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Kategori Berita | Diposting pada : 2015-01-22 -|- 11:50:00 oleh Admin
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Perbedaan Perkembangan Motorik Halus Anak Usia 3 - 4 Tahun di PAUD dan non PAUD Di Desa Tulungrejo Kecamatan Pare


 Dwi Setyorini, Singgih


Perkembangan motorik halus adalah perkembangan ketrampilan fisik menggunakan keserasian otot - otot kecil dan koordinasi mata - tangan. Salah satu faktor yang sangat mempengaruhi perkembangan motorik halus anak adalah peran orang tua dalam pemberian stimulasi pada anak yang tepat dan optimal. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan perkembangan motorik halus anak usia 3 - 4 tahun di PAUD dan non PAUD. Desain yang digunakan dalam penelitian ini adalah analitik komparasi. Variabel independen adalah anak usia 3 - 4 tahun yang berada di PAUD dan non PAUD sedangkan variabel dependennya adalah perkembangan motorik halus, dengan populasi anak usia 3 - 4 tahun di Desa Tulungrejo Kecamatan Pare pada bulan Oktober 2010 sejumlah 30 responden dan 29 responden berada di PAUD, besar sampel 18 responden dengan teknik purposive sampling dan menggunakan uji T sampel bebas. Dari hasil uji Statistik didapatkan t hitung 5,97 dengan N=16 dan t tabel = 1,75. Dengan demikian t hitung lebih besar daripada t tabel maka  diterima artinya ada perbedaan perkembangan motorik halus anak usia 3 - 4 tahun di PAUD dan non PAUD. Dari hasil penelitian menunjukkan bahwa faktor yang mempengaruhi perkembangan motorik halus anak usia 3 - 4 tahun yang di PAUD lebih baik  karena diberikan banyak stimulasi sehingga anak dapat mengembangkan ketrampilan dan kecerdasan otaknya. Kesimpulan hasil penelitian berarti ada perbedaan perkembangan motorik halus anak usia 3 - 4 tahun di PAUD dan non PAUD. Sehingga diharapkan untuk meningkatkan perkembangan motorik halus anak usia 3 - 4 tahun sebaiknya diberikan stimulasi asecara optimal salah satu caranya adalah di masukkan ke dalam PAUD


Kata kunci : Perkembangan, Motorik Halus, PAUD


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Intervensi kolaborasi resusitasi cairan melalui IVFD dengan masalah kekurangan volume cairan pada kasus Gastro Enteritis dengan pendekatan teori model Ernestin Wiedenbach  di IGD RS HVA Toeloengredjo Pare


Dwi Setyorini


Gastroenteritis termasuk salah satu penyakit yang gawat. Masalah yang sering muncul pada penderita Gastro Enteritis adalah kurangnya volume cairan yang akan menyebabkan dehidrasi sehingga penderita perlu mendapat perawatan yang cepat. Pemberian IFVD merupakan pilihan yang tepat khususnya pada Gastro Enteritis dengan dehidrasi berat dan dehidrasi sedang yang tidak efektif dengan pemberian cairan melalui oral. Salah satu model teori keperawatan yang dikan untuk menangani kondisi kegawatan yang dialami pasien adalah teori yang dikemukakan oleh Ernestin Wiedenbach . Pada teori ini ditekankan reflek dari seorang perawat dalam menangani kondisi klien. Tujuan dari penulisan ini adalah untuk mengaplikasikan intervensi kolaborasi resusitasi cairan melalui IVFD dengan masalah kekurangan volume cairan pada kasus Gastro Enteritis dengan pendekatan teori model Ernestin Wiedenbach  pada dua pasien di IGD RS HVA Toeloengredjo Pare.


Kata Kunci : resusitasi cairan, IVFD, Gastro Enteritis, Ernestin Wiedenbach


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Impact Habits of Watching TV with Social Interaction Ability in Children  5-6 Years old in Regional District of Pare Kediri.


Farida Hayati, Dwi Setyorini


STIKES Karya Husada Kediri


 Television viewing habits can be said as the level of frequency of watching television, frequency and duration of television viewing. So could lead to the child's social interaction skills be reduced. This study aims to prove the impact of television viewing habits with social interaction skills in children 5-6 years old in Regional District of Pare Kediri. This study used a descriptive correlational design with cross sectional approach. The population was of school children in Regional District of Pare Kediri. Samples 70 children, were taken using cluster random sampling technique. Data collection using interviews and check list then analyzed using Spearman Rho with α = 0.05. The results of research by Spearman rho analysis results obtained r = -0.479, ρ = 0.000, so television viewing habits impact the ability of social interaction. Children will be more fun to watch television and the social interaction to get worse when there is no time limit when watching television, there are no other games for children and children are not included in activities outside the home. The more often children watch television, the worse the child's social interaction. Poor social interaction skills tend to be influenced by television viewing habits, so it was suggested parents should selectively choose the right event for children, limit time, controlling and assisting and discuss or provide an explanation of the content of the program took place.


Keywords: Watching TV, Social Interaction, Children  5-6 Years old


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THE EFFECTIVENESS OF INTRAVENOUS ADMINISTRATION OF METAMIZOLE INJECTION  BY ACCELERATING THE FLOW OF INFUSION TO PAIN DURING INJECTION IN HVA TOELOENGREDJO’S HOSPITAL


Dwi Setyorini, Farida Hayati


STIKES Karya Husada Kediri


Parenteral therapy through an IV catheter often causes pain, one of which Metamizole drug classes. Various attempts were made by nurse to reduce the pain when the injection. One of the attempts to modify the dilution method by accelerating the flow of infusion can be used to reduce pain during injection. The purpose of this study was to determine the effectiveness of intravenous administration of metamizole injection  by accelerating the flow of infusion to pain during injection. The design used in this study is Quasy Experiment. The population was patients receiving intravenous therapy Metamizole through an IV catheter in HVA Toeloengredjo’s Hospital. Study sample were 30 respondents using accidental sampling technique with a statistical test Wilcoxon Match Pairs Test. Statistical test results obtained P value of 0.000 with α of 0.05, indicating that the administration of intravenous injection Metamizole by accelerating the flow of infusion effectively decrease pain during injection. Pain during injection can be caused by too rapid administration, less dilution, pH and chemical irritants. Given modification of dilution by the accelerating The flow of infusion effectively reduce pain and efficient in terms of time and cost, so it is advisable to apply at the time of injection of Metamizole through an IV catheter to reduce pain during injection.

Keywords: intravenous injection, Metamizole, pain


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Differences of Hemoglobin Levels when Not Menstruation with Menstruation in Adolescents 18-21 Years in Program Study of Nursing, STIKES of Karya Husada Kediri


Dwi Setyorini, Moch.Maftuchul Huda, Shelfi D.R. Putri S


Menstruation is a periodic excretion of blood and body cells from the vagina that comes from the uterus. Excretion of blood from the body, such as menstruation is one of the factors that cause the occurrence of Hb. Therefore this research is intended to find differences of hemoglobin levels when not menstruation with menstruation in adolescents 18-21 years Program Study of Nursing, STIKES of Karya Husada Kediri.This research used comparative research design with the independent variables was menstrual cycle and the dependent variable was hemoglobin levels. The population in this research was 40 respondents with sample 18 respondents using purposive sampling technique. The data analysis used paired two-sample t test with computerization(α 0,05). Result of this research showed that there are differences hemoglobin levels when not menstruation with menstruation with P value: 0.000, with difference in hemoglobin value is 0,40893-0,61329 gr%. Decrease in hemoglobin concentration occurs due to blood loss during menstruation, in addition to the intake of food and supplements blood booster/ Fe is less balanced. Conclusion that there was decrease in hemoglobin levels during menstruation compared to hemoglobin levels when not menstruating. So need for attention from various parties, especially the young women to pay attention to hemoglobin levels, especially during menstruation, in a way to meet adequate nutrition such as the consumption of green vegetables, milk, side dishes (such as eggs, meat), and additional supplements of blood or Fe, if we need.


Keywords: Hemoglobin, adolescence, menstruation.


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THE EFFECT OF GIVING AN EXTRACT CHINA CABBAGE (BRASSICA PECKINENSIS) TO THE WHITE RAT (RATTUS NORVEGICUS) WHEN BLEEDING TIME.


Dwi Setyorini


Wound is continuity damage  of the skin, the mucous membrane and bones or the other organs of body. When handle the wound healing, should be quickly and exactly because  it can cause another complication for wound. One of the common complication which almost occur is bleeding, bleeding is a normal condition that occurs when there’s a trauma. This research was conduct to prove the effect of giving an extract China Cabbage (brassica peckinensis) to the white Rat (rattus norvegicus) when bleeding time. This research using a post-test only control design. The sampling method which using in this research was purposive sampling. The samples which used were 20 white rats which divided into 2 groups,  the control’s group were used 10 white rats and 10 other white rats used for the group treated with a dose of 0,76 grams of  an extract china cabbage/0,5 ml. The statistics’ test in data processing using T test two independent samples with heterogeneous variance which has a significance level of α = 0,01. The results of the analysis of T test two independent samples with heterogeneous variance obtained thitung 3,364 > ttable 2,552 with a difference time of 3,13 both groups. It shows the effect of an extract china cabbage (brassica peckinensis) on bleeding time to the white rat (rattus norvegicus). In china cabbage contained of  vitamin K which can help to activate frozen blood factors such as factor II, VII, XI and X. The bleeding time fastly stop by using an extract china cabbage rather than those not given an extract china cabbage. Based on the result  above, it is  indicate that the giving of vitamin K of china cabbage can accelerate the  bleeding time of white rat, so the writer  hope that based on  the result of this study, it can be used as a next  reference for the general public in using a china cabbage for health in their daily lives and also give more attention on the effect of giving an extract china cabbage on wound. More over, the genetic traits of white rat is almost same as the human being so it is not too risk to give an extract china cabbage for human's wound but should be adjust with the doses and the amount of bleeding which occurs.


Keywords : Bleeding , Chicory Extract , Bleeding Time


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Hubungan  berat badan dengan masa pulih sadar pada pasien bedah Sectio Caesar dengan anestesi Halotan di Recovery Room Rumah Sakit Islam Al Arafah Kediri.


Dwi Setyorini


Padahal pada wanita hamil terjadi peningkatan berat badan yang signifikan. Jaringan lemak mempunyai kapasitas yang besar untuk menyimpan obat anestetik sehingga obat anestetik tidak bisa segera diekskresikan. Lamanya proses ekskresi obat anestetik oleh tubuh dapat memperpanjang pengaruh anestesinya sehingga memungkinkan terjadinya perpanjangan masa pulih sadar pasca bedah. Tujuan penelitian ini untuk mengetahui adanya hubungan  berat badan dengan masa pulih sadar pada pasien bedah Sectio Caesar dengan anestesi Halotan di Recovery Room Rumah Sakit Islam Al Arafah Kediri. Metode penelitian yang digunakan adalah korelasional dengan tehknik Accidental sampling dengan sampel 10 ibu hamil yang dilakukan operasi Sectio Caesarea. Alat ukur untuk mengetahui berat badan dengan menggunakan Indeks Masa Tubuh (IMT) sedangkan untuk mengetahui masa pulih sadar dengan cara observasi, kemudian dianalisis dengan uji Spearman. Hasil penelitian didapatkan ada hubungan anatar berat badan dengan masa pulih sadar dengan t hitung 2, 93 > t tabel 1,86 ; α = 0,05. Berat badan dengan kadar lemak tinggi akan memperpanjang waktu yang diperlukan untuk mencapai keadaan sadar setelah pemberian anestesi. Hal ini dipengaruhi faktor lain seperti Suhu tubuh dan keadaan lingkungan juga dapat mempengaruhi proses metabolisme tubuh. Disarankan untuk memperhitungkan berat badan sebagai pertimbangan penentuan dosis anestesi.


Kata Kunci : Berat badan, masa pulih sadar, sectio caesarea


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MICE LIGATED ILEAL LOOP (MLIL) TECHNIQUE FOR IDENTIFICATON PROTECTIVITY PROTEIN ADHESIN SUB UNIT PILI Shigella dysenteriae 7,9 kDa and 49,8 kDa (AS A BASIS FOR SHIGELLOSIS VACCINE DEVELOPMENT) 


Yulian Wiji Utami, Wiwik Agustina, Dwi Setyorini, Sumarno


Shigellosisi is a Global human health problem, especially in developing countries, the global emergency of drug resistance has been reported. Currently, no vaccine against Shigella infection exist. Shigella dysenteriae is a bacteria that causes shigellosis. Bacterial adherence mediated by bacterial fimbrae or pili or specific adhesins to bind a spesific receptor. Prefious studies protein7,9 kDa and 49,8 kDa of Sub Unit pili Shigella dysenteriae was molecule adhesin. The aim of this study to verify that the protein adhesin 7,9 kDa and 49,8 kDa of sub unit pili Shigella dysenteriae can raise levels of sIgA and inhibit excretion of fluid in the intestinal of mice. This experimental study used Balb/C mice, immunization with protein 7,9 kDa and 49,8 kDa su unit pili Shigella dysenteriae combined with ISCOM, per oral. Level of sIgA was measured by the ELISA method. Measuring the excretion of fluid in the intestinal of mice by mice ligated ileal loop (MLIL). The result showed that the protein adhesion 7,9 kDa and 49,8 kDa sub unit pili Shigella dysenteriae can inhibit the intestinal fluid of mice with increasing sIgA immune response. The protein adhsion 7,9 kDa and 49,8 kDa of sub unit pili Shigella dysenteriae can be used be as one of candidates Shigellosis vaccine. We need further research on the effect of these adhesin protein on celluler immune response.


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The Differences of The Eldery Social Interaction with Peer Group Support and Without Peer Group Support in UPT PSLU Jombang, Pare Kediri


 Dwi Setyorini


 The elder age is defined as susceptible age because the elders tend to experience decrease of body functions, therefore it has a risk they draw from their environment and cause social interaction disorder. At this age, the elders should be able to enjoy their rest of their life and interact well with peers or environment. The purpose of this study to determine The Differences of The Eldery Social Interaction with Peer Group Support and Without Peer Group Support in UPT PSLU Jombang, Pare Kediri. The method used is the Comparative Experiment with the technique of purposive sampling with sample 9 elderly peoples with Peer Group Support and 9 elderly without Peer Group Support. Measuring instrument used was a questionnaire that used structured interviews, which were then analyzed by Mann Whitney test. The results showed there were differences between elderly with peer group support and without peer group support with p value = 0.000 with α 0.05. This happens because the elderly need the support of peers apart from the family because the elderly who live in nursing home need more affection obtained from peers. Expected elderly people more open and able to interact well to solve problems in the process of life.


Key words : Social Interaction, Peer Group Support, Elderly, Nursing Home.


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HUBUNGAN KEMAMPUAN KETERAMPILAN LABORATORIUM DENGAN KOMPETENSI MAHASISWA DALAM TINDAKAN KEPERAWATAN PENGUKURAN KADAR GULA DARAH SAAT PRAKTIK KLINIK DI RUMAH SAKIT Dr. ISKAK TULUNGAGUNG 


Dwi Setyorini


Every nursing students must be equipped by academic and skill, and in fulfilling their competency needs, they must through PBL and nursing laboratory practice to implement their knowledge. But in fact, many university students implement their knowledge that are not appropriated with standard operational procedures (SOP) that lead to create images that they do not have competency. The purpose of this research is to identify correlation between ability of laboratory skill with competency of university students in the nursing action of glucose level measurement during clinical practices in Dr. Iskak General Hospital Tulungagung. Research method was correlational study (correlation/assocation) by using accidental sampling technique with sample size of 10 students of nursing diploma on the sixth semester. The instrument in this research was secondary data (recapitulation of laboratory test value of glucose level measurement) for dependent variable and observation for independent variable, then being analyzed by using Spearman rho test. Based on research result about ability of laboratory skill showed most of respondents (70%) were very good and competency of university students in the nursing action of glucose level during clinical practices (80%) appropriated with standard operational procedures (SOP) and (20%) did not appropriate with standard operational procedures (SOP). Based on statistical test result showed value of rcount = 0,51; tcount = 3,286; and in Spearman table        α : 0,05 , n: 10 = t table 2,306, t count > t table, therefore H1 was accepted. It meant that there was correlation between ability of laboratory skill with competency of university students in the nursing action of glucose level during clinical practices in Dr. Iskak General Hospital Tulungagung. It is supported by other factors such as experience and ability to adapt with environment. The better  ability of laboratory skill of university students, the more competence university students to implement nursing action of glucose level measurement. Therefore, it is suggested to university students to implement standard operational procedures (SOP) well in every nursing action.


Key words : ability of laboratory skill, competency of glucose level measurement.


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EFFECT OF  PRANAYAMA BREATHING TOWARD PEAK EXPIRATORY FLOW RATE (PEFR) AND THE FREQUENCY OF RECURRENCE  OF PATIENTS WITH ASTHMA BRONCHIALE BASED ON ADAPTATION NURSING  THEORY


Nian  Afrian Nuari, Didit Damayanti


STIKES  Karya Husada Kediri


ABSTRACT


Breathing Exercise have been widely used as complementary therapy people with asthma bronchiale. The goal this research is  to analize  effect of pranayama breathing Peak expiratory flow rate (PEFR) and the frequency of recurrence in patients with asthma bronkiale. This study used a design draft Pre Experimental Design with One Group Pre-Post Test. The samples in this study used purposive sampling technique with 10 respondents, while the instrument measured the value of PEFR used a flow meter and the frequency of recurrence in patients with asthma bronchiale checklist sheet and analyzed using the dependent sample t test (paired t test) with α  5%.  The results showed that most respondents (90%) showed PEFR values ??increased and  70% of respondents experienced a decrease in the frequency of recurrence of Bronchial Asthma after intervening pranayama breathing. Based on analyzed of Paired T Test on PEFR values ??obtained p = 0.001 and the frequency of recurrence of asthma obtained p = 0.003 so it can be concluded that there is the effect of pranayama breathing with PEFR values ??and the frequency of recurrence of Asthma Bronchiale. There is a significant influenced on pranayama breathing with PEFR values ??and the frequency of recurrence of patient AsthmaBronchiale. Based on  adaptation nursing theory, Pranayama relates to the process of adaptive coping mechanisms to minimized the frequency of recurrence and maximize lung function, the nurse helps strengthen coping regulator is to provide Pranayanama exercises and cognator aspects, by providing information to avoid the trigger factor for asthma bronchiale.


Keywords: Pranayama, Breathing, PEFR, recurrence, Asthma , Adaptation, Nursing


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PENINGKATAN NILAI PEAK EXPIRATORY FLOW RATE (PEFR)   DAN  PENURUNAN FREKUENSI KEKAMBUHAN  PADA PASIEN ASMA BRONKIALE DENGAN METODE PRANAYAMA BREATHING


 Nian  Afrian Nuari, Didit Damayanti


STIKES Karya Husada Kediri


 ABSTRAK


Latar Belakang : Penyakit asma merupakan salah satu masalah bagi masyarakat yang timbul diberbagai usia dan jumlah penderita asma terus bertambah. Penatalaksanaan asma yang tepat diantaranya adalah membuat fungsi paru mendekati normal, mencegah kekambuhan, mengontrol secara berkala. Salah satu metodenya dengan Pranayama breathing untuk meningkatkan asupan oksigen secara maksimal, dan memperlancar peredaran darah dari dan ke paru-paru sehingga dapat meningkatkan fungsi paru. Tujuan; Mengetahui efektifitas metode pranayama breathing  terhadap nilai Peak Expiratory Flow Rate (PEFR). Metode; Penelitian ini menggunakan desain Pre Eksperimen Design dengan rancangan One Group Pre-Post Test. Pengambilan sampel dalam penelitian ini menggunakan teknik Purposive Sampling dengan jumlah sampel penelitian 10 responden, sedangkan instrumen mengukur nilai  PEFR menggunakan alat Flow meter  dan frekuensi kekambuhan pada pasien asma bronkiale menggunakan lembar checklist dan dianalisis dengan uji dependent sample t test (Paired t test) dengan α (taraf kesalahan) sebesar 5%. Hasil; Hasil penelitian menunjukkan bahwa sebagian besar responden (90%) mengalami peningkatan nilai PEFR setelah melakukan intervensi pranayama breathing. Dari hasil analisa uji Paired T Test pada nilai PEFR didapatkan p= 0,001 dan pada frekuensi kekambuhan asma didapatkan p= 0,003 sehingga dapat disimpulkan ada pengaruh pranayama breathing dengan nilai PEFR dan frekuensi kekambuhan Asma Bronchiale. Kesimpulan; Ada pengaruh signifikan pada pranayama breathing dengan nilai PEFR pada pasien Asma Bronchiale di wilayah Puskesmas Bendo Kediri.


Kata Kunci : Pranayama, Breathing, PEFR, Asma Bronchiale


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SIMULATED OF DISASTER MANAGEMENT EFFECT  OF CRITICAL THINKING SKILLS AT  S1 KEPERAWATAN STIKES KARYA HUSADA KEDIRI AT  DISASTER PREPARADNESS PHASE


 DIDIT DAMAYANTI, S.Kep.Ns., M.Kep NIAN AFRIAN NUARI, S.Kep.Ns., M.Kep


STIKES KARYA HUSADA KEDIRI


 ABSTRACT


Indonesia is an archipelago with 17,504 islands from Sabang to Merauke. Indonesia also has more than 400 volcanoes and 130 of them including an active volcano. Most of the volcano is located on the seabed. Indonesia is the meeting place of two series of active volcanoes (Ring of Fire). The geographical  situation  of Indonesia  frequently affected  by disasters,  both  catastrophic  volcanic eruptions, tsunamis, floods, fires and others. The number of casualties due to natural disasters indicates that the people on disaster preparedness is still very bad. Health Officer is one profession that required readiness in collaboration with relevant agencies during the disaster. To anticipate that health workers need to apply the techniques help better, and have a broad insight on disaster management. The purpose of the study determine the effect of simulated disaster management towards critical thinking skills of nursing students S1 Keperawatan STIKES Karya Husada Kediri. This study used a design of experiments Quasy by applying simulation disaster management in the intervention group. Monitoring of critical thinking using the checklist sheet made during pre-test and post-test and then analyzed with the Wilcoxon test. From the results of statistical tests on the results get pvalue = 0.000 is less than α = 0.05, which means there are significant of simulated disaster management at critical thinking skills in students. Provision of disaster management simulation can train skills, gain an understanding of a concept or principle, trained to solve problems, increase the activity of learning, providing motivation to learn, train for its collaboration, creativity and, trained to develop a tolerance so as to improve students' critical thinking skills in S1 Keperawatan STIKES Karya Husada Kediri.


Keywords: simulation, disaster management, critical thinking skills


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ANALISIS KORELASI PERSONAL FACTOR, PERCEIVED BENEFIT DAN PERCEIVED BARRIER DENGAN PEMBERDAYAAN DIRI PASIEN DIABETES MELLITUS TIPE II BERBASIS TEORI HEALTH PROMOTION MODEL


Nian Afrian Nuari


STIKES Karya Husada Kediri


 ABSTRAK


Latar belakang; Diabetes Mellitus (DM) merupakan salah satu penyakit kronis yang memerlukan kemampuan individu dari pasien untuk mematuhi penatalaksanaan penyakitnya yang dianjurkan oleh dokter. Diabetesi harus mampu melakukan pengelolaan DM tersebut untuk mencegah komplikasi dengan memaksimalkan aspek aspek yang ada dalam dirinya untuk menentukan pilihan yang terbaik. Tujuan; penelitian ini untuk menganalisis korelasi personal factor, perceived benefits of action, perceived barrier to action  dengan self empowerment pasien DM tipe 2 berbasis teori Health Promotion Model. Metode; Penelitian ini menggunakan desain korelasional. Sampel yang digunakan sebanyak 32 responden dengan tehnik sampling purposive. Pengumpulan data personal factor, perceived benefits of action, perceived barrier to actio dengan menggunakan kuesioner sedangkan   self empowerment dengan kuesioner Diabetes Empowerment Scale DES. Hasil penelitian kemudian dilakukan analisis dengan uji Kolmogorov Smirnov dan uji Spearman dengan signifikansi 0,05. Hasil; Hasil penelitian terdapat hubungan signifikan dalam faktor umur, pendidikan, penghasilan, lama menderita DM, perceived benefit dan perceived barrier dengan self empowerment pada pasien DM tipe II. Sedangkan factor yang tidak mempunyai hubungan yang signifikan dengan self empowerment adalah jenis kelamin responden. Simpulan: Ada hubungan signifikan antara self empowerment  umur, pendidikan, penghasilan, lama menderita DM, perceived benefit dan perceived barrier dengan self empowerment pada pasien DM tipe II dan yangtidak mempunyai hubungan signifikan adalah jenis kelamin dengan pasien DM tipe II di wilayah Puskesmas Bendo Kediri.


Kata kunci: diabetes,self empowerment,  personal factor, perceived benefit, perceived barrier


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INCREASING SELF EMPOWERMENT AND QUALITY OF LIFE OF PATIENTS WITH TYPE 2 DIABETES MELLITUS WITH DIABETES EMPOWERMENT EDUCATION BASED ON HEALTH PROMOTION MODEL


Nian Afrian Nuari


STIKES Karya Husada Kediri


ABSTRACT


Diabetes Mellitus (DM) is a chronic disease that requires individual ability of patients to adhere treatment of the disease recommended by doctors. Patient should be able to manage the diabetes to prevent complications by maximizing existing aspects within themselves to determine the best option available. The purpose the study was to analyze the effect of diabetes empowerment education to self empowerment and quality of life of patients with type 2 DM at the Puskesmas Bendo Kediri.   


This study used quasy experiment design with non randomized control group pretest posttest design. Total sampel was 32 respondents divided into control group and experiment group, sample  recruited by purposive sampling. Data were collected using questionnaire with DES (Diabetes Empowerment Scale) and DQoL (Diabetes Quality of Life). Data were then analyzed using Wilcoxon Sign rank test and Mann Whitney with level of significance of 0,05.


The results showed that there was a differences in self empowerment and quality of life of patients with type 2 DM after intervention. Mann Whitney analysis result`s showed that there are differences in self empowerment between control and experiment groups (p = 0,029) and there was a difference in the quality of life between control and experiment groups (p = 0,022). It can be referred from it that DEE influences self empowerment and quality of life of type 2 DM patients.


It can be concluded that diabetes empowerment education increasing selfempowerment and quality of life of patients with DM type 2. Further studies should using  more objective parameters such as changes in blood sugar levels, hemoglobin A1C values ??to evaluate the effect of diabetes empowerment education on self-empowerment and quality of life of patients with DM.


Keywords: diabetes, education, self empowerment, quality of life, HPM,DEE


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THE EFFECT OF  PATRISSAGE  TOWARD PAIN INTENSITY ON PRIMER DYSMENORRHEA


Nian Afrian Nuari


STIKES Karya Husada Pare Kediri.


 Dysmenorrhea is the most common gynecologic problem in mestruating woman. Primer dysmenorrheal is usually defined as cramping in lower abdomen occurring at the onset of menstruation in the absence of pelvic disease. This pain caused by increasing of prostaglandin level that makes uterus contraction. During contraction, the vessels are constricted so the blood supplies to uterus decreased and  it makes ischemic of endometrium tissue. There are some pain management techniques by pharmacology and non pharmacology. One of non pharmacology is Petrissage. Petrissage are massage movements with applied pressure which are deep and compress the underlying muscles. They are all performed with the padded palmar surface of the hand, the surface of the finger and also the thumbs. The aim of the research is to know if patrissage on the back can decrease pain intensity on primer dysmenorrhea. This research was pre experiment design that using pre-test and post-test one group design method. The samples were consisted of 16 respondents that picked by purposive sampling. The data were collected using observation with pain scale and interview. The result before the petrissage therapy showed 50 % respondents were suffering severe pain, 37,5 % respondent were suffering moderate pain, and 12,5 % respondent  mild pain. After had therapy 43,75 % were suffering moderate pain, 43,75 % were suffering mild pain, 6,25 % were suffering severe pain, and 6,25 % were suffering no pain. Using wilcoxon Matced Paired Test analyzes with SPSS for windows (α = 0,05) there was pain intensity differences before and after patrissage on back (Z counted = -3,573), Z table = -, 1645, Z counted < Z table so Ho rejects). The conclusion is patrissage decrease pain intensity on primer dysmenorrheal.


Keyword: petrissage, pain, primer, dysmenorrheal.



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