sebelum dan sesudah intervensi menunjukkan tidak ada perbedaan (p= 0,454) dengan selisih rata-rata 6,670. Penelitian ini menyimpulkan bahwa terdapat penurunan tekanan darah secara signifikan pada lansia hipertensi sebesar 5 sampai dengan 7 mmhg setelah melakukan relaksasi benson selama 3 bulan.
WHO (2016) states that one in three adults worldwide has high blood pressure and this increase occurs with age, from one in ten people in their 20s and 30s to five in ten people in their 50s. In Indonesia, based on the 2018 Riskesdas, the prevalence of hypertension was 45.9% at the age of 55-64 years, 57.6% at the age of 65 years, 74% and 63.8% at the age of 75 years. Research conducted by dr. Zhipeng Yu from Jilin University, China, mentioned that the content in egg whites called RVPSL can indeed nourish blood vessels and reduce the risk of hypertension. This study aims to determine the effect of giving egg whites on reducing blood pressure in the elderly with hypertension. The research design is quasi-experimental with one group pretest-posttest. The samples used were 40 elderly people with hypertension. The analytical method used is the Paired t test. The results of data analysis showed that there was a significant difference in the first measurement of Systole before and after the intervention (p value = 0.001) with a greater difference in average value (difference value = 11.257 mmHg). while in the first measurement of diastole, the results of the analysis showed that there was a significant difference before and after the intervention (p value = 0.001), the average difference after the intervention (difference value = 7.980 mmHg). Consumption of egg whites on a regular basis and increases the work of ACE in the vessels which allows obtaining blood pressure stability. The conclusion is that there is a significant decrease in blood pressure in the elderly with hypertension by 8 to 11 mmHg after giving 1 egg white for 5 weeks.
Masalah psikologis yang paling banyak diderita oleh para lanjut usia adalah kecemasan. Adapun penyebab yang umumnya ditemui diantaranya: (1) Kurangnya aktifitas sosial dengan teman atau relasi (2) Kehilangan pasangan (3) Kehilangan hubungan dengan anak-anak yang menikah (4) Menghadapi kematian. Paket “SAHAJA” atau “Sehat Hati dan Jiwa“ merupakan bentuk psikoterapi yang dikembangkan peneliti untuk menurunkan tingkat kecemasan pada lansia dengan menggabungkan beberapa bentuk psikoterapi yaitu relaksasi dan berdzikir. Penelitian ini bertujuan mengetahui pengaruh paket “SAHAJA” terhadap tingkat kecemasan lansia. Populasi dari penelitian adalah seluruh lansia dengan teknik sampling menggunakan simple random sampling, besar sampel 30 orang. Desain penelitian yang digunakan dekriptif analitik dengan pendekatan kuasi ekperimen. Uji analisis data yang digunakan adalah univariat, bivariat dengan paired t-test untuk pengaruh intervensi paket “SAHAJA” terhadap tingkat kecemasan lansia. Hasil penelitian diketahui adanya pengaruh pemberian terapi “SAHAJA” terhadap tingkat kecemasan lansia. Dengan melakukan terapi “SAHAJA” secara teratur dalam waktu dan jangka waktu yang lebih lama dapat memberikan pengaruh yang lebih efektif lagi dalam menurunkan tingkat kecemasan lansia.
Tuberculosis is a contagious pulmonary infection and the biggest cause of death after cardiovascular disease and diabetes mellitus. The non-compliance of patients with pulmonary TB in taking medication causes the patient's recovery rate to be low, high mortality rates and recurrence increases and has an impact on bacterial resistance to some anti-tuberculosis drugs and is very difficult to cure. This study aims to determine the factors most associated with adherence to taking anti-pulmonary TB drugs in the Cipayung District Health Center East Jakarta area. The research method used is Cross sectional. The sample used was 60 respondents who matched the inclusion criteria. Data collection was done using questionnaires and data analysis using Chi-Square test. Data analysis showed that there was a significantly relationship between role of PMO with OR 2,6 (p value = 0,000) with adherenceto taking antipulmonary TB drugs. The results showed that TB clients 2.6 times would regularly take TB medication if the PMO reminded them of taking medication ABSTRAK Tuberkulosis merupakan penyakit infeksi paru menular dan penyebab kematian terbesar setelah kardiovaskuler dan diabetes militus. Ketidakpatuhan pasien TB Paru dalam minum obat menyebabkan angka kesembuhann pasien rendah, angka kematian yang tinggi dan kekambuhan meningkat serta berdampak pada resisten kuman terhadap beberapa obat anti tuberculosis dan sangat sulit disembuhan. Penelitian ini bertujuan untuk mengetahui factor yang paling berhubungan dengan kepatuhan minum obat anti TB Paru di wilayah Puskesmas Kecamatan Cipayung Jakarta Timur. metode penelitian yang digunakan adalah Crossectional. Sampel yang digunakan sebanyak 60 orang responden yang sesuai kriteria inklusi. Pengumpulan data dilakukan dengan menggunakan kuesioner dan analisa data menggunakan uji ChiSquare. Analisis data menunjukkan bahwa terdapat hubungan yang bermakna antara variabel peran PMO dengan OR 2,6 (p=0,000) dengan keteraturan minum obat TB Paru. Hasil penelitian disimpulkan bahwa klien TB Paru akan 2,6 kali lebih teratur minum obat bila PMO mengingatkan untuk minum obat.
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