Latar Belakang Hipertensi merupakan salah satu masalah utama pada kesehatan yang saat ini banyak diderita oleh orang-orang lanjut usia. Hipertensi dapat menyebabkan komplikasi pada otak (stroke), jantung (Infark Miokard), dan juga gangguan koroner lainnya. Agar terhindar dari komplikasi fatal hipertensi, maka dapat dilakukan pengobatan hipertensi. Ada dua cara pengobatan hipertensi yaitu terapi farmakologis dan nonfarmakologis. Terapi farmakologis membutuhkan waku yang lama serta memberi efek samping terhadap tubuh, Terapi Non Farmakologis menjadi alternatif terapi yang dikembangkan mampu mengatasi hipertensi lebih sederhana serta cost effective. Terapi Tertawa adalah suatu metode relaksasi yang diduga dapat menurunkan tekanan darah pada penderita hipertensi. Terapi ini merupakan salah satu yang paling sederhana dan mudah dipelajari, dan dianggap mampu menurunkan tekanan darah pada penderita hipertensi. Tujuan penelitian ini yaitu untuk melihat apakah ada pengaruh terapi tertawa terhadap penurunan tekanan darah pada penderita hipertensi di Puskesmas Olak Kemang Kota Jambi. Metoda Penelitian ini merupakan penelitian kuantitatif dengan pre experiment desain berupa two group pre- test and post- test dan dilaksanakan di Puskesmas Olak Kemang Kota Jambi selama lebih kurang 6 bulan dengan jumlah sampel sebanyak 20 orang penderita hipertensi di wilayah kerja Puskesmas Olak Kemang yang diambil secara purposive sampling. Data dianalisis secara univariat dan bivariat dengan menggunakan uji wilcoxson. Hasil Penelitian ini menunjukkan adanya perbedaan tekanan darah responden sebelum dan sesudah terapi tertawa pada kelompok intervensi p-Value =0,001 (P-Value <0,005) namun berbeda pada pada kelompok kontrol P-Value = 1,000 (P-Value <0,005). Hasil penelitian menunjukkan adanya pengaruh terapi tertawa terhadap penurunan tekanan darah P-Value =0,004 Uji Wilcoxon. Kesimpulan Penelitian ini menunjukkan terapi tertawa dapat menurunkan tekanan darah pada lansia dengan hipertensi terutama pada nilai Sistolik segera setelah dilakukan terapi tertawa. Terapi ini baik untuk diterapkan sebagai upaya perawatan penyakit hipertensi non farmakologi.
Introduction: Along with the development of technology, especially in the education world, blended learning method is one method that can be used by utilizing technology in the learning process. Blended learning methods with smartphone-based applications make it easy for students to access learning material and discuss directly, both with lecturers and classmates without having to face to face directly. The purpose of this study was to develop smartphone-based disaster in nursing learning applicationsand to determine the feasibility of disaster in nursing applications according to material experts, media experts, and student responses. Methods: This research design was research and development (R & D) designby adapting the development of ADDIE (analysis, design, development, implementation, and evaluation) models.Application validation was carried out on one material expert, one media expert, and ten students of the Nursing Study Program. The technique sampling used purposive sampling. Results: The results showed that based on the material experts, the application got score 92,5% (very feasible). Based on the assessment of media experts this application got score 93,75% (very feasible). Meanwhile, according to student's response this application got score >75% (very feasible). Conclussions: This application should be used in blended learning especially in disaster nursing course. Thus, the nursing student learning motivation and achievment can increase.
Hemodialysis is performed on patients with end-stage renal failure routinely every 2-3 times a week for the patient's survival. However, many physical, psychological, and socio-economic problems impact patients due to routine hemodialysis. It certainly has an impact on the patient's quality of life. Self-efficacy is believed to affect the patient's quality of life. The purpose of this study was to determine the correlation of self-efficacy with the quality of life of chronic renal failure patients undergoing hemodialysis. This research was conducted in the Hemodialysis Room at Raden Mattaher Hospital with a total sample of 62 people. The side technique uses consecutive sampling. The measuring instrument used is SEMCD-6 which assesses self-efficacy and WHOQoL-Bref to assess the patient's quality of life. Data analysis using Spearman correlation. The results of the univariate analysis showed the mean self-efficacy score was (42.47±5.11). The highest mean score was found in the environmental domain (63.77±10.85), and the lowest average was in the physical domain (51.98±7.71). The bivariate analysis found that there was a positive correlation between self-efficacy and quality of life in the four domains (physical, psychological, social relations, and environmental domains) with a p-value <0.05 (R = 0.366-0.631). It shows that the better the self-efficacy, the higher the patient's quality of life. It is hoped that nurses can provide motivation and health education to patients and families to increase patient self-efficacy so that the patient's quality of life increases.
Almost all patients realize that the cardiovascular system is a very important part. When the heart begins to break down and its manifestations deteriorate, health will be threatened. In patients with heart failure an increase in manifestations can cause fear so that patients will express their fears in various ways including anxiety. This excessive anxiety will have an impact on poor sleep quality. This study aims to determine the relationship between anxiety level and sleep quality in CHF patients in the heart clinic at Raden Mattaher Hospital Jambi. This research a quantitative study a cross sectional approach. The sampling technique purposive sampling (n = 73). The statistical test used is the Spearman correlation test where this correlation is used to measure the relationship between two variables and find out the direction of the relationship. The instrument used in this study was quesionare PSQI (r = 0.741) to assess sleep quality and quesionare GAD-7 (r = 0.83) to assess anxiety levels. The results of this study showed the majority of respondents had mild anxiety as many as 35 people (47.9%) and poor sleep quality as many as 47 people (64.4%). The results of the Spearman rank test analysis p value = 0.004 <0.05, then there is a relationship between the level of anxiety and the quality of sleep. There is a relationship between anxiety level and sleep quality in CHF patients. For further research, it is expected to be able to use the results of the study as basic data in carrying out further research
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