Diabetes Melitus (DM) adalah suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin atau aktivitas insulin. Salah satu komplikasi dari Diabetes Melitus Tipe 2 yang mempengaruhi sistem saraf perifer yaitu Peripheral Arthery Disease (PAD) merupakan suatu kondisi dimana terdapat terdapat lesi di pembuluh darah sehingga menyebabkan aliran darah dalam arteri yang mensuplai darah ke ekstermitas menjadi terbatas. Senam kaki diabetes dapat membantu sirkulasi darah dan memperkuat otot-otot kecil kaki dan mencegah terjadinya kelainan bentuk kaki. Sikulasi darah pada daerah kaki dapat diukur melalui pemeriksaan non invasive salah satunya adalah dengan pemeriksaan ankle brachial index. Penelitian ini bertujuan untuk menguji Pengaruh senam kaki Diabetes Terhadap Ankle Brachial Index Pada Pasien DM Tipe. Jenis penelitian ini merupakan eksperimenental studies dengan pre test dan post test. Sampel penelitian ini sebanyak 10 orang dengan teknik purposive sampling. Hasil penelitian rata-rata ankle brachial index pasien setelah pemberian terapi senam kaki mengalami peningkatan dengan nilai ABI sebelum pemberian terapi senam kaki (pretest) sebagian besar tergolong berat yaitu 4 responden (40%) meningkat menjadi normal sebanyak 5 responden (50%) setelah diberikan terapi senam kaki (posttest). Dan dari hasil t hitung sebesar 4.714, hal ini diketahui bahwa nilai t hitung lebih besar dari t tabel (4.714>1.833), yang berarti H0 ditolak dan Hα diterima, sedangkan nilai p=0.001 lebih kecil dari tingkat kemaknaan α=0,05 hal ini menunjukan ada perbedaan yang bermakna antara ankle brachial index sebelum dan sesudah pemberian terapi senam kaki.
Fainting usually occurs suddenly, syncope can be caused due to too long in the hot sun. Syncope can also be caused by external diseases (weather, wind, heat) or emotional or shocking diseases. The purpose of this study was to determine the effect of health education by the audiovisual method on first aid knowledge in students who experienced syncope in Delitua 1 Public High School. This research method is Pre Experimental with the research design used by One Group Pre Test Post Test. The sampling technique uses Systematic Random Sampling with a sample of 65 students. The results of the study using the Wilcoxon test (The Signed Rank Test) obtained a significant value of 0.013 <0.05. The conclusions of the results of this study indicate that there is an effect of health education by the audiovisual method on first aid knowledge in students who experience syncope in Delitua 1 Public High School.
Objective: Stoma is a surgical procedure commonly used for the treatment of colorectal cancer patients, this will affect the patient's sexuality problems. This research study with qualitative and quantitative research designs published between 2008 to 2018 in English articles. Methods: PubMed, EBSCO, and Google Scholar, are sought to evaluate the risk of sexual dysfunction in colorectal cancer patients with stoma. Results: Research that has been explored in nine consists of mixed methods case control, case control retrospective study, systematic review, phenomenology study, multiple logistic regression, prospective descriptive study, longitudinal study, cross sectional design, descriptive comparison study. Most of the findings of the study show that sexual dysfunction is a problem of concern. Conclusions: evaluating sexual dysfunction problems in colorectal cancer patients with stoma, are the basic essence of nursing intervention. Health care professionals must be more aware of the problems of risk factors for sexual dysfunction experienced by patients after making stoma, so that services and treatments performed are more optimal.
Breast cancer is an abnormal cell division in the breast that cannot be controlled so that it spreads quickly. Pain is a factor that contributes to the emergence of fatigue in cancer patients, and has the potential for treatment. Chronic pain is a major healthcare problem for patients with cancer and a major treatment for cancer. Patients will often feel pain during illness or after following chemotherapy. This study aims to determine the relationship between chemotherapy actions and the incidence of muscle pain in breast cancer patients at Sembiring Deli Tua Hospital in 2022. This study used quantitative correlation using a cross sectional approach, the number of samples in this study was 30 people with total side technique. , data collection using research instruments, for independent variables using medical records, and the dependent variable using a Numeric Rating Scale (NRS) questionnaire and observation sheets. The results showed that from 30 respondents. Based on the results of statistical test analysis using the Chi square test with a p-value of 0.028, the p value <0.05. These results indicate that Ha is accepted. Thus, it can be concluded that there is a significant relationship between chemotherapy action and the incidence of muscle pain in breast cancer patients at Sembiring General Hospital Deli Tua in 2022.
Acute Myocardial Infarction (AMI) also known as cardiac arrest, coronary occlusion, or simply coronary, is a life-threatening condition characterized by the formation of localized necrotic areas within the myocardium. Anxiety is the strongest predictor of disease. To reduce one's anxiety, it is necessary to have the ability to accept a process of change. A person in a conscious and not anxious state is able to make someone accept what is experienced. Acceptance will make a good psychological change, so good acceptance will make a positive change of mind. One that is very influential on the psychological state of patients with heart disorders so that they will be able to change the patient's coping patterns in dealing with illness and living their lives is the emergence of anxiety. All clients are prone to feelings of anxiety when they seek help with health problems. Easy and appropriate nursing interventions are needed in AMI patients to help reduce anxiety in supporting patient recovery. Community service providing education and progressive relaxation techniques to the level of anxiety of myocardial infarction patients are patients who are treated at RSUD Dr. Pirngadi Medan. Anxiety is closely related to feelings of uncertainty and helplessness, this emotional state has no specific object. Anxiety is different from fear. From the analysis of five articles on independent nursing interventions to reduce anxiety in AMI patients, it is concluded that aromatherapy interventions are very effective in helping reduce anxiety in AMI patients. The results of the study can be considered nursing interventions to reduce anxiety in AMI patients by providing education and progressive relaxation techniques
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