Optimalisasi Ceramah Spiritual (Islam) Dalam Penurunan Tingkat Stres Penderita Kusta Reaktif

Leprosy disease still represents the problem of the world of very complex. The problem does not only from facet of health physic- but also extending until social problem, economic, cultural, security and national resilience. The big of stressor for leprosy will generate the disease transportation; journey going worse and optimalization deliver a lecture the spiritual (Islam) in degrading storey; level stress to leprosy reaction still need clarification. Research method is Quasy Experiment Design, sample taken by using techniques of purposive sampling with a number of 10 people at Hospital of Leprosy Sumber Glagah Mojokerto. Analyze by Wilcox on signed rank test, with the meaning storey; level 95%. Result of research show the decrease level of stress after conducted by discourse spiritual (Islam) at leprosy of type of Reversal and ENL that is by = 0,05, got by p = 0,003, From this research result is researcher suggest, for it self leprosy to develop; build the adaptive coping which do not get out of the support of family of society fund, and also for health worker that is Nurse can identify and implementation with a way of develop; building adaptive coping and can decreasing the level of stress leprosy

The Effect of Coffee and Salt on Elderly Restriction with Hypertension

Introduction: One of elderly's problem in Health Center Karambitan II Tabanan Bali was hypertension. Elderly usually likes or has a habit consuming coffee and salty food everyday. This study was used a pre-experimental one group pre-post test design. The objective of this study was to analyze the effect of consumption limitation of coffee and salt on vital sign in elderly with hypertension. The subjects were elderly with hypertension which stay with their family who lived at Karambitan II Tabanan Bali Health Center region. Method: There were 28 samples which recruited by using total sampling who met to the inclusion criteria. Data were analyzed by using Wilcoxon Sign Rank Test, with significance level α≤0.05. Result: The result showed that there was an effect of consumption limitation of coffee and salt on systolic blood pressure (p=0.00000), diastolic blood pressure (p=0.00000) and heart rate (p=0.00000). Discussion: It can be concluded that there was an effect of consumption limitation of coffee and salt to decrease blood pressure and heart rate in elderly with hypertension who lived at Karambitan II Tabanan Bali Health Center regio. Community nurses should give health education for elderly in public health center periodically for reducing incidence of hypertension

Sleep Therapy as Immunomodulator of Elderly with Sleep Disorder

Introduction: Sirep is one of the nursing intervention to solve sleep problems. Moreover, sirep as immunomodulator for cortisol level, IFN-γRa and IL-10 is still unknown. Sleep disorder can make decrease of immunity, concentration disability, decrease of coordination, alteration of personality, etc. Decrease of immunity can caused by increase or imbalance of stress hormone (cortisol). Increase of cortisol in along time can suppresed T lymphocytes. Objective of this study was to analyze the effect of sleep therapy (sirep) as immunomodulator in elderly with sleep disorder Method: This study used Quasy-Experimental Pre-Post Test Control Group Non Randomised design. Result: Result showed that Sleep therapy (sirep) can changed IFNgRa level in serum elderly with Wilcoxon Sign Rank Test had p0.01. Discussion: Sleep therapy of elderly can released cortisol level serum changing, so sleep therapy as immunomodulator in elderly with sleep dissorder was verified. Discussion: Sleep therapy must applied on elderly with sleep disorder, because sleep therapy become immunomodulator on elderly with sleep disorder was verified

Aromacare of Jasmine Increased Sleep Needs in Elderly

Introduction: Sleep disorder is one of the problems that faced by elderly. Progress of sleep change from time to time, sleep patterns during the aging experience different than younger people. Sleep patterns in elderly decreases according with increasing age and degenerative processes that occur in physiological. Aroma of jasmine is the one of method to increase sleep needs, but giving the aroma of jasmine with nursing intervention that called aromacare to reduce sleep disorder is never investigated. Method: This study used quasy experiment pretest and posttest design. The population were elderly with sleep disorder in Tresna Werdha Puspakarma Service Home Elderly Mataram. The samples were recruited using purposive sampling, total samples were 14 respondents, according to inclusion and exclusion criteria. The independent variable was aromacare of jasmine and the dependent variable was sleep in elderly. Data were collected using structure questionnaire. Data were analyzed by using wilcoxon sign rank test and mann whitney test to fulfillment adequacy of sleep based on quantity, paired t test and independent t test to fulfi llment adequacy of sleep on quantity with significance α ≤ 0.05. Result: Result showed that aromacare of jasmine increase of fulfi llment of the need of sleep in quality (p < 0.016) and also effect the need of sleep in quantity (p < 0.001). Discussion: It can be concluded that aromacare of jasmine has significantly effect on sleep need of the elderly. Further research should measure the effect of aromacare of jasmine on fulfillment of the need of sleep with the rate of melatonin and EEG (Electro Encephalo Gram)

Pengalaman Istri Dalam Pemenuhan Seksualitas Suami Dengan Gagal Ginjal Kronik Yang Menjalani Hemodialisis

Pendahuluan: Gagal Ginjal Kronik adalah penyakit dimana ginjal mengalami kerusakan yangprogresif dan irreversible. Salah satu terapi pengganti ginjal adalah hemodialisis. Permasalahanakibat penyakit gagal ginjal kronik dengan hemodialisis diantaranya masalah seksualitas. Masalahseksualitas belum mendapatkan perhatian dari pemberi pelayanan kesehatan dan klien atau pasanganhemodialisis jarang melaporkan masalah seksualitas kepada petugas kesehatan. Perlu digalibagaimanakah pengalaman istri dalam pemenuhan seksualitas suami dengan gagal ginjal kronik yangmenjalani hemodialisis. Metode: Penelitian ini menggunakan pendekatan kualitatif tipe penelitianstudi kasus Intrinsik. Partisipan berjumlah 5 orang yang memenuhi kriteria penelitian. Instrumenpenelitian berupa panduan wawancara terstruktur. Peneliti juga menggunakan metode observasidengan cara melakukan pencatatan. Hasil: Hasil penelitian ini mengidentifikasi tujuh tema.Pengetahuan istri tentang seksualitas, pengetahuan istri tentang Perubahan akibat penyakit gagal ginjalkronik, respon terhadap penampilan, perasaan dan gejolak emosional yang dirasakan, upaya yangdilakukan untuk memenuhi seksualitas, pola aktifitas seksual, dukungan dan harapan untuk kliengagal ginjal kronik yang menjalani hemodialisis. Diskusi: Klien dengan gagal ginjal kronis yangmenjalani hemodialisis membutuhkan pemenuhan seksualitas. Istri harus memahami tentang cara danupaya yang harus dilakukan untuk memenuhi seksualitas. Diperlukan kerja sama antara klien, istri danpetugas kesehatan untuk memberikan edukasi kepada istri supaya dapat memenuhi seksualitas kepadaklien sehingga kualitas hidupnya menjadi lebih baik

Javanese Traditional Music on the Fulfillment of the Need of Sleep of Elderly

Introduction: Quality and quantity of sleep dissorder are the commonest problems that faced by elderly. These problems can increase activity of sympathetic nerve and muscle stress. Javanese traditional music is one of the method to increase the fulfillment of the need of sleep. The objective of this study was to analyze the effect of Javanese traditional music on the fulfillment of the need of sleep in elderly. Method: Design of this study was a pre experimental design. The population was elderly with sleep disorders in Panti Sosial Tresna Werdha Blitar. There were 12 respondents which recruited by using purposive sampling who met to the inclusion criteria. The independent variable of this study was the Javanese traditional music and the dependent variable was the fulfillment of sleep in elderly. Data were collected by using structured questionnaire and biophysiological measurement and then analyzed by using Wilcoxon Signed Rank Test and Paired t-Test with level of significance α≤0.05. Result: The result showed that there was an effect of Javanese traditional music on quality of sleep (p=0.001), had an effect to increase the duration of sleep (p=0.00001), beside that it could reduce heart rate (p=0.001) and respiratory rate (p=0.00001). However, Javanese traditional music did not had significant effect to reduce sistolic blood pressure (p=0,104) and diastolic blood pressure (p=0339). Discussion: Conclution: Javanese traditional music had significant effect on the fulfillment of the need of sleep in elderly. Further research should measure the effect of Javanese traditional music on the fulfillment of the need of sleep with the rate of melatonin and EEG (Electro Encephalo Graphy)

Aromatherapy Decreases Level of Pain Among Patients Who Experience Migrain

Introduction: Migraine was one of the headache type which is often griped by most of young woman. Migraine could influence activity, degrading work productivity, bothering work, family and social life, and there was possibility to loose job opportunity and decreased salary. Aromatherapy was one of the alternative that could be taken to decrease the migraine pain. Aromatherapy was trust directly influent brain to changed someone's emotion and mood. The objective of this study was to analyze the effect of aromatherapy to decrease the migraine pain. Method: This study was used a quasy-eksperimental design. There were 12 respondents who met the inclusion criteria, divided into treatment and control group. The independent variable was giving aromatherapy and the dependent variable was decrease pain level of migraine patients. Data were obtained by using observation and questionare, then analyzed by using Wilcoxon Signed Rank Test with level of significanceα ≤0.05, Mann-Withney U Test with level of significance <0.05. Result: The result showed that giving aromatherapy had strong influence to decrease pain level of migraine patients, with the result of statistical test had same significant level p=0.014. The result showed that there was differences of post test pain level post test between treatment and control group, with the result of statistical test had same significant level p=0.011. Discussion: It can be concluded that giving aromatherapy could decrease pain level of migraine patient. Recommendation for the nurses and other health profession to use aromatherapy as alternative medication of migraine naturally. Further studies need to be conducted regarding aromatherapy in decreasing pain level of migraine patients to help assisted curing prosess

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)

The Effects of Traditional East Java Indonesia Sirep on Cortisol Level, IFN- and IL-10 in Folk Home Elderly Disturbed Sleep Needs

Background: Sirep, is one of the traditional intervention of people in East Java Indonesia, especially Tengger tribe using spells to meet the needs of human sleep. In context Indonesia, Elderly is human being aged 60 years and older who experience sleep disturbances fulfillment. Furthermore, sirep as immunomodulator effect on levels of cortisol, IFN-gRα and IL-10 is still unknown in nursing perspective.Method: The population of this study were 70 elderly with the number ofrespondents were 43 elderly. They were divided into two groups that are (1) 23 elderly with 6-month sirep intervention (mean age, 69.6 ± 5.2 years) as an experiment group, and (2) 20 elderly as control group (65.8 ± 5.4 years). The need of sleep is implemented to Evaluate the sample of immune modulation, cortisol levels, IFN-gRα and IL-10. The molecular biology of the samples was determined using ELISA analysis. The statistical analysis of the data used Determine ANOVA and t-test.Results: After the 6 -month intervention, there re is significant changes in serum cortisol levels (p = 0.0001) and a different test with a control intervention was also significant (p = 0.00 1 3). Significant changes in serumlevels of IFN-gRα is (p = 0.0003) and a different test with a control intervention is also significant (p = 0.016 4), while the change in the levels of IL-10 in serum is significant (p = 0.0003) and test different intervention with no significant control (p = 0.1143).Conclusion: This study supports the hypothesis that sirepcan improve immune modulator in elderly. However, immune modulator showed a slight improvement in the nursing intervention of sirep group, suggesting that a longer or more frequent sessions of intervention might have an effect.

Waste Picker's Behaviour on Dhf and IT's Correlation with the Presence of Aedes Aegypti Larva

Introduction: Dengue Haemorhagic Fever is an endemic disease caused by dengue virus with Aedes aegypti as the vector. Most of waste pickers in waste goods pool refuse fogging, 3M programme and abatization, so that DHF outbreak occurs in that area every year. Larva free rate also remains under the target. Therefore, it was necessary to improve DHF relation with behaviour of waste pickers. This study was used a cross sectional design. The objective of this study was to identify waste picker's behaviour on DHF and its correlation with the presence of Aedes aegypti larva. Method: The subjects were waste picker which live at Sidokumpul and Kebomas village. There were 36 samples which recruited by using cluster random sampling. Data were collected by using questionnaire (structured intervied) and observation, then analyzed by using Fisher's Exact Test with significance level α≤0.05. Result: The result showed that there was not a correlation between waste picker's knowledge with the presence of Aedes aegypti larva (p=0.236), no correlation between waste picker's attitude with the presence of Aedes aegypti larva (p=0.422) and there was a significance correlation between waste picker's behaviour with the presence of Aedes aegypti larva (p=0.03). Discussion: It can be concluded that there was not a correlation between waste picker's knowledge and waste picker's attitude with the presence of Aedes aegypti larva. Moreover, the waste picker's behaviour has a significance correlation with the presence of Aedes aegypti larva.The waste picker should improve their participation in mosquito's nest eradication programme