bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN DUKUNGAN KELUARGA DAN PERAN KELUARGA DENGAN KECEMASAN PASIEN CKD YANG MENJALANI HEMODIALISIS (Di RSUD Syarifah Ambami Rato Ebu Bangkalan)
Authors: LUTFI MOHAMMAD , Nisa Sulfi Khoirun , Zuryaty Zuryaty , Mayangsari Mulia
Published: August 2024

Hemodialisis merupakan terapi pengganti ginjal yangmenggunakan selaput membran semi permeabel (dialiser) yang dapat mengeluarkan sisa-sisa metabolisme dan memperbaiki gangguan keseimbangan cairan dan elektrolit. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dan peran keluarga dengan kecemasan pasien CKD yang menjalani hemodialisis.
Penelitian ini dilaksanakan setelah mendapatkan Laik etik dari KEPK RSUD Syamrabu Bangkalan dengan No. Reg. 0014/KEPK/VII/2022. menggunakan desain Korelasipendekatan Cross Sectional. Variabel independen adalah dukungan keluarga dan peran keluarga. Sedangkan variabel dependen adalah kecemasan pasien CKD yang menjalani hemodialisis. Jumlah populasi 64 orang dengan sampel 55 orang yang diambil secara Purposive Samplingdan analisa data dengan menggunakan uji Spearman Rankdengan a = 0,05.
Hasil penelitian menunjukkan bahwadukungan keluarga pada pasien CKD yang menjalani hemodialisis mengalami kecemasan ringan dengan kategori cukup yaitu sebanyak 24 responden dengan presentase (43.6%) dan koefisiensi korelasi yaitu 405. Sedangkan peran keluarga pada pasien hemodialisis mengalami kecemasan ringan dengan kategori keluarga cukup yaitu 23 responden dengan presentase (41.8%) dan koefisiensi korelasi yaitu 465.
Salah satu strategi efektif untuk mengatasi kecemasan pada pasien CKD yaitu meningkatkan dukungan keluarga dan peran keluarga pada pasien CKD sehingga dapat menurunkan kecemasan pada pasien CKD.
Sehingga dapat disimpulkan bahwa ada hubungan dukungan keluarga dan peran keluarga dengan kecemasan pasien CKD yang menjalani hemodialisis di RSUD Syarifah Ambami Rato Ebu Bangkalan pada tahun 2022.
Hubungan antara Aktivitas Fisik dengan Kualitas Tidur pada Komunitas Lansia Di Kota Malang
Authors: Sari Vivi Andika , Yuliadarwati Nungki Marlian , Wardojo Sri Sunaringsih Ika
Published: August 2024

Latar Belakang: Lansia merupakan seseorang yang dimana telah mencapai fase akhir dari kehidupannya. Seiring bertambahnya usia seseorang akan mengalami penurunan fungsi pada tubuh seperti fisik, fisiologis, kognitif dan mental. Aktivitas fisik merupakan gerakan tubuh yang dihasilkan oleh otot rangka yang membutuhkan pengeluaran energi. Aktivitas fisik yang kurang pada lansia juga dipengaruhi oIeh umur, karena semakin bertambahnya usia kondisi fisik akan mulai berkurang. Aktivitas fisik membantu meningkatkan hormon endorfin seperti adrenalin, dopamin, dan serotonin yang dimana dapat mempengaruhi suasana hati yang rileks dan perasaan tenang. Efek relaksasi ini dapat mengakibatkan peningkatan pada kualitas tidur. Tujuan: Untuk mengetahui hubungan antara aktivitas fisik dengan kualitas tidur pada komunitas lansia di Kota Malang. Metode Penelitian: Desain penelitian menggunakan Cross Sectional dengan sampel berjumlah 70 orang dan menggunakan teknik Purposive sampling. Alat ukur aktivitas fisik menggunakan Global Physical Activity (GPAQ) dan alat ukur kualitas tidur menggunakan Pittsburgh Sleep Quality Index (PSQI). Hasil: hasil analisa data statistic menunjukan nilai sig. 0,000 (p<0,05) yang menandakan bahwa H1 diterima dan H0 ditolak dengan nilai koefisien kontingensi 0,707 yang menandakan korelasi yang kuat antara kedua variabel. Kesimpulan: Terdapat hubungan antara aktivitas fisik dengan kualitas tidur pada komunitas lansia di Kota Malang.
PENGARUH KONSUMSI DAUN BINAHONG TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: SYSTEMATIC REVIEW
Authors: Alifariki La Ode
Published: August 2024

Hypertension or high blood pressure is a medical condition characterized by increased contractions. Arteries that exceed 140/90 mmHg at rest are confirmed to have high blood pressure. Non-pharmacological treatment of hypertension can use herbal plants, such as binahong leaves. The purpose of this study was to determine the effect of giving binahong leaves on blood pressure in patients with hypertension. This study was limited from 2019 to 2023 and found 4 eligible articles sourced from the Google Scholar search engine with the keywords “Binahong, blood pressure AND hypertension. The results of the study reported that from 4 articles found binahong leaves was effective in lowering blood pressure in patients with hypertension.
PENGARUH TERAPI MUSIK KLASIK INSTRUMEN PIANO TERHADAP KUALITAS TIDUR PADA LANSIA DI PANTI WERDHA DAMAI RANOMUUT KOTA MANADO
Authors: Walanda Irwan Embang , Rondonuwu Peekie , Mandagi Esterlita
Published: August 2024

Abstract - Sleep quality in the elderly is a condition in which a person is unable to get adequate sleep, both in quality and quantity, with only short sleep or difficulty sleeping, generally 8-9 hours of good quality sleep normally. Classical music therapy, as well as the characteristics of classical music that cause relaxation in stress and blood pressure and muscles are classical music. The quantitative research method uses an experimental approach with one group pre-pest test design, with total sampling. There were 18 respondents who were elderly who lived in the Damai Ranoomut Nursing Home Manado. The study began April 2023. The results of the study using the Wilcoxon test obtained a significant value of 0.003, which is less than a = 0.05, meaning that there is an average difference between pretest and posttest, which means that there is an effect of classical piano music on improving sleep quality in the elderly. at the Damai Ranomut Werdha Home in 2023. According to research, this occurs due to the use/appropriate media in providing classical piano music therapy which is immediately played to the elderly 1 hour before going to bed.
HUMAN TRAFFICKING: APA ALASAN PELAKUNYA? SEBUAH STUDI FENOMENOLOGI DI LEMBAGA PEMASYARAKATAN (LP) WANITA KELAS III KUPANG KANWIL NUSA TENGGARA TIMUR
Authors: Feoh Fepyani Thresna
Published: August 2024

Abstrak
Provinsi Nusa Tenggara Timur merupakan salah satu derah kategori 3T yaitu Tertinggal, Terdepan, dan Terluar dengan pertumbuhan ekonomi yang masih tergolong rendah dan kebutuhan hidup yang sangat tinggi. Hal tersebut menjadi salah satu faktor yang mempengaruhi tingkat kriminalitas terkhususnya human trafficking atau perdagangan orang yang dilakukan oleh warga masyarakat termasuk kaum perempuan. Penelitian ini bertujuan untuk mengeksplorasi alasan narapidana pelaku human trafficking di Lembaga Pemasyarakatan wanita dalam melakukan tindakan human trafficking. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi interpretif. Pemilihan partisipan melalui purposive sampling, dan dilakukan wawancara mendalam pada lima orang partisipan. Hasil analisa data menggunakan Interpretative Phenomenological Analysis (IPA) ditemukan 3 tema yang menggambarkan keseluruhan alasan narapidana melakukan tindakan human trafficking yaitu keinginan untuk menolong orang lain, bertanggung jawab atas kebutuhan hidup keluarga, tidak ada pilihan lain selain mengikuti perintah pimpinan. Alasan tersebut menjadi suatu bahan pertimbangan terntentu bagi pemerintah daerah khususnya pemerintah provinsi NTT untuk memperhatikan lembaga atau instansi dan perorangan dalam perekrutan tenaga kerja yang akan bekerja baik di dalam negeri maupun di luar negeri. Kerja sama yang bersifat intervensi multisektoralpun penting dilakukan sebagai bentuk pencegahan meningkatnya kasus human trafficking dan masalah kesehatan khsusunya masalah psikologis yang disebabkan oleh kasus human trafficking tersebut.
PENGARUH PEMBERIAN EDUKASI BASIC LIFE SUPPORT (BLS) PADA KADER POSYANDU DALAM MENGHADAPI BENCANA DI WILAYAH KERJA PUSKESMAS PANGKAL BALAM KOTA PANGKALPINANG TAHUN 2022
Authors: Hasan Abdul Kadir
Published: August 2024

Natural disaster is a natural phenomenon that occurs directly or indirectly disrupts human life. In this case, natural disasters can cause losses to humans both materially, non-materially and even souls. The purpose of this study was to increase the knowledge, skills and preparedness of posyandu cadres regarding basic life support (BHD).
The research design used the Quasi Experiment Design method and the One Group Pretest-Posttest Design, with 1 treatment group. The number of respondents in this study were 30 people. This research was conducted at the Pangkal Balam Health Center, Pangkal Balam District, Pangkapinang City. The time for the research was conducted in October 2022. The subjects of this study were health cadres at the Pangkal Balam Health Center with work experience that was adjusted to predetermined criteria. Research data were analyzed using paired t test.
Based on the statistical test results, the researcher obtained several results, namely the correlation value that was carried out by respondents between the 2 variables (Pre and Post) which had a value of 0.428, meaning that the relationship was sufficient and positive. Continuing measurement of results Probability value/p value of Paired T test: Result = 0.123. Meaning: There is no difference between before and after treatment. Reason: The p value > 0.05 (95% confidence). So it can be concluded that there is no difference before and after the implementation of the respondents to the research on the effect of providing basic life support (BLS) education to posyandu cadres in dealing with disasters in the work area of the Pangkal Balam Puskesmas, Pangkal Pinang City in 2022.
It is hoped that it can increase the provision of information and education to increase knowledge and skills in basic life support (BHD) and the creation of a Disaster Response Posyandu considering the geographical location of the Pangkal Balam Health Center in the Port area of Palembang City
Hubungan Perilaku Menstrual Hygiene Management dengan Kejadian Pruritus Vulvae pada Wanita Usia Subur (WUS)
Authors: Fany Kinanti Resti , Munawarah Tampubolon Masrina , Herlina Herlina
Published: August 2024

Pendahuluan: Tidak sedikit wanita yang mendapatkan berbagai macam masalah pada Kesehatan reproduksinya ketika telah memasuki usia subur, salah satunya yaitu pruritus vulvae. Salah satu perilaku yang bisa dilakukan oleh seorang wanita untuk menghindari terjadinya pruritus vulvae ialah dengan perilaku Menstrual Hygiene Management. Penelitan ini bertujuan untuk mengetahui hubungan perilaku Menstrual Hygiene Management dengan kejadian pruritus vulvae pada Wanita Usia Subur (WUS). Metode: Penelitian ini menggunakan desain penelitian deskripsi korelasi dengan pendekatan cross sectional. Sampel penelitian ini adalah 99 responden yang diambil berdasarkan kriteria inklusi menggunakan Teknik purposive sampling. Analisis yang digunakan yaitu analisis bivariat menggunakan uji Chi-Square. Hasil: Hasil analisis menunjukkan ada hubungan perilaku Menstrual Hygiene Management dengan kejadian pruritus vulvae pada Wanita Usia Subur (WUS) dengan nilai p value = 0,000 atau < α = 0,05. Kesimpulan: Hasil penelitian menunjukkan ada hubungan antara perilaku Menstrual Hygiene Management dengan kejadian pruritus vulvae pada Wanita Usia Subur (WUS.
PENGARUH SISTEM PEMBAGIAN JASA MEDIK TERHADAP KEPUASAN KERJA TENAGA KESEHATAN DI UPT PUSKESMAS PANTAI CERMIN
Authors: Hutasoit Romauli , Wasliati Balqis , Bangun Sri Melda
Published: August 2024

Community Health Centers were the spearhead of health development in Indo-nesia, to increase awareness, willingness, ability to live for everyone so that op-timal public health degrees are realized, which are primarily responsible for im-plementing all health development efforts. The Social Security Administration Agency provides incentives in the form of medical services to health workers. This study aims to analyze the effect of the Medical Services Distribution System on the Job Satisfaction of Health Workers. This study used a qualitative method with a descriptive design. The main informants in this study were 6 health workers who worked at the Pantai Cermin Community Health Centers. The triangulation informants consisted of the treasurer and the head of the Pantai Cermin and Perbaungan Community Health Centers. The technique of checking the validity of the data uses a triangulation technique. The data analysis process used data reduction, data display and conclusion drawing/verification processes. This study found that the majority of health workers were dissatisfied with the system of providing medical services and were dissatisfied with their work in public health centers. There is an influence of the Medical Services Distribution System on the Job Satisfaction of Health Workers. The Community Health Center was expected to be able to provide understanding to health workers regarding the aspects that are assessed in calculating points for the amount of medical services, so that health workers do not only see attendance as a requirement, but also other aspects which include education, length of service and position.
Pengaruh Latihan Range Of Motion (ROM) Terapi Cermin Terhadap Kekuatan Otot Pada Pasien Stroke Non Hemorargik
Authors: Azizah Siti Nur , S R Monika Wulan
Published: August 2024

Non hemorrhagic stroke is a functional disorder of the brain caused by a blockage in the blood vessels (Junaidi, 2012). The World Health Organization (WHO) states that, as many as 20.5 million people in the world, 85% experience non-hemorrhagic strokes of the number of strokes that exist. Hypertension contributes 17.5 million stroke cases in the world. Post-stroke self-management is one of the therapeutic options that can be done by patients such as ROM (Range of Motion) Exercise (Selles et al., 2014). Apart from ROM exercises, mirror therapy is one of the post-stroke management which can also be done independently. The purpose is to describe nursing care by providing range of motion (ROM) exercise mirror therapy can increase muscle strength in non hemorrhagic stroke patients. This type of research uses a descriptive design. The subjects in this study were patients suffering from non-hemorrhagic strokes with a focus on the application of ROM (Range of Motion) mirror therapy exercises on muscle strength in non-hemorrhagic stroke patients. Data collection was carried out by interviews, observation and documentation. The process of analyzing and presenting data uses data collection techniques, data reduction, data presentation and conclusions. Giving mirror therapy range of motion (ROM) exercises in cases 1 and 2 increased muscle strength, which on the first day, muscle strength increased from 3 to 4 on the third day. Conclusion: The success of ROM (Range of Motion) exercises and mirror therapy in increasing muscle strength in non-hemorrhagic stroke patients.
HUBUNGAN PENGETAHUAN AKSEPTOR KB SUNTIK 3 BULAN (DMPA) DENGAN PERILAKU PENANGANAN EFEKSAMPING DI PUSKESMAS KLAKAH KECAMATAN KLAKAH LUMAJANG
Authors: Sari Iin Nur Indah , Hikmawati Nova , Wahyuningsih Sri
Published: August 2024

The success indicator of the family planning program is determined by the quality of service, one of which is the provision of quality counseling to both old and new acceptors. If counseling that can give knowledge to dissenters is lacking, it can cause problems one of the following is bad manners to manage birth control side effects. A growing knowledge of side effects can promote a positive attitude in dealing with those side effects (Yuliari, 2019). This study aims to determine the correlation between knowledge of 3-month injection family planning acceptors and the behavior of handling side effects. The research used analytic correlation with a cross-sectional approach model. The population in this study was all 3-month injector birth control in Klakah health center of the Mei-Juni as many as 32 patients. The sample used as many as 32 responders. The sampling technique used is total Sampling. This research data collection USES a questionnaire. Data processing techniques use editing, coding, scoring, and tabulating. Data analysis uses the chi-square). The results of the research by testing the correlation with Chi-Square showed that at a significant level of 0.05, the correlation was obtained with a probability number of P-Value Chi-Square = 0.005. The significant value of the two variables is 0.005 < 0.05, which means that P-Value Chi-Square (Ho is rejected and Ha is accepted), so it can be concluded that there is a correlation between knowledge of 3 months injectable family planning acceptors and behavior in handling side effects in the Klakah health center.
ANALISIS MANAJEMEN RESIKO DI RUANG FILING RUMAH SAKIT UMUM DAERAH ADE MOHAMMAD DJOEN KABUPATEN SINTANG TAHUN 2023
Authors: Herman Joni
Published: August 2024

Risk management is a logical and systematic method for identifying, quantifying, determining attitudes, determining solutions, and monitoring and reporting risks that occur in each activity or process. Officers may experience coughing and sneezing if they take or return medical record documents without wearing a mask due to the influence of dust and dirt. Objective: to find out risk management analysis in the filing room. Method: This type of qualitative research uses a descriptive approach. The research subjects were officers in the filing room and registration officers. Meanwhile, the research object is risk factors in the filing room. Results: Causes of damage to medical record documents are food, drink, fleas, termites, damp rooms and medical record documents should not be borrowed carelessly. In the filing room there are no stairs for medical records officers going in and out of the room without washing their hands first Conclusion: it is hoped that the hospital will know the factors that cause damage to medical record documents
Hubungan Riwayat Berat Badan Lahir Rendah, Frekuensi Diare, dan Lama Diare dengan Stunting pada Balita di Kabupaten Jember
Authors: Fatkuriyah Lailil , Fitriani Nafista Ulfia , Hidayati Ainul , Sukowati Umi
Published: August 2024

Latar Belakang: Prevalensi stunting di Kabupaten Jember hingga kini masih mengkhawatirkan dengan presentase kejadian 34.9% melebihi prevalensi stunting nasional dan jauh di atas ambang batas kesehatan masyarakat global. Tujuan: untuk mengetahui hubungan riwayat berat badan lahir rendah (BBLR), frekuesi diare, dan lama diare dengan stunting. Metode: Desain penelitian yang digunakan analitik observasional dengan pendekatan cross sectional. Jumlah responden yang terlibat sebanyak 163 ibu dan balita yang tercatat di 8 Posyandu Desa Sukosari Kecamatan Sukowono Kabupaten Jember dan dikumpulkan secara consecutive sampling. Tinggi badan balita diukur menggunakan microtoise dengan Tingkat ketelitian 0.1 cm. Riwayat berat badan lahir rendah, frekuensi diare dan lama diare didapatkan dengan wawancara langsung kepada ibu. Uji statistik menggunakan Chi Square Test dengan tingkat signifikansi 5%. Hasil: Terdapat 49 (30.1%) balita di lokasi penelitian yang mengalami stunting. Terdapat hubungan antara riwayat BBLR dengan stunting (p=0.036, CI95%=1.12-4.26). Sedangkan variabel yang tidak berhubungan dengan stunting yaitu frekuensi diare (p=0.674) dan lama diare (p=0.568). Kesimpulan: Salah satu pencegahan stunting yaitu mencegah bayi lahir dengan berat badan lahir rendah. Sehingga, edukasi pencegahan BBLR penting diberikan oleh perawat kepada ibu hamil agar bayi yang lahir tidak beresiko mengalami stunting.
Analysis of the Effectiveness of Marketing 4.0 Approaches and Customer Path Models to Increase Clinical Visits
Authors: Jannah Rohilatul , Soliha Soliha , Haniwijaya Tjokro Silvia
Published: August 2024

The development between hospitals in the digital era is getting more advanced day by day. Marketing 4.0 can be used as a method to increase clinic visits in hospitals. The study aims to analyze efforts to increase clinic visits through marketing 4.0 and analysis of of the effectiveness of Marketing 4.0 approaches and Customer Path Models to increase clinical visits. The cross-sectional analytic study was conducted in a single private hospital institution in East Java, Indonesia in pediatric health clinics, integrated services, and an effective hospital reach of 2 kilometers. 175 respondents consisting of 97.7% of respondents who know about child health clinics and/or integrated services, 87.7% of respondents who are interested in using these two services, 90.7% of respondents who seek information about these two services, and 90.7 % of respondents who use the child health clinic and/or integrated services by 74.3%. The results of in-depth interviews and focus group discussions with hos-pital leaders found that the use of social media was not maximal, the number of insurance companies that joined the hospital was not enough, a special community for children with special needs had not been formed, there were no mobile phone applications and online registration systems, and the system had not yet been integrated. comprehensive hospital management information. The customer path in both services is a funnel pattern, so the hospital must increase its commitment and affinity through omni-channel marketing, mobile application establishment, social CRM, and gamification.
Hubungan Perilaku Caring Perawat dengan Kecemasan pada Klien di Ruang Zaal Interna
Authors: Ayu Gadis , Saswati Nofrida , Dasuki Dasuki
Published: August 2024

Caring behavior towards clients by providing care both verbally and non-verbally and understanding the client's psychological condition, as well as providing appropriate information to help reduce the anxiety experienced by the client. Problems that can arise from hospitals are usually in the form of anxiety, a sense of loss, and fear of actions taken by the hospital, if these problems are not resolved it will affect psychosocial development. This research is a quantitative research using a cross sectional research design. The population in this study amounted to 744 respondents. The sampling technique Accidental Sampling uses a purposive sampling method, totaling 88 respondents. The research was carried out in the internal room at Nurdin Hamzah Hospital, East Tanjung Jabung Regency. And carried out from 26 June – 26 July until July 2023. Data was obtained using a questionnaire. Data analysis was carried out using univariate and bivariate analysis using the chi square test. Based on the results of statistical tests, it shows that there is a relationship between nurses' caring behavior and anxiety in patients in the Zaal Interna Room at Nurdin Hamzah Regional Hospital, East Tanjung Jabung Regency, with the statistical test results obtaining a p-value = 0.000 (<0.05). The results of the research show a relationship between nurses' caring behavior and anxiety in patients in the internal ward. Recommendations for hospitals to apply caring principles in providing nursing care to clients.
PENGARUH REBUSAN DAUN ALPUKAT TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: SYSTEMATIC REVIEW
Authors: Alifariki La Ode
Published: August 2024

Hypertension is one of the most common cardiovascular diseases and is the number 1 killer, so it needs treatment and prevention. Treating patients with natural ingredients can reduce family expenses and reduce the impact or negative effects of chemical treatments. The final results were collected as many as 13 articles that met the inclusion criteria. Various research results in this study provide a similar picture, namely a decrease in systolic and diastolic blood pressure after administering boiled avocado leaves.
PENERAPAN PIJAT OKSITOSIN UNTUK MENGATASI MASALAH KEPERAWATAN MENYUSUI TIDAK EFEKTIF PADA PASIEN POST SECTIO CAESAR DI RUANG OBSETRI RSUP DR.KARIADI SEMARANG
Authors: Setyorini Novi , Hastuti Witri
Published: August 2024

Background: Caesarean Section (CS) is an action carried out to give birth to a baby through surgery on the abdomen and uterine wall. The obstacles to breastfeeding that occur in postpartum caesarean section mothers are caused by postoperative pain that disturbs the mother's comfort and can inhibit the work of the posterior putative gland nerves that produce the hormone oxytocin which plays a role in the lactation process. Oxytocin massage is one of the solutions applied to overcome the lack of smooth breast milk. In addition, it is interpreted as a massage on the spine to the fifth-sixth costae bone to stimulate the oxytocin and prolific hormones after giving birth, the function of this massage is to increase the oxytocin hormone which can make the mother calm, so that breast milk will automatically come out Objective: to provide nursing care to post-Cesarean section clients with ineffective breastfeeding nursing problems by administering oxytocin massage.Method : using descriptive methods, namely case studies used on a group of objects Results: he problem of ineffective breastfeeding nursing experienced by Mrs. M and Mrs. C After oxytocin massage was performed, there was a change or increase in breast milk production in Mrs. M and Mrs. C. Suggestion: It is expected to be able to develop capabilities in the field of maternity health with non-pharmacological therapy, namely oxytoin massage in providing nursing care to postpartum mothers with ineffective breastfeeding problems.
PENGARUH FISIOTERAPI DADA TERHADAP PENGELUARAN SPUTUM PADA PASIEN ASMA BRONKHIAL DI RSD KRMT WONGSONEGORO SEMARANG
Authors: Indraswari Yulita , Sonhaji Sonhaji
Published: August 2024

Latar Belakang: Asma mengganggu jalan napas akibat adanya inflamasi dan pembengkakan dinding dalam saluran napas sehingga menjadi sangat sensitif terhadap masuknya benda asing yang menimbulkan reaksi berlebihan. Akibatnya saluran nafas menyempit dan jumlah udara yang masuk dalam paru-paru berkurang. Hal ini menyebabkan timbulnya napas berbunyi (wheezing), batuk-batuk, dada sesak, dan gangguan bernapas terutama pada malam hari dan dini hari. fisioterapi dada merupakan tindakan keperawatan yang dilakukan untuk membersihkan paru-paru dari sekret. Penelitian ini dilakukan pada pasien dengan  asma bronkhial. Sputum merupakan materi yang di ekspetorasi dari saluran nafas bawah oleh batuk, yang tercampur bersama ludah. fisioterapi dada dilakukan untuk membersihkan paru-paru dari sekret.Tujuan: Studi kasus ini bertujuan untuk untuk mengetahui pengaruh fisioterapi dada terhadap pengeluaran sputum dengan pasien asma bronkhial di RSD KRMT Wongsonegoro Semarang. Metode Penelitian: menggunakan metode deskriptif kasus pendekatan proses keperawatan meliputi pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi dan evaluasi. Subjek studi kasus berjumlah 2 pasien lansia pada pasien asma bronkhial dengan fisioterapi dada pengeluaran sputum pasien asma bronkhial RSD K.R.M.T Wongsonegoro Semarang. Hasil Penelitian: Setelah dilakukan fisioterapi dada selama 3 hari didapatkan hasil peningkatan pengeluaran sputum rata-rata + 5,5 ml. Kesimpulan: fisioterapi dada berpengaruh terhadap pengeluaran sputum pada pasien asma bronkhial
IMPLEMENTASI TAPID WATER SPONGEPADA ANAK DENGAN INDIKASI DEMAMDI UNIT ANAK
Authors: Febrianti Nelly , Isti D Elisabeth
Published: August 2024

Demam merupakan suatu kondisi dimana suhu tubuh mencapai lebih dari 37,5°C. Anak merupakan kelompok paling rentan terkena demam sebagai gejala awal pada berbagai penyakit khususnya penyakit infeksi di hampir semua daerah endemik.  Insidensi demam banyak terjadi pada anak usia 5-19 tahun. Tepid Sponge Water adalah sebuah teknik kompres hangat yang menggambungkan teknik kompres blok pada pembuluh darah supervisial dengan teknik seka bertujuan untuk menurunkan suhu tubuh. Metode yang dilakukan oleh penulis adalah melakukan tapid water sponge pada ketiga anak yang memiliki gejala demam dan usia yang berbeda. Hasil pengamatan pada ketiga pasien anak adanya pengaruh metode tindakan Tapid water sponge dalam meunrunkan demam pada anak. Saran diharapkan tidak melupakan terapi non farmakologi untuk menurunkan suhu tubuh anak dan metode TSW ini dapat dipertimbangan sebagai tindakan rutin untuk menurunkan demam
PENERAPAN TEKNIK RELAKSASI OTOT PROGRESIF PADA LANSIA PENDERITA HIPERTENSI DI RUANG FLAMBOYAN RST BHAKTI WIRA TAMTAMA SEMARANG
Authors: Kusumawati Linda , Sonhaji Sonhaji
Published: August 2024

Background: Hypertension or what is better known as high blood pressure is a condition where blood pressure is above the normal threshold. The first complaint that many blood pressure sufferers experience is headache, usually in the neck (nape). One of the non-pharmacological treatments that can be done for hypertension sufferers is progressive muscle relaxation to relax the mind and body parts such as muscles and return the condition from a tense state to a relaxed, normal and controlled state effect of providing progressive muscle relaxation techniques on reducing blood pressure and pain in hypertension sufferers. Method: a case descriptive method, a nursing process approach including assessment, nursing diagnosis, nursing intervention, implementation and evaluation. The case study subjects were 2 elderly patients in hypertensive patients at Tamtama Hospital Semarang.. Results: after progressive muscle relaxation for 3 days decreased systolic, diastolic and pain scale blood pressure, the average decrease in the client's blood pressure for systolic and diastolic pressure was 10 mmHg. Conclusion: progressive muscle relaxation on reducing blood pressure in hypertensive patients
Uji Aktivitas Antibakteri Ekstrak Etanol Bunga Telang (Clitoria ternatea) pada bakteri Staphylococcus aureus dan Escherichia coli
Authors: Prasasti Azmi , Fitria Lestari Ima , Anggraini Anita
Published: August 2024

Butterfly pea flowers have benefits in almost all parts of the plant. One of the secondary metabolites in butterfly pea flowers functions as an antibacterial. This research aims to determine the ability of butterfly pea flower extract as an antibacterial against Staphylococcus aureus and Escherichia coli bacteria. The extraction method used was maceration with 70% ethanol solvent. The largest diameter of the inhibitory zone for S.aureus bacteria was found at a concentration of 90% butterfly pea flower extract of 20.8 mm. likewise for E.coli, the largest inhibitory zone diameter at a 90% concentration of butterfly pea flower extract was 15.4 mm
Implementasi Edukasi Menyusui, Pijat Woolwich, dan Pijat Oksitosin pada Ibu Post Partum Terhadap Keadekuatan Suplai ASI
Authors: Rosa Eni Folendra , Harsanto Eka , Anggraini Shela
Published: August 2024

Menyusui eksklusif mendukung kesehatan bayi dan ibu. Namun, banyak ibu post partum mengalami kesulitan dalam menyusui karena ketidakadekuatan suplai ASI. Implementasi edukasi menyusui, pijat Woolwich, dan pijat oksitosin dipercaya dapat membantu mengatasi masalah ini. Penelitian ini menggunakan desain studi kasus deskriptif pada dua ibu post partum yang mengalami ketidakadekuatan suplai ASI. Kriteria inklusi mencakup ibu berusia 20-35 tahun dengan bayi berusia 2 minggu yang mengalami kesulitan menyusui. Intervensi yang diterapkan meliputi edukasi menyusui, pijat Woolwich, dan pijat oksitosin selama 6 kali pertemuan dalam periode 3 minggu. Data dikumpulkan melalui observasi dan instrumen penilaian. Hasil penelitian menunjukkan peningkatan signifikan dalam produksi ASI, perlekatan bayi pada payudara, dan kemampuan ibu memposisikan bayi dengan benar. Frekuensi miksi bayi lebih dari 8 kali dalam 24 jam meningkat, lecet pada puting menurun, serta kelelahan dan kecemasan maternal berkurang. Bayi tidur lebih nyenyak setelah menyusu. Studi kasus ini menyimpulkan kombinasi edukasi menyusui, pijat Woolwich, dan pijat oksitosin efektif meningkatkan keadekuatan suplai ASI pada ibu post partum. Intervensi ini membantu merangsang hormon prolaktin dan oksitosin, yang esensial untuk produksi dan pengeluaran ASI. Disarankan edukasi menyusui perlu terus diperkuat untuk meningkatkan pengetahuan dan keterampilan ibu, sementara pijat Woolwich dan pijat oksitosin dapat menjadi tambahan terapi yang bermanfaat untuk mengoptimalkan suplai ASI.
An analogue building block for signal conditioning instrumentation circuits
Authors: Spinelli Enrique M. , Haberman Marcelo
Published: August 2024

Analog signal conditioning frequently requires designing a specific
circuit for each case. For board-level design solutions, these circuits
are generally implemented by using Operational Amplifiers (OA) and
Instrumentation Amplifiers (IA). An Analog Building Block (ABB) that can
be implemented with three standard OAs is proposed. Using different
connection schemes and just adding a few resistors, it allows
implementing several analog circuits such as common-mode conditioners,
single-ended to differential and differential to single-ended
converters, voltage and current amplifiers, current-to-voltage and
voltage-to-current converters, among others. The proposed ABB is
analyzed and applied to several typical analog conditioning problems.
The design equations and experimental results for these circuits are
presented.
Penyuluhan dan Mentoring Rencana Bisnis BMK bagi UMKM di Desa Grajagan dan Bangsring
Authors: Muthmainnah Muthmainnah , Wulandari Putri , Najib Ahmad Ainun , Rachmawati Sela , Tiara Tiara , Efendi Riyanto
Published: August 2024

Bisnis model kanvas (BMK) adalah sebuah metode alternatif yang digunakan untuk mendapatkan perencanaan bisnis strategis dan pengambilan keputusan strategis yang perlu dilaksanakan agar suatu usaha dapat terus berkembang. Sayangnya, pelaku UMKM di Desa Grajagan dan Bangsring belum mengenal bisnis model kanvas untuk usaha mereka. hal ini disebabkan mereka hanya mengandalkan pengetahuan umum maupun pengetahuan turun-temurun dari orang tua dan sanak kerabat dalam menjalankan usahanya padahal persaingan dalam bisnis umkm saat ini semakin ketat sehingga diperlukan perencanaan bisnis yang baik. Mitra kegiatan penyuluhan dan mentoring rencana bisnis BMK ini adalah 30 pelaku UMKM di Desa Grajagan dan Bangsir dengan tujuan untuk meningkatkan literasi dan kemampuan pelaku UMKM mengenai rencana bisnis BMK. Kegiatan ini juga membantu ke 30 pelaku UMKM tersebut untuk mengenali potensi dan tantangan bisnis yang mereka hadapi. Metode yang digunakan berupa penyuluhan dan mentoring.  Berdasarkan hasil pre tes dan post tes saat penyuluhan 90% peserta mampu memahami rencana bisnis BMK. Perbandingan tingkat pemahaman peserta sebelum dan sesudah kegiatan meningkat dari rerata nilai 33,16 menjadi 90. Selain itu, selama mentoring 80% peserta puas dengan kegiatan mentoring. Dengan hasil ini para pelaku umkm direkomendasikan untuk mengimplementasikan rencana bisnis BMK untuk pengembangan usahanya yang berkelanjutan.
Counseling and Mentoring on Rencana bisnis BMK for UMKM in Grajagan and Bangsring Villages
The Bisnis Model Kanvas (BMK) is an alternative method used to obtain strategic rencana bisnisning and make strategic decisions that need to be implemented so that a business can continue to grow. Unfortunately, MSMEs in Grajagan and Bangsring Villages are not yet familiar with the canvas business model for their businesses. This is because they only rely on general knowledge and knowledge passed down from parents and relatives to run their business, even though competition in the MSME business is currently getting tougher, so good rencana bisnisning is needed. The partners for this BMK rencana bisnis outreach and mentoring activity are 30 MSME players in Grajagan and Bangsir Villages with the aim of increasing the literacy and ability of MSME players regarding BMK rencana bisniss. This activity also helped the 30 MSMEs to recognize the business potential and challenges they faced. The methods used are counseling and mentoring.  Based on the results of the pre-test and post-test during the counseling, 90% of participants were able to understand BMK's rencana bisnis. The comparison of participants' level of understanding before and after the activity increased from a mean value of 33.16 to 90. In addition, during mentoring 80% of participants were satisfied with the mentoring activity. With these results, MSME players are recommended to implement the BMK rencana bisnis for sustainable business development.
Indication and Outcome of Re-laparotomy Following Cesarean Section
Authors: Tasmin Shahi Farzana , Begum Monira , Ahmed Neaz , Yesmin Nilufa , Khatun Most. Safura , Ferdousy Hasina , Dus Madhabi , Ara Most. Iffat
Published: August 2024

Introduction: Cesarean section is the most commonly performed operation in obstetric practice to circumvent maternal complications. Re-laparotomy after cesarean section (C/S) is considered a near-miss fatality situation. Emergency laparotomy has inherent complications culminating in significant morbidity and mortality. This study aimed to evaluate indications and outcomes of re-laparotomy after cesarean section. Methods: This longitudinal study was carried out at the Department of Obstetrics & Gynaecology, in Rangpur Medical College Hospital from July 2019 to June 2020. A total of 30 patients were selected as study subjects by purposive sampling method. All data were collected using a pre-formed questionnaire. The collected data were compiled and findings were presented in the form of tables and graphs. Appropriate statistical analysis of the data was done using a statistical package for social science (SPSS, version 23.0). Result: The most common indication of re-laparotomy in this study was primary postpartum hemorrhage 14 (46.7%) followed by secondary PPH 7 (23.3%), rectus sheath hematoma 6 (20.0%), and septicemia or pelvic abscess 3 (10.0%). Regarding procedures performed at re-laparotomy, a maximum of patients 23 (76.7%) had total abdominal hysterectomy followed by drainage of sub-rectal hematoma 6 (20.0%) and drainage of pus 1 (3.3%). Concerning outcome, there were 2 (6.7%) maternal deaths following re-laparotomy caused by shock following cardiac arrest, and PPH. Conclusion: The re-laparotomy rate following C/S was 0.96% due to uncontrolled primary PPH, rectus sheath hematoma, and secondary PPH. In this study, re-laparotomy after C/S was associated with a case fatality rate of 6.7%.
Understanding Traditions for Managing Indian Patients during Pregnancy and Post-Partum
Authors: Tyagi Dr. Shefali , M Dr. Gauthami , Tyagi Ritisha
Published: August 2024

Introduction The Indian society is a traditional society following many customs during pregnancy and post-partum. The study is around understanding the cultural beliefs of educated Indian women around childbirth, prevalent in the society. Since Indians are living in different countries, the understanding of such customs can make it easier for obstetrician or mid wife to treat such couples and also give relevant information around the belief. 196 women were given an online survey in English to fill post-partum to document the common beliefs. The questions asked tried to understand background of the patient (age, education, occupation, no of children) and also included questions about common customs and traditions practiced during pregnancy and post-partum. The common Indian traditions were highlighted which are followed post partum and during pregnancy. The study concluded some harmful practices still in use can be discouraged and pregnancy is a good opportunity to counsel the couple about scientific evidence based practice and not just myths. Good practices can be carried on. • What is already known on this topic – Indians have a strong, cultural and traditional practices around child birth. Understanding these practices helps the midwife/Obstetrician in promoting good and healthy practices • What this study adds – The practices in pregnancy and post-partum in educated urban population of India. Many Indians are residing in The UK, The USA and other countries. It helps understand traditional beliefs during pregnancy and post-partum for smoother nine months. • How this study might affect research, practice or policy Around 386 thousand Indians reside in The UAE making it around 38% of population. Hence its important to be aware of cultural practices of the population.
Diagnóstico e tratamento da asma: uma revisão de literatura
Authors: Campos Moraes Guimarães Ana Carolina , Nascimento Ribeiro Filho Maurício , Paulo Silva Ana Clara , De Almeida Cunha Júlia , Tavares da Silva Neto Josemar , Rayanne Fernandes de Paula Lays , Costa da Cunha Lucas , Henrique Campos Martins Gustavo , Luiza Ribeiro Aline , Gonçalves Araújo Isa Vitória , Gonçalves Araújo Maria Fernanda , Bonamim Fiorilli Roberta , Rodrigues de Carvalho Natália
Published: August 2024

Este artigo tem por objetivo avaliar os aspectos clínicos da asma realizada nos últimos cinco anos. Revisão integrativa no banco de dados da BVS, LILACS, SciELO, PubMed de trabalhos publicados entre 2020 e 2024, combinando os descritores "asma", "diagnóstico" e "tratamento".  A asma brônquica é uma doença caracterizada por inflamação difusa das vias respiratórias, desencadeada por diversos estímulos deflagradores, que resulta em broncoconstrição parcial ou completamente reversível. Conclui-se que o diagnóstico com base na história, no exame físico e nos testes de função pulmonar. O tratamento envolve controle dos fatores deflagradores e terapia medicamentosa, mais comumente com a inalação de agonistas beta-2 e corticoides.
Prevalência de Desordens de Peso Corporal Durante o Climatério: Um Estudo de Padrões e Fatores Associados
Authors: Da cruz Noan , Costa de Andrade Beatriz , Amanda Almeida Alves Claudineia , Dos Santos carvalho Ruth Gorete , Da Silva Costa Maria Luiza , Jacinto Lucena de Morais Maria Paula , Alencar Oliveira Isadora , Campos Pontes Marcelo , Feitosa de Araújo Ívina , MENDES SOUSA NETO LUIS
Published: August 2024

O climatério é uma fase de transição natural na vida da mulher, caracterizada por alterações hormonais que marcam o fim da vida reprodutiva e o início da menopausa, geralmente começando por volta dos 40 anos e estendendo-se até os 60 anos. Durante esse período, ocorrem mudanças significativas no peso corporal e na distribuição de gordura, com aumento na prevalência de sobrepeso e obesidade, associadas à diminuição dos níveis de estrogênio, que afeta o metabolismo lipídico e a regulação do apetite. A redistribuição de gordura, especialmente a visceral, está ligada a um maior risco de doenças crônicas como diabetes tipo 2, hipertensão e doenças cardiovasculares. Além dos fatores biológicos, hábitos alimentares, níveis de atividade física e aspectos psicossociais, como depressão e ansiedade, desempenham papéis cruciais no controle do peso. A revisão da literatura mostra que a prevalência de sobrepeso e obesidade durante o climatério é elevada e está associada a fatores como uso de medicamentos e dietas inadequadas. Para melhorar a saúde e qualidade de vida das mulheres durante essa fase, é essencial adotar uma abordagem integrada e multidisciplinar que considere aspectos hormonais, comportamentais e psicossociais.
A Importância da Lactação Exclusiva no fator de Prevenção de Câncer de Mama
Authors: Araújo Silveira Tatiana Assis , Oliveira Azevedo Gabriel , Ítalo Boaventura Mendes Batista  , Laura Medeiros Costa  , Wainnye Marques Ferreira  , Thais Greco Cataldo Maria  , Letícia Oliveira Cassimiro Dias Nascimento  , Deise Silva Carvalhaes  , Karolyna Matos Silva Aires  , Clara Costa Leite  , Mateus Guilherme Santos Nogueira
Published: August 2024

OBJETIVO: Descrever a importância da lactação exclusiva no fator de prevenção do câncer de mama. MÉTODO: A pesquisa é uma revisão integrativa, realizada com base na seguinte pergunta norteadora: Qual a importância da lactação exclusiva no fator de prevenção do câncer de mama?  Sendo utilizada a estratégia PICO, para a realização dessa pergunta, em que “p” população: Mulheres, “I” interesse: Avaliação da importância do aleitamento materno quanto ao câncer de mama, e “C” e “O” contexto: Descrição da importância do aleitamento materno quanto ao câncer de mama. Utilizou-se a busca avançada por meio da Biblioteca Virtual em Saúde (BVS), cruzando os descritores por meio dos operadores booleanos “AND” e “OR”.   RESULTADOS: Por meio da pesquisa avançada, obteve-se 187 artigos, dentre esses artigos 5 deles compõe esta pesquisa, o que resultou em duas categorias, sendo elas: A importância da amamentação na prevenção do câncer de mama; e fatores de risco para o câncer de mama e benefícios do aleitamento. CONCLUSÃO: É importante o apoio profissional durante a amamentação e gravidez, para acolher e conscientizar a família e puérpera sobre a importância da lactação exclusiva, sanando as dúvidas e enfatizando a prevenção do câncer de mama.
Adenocarcinoma gástrico: uma análise dos impactos da gastrectomia parcial + Y de Roux
Authors: Janaína do Vale Lopes  , Bárbara Rejane Corrêa Ribeiro  , Heloana Morano Pereira  , Giovana Agrella Resende  , Yaskara Harumi Kato
Published: August 2024

O adenocarcinoma gástrico representa aproximadamente 90% dos casos de câncer gástrico. A gastrectomia parcial, um procedimento cirúrgico onde parte do estômago é removida, visa remover a maior quantidade possível do tumor e preservar a função gástrica restante. Em muitos casos, essa cirurgia é seguida de uma reconstrução do trato digestivo utilizando a técnica de Y de Roux. Esta técnica cria um desvio no intestino para permitir que o alimento passe sem passar pelo segmento do estômago removido. Essa abordagem pode ter impactos significativos na qualidade de vida dos pacientes, levando a alterações na digestão e absorção de nutrientes. Os pacientes podem experimentar dificuldades na digestão e necessitar de ajustes na dieta e na suplementação nutricional. Trata-se de uma revisão sistemática da literatura, a qual investigou sobre o adenocarcinoma gástrico e o processo de ressecção cirúrgica, associada com reconstituição por técnica de Y de Roux, pela coleta de dados nas plataformas PubMed, LILACS, Periódicos CAPES, EMBASE e Scielo, dos últimos 5 anos. Assim, s achados sugerem que a reconstrução em bolsa J e técnicas como a gastrojejunostomia longa em Y-de-Roux podem oferecer benefícios específicos, particularmente em termos de controle da síndrome de dumping e diabetes tipo 2. No entanto, a variabilidade nos resultados e a qualidade das evidências disponíveis indicam a necessidade de mais estudos rigorosos e prospectivos para avaliar com precisão a eficácia e segurança dessas técnicas. A realização de ensaios clínicos mais robustos e estudos com maior duração será crucial para definir diretrizes clínicas definitivas e otimizar as abordagens de reconstrução para pacientes submetidos à gastrectomia total.
MANUSEIO PERI-OPERATÓRIO DO PACIENTE EM USO DA AMIODARONA
Authors: Lizanka Dias Abrantes  , Bruno Mattos Lobo de Almeida  , Maria Eduarda Carvalho Rezende  , Roméro Bravo Rodrigues  , Thayná Vattimo Carbalheda da Silva  , Ana Beatriz Arruda Arantes  , Kenya Corrêa Rosa  , Leandro Alves da Cunha  , Talita de Oliveira Cardoso  , Rafael Guedes de Lira  , Ana Sabrina Coelho de Oliveira  , Ilana Francisca de Sousa Araújo  , Jhullyana Rocha Silva  , Raisa Amorim Horsth  , Iuri Milhomens Almeida  , Maria Paula Cury Molinar  , Isabelle Suassuna Alencar  , Manuela Estrela do Ó Lacerda  , Dayana Magalhães Viana  , João Heitor De Oliveira Fernandes  , Lahuan Araujo Costa  , Júlia Gaspar Calzolari  , Maria Paula Cury Molinar
Published: August 2024

A amiodarona é amplamente utilizada para o manejo de arritmias, especialmente em contextos perioperatórios, devido à sua eficácia na prevenção de fibrilação atrial pós-operatória (POAF). No entanto, seu impacto sobre os desfechos cirúrgicos e a minimização de riscos não é completamente compreendido. Este artigo apresenta como objetivo avaliar as estratégias de manejo perioperatório para pacientes em uso de amiodarona, com foco em garantir desfechos cirúrgicos otimizados e minimizar riscos. Foram utilizadas as seguintes bases de dados científicas: Scopus e PubMed, para a seleção dos artigos, como o uso dos unitermos em língua inglesa: “Perioperative Management, Amiodarone, Patient Care, Surgical Safety”. Conclui-se que  a amiodarona é eficaz na redução da fibrilação atrial pós-operatória e pode melhorar os desfechos cirúrgicos, especialmente em cirurgias cardíacas e pulmonares. No entanto, seu impacto nas arritmias intraoperatórias é limitado, e sua eficácia depende de um manejo personalizado e monitoramento rigoroso. Apesar dos benefícios, a amiodarona pode causar efeitos adversos, como hipotensão e prolongamento do intervalo QT. Portanto, é essencial ter protocolos bem definidos e continuar a pesquisa sobre dosagens e métodos de administração para otimizar os resultados e minimizar riscos.