THE EFFECT OF PRONE POSITIONING ON RESPIRATORY RATE AND OXYGEN SATURATION IN INFANTS WITH RESPIRATORY DISTRESS SYNDROME IN NEONATUS INTENSIVE CARE UNIT AT GUNUNG JATI HOSPITAL CIREBON. Background: Respiratory Distress Syndrome (RDS), also known as respiratory distress syndrome, is a major threat to infants and children who are recovering from a serious illness. Currently, RDS is the leading cause of newborn death. Management of RDS includes improving oxygenation, prevention of infection, maintaining vascular pressure and cardiac output, adequate nutrition, positioning to improve functional residual capacity. The prone positioning for the baby is an energy-saving position because this position will reduce heat loss. This is because, in the prone positioning, the baby's feet are flexed, thereby reducing the body's metabolism resulting in a decrease in the amount of heat loss. Another reason is that in the prone position the baby's face touches the blanket or bed so that the baby's face is not exposed to air and allows a decrease in heat loss through the radiation process.Purpose: The purpose of this study was to determine the effect of the prone positioning on respiratory rate and oxygen saturation in respiratory distress syndrome (RDS) infants in NICU at Gunung Jati Hospital, Cirebon.Methode: The method of this research is a quasi-experimental study with a non-equivalent control group pre and post-test design. This study used a random sampling technique for 38 respondents. The analysis in this study uses paired t-test analysis.Result: The results showed that prone positioning can support the improvement of respiratory rate and oxygen saturation in infants with RDS.Conclusion: There are improvements in respiratory rate and oxygen saturation after prone positioning has been given. Keywords: Prone, Respiratory distress syndrome, Respiratory rate, oxygen saturation. INTISARI : PENGARUH PRONE POSITIONING TERHADAP RESPIRATORY RATE DAN SATURASI OKSIGEN PADA BAYI GAWAT NAPAS (RESPIRATORY DISTRESS SYNDROME ) DI RUANG NICU RSUD GUNUNG JATI CIREBON Latar belakang : Respiratory Distress syndrome (RDS) atau dikenal dengan sindrom gawat napas, merupakan ancaman utama pada bayi dan anak yang berada pada masa pemulihan dari penyakit berat. Saat ini RDS merupakan penyebab utama kematian bayi baru lahir. Penatalaksanaan RDS diantaranya adalah memperbaiki oksigenasi, pencegahan infeksi, mempertahankan tekanan vascular dan curah jantung, nutrisi yang adekuat, pemberian posisi untuk memperbaiki kapasitas residu fungsional. Posisi prone pada bayi merupakan posisi yang sangat menghemat energi, karena posisi ini akan menurunkan kehilangan panas. Hal ini disebabkan karena pada posisi prone, kaki bayi fleksi sehingga menurunkan metabolisme tubuh akibatnya terjadi penurunan jumlah kehilangan panas. Penyebab lain juga dikarenakan pada posisi prone wajah bayi menyentuh selimut atau tempat tidur sehingga wajah bayi tidak terpapar dengan udara dan memungkinkan terjadinya penurunan kehilangan panas melalui proses radiasiTujuan : penelitian ini adalah untuk megetahui pengaruh posisi prone terhadap respiratory rate dan saturasi oksigen pada bayi respiratory distress syndrome (RDS) di ruang NICU RSUD Gunung Jati Cirebon.Metode Penulisan : Penelitian ini merupakan penelitian kuasi experimental dengan desain pre and post test non equivalent control group. Penelitian ini menggunakan tehnik random sampling terhadap 38 responden. Analisis dalam penelitian ini menggunakan analisis paired t test.Hasil : Hasil penelitian menunjukkan bahwa posisi prone dapat mendukung perbaikan respiratory rate dan saturasi oksigen pada bayi dengan RDS.Kesimpulan : terdapat peningkatan respiratory rate dan saturasi oksigen setelah dilakukan intervensi posisi prone. Kata kunci: Prone, Respiratory distress syndrome, Respiratory rate, saturasi oksigen.
FACTORS INFLUENCING THE SELF-EMPOWERMENT IN CONTROLLING BLOOD SUGAR LEVELS IN DIABETES MELLITUS PATIENTS IN MUNDUPESISIR VILLAGE, MUNDU DISTRICT, CIREBON REGENCY Background: Diabetes mellitus is a disease characterized by a set of symptoms caused by a decrease in insulin secretion or a decrease in insulin sensitivity. This condition increases blood sugar levels. Efforts to improve the self-empowerment of patients with diabetes mellitus must understand the factors that influence the process of self-empowerment of each patient with diabetes mellitus. To be maximized by patients with diabetes mellitus to have good self-empowerment.Objective: To identify the factors that influence self-empowerment in controlling blood sugar levels in people with diabetes mellitus.Research Methods: this type of research is descriptive with a retrospective study approach. The subjects of this study were patients with diabetes mellitus, totaling 32 respondents. Collecting data using questionnaires distributed to respondents. Self-empowerment was measured using the Diabetes mellitus Empowerment Scale (DES) questionnaire. Data analysis was univariate using frequency distribution and bivariate using chi-square.Research Results: There is a significant relationship in education factor with self-empowerment of diabetes mellitus patients (p-value = 0.006, = 0.05). While the factors that did not have a significant relationship were gender, age, length of suffering from diabetes mellitus, knowledge, income, and family support (p-value > α).Conclusion: There is a significant relationship in the education factor and while the factors that do not have a significant relationship are gender, age, duration of suffering from diabetes mellitus, knowledge, income, and family support. Suggestions in this study are further researchers can provide education that can increase the self-empowerment of diabetes mellitus patients. Keywords: self-empowerment, diabetes mellitus INTISARI: FAKTOR-FAKTOR YANG MEMPENGARUHI PEMBERDAYAAN DIRI DALAM MENGONTROL KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS DI DESA MUNDU PESISIR KEC MUNDU KABUPATEN CIREBON Latar Belakang: Diabetes mellitus merupakan suatu penyakit dengan ditandai dengan sekumpulan gejala yang disebabkan oleh penurunan sensitivitas insulin atau penurunan sekresi insulin. Keadaan ini mengakibatkan peningkatan kadar gula darah. Upaya meningkatkan pemberdayaan diri pasien diabetes mellitus, harus memahami tentang faktor-faktor yang mempengaruhi proses pemberdayaan diri setiap pasien diabetes mellitus. Agar dapat dimaksimalkan oleh pasien diabetes mellitus untuk memiliki pemberdayaan diri yang baik.Tujuan: Teridentifikasi faktor-faktor yang mempengaruhi pemberdayaan diri dalam mengontrol kadar gula darah pada penderita diabetes mellitus.Metode Penelitian: jenis penelitian deksriptif dengan pendekatan retrospective studi. Subjek penelitian ini adalah pasien diabetes mellitus yang berjumlah 32 responden. Pengambilan data menggunakan kuisioner yang dibagikan kepada responden. Pemberdayaan diri diukur menggunakan kuisioner Diabetes mellitus Empowerment Scale (DES). Analisis data secara univariat menggunakan distribusi frekuensi dan bivariat menggunakan chi square.Hasil penelitian: Terdapat hubungan signifikan dalam faktor pendidikan dengan pemberdayaan diri pasien diabetes melitus (p value = 0,006, α = 0,05). Sedangkan faktor yang tidak mempunyai hubungan yang signifikan adalah jenis kelamin, usia, lama menderita diabetes melitus, pengetahuan, pendapatan dan dukungan keluarga (p value > α).Kesimpulan: Terdapat hubungan signifikan dalam faktor pendidikan dan sedangkan faktor yang tidak mempunyai hubungan yang signifikan adalah jenis kelamin, usia, lama menderita diabetes melitus, pengetahuan, pendapatan dan dukungan keluarga. Saran dalam penelitian ini adalah peneliti selanjutnya dapat memberikan edukasi yang dapat meningkatkan pemberdayaan diri pasien diabetes melitus. Kata Kunci : pemberdayaan diri, diabetes mellitus
The most common complication in people with diabetes mellitus is diabetic foot problems. Efforts to prevent diabetic foot problems can be prevented with proper foot care. Checking the foot every day, whether there are wounds or bleeding, cleaning the foot every day, cutting nails, using comfortable shoes or slippers, and immediately contacting a doctor if the foot is injured. The purpose of this study identified the relationship between knowledge about diabetic foot care and the ability to care for the feet in people with diabetes mellitus. This study used a type of correlation research with a cross-sectional design. The subjects of this study were people with diabetes mellitus, who totaled 26 respondents. Data collection using questionnaires that are distributed to respondents. Univariate data analysis using frequency distribution and bivariate using chi-square. The result shows a relationship between knowledge about diabetic foot care and the ability to care for feet in people with diabetes mellitus. This research contributes to providing knowledge to people with diabetes mellitus. This knowledge contributes to motivating foot care activities to prevent diabetic foot injuries.
A learning process which rigid and monotonous can reduce students' interest and motivation. If it is done continuously, students become less motivated in learning. It will also affect their learning achievement. [1]. This situation also occurred in class V of Punggul 1 Elementary school, especially in social science learning about defending Indonesian independence. Based on the interviews with class V teachers of Punggul 1 Elementary School, the researcher obtained material of social science scores dealing with the material of Maintaining Indonesian Independence last year. From the data, it can be seen that students had not been able to absorb and understand the material optimally. The test results conducted by the teacher as an evaluation of learning, prove that, with KKM score of 75 for social studies subjects, there were 16 students who had not completed the KKM from the total number of 26 students in grade V SDN Punggul 1. From the data, it can be seen that 64% of students had not yet completed the KKM. It was because students did not actively participate in learning activities. The students feel bored with the ongoing learning. In the end, such phenomena had an impact on students' learning achievement which made it not optimal. Such learning conditions, required a change in the learning model conducted by the teacher to be able to improve motivation and student achievement in a better direction. The formulation of the problem in this study dealt with whether the motivation to study social studies material of the struggle to maintain the independence of the fifth-grade students of Punggul Elementary School 1 Gedangan Sidoarjo can be improved through jigsaw cooperative learning model using VCD media. It was described and explained that the Jigsaw Cooperative Learning model with VCD media was used to increase motivation and learning achievement in social studies material of the struggle to Maintain the Independence of fifth grade students of Punggul Elementary School. This study described and explained that the Jigsaw Cooperative Learning model using VCD media to improve the learning achievement of Social Sciences Material of Struggle to Maintain Independence of fifth grade students SDN Punggul 1 Gedangan Sidoarjo. The subjects of this study were 26 grade V students of SDN Punggul 1. This research was carried out in two cycles, each of which consists of four stages, namely[2] planning, action, observation and reflection. The researcher collected the data t hrough tests, observation of self-learning activities involving the indicators of success of this study. In cycle 1, 16 or 61.5% of students paid attention to the teacher's explanation, 21 or 80.8% of students felt happy with the use of media in PBM, 10 or 38.5% students dare to ask the teacher, 19 or 73.1% of students were enthusiastic in doing assignments, and 12 or 46.2% of the students responded to the feedback from the teacher during the learning process. The students who had reached KKM were 17 students or 65.4 %, while students who had not reached K KM...
Diabetes melitus (DM) merupakan suatu penyakit kronis yang ditandai dengan hiperglikemia dan intoleransi glukosa yang terjadi karena kelenjar pankreas yang tidak memproduksi insulin secara adekuat atau karena tubuh yang tidak dapat mengunakan insulin yang diproduksi secara efektif. Menurut International Diabetes Federation (IDF) pada tahun 2017 prevalensi DM di dunia mencapai 424,9 juta jiwa dan diperkirakan akan mencapai 628,6 juta jiwa pada tahun 2045. Literature review ini bertujuan untuk menganalisis sebam kaki diabetes terhadap penurunan kadar gula darah pada pasien diabetes melitus. Metode yang digunakan dalam literature review diawali dengan pemilihan topik, kemudian ditentukan keyword untuk pencarian jurnal menggunakan Bahasa Indonesia dan Bahasa Inggris melalui beberapa database antara lain Mendeley, Google Schoolar dan Crosscref. Pencarian ini di batasi untuk jurnal dari tahun 2012-2021. Istilah dan frase kunci yang terkait dengan senam kaki, diabetes melitus dan penurunan kadar gula darah digunakan dalam pencarian subjek terkait. Inklusi study design menggunakan Pre-eksperimen, dan Quasi Eksperimen. Hasil peneliti melakukan literature review pada 10 jurnal didapatkan hasil pengaruh senam kaki terhadap penurunan kadar gula darah pada pasien diabetes melitus. Kesimpulan dari peneliti menunjukan bahwa ada pengaruh senam kaki terhadap penurunan kadar gula darah pada pasien diabetes melitus.
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