Edukasi implementasi manajemen nyeri pada penderita asam urat melalui kompres hangat daun kelor

Abstrak Kompres hangat atau hidroterapi bisa menjadi salah satu pengobatan komplementer untuk penurunan nyeri asam urat. Pemanfaatan bahan herbal seperti daun kelor dapat digunakan untuk kompres hangat pada bagian yang terasa nyeri. Daun kelor dipercaya dapat menurunkan nyeri asam urat karena mengandung flavonoid dan pterigospermin. Masyarakat Desa Badran RT 02 RW 12 Kecamatan Wonokerto Kabupaten Wonogiri, tidak menyadari jika kadar asam urat tinggi dan baru menyadari ketika sudah terasa nyeri. Tujuan kegiatan ini untuk meningkatkan pengetahuan dan ketrampilan masyarakat tentang manajemen nyeri pada penderita asam urat melalui kompres hangat daun kelor. Dengan adanya pengetahuan tentang penatalaksaan nyeri dengan kompres hangat daun kelor, diharapkan masyarakat yang menderita nyeri akibat asam urat akan semakin paham sehingga dapat bersedia untuk melakukan secara rutin dan mandiri tindakan kompres hangat daun kelor. Kegiatan dilaksanakan pada tanggal 8-9 Maret 2024 dengan jumlah peserta sebanyak 30 orang ibu-ibu Desa Badran RT 02 RW 12 Kecamatan Wonokerto Kabupaten Wonogiri. Hasil kegiatan yaitu perbandingan sebelum dan sesudah kegiatan terjadi peningkatan jumlah peserta dengan kategori pengetahuan baik yaitu mengalami peningkatan sebesar 66,6% dan 93% peserta dapat mendemonstrasikan ulang cara kompres hangat daun kelor secara benar. Kompres hangat daun kelor dapat dimanfaatkan sebagai terapi pendamping dalam penatalaksanaan nyeri akibat kadar asam urat tinggi. Diharapkan adanya peningkatan pengetahuan pad acara kompres hangat daun kelor, peserta dapat menerapkan pada diri sendiri sehingga nyeri yang dialami dapat berkurang. Kata kunci: asam urat; daun kelor; kompres hangat; nyeri; penyuluhan Abstract Warm compresses or hydrotherapy can be a complementary treatment for reducing gout pain. Utilizing herbal ingredients such as Moringa leaves can be used as a warm compress on the painful area. Moringa leaves are believed to reduce gout pain because they contain flavonoids and pterygospermin. The people of Badran Village, RT 02 RW 12, Wonokerto District, Wonogiri Regency, are not aware that their uric acid levels are high and only realize it when they feel pain. The aim of this activity is to increase people's knowledge and skills regarding pain management in gout sufferers through warm compresses of Moringa leaves. With knowledge about managing pain with warm Moringa leaf compresses, it is hoped that people who suffer from pain due to gout will understand more so that they will be willing to carry out warm Moringa leaf compresses regularly and independently. The activity was held on March 8-9 2024 with 30 participants, women from Badran Village RT 02 RW 12, Wonokerto District, Wonogiri Regency. The results of the activity, namely the comparison before and after the activity, showed an increase in the number of participants in the good knowledge category, namely an increase of 66.6% and 93% of participants were able to demonstrate again how to properly compress Moringa leaves. Warm compresses from Moringa leaves can be used as companion therapy in managing pain due to high uric acid levels. It is hoped that there will be an increase in knowledge at the Moringa leaf warm compress event, participants will be able to apply it to themselves so that the pain they experience can be reduced. Keywords: counseling; gout; moringa leaves; painful; warm compr

PENGARUH KONSUMSI COKELAT (THEOBROMA COCOA L) TERHADAP TEKANAN DARAH DAN PROFIL LIPID DARAH PADA PASIEN HIPERTENSI Studi di UPT Puskesmas Jatiroto, Wonogiri

Background: Cardiovascular disease is a disease involving the heart and blood vessels and is one of the main health problems in both developed and developing countries. Dyslipidemia and hypertension are the main factors causing cardiovascular disease. Management of dyslipidemia and hypertension can use chocolate which has flavonoid compounds as antioxidants that have hypotensive and vasodilator effects on the vascular.Objective: of this study was to prove chocolate against blood pressure values and lipid profiles of hypertensive patients.Method: This research is Quasi Experiment with pre and Post Test design with Control Design Group with a total of 32 respondents. The control group was treated with the drug amlodipine and simvastatin according to the doctor's prescription, while in the intervention group was added 60 grams of chocolate per day for 15 days. Data analysis for blood pressure using test Repeated Measure Anova and lipid profile using Independent-Test and Paired Samples Test.Results: the results of this study showed, that consuming 60 gram of chocolate per day for 15 days on blood pressure of hypertensive patients accompanied by consumption of amlodipine drug affected systole blood pressure (p = 0.001) and diastole blood pressure (p = 0.001). The blood lipid profile accompanied by consumption of simvastatin affected total cholesterol levels (p = 0.001), triglyceride levels (p = 0.001) and no effect on HDL levels (p = 0.373) and LDL levels (p = 0.197).Conclusion: consuming 60 grams of chocolate consumption per day for 15 days affected systolic blood pressure, diastole blood pressure, total cholesterol, triglycerides and did not affect HDL and LDL

EFEK SENAM AEROBIK LOW IMPACT TERHADAP NILAI TEKANAN DARAH PENDERITA HIPERTENSI

Pendahuluan: Berdasarkan data yang diperoleh, jumlah penderita hipertensi di dunia terus meningkat setiap tahunnya. Hipertensi merupakan faktor utama terjadinya stroke, gagal jantung yang menyebabkan kematian jika tidak ditangani dengan baik. Melakukan senam aerobik dapat menurunkan tekanan sistolik dan diastolik pada penderita hipertensi, dengan senam aerobik secara rutin mampu memberikan efek relaksasi pembuluh darah. Tujuan:Penelitian ini bertujuan untuk mengetahui aktivitas senam Aerobic Low Impact terhadap penurunan nilai tekanan darah pada penderita hipertensi di Desa Gonilan, Kartasura, Sukoharjo. Metode: Jenis penelitian ini adalah penelitian eksperimen dengan one group pre-test-post-test design, dengan jumlah sampel 30 responden dan teknik pengambilan sampel yang digunakan adalah consecutive sampling. Penelitian dilakukan dengan menggunakan analisis uji-t berpasangan. Hasil: Dapat diketahui bahwa pada responden penderita tekanan darah tinggi yang mendapatkan terapi latihan aerobik low impact, terjadi perubahan nilai tekanan darah setelah dilakukan pemeriksaan pasca latihan aerobik low impact. pada tekanan darah sistolik didapatkan p value < 0,001 dan tekanan darah diastolik 0,286. Kesimpulan: Dari hasil penelitian terkait pengaruh senam aerobik low impact terhadap tekanan darah pada penderita hipertensi didapatkan adanya pengaruh terhadap tekanan darah sistolik dan daistol, tetapi pada tekanan darah diastolik terdapat perubahan tetapi hasilnya tidak menunjukkan signifikan. Kata kunci: aerobik low impact, tekanan darah, hipertensiIntroduction: Based on the World Health Organization, an increase of 80% of people with hypertension will occur in 2025, especially in developing countries, from 630 million cases in 2000 to 1.15 billion in 2025. Hypertension is a major factor in the occurrence of stroke, heart failure that causes death. if not handled properly. doing aerobic exercise can reduce systolic and diastolic pressure in patients with hypertension, with aerobic exercise it can provide a relaxing effect on blood vessels. Objective: This study aims to determine the Aerobic Low Impact exercise activity on reducing blood pressure values ​​in hypertension sufferers in Gonilan Village, Kartasura, Sukoharjo. Methods: This type of research is experimental with a one group pre-test-post-test design, blood pressure checks using a sphygmomanometer brand Omron HEM-8712 and an observation sheet to record the results of blood pressure checks, both before and before treatment. The study was conducted 9 times, with a duration of 20 minutes of exercise. Results: It can be seen that in respondents with high blood pressure who received low impact aerobic exercise therapy, there was a change in the value of blood pressure after an examination after low impact aerobic exercise. the systolic blood pressure obtained p value <0.001 and diastolic blood pressure 0.286. Conclusion: Based on the results of research related to the effect of aerobic exercise on blood pressure in patients with hypertension, it was found that there was an effect on both systolic and diastolic blood pressure. So that low impact aerobic exercise can be recommended as a modified therapy to help control blood pressure

The effect of chocolate consumption (Theobroma cacao L.) on level of blood cholesterol and triglyceride in hypertension patients at Jatiroto Health Center, Indonesia

Background: Hypertension is influenced by lifestyle factors such as high fat intake which has the potential for high blood cholesterol level. Cocoa products, which are rich sources of flavonoids, have been shown to reduce blood pressure and the risk of cardiovascular disease. Aims: The purpose of this research is to examine the dark chocolate consumption in decreasing the level of blood cholesterol and triglyceride in hypertension patients. Methods: This research is a quasi-experiment study with pre and post and control group design. There were thirty two (32) hypertensive patients selected from Jatiroto Health Center in June-July 2018 using a random sampling technique. The respondents were then divided to (1) a control group where patients were prescribed to a popular non-pharmacological therapy Simvastatin and (2) an intervention group where the respondents were prescribed with Simvastatin and also received an additional dark chocolate 60gr/day (given twice a day, each 30gr) for 15 days. A spectrophotometer glycerol phosphate oxidase (GPO-POD) with 546 nm wavelength was employed to measure the levels of blood cholesterol and triglyceride. The significant mean difference between pre and posttest, and the changes between control and intervention group were defined by statistical analysis T-test. Results: This study acknowledged that the prescribed simvastatin alone presents a significant contribution to decrease the cholesterol level at 14.40 point (p value = 0.041), however, the generic is not enough to deliver a significant effect to the decrease of triglyceride level in the hypertension patients (p value = 0.361). A great contribution to the depression of cholesterol and triglyceride level in the hypertensive respondent was observed if simvastatin prescription was combined with a provision of 60 gram dark chocolate, respectively to the level of 57.06 and 38.41 mg/dL with p value = 0.001. The addition of dark chocolate in the simvastatin prescription will significantly reduce the blood cholesterol level (p value = 0.020), but not really effective to reduce the triglyceride (p value = 0.560). Conclusion: The findings suggest that giving dark chocolate to the hypertensive patients who receive simvastatin prescription will decrease the cholesterol and triglyceride levels greater than the consumption of simvastatin drugs alone.   Keywords: Dark chocolate, Simvastatin, Hypertension, Cholesterol, Triglycerid

APLIKASI THEORY OF PLANNED BEHAVIOR UNTUK MENGIDENTIFIKASI PERILAKU PASIEN DALAM MELAKUKAN PEMERIKSAAN KESEHATAN DI FASILITAS PELAYANAN KESEHATAN PRIMER: STUDI KASUS DI PUSKESMAS: THEORY OF PLANNED BEHAVIOR APPLICATION TO IDENTIFY PATIENT BEHAVIOR IN PERFORMING HEALTH EXAMINATIONS IN PRIMARY HEALTH CARE FACILITIES: A CASE STUDY IN PUSKESMAS

Penelitian ini bertujuan untuk mengidentifikasi pengaruh sikap, norma subjektif, kontrol perilaku terhadap niat berobat serta dampaknya terhadap perilaku pasien berobat di Puskesmas Klaten Selatan dengan menggunakan Theory Of Planned Behaviour. Kerangka teori ini diuji serta dibangun untuk menguji pengaruh positif antar konstruk penelitian, pemahaman pengaruh sikap, norma subjektif, kontrol perilaku, niat berobat dan perilaku berobat. Pengumpulan data dilakukan dengan menyebarkan quesioner kepada 105 responden yang berobat ke Puskesmas Klaten Selatan, Jawa Tengah, Indonesia; tetapihanya 100 kuesioner dinyatakan valid. Data dianalisis dengan menggunakan uji T kemudian variabel-variabel yang ditetapakan dianalisis dengan Uji Regresi Berganda. Hasil penelitian ini menunjukkan bahwa sikap (sig. 0,006), norma subjektif (sig 0,002), kontrol perilaku(0,012); berpengaruh positif terhadap niat berobat (0,00) serta dampaknya (0,00) positif terhadap perilaku pasien yang berobat di Puskemas Klaten Selatan. Hasil penelitian ini sejalan dengan Theory Of Planned Behaviour.Penelitian ini bertujuan untuk mengidentifikasi pengaruh sikap, norma subjektif, kontrol perilaku terhadap niat berobat serta dampaknya terhadap perilaku pasien berobat di Puskesmas Klaten Selatan dengan menggunakan Theory Of Planned Behaviour. Kerangka teori ini diuji serta dibangun untuk menguji pengaruh positif antar konstruk penelitian, pemahaman pengaruh sikap, norma subjektif, kontrol perilaku, niat berobat dan perilaku berobat. Pengumpulan data dilakukan dengan menyebarkan quesioner kepada 105 responden yang berobat ke Puskesmas Klaten Selatan, Jawa Tengah, Indonesia; tetapihanya 100 kuesioner dinyatakan valid. Data dianalisis dengan menggunakan uji T kemudian variabel-variabel yang ditetapakan dianalisis dengan Uji Regresi Berganda. Hasil penelitian ini menunjukkan bahwa sikap (sig. 0,006), norma subjektif (sig 0,002), kontrol perilaku(0,012); berpengaruh positif terhadap niat berobat (0,00) serta dampaknya (0,00) positif terhadap perilaku pasien yang berobat di Puskemas Klaten Selatan. Hasil penelitian ini sejalan dengan Theory Of Planned Behaviour.   Kata kunci: sikap; norma subyektif, kontrol perilaku, niat untuk berobat, perilaku untuk berobat     ABSTRACT   This study aims to identify the influences of attitude, subjective norm, behaviour control and intention to do medication also the effect to patients’ behavior in Puskesmas Klaten Selatan using Theory of Planned Behaviour. The frame of this theory is tested to analize the rinfluences of the constrution of this study, the understanding of attitude, subjective norm, behaviour control, intention to do medication and behaviour to do medication. Data collection was done by giving the questionnaire to 105 respondents who were  doing medical checkup or medicaton in Puskesmas Klaten Selatan, Central Java Indonesia; but there ae 100 valid questionnaire. The data is analized using T-test and then the variabels are analized using multiple Regression. The findings of this study shows that attitude (sig. 0,006), subjective norm (sig. 0,002), behaviour control (sig 0,012) gives significant influence of the intention to do medication at Puskesmas Klaten Selatan. This findings is aline with the philosphy within Theory of Planned Behaviour. Keywords: attitude; subjective norm; behaviour control; willingness to do medication, behaviour to do medicatio