Introduction. Stroke places on the third rank in the world as the cause of death. Depression is a common psychology condition found in ischemic stroke patient and generally experienced hypertension. The aim of this research is to analyze the effect of social cognitive theory-based psychoeducation towards depression and blood pressure of ischemic stroke patient. Design. The design of this research is quasi-experiment by pre and post control group within. The population is 100 ischemic stroke patients in mental hospital Jemursari Surabaya, while the samples are 32 respondents. The sampling technique used is simple random sampling. The intervention group was given social cognitive theory-based psychoeducation for 15-30 minutes in 4 times session and the control group was given intervention as hospital standards. The data were analyzed by paired t-test with significant value α=0,05. Result. The result of the research revealed that there was a significant effect between depression and blood pressure before and after the treatment of social cognitive theory-based psychoeducation. It shown that depression intervention group p value=0,000 and systole and diastole p value=0,000. Discussion. Social cognitive theory-based psychoeducation was effective to decrease depression and blood pressure of ischemic stroke patient and it is highly recommended for the patient in the rehabilitation phase.
Ketidakefektifan perfusi jaringan perifer merupakan komplikasi dan diagnosa keperawatan yang sering terjadi pada pasien Diabetes Mellitus. Perawatan pasien dengan ketidakefektifan perfusi perifer pada kaki berdampak pada fisik, kualitas hidup, biaya untuk perawatan, dan menjadi beban bagi pembiayaan sosial negara. Latihan Buerger allen exercise mempunyai indikator berupa perbaikan dan penigkatan pada nilai ABI (Ankle Brachial Index) yang mencakup dalam perbaikan ketidakefektifan perfusi jaringan perifer. Penelitian ini bertujuan untuk menganalisis pengaruh buerger allen exercise terhadap ketidakefektifan perfusi jaringan perifer pada pasien diabetes mellitus. Desain penelitian ini menggunakan Quasy Experimental dengan rancangan Pre test and post test with control group. Populasi pada penelitian ini adalah semua penderita DM. pengambilan sampel menggunakan cara purposive sampling. Jumlah responden pada penelitian ini sebesar 54 dengan pembagian 27 kelompok intervensi dan 27 kelompok kontrol. Intervensi Buerger Allen Exercise dilakukan selama 6 hari sebanyak 6 sesi perhari dengan durasi 15 menit persesinya. Analisa data pada penelitian menggunakan uji t paired dan uji t independent. Hasil penelitian ini didapatkan nilai rata-rata ABI sebelum diberikan intervensi didapatkan rata-rata nilai ABI pada kelompok intervensi 0.78 (obstruksi ringan) dan pada kelompok kontrol 0.75 (obstruksi ringan) dengan p value = 0,693 berarti tidak terdapat perbedaan rata-rata nilai ABI pada kelompok intervensi dan kelompok kontrol. Dan sesudah diberikan intervensi didapatkan nilai rata-rata didapatkan rata-rata nilai ABI pada kelompok intervensi 0.99 (normal) dan pada kelompok kontrol 0.70 (obstruksi ringan) dengan p value < 0.05 yang artinya terdapat perbedaan signifikan nilai ABI sebelum dan sesudah diberikan intervensi buerger allen exercise pada kelompok intervensi dan kelompok kontrol. Sehingga Buerger Allen Exercise berpengaruh baik terhadap nilai ABI sebagai indikator keefektifan perfusi jaringan perifer pada pederita Diabetes Mellitus.
Background: Failure of kidney function can lead to complications of other health problems, one of which is the condition of excess fluid volume caused by non-compliance with fluid dietary restrictions so that it triggers hypervolemia and results in excessive circulation burden, edema, cardiovascular disorders, impaired cognitive function and can lead to cause death. It is expected that patients with chronic renal failure undergoing hemodialysis therapy can comply with the prescribed fluid diet restrictions. Therefore, in increasing compliance, strong support is needed regarding the importance of fluid diet restriction management. Objective: The purpose of this study was to analyze the Effect of Family Support-Based Health Education on Fluid Diet Compliance in Chronic Kidney Failure Patients. Methods: The design of this study was a quasi-experimental with a pre and post design approach. The population of all patients with chronic kidney failure at Islamic Hospital Of Surabaya A. Yani was 82 patients. The sample size is 48 respondents. The sampling technique used simple random sampling. Patients are given family support-based health education in an effort to increase health knowledge in improving the health status of patients with chronic kidney failure with a family support approach to improve adherence to the fluid intake diet. The analysis used the Wilcoxon Signed Ranks test with p value < 0.05. Results: The results of this study indicate p = 0.000 which means that there is a significant effect of Fluid Diet Adherence before and after Family Support-Based Health Education. Conclusion: Family Support-Based Health Education is effective in improving Fluid Diet Adherence in patients with chronic renal failure and is highly recommended for patients undergoing hemodialysis therapy.
Background: The elderly experience insomnia in the form of problems with symptoms of sleep disorders in the form of repeated difficulties in sleeping or maintaining sleep even though there is an opportunity to sleep. The objective of research was to analyze the effect of Breathing Relaxation Aromatherapy Combination Lavandula Angustifolia on Insomnia in the Elderly. Methods: The design was a pre-experiment with approach the one group pretest-posttest design. The research population was elderly insomnia in elderly Posyandu and the sample was 21 peoples. The sampling research was total sampling. Variabel independent was Breathing Relaxation combination with lavender aromatherapy is relaxation using breathing techniques slowly and deeply, variabel dependen was insomnia level. Statistic test use Wilcoxon Signed Ranks Test Results: The results showed that The Wilcoxon Signed Ranks Test ρ value = 0,000, H1 is accepted, meaning that there is an effect of the Breathing Relaxation and lavender aromatherapy on insomnia in the elderly. The combination of Breathing Relaxation and lavender aromatherapy increases the relaxation response in the elderly. Conclusion: Effect of Breathing Relaxation combination of lavender aromatherapy (Lavandula angustifolia) is more effective in reducing insomnia levels in the elderly and is highly recommended and safe for the elderly)
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