Buah Apel (Romebeauty) Menurunkan Kadar Gula Darah Pasien Diabetes Mellitus

Introduction: The number of patients with diabetes mellitus (DM) in year 2001 was 5.6 million. In the year 2020, it is expected to reach 8.2 million. The diet of DM patients in Pulorejo village comprised low calorie, sugar free, and low fiber diet. Fiber consumed by these patients was taken from vegetables and banana. Unfortunately, the use of such diet keep the patient\u27s blood sugar level remains increasing. The content of water-soluble fiber (pectin) in apple is higher and is able to reduce blood sugar level. The objective of this study was to analyze the effect of apple consumption on blood sugar level. Method: This study was used a quasy-experimental pre-post test purposive sampling design. Samples who met to the inclusion criteria were 14 persons divided into treatment and control group. Data were analyzed by using Paired t-Test (α=0.05) and Independent t-Test (α=0.05). Result: The result showed that there was an effect of apple consumption on blood sugar level with Paired t-Test (p=0.000) for blood glucose level before and after intervention in treatment group, and (p=0.100) for blood glucose level before and after intervention in control group. The results of Independent t-Test revealed p=0.000 for blood glucose level after intervention in treatment and control groups. Discussion: It\u27s can be concluded that there was an effect of apple consumption on blood sugar level in DM patients. The apple should be given in the best dose that can reduce blood sugar level, which is 2 x 150 g. The result of this study can be considered in as a material for diet promotion for the patients. Further studies should be developed to measure the variables of stress and sex of the patients

String Bean Juice Decreases Blood Glucose Level Patients with Diabetes Mellitus

Introduction: Type 2 diabetes mellitus is deficiency of insulin and caused by decreases of insulin receptor or bad quality of insulin. As a result, insulin hormone does not work effectively in blood glucose regulation. String bean juice contains thiamin and fiber may regulate blood glucose level. The aim of this study was to analyze the effect of string bean juice to decrease blood glucose level of patients with type 2 diabetes mellitus. Method: This study employed a quasy-experimental pre-post test control group design and purposive sampling. The population were all type 2 diabetes mellitus patients in Puskesmas Pacar Keling Surabaya. Sample were 12 patients who met inclusion criteria. The independent variable was string bean juice and dependent variable was blood glucose level. Data were analyzed by using Paired T-test with significance level of α≤ 0.05 and Independent T-test with significant level of α≤0.05. Result: The results showed that string bean juice has an effect on decreasing blood glucose between pre test and post test for blood glucose with independent T-test is p=0.003. Analysis: In conclusion, string bean juice has an effect on blood glucose level in patients with type 2 diabetes mellitus. Discussion: The possible explanation for this findings is string bean juice contains two ingredients: thiamine and fiber. Thiamine helps support insulin receptors and glucose transporter in cells hence GLUT-4 could translocated to the cell membrane brought glucouse enter to the intracellular compartment, that leads to blood glucouse level well regulated. Dietary fiber reduces food transit time so slowing the glucose absorption. Therefore blood glucose level will be decreased

Range of Motion Exercise of Arms Increases the Mucle Strength for Post Stroke Patients

Introduction: Someone attached by stroke can't do their activity fluently because stroke can cause the weakness of motor and sensor function. This condition cause physical defect and give effect in social and economic too, because someone who suffered stroke usually still in productive age. The objective of this study was to examine the effect of arm range of motion in the muscle strength of post stroke patient. Method: Pre experimental pre–post test design was used in this study. Population of this study was post stroke patient in Wijayakusuma ward dr. Soedono Hospital and total samples were 11 respondents. Independent variable was arm range of motion exercise, dependent variable was strength of arm muscle. Data were collected by observation with manual muscle testing of Lovelt, Naniel and Worthinghom and then analyzed using wilcoxon signed rank test with signi fi cant level of α ≤ 0.05. Result: The result showed that 11 respondents had increased their strength of muscle (p = 0.04). Discussion: It can be concluded that the strength of muscle increased after get arm range of motion exercise. When range of motion had been done Ca+ will be activated by cell so that happen integrity of muscle protein. If Ca+ and troponin had been activated, actin and myosin would have been defensed, so that can moved the skeletal and followed by muscle contraction, expand, outgrow and had a tonus. This condition can showed the strength of muscle

The Incidence of VAP After VAP Bundle Intervention Among Patients with Mechanical Ventilation

Introduction: Ventilator Associated Pneumonia (VAP) is a nosocomial infection in patients who use ventilator for more than 48 hours. The aimed of the study was to determine VAP incidence after VAP bundle application. Methods: This study used one-shot case study posttest only designed with samples of 6 individuals beginning on December 31, 2013 up to January 31, 2014. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP. Result: The results showed that the application of VAP bundle has infl uence in preventing VAP incidence. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP. Discussion: This study need to be backed up furthermore with a larger sample size and continuous CPIS assessment is needed to identify VAP caused by bacteria, especially the late-onset bacteria, in patients using mechanical ventilation in longer a time

Modified Left Lateral and Head Elevation Reduces Post Percutaneous Coronary Intervention Back Pain

Introduction: Modified left lateral position and head elevation is a very important for 6 hours patient immobility after percutaneous coronary intervention. Patient immobility have higher risk of discomfort or back pain and leg pain. The objective of this study was to identify the effect of modified left lateral position and head elevation on pain reduction after percutaneous coronary intervention (PCI) with vascular closure device. Method: A quasy experimental design was used in this study with population were percutaneous coronary intervention (PCI) patient in Surabaya International Hospital. There were 20 respondents who met to the inclusion criteria which taken by using purposive sampling technique and divided into two groups, 10 respondents as experiment group and 10 respondents as control group. Data were collected by using questionnaire and observation for pain respons and distal pulsation (dorsalis pedis artery), then data were analyzed by using Mann Whitney U test and Independent t-Test with significance level a=0.01. Result: The results showed that there was a significance effect of modified left lateral position and head elevation on reducing back pain with Mann Whitney U test (p=0.00) and there was a significance effect of modified left lateral position and head elevation on the change of dorsalis pedis pulsation with Independent t-Test (p=0.00). Discussion: It can be concluded that modified left lateral position and head elevation reduce back pain on patients post percutaneous coronary intervention. Further studies should be developed to identify the effect of modified left lateral position and head elevation on other variables of pain and stress

Manfaat Aromaterapi Lavender Terhadap Penurunan Insomnia Pada Lansia

Insomnia is the primary sleeping problem experienced mostly by elderly. The objective of this study was to examine the effect of lavender aromatherapy for insomnia reduction in elderly. This study used pre-experimental design, with 15 samples, recruited by using total sampling. The independent variable was aromatherapy and the dependent variable was insomnia. Data were collected by using structured interview with questionnaire and observation. Data were analyzed by using Wilcoxon Signed Rank Test with significance level of p≤0.05. The results showed that lavender aromatherapy given to elderly had beneficial effect on sleep quality and quantity of this age group. The sign and symptoms of insomnia become reduced with significance level of p=0.001.Lavender aromatherapy can be used as alternative intervention for overcoming insomnia in elderly

Manfaat Irigasi Hangat Durante Operasi Terhadap Pencegahan Hipotermi Pasca Bedah Tur Prostat

Trans Urethral Resection Prostate (TURP) is endourology surgery with used electrical power or with laser power. The objective of this study was to analyze the effect of warm irrigation during operation to prevent hypothermi post operation TURP at the Dr. Soetomo Central Hospital of Surabaya.A quasy experimental, pre and post-test control group non-randomized design was used in this study. The independent variable was warm irrigation, and the dependent variable was hypothermi. Fourteen sample enrolled by using non-probability purposive sampling. Data were analyzed by using Paired T test with significance level of p < 0.05.The result showed that warm irrigation admitted during operation had effect to the increase body temperature (p=0.000), blood pressure (p=0.000), pulse (p=0.010), respiration (p=0.002), oxygen saturation (p=0.002). Conclusion: warm irrigation is effective to increase body temperature patient with Trans Urethral Resection Prostate (TURP)

Pengaruh Psycoeducative Family Therapy Terhadap Pengetahuan, Dukungan Keluarga Dan Stigma Kusta Dengan Model Pendekatan Calgary Di Puskesmas Balerejo Kabupaten Madiun

Introduction: A person with leprosy present disability and lesions caused by related nerve damage. Without treatment leprosy can permanently damage skin, feet and eyes. Leprosy-related documents show that stigma is typically a very deep rooted social process. It refers to unfavourable attitudes and beliefs directed toward someone or something. The stigma against leprosy not only burdens the affected individuals but also their family members. This research aims was to analyze the influence of family on knowledge psychoeducative intervention, family support and the self stigma. Method: The design was a quasy experiment. The samples were the intervention and the comparison group each of 30 respondents. The sample consisted of respondent and respondent's family. Sampling technique is using purposive sampling. The research instrument was a questionnaire used by researchers. Result and Analysis: The result showed that not only psychoeducative family influence level of knowledge, support family and self stigma. The other factor are family characteristics and respondent characteristics. The statistical result shown that a significant relationship between psychoeducative family with knowledge (p=0,000), family support (p=0,000) and the stigma of leprosy (p=0,004). Discuss and Conclution: Level of knowledge, family support and self stigma have relations to each other. Families who have less knowledge about leprosy will influence to be given family support. Leprosy patients who have high self stigma caused by lack of knowledge and they feel there have not symphaty, attention and support from their families