Hemodialysis is an action taken to treat various problems caused by Chronic Kidney Disease (CKD). Pruritus is a complication that often occurs due to hemodialysis, can cause injury to the skin, and interfere with patient comfort. Emollients are recommended to treat pruritus, where Virgin Coconut Oil (VCO) and Olive Oil (OO) are effective emollients to treat pruritus because they are easy to obtain, natural, and without side effects. The purpose of this study was to assess differences in the effectiveness of reducing pruritus grade scores in hemodialysis patients using VCO and OO. This study used a quasi-experiment with two groups pre-post test design. Samples were taken using the purposive sampling technique involving 72 patients undergoing hemodialysis which were divided into two groups (VCO and OO). The instrument used the score of the degree of pruritus and the data were analyzed by the Mann-Whitney test. The results of the study obtained a p-value of 0.008 (<0.05) which means that there is a difference in the effectiveness of giving VCO with OO on the score of the degree of pruritus in patients, VCO is more effective in reducing the score of the degree of pruritus in patients. So that the use of VCO can be used as an alternative nurse intervention in the treatment of pruritus in hemodialysis patients. KEYWORDS: Chronic Kidney Disease, Hemodialysis, Olive Oil, Pruritus, Virgin Coconut Oil
Prevalensi penyakit kanker di Indonesia naik dari 1,4 menjadi 1,8 per mil. Hasil penelitian kualitas hidup pasien kanker yang menjalani kemoterapi memiliki nilai buruk yang disebabkan oleh mual. Manajemen non-farmakologis untuk mengurangi mual antara lain hipnosis, relaksasi, distraksi, dan akupresur. Relaksasi napas dalam yang dikombinasikan dengan relaksasi otot progresif dapat saling menguatkan untuk memberikan efek menurunkan mual setelah kemoterapi dan meningkatkan rasa nyaman. Tujuan penelitian untuk menganalisis kombinasi relaksasi napas dalam dan relaksasi otot progresif dalam menurunkan mual pasca kemoterapi pada pasien kanker. Metode penelitian menggunakan quasi-experimental. Subjek penelitian terdiri dari 48 pasien. Analisis bivariat dengan uji Wilcoxon Signet Rank Test. Hasil penelitian lebih dari setegahnya (52,1%) pasien mengeluh sering mual sebelum pemberian relaksasi napas dalam dan relaksasi otot progresif dan lebih dari setegahnya (70,8%) jarang mual setelah pemberian relaksasi napas dalam dan relaksasi otot progresif pada pasien kanker yang menjalani kemoterapi. Pemberian kombinasi relaksasi napas dalam dan relaksasi otot progresif akan merangsang syaraf parasimpatis untuk menurunkan refleks vagal abdominal, yang menimbulkan mual berkurang. Hasil uji statistik didapatkan nilai p-value 0,000 < dari nilai alpha (0.05), maka dapat disimpulkan ada pengaruh kombinasi relaksasi napas dalam dan relaksasi otot progresif dalam menurunkan intensitas mual pasca kemoterapi.
Decision making for taking screening is an important component in preventing cervical cancer, but still many women who have not yet done it due to a lack of knowledge and decision-making ability. Development of intervention tailored to the stages of decision-making based on the Precaution Adoption Process Model, such as training, is able to improve decision-making ability to do the screening. This study aimed to determine the differences in the effect of training on decision-making for cervical cancer screening based on PAPM in the UPT Griya Antapani Health Center Bandung. This quasi-experimental study with two group pre-test post-test design involved 84 women aged 30-49 years who were chosen by purposive and proportional cluster sampling from two villages divided into 42 respondents each. Group A received training with PowerPoint media, leaflets, videos, and WhatsApp while group B received training with PowerPoint media, leaflets, and videos. The data of decision-making was collected using the Precaution Adoption Process Model checklist: before, after training, and 15 days after training then analyzed using Friedman test and Mann Whitney test. The results showed that there were differences in decision-making in each group before and after training with p <0.001 but Mann Whitney test showed that there was no difference in decision-making between groups after training (p = 1,000 and p = 0.316). This depicted that any method and media can be used to change decision-making. Providing training and counseling is needed according to the stages of decision-making taking into account the factors that influence it. Keywords: Cervical Cancer, Decision-making, Screening, the Precaution Adoption Process Model
Stres banyak terjadi pada ibu bekerja, karena tuntutan menyelesaikan pekerjaan di rumah juga pekerjaan.kantor. Dampak negatif stres kerja berupa gangguan kualitas tidur yang mengakibatkan penurunan produktivitas kerja. Kualitas tidur yang buruk mengakibatkan gangguan keseimbangan fisiologi dan psikologis, sedangkan kualitas tidur yang baik menimbulkan perasan senang, energik, tubuh lebih bugar, dan meningkatkan imunitas. Upaya untuk memperbaiki kualitas tidur diberikan rendam kaki dengan rempah, karena selain dapat merilekkan otot-otot kaki setelah seharian bekerja, juga wangi rempah-rempah merangsang kerja syaraf melalui nervus olfactorius untuk menekan kerja retikulo activiting system. Tujuan penelitian untuk mengetahui efektifitas terapi rendam kaki dengan rempah terhadap kualitas tidur ibu yang bekerja. Metode yang dilakukan dengan pre-experiment dengan one group pre-post test desain. Responden berjumlah 30 orang ibu bekerja dengan teknik purposive sampling. Instrumen kualitas tidur yang digunakan Pittsburgh Sleep Quality Index (PSQI) versi bahasa Indonesia. Analisis bivariat dengan uji Wilcoxon. Hasil penelitian pemberian terapi rendam kaki dengan rempah efektif dalam meningkatkan kualitas tidur ibu bekerja dengan nilai p-value 0,002 < α (0.05). Untuk itu perlu dilakukan edukasi kepada masyarakat yang lebih luas yang memiliki masalah kualitas tidur, seperti edukasi melalui media poster tentang pemberian terapi rendam kaki dengan rempah yang memiliki manfaat dalam meningkatkan kualitas tidur.
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