PENGARUH PES PLANUS PLANTARIS METATARSALIA TERHADAP STABILITAS POSTURAL VERTEBRA ATLET OLAHRAGA DENGAN WEIGHT-BEARING

Overuse activity is at risk of injury to the lower limb and will decrease curvature in the plantar arch. Sports athletes with continuous weight-bearing exercise activity will affect the curvature of the plantar, causing the malformation of the foot arch to become flatter (flatfoot). This condition is reported to affect postural stability during the move. This is a quantitative cross-sectional analytics study involving basketball athletes for all 47 subjects. Subject's foot arch index determined with footprint on the graph paper, followed by AMTI Accupower Force flatform posturography (force plate) as postural stability determintion. The examination is performed in static positition to determine body,s postural sway diameter of CoP on the base of support area while standing. The result revealed that 80,9% of subjects had flat plantar arch (pes planus plantaris). Footprint results showed majorities of basketball athletes having pes planus plantaris. The mean value of the postural sway diameter of CoP while standing (static) on the subject with pes planus plantaris have significant correlation on the postural stability. This condition will significantly affect postural stability in quite standing conditions

Mothers Awareness of Pneumonia and the Toddler Breastfeeding Duration Affect Pneumonia Incidence

This study aims to determine the relationship between the mother's level of awareness about the pathology of pneumonia and the duration of breastfeeding under five with the incidence of pneumonia in DR. M.A. Hospital Hanafiah. This research is a retrospective analytic descriptive study with a cross-sectional design. The results showed that mothers' awareness of pneumonia was lower by 71.8%, they breastfed their babies for less than six months (71.8%), and more than two-thirds of children under five (76.9%) were diagnosed with pneumonia. Furthermore, statistical analysis significantly correlated the mothers' awareness of pneumonia and the duration of breastfeeding they performed on their children with pneumonia. The conclusion is that the mother's understanding of pneumonia has a linear effect on the incidence of pneumonia in infants and toddlers. The duration of breastfeeding has a significant impact. We assume that non-exclusive breastfeeding in infants stimulates underweight and immunological disorders that accelerate the incidence of pneumonia.   Keywords: Mother's Awareness, Length of Breastfeeding, Toddler Pneumoni

Hypnobirthing Pain Management for Maternal Pain Adaptation along Labor Process

The purpose of this study was to determine the effect of hypnobirthing pain management on the adaptability of maternal pain spontaneously. This study uses a quantitative approach to the design quasi-experimental design with treatment replications ( pretest posttest with control group.  Research results showed the existence difference in pain adaptation in mothers who are given hypnobirthing pain management intervention is 1,00 (able to adapt). No differences in pain adaptation in women who were not given pain management interventions hipnobirthing ie -0.62 (not able to adapt). Bivariate results revealed the influence of hypnobirthing pain management on the adaptation ability of maternal pain that gave birth spontaneously (p=0.002). We conclude that there is an influence of hypnobirthing pain management on pain adaptability. It is expected that medical services are able to apply hypnobirthing pain management to maternity mothers, and expected to make standardized services procedures on hypnobirthing management for pain relaxations.    Keywords : Hypnobirthing, Pain Adaptation, Pain Managemen

Guided Imagery Technique Implementation Reducing Primigravida Pregnancy Anxiety Before Childbirth Delivery

Anxiety is the most common psychiatric condition found throughout the world. Anxiety in pregnancy is an emotional reaction that occurs in pregnant women related to the concern of the mother with the welfare of herself and her fetus. Guided imagery is the development of mental functions that express oneself dynamically through a psychophysiological process involving all senses and bringing about changes in behavior, perception, or physiological responses with someone's guidance or through the media. This scientific case study aims to determine the application of nursing care to primigravida mothers in dealing with the labor process using guided imagery techniques. The data collection techniques used were interviews, observation, physical examination, and documentation study. This scientific paper shows that there is a decrease in the level of anxiety in the patient after doing the guided imagery technique for 3 meetings. Based on these results, it can be concluded that the intervention from journals related to nursing care in primigravida mothers who experience anxiety has been implemented well. The results of this scientific case study are expected to be implemented as a basis for developing nursing care management and assisting nurses to increase client’s satisfaction with caring provided. Keywords: anxiety, guided imagery, primigravida pregnancy

Asupan Karbohidrat Harian terhadap Risiko Kejadian Diabetes Melitus Gestasi (GDM) melalui Glyco-Hemoglobin Ibu Hamil

This study aims to identify the relationship between the amount of carbohydrate intake in pregnant women in the third trimester with the incidence of gestational diabetes mellitus (GDM) in the health office area of the City of Bukittinggi. This research method is a cross-sectional study using an experimental approach. The results showed that the daily intake of carbohydrates (grams) of pregnant women in the third trimester had a significant relationship with the incidence of GDM in the working area of the Bukittinggi City Health Office based on 34 pregnant women who had been examined. This can be seen from the higher the daily intake of carbohydrates for pregnant women, the increase in the percentage value of HbA1c. In conclusion, there is a correlation between the consistent daily intake of carbohydrates and the HbA1c weight, which refers to pre-diabetes status and gestational diabetes in the third trimester of pregnant women.   Keywords: Carbohydrate Intake; Gestational Diabetes Mellitus; HbA1

PENGARUH TERAPI CERMIN TERHADAP KEMAMPUAN GERAK PADA PASIEN STROKE DI WILAYAH KERJA PUSKESMAS KUMPULAN KABUPATEN PASAMAN

Background: Stroke is a disease or functional disorder of the brain in the form of nerve paralysis due to inhibition of blood vassel flow to the brain. Based on Medikal Record data of Kumpulan Public Health Center 2016, there were 67 cases. Whereas in 2017 there were 81 cases of stroke 25 witch of them outpatients who experience weakness in the limb and have never received mirror therapy. Objective: This study was to investigate "the effect of mirror therapy on the ability of motion in stroke patients in Kumpulan Public Health Center on 2018. Method: This study used the quasi-experimental method of One Group Pretest-postest. Interventions: Mirror therapy performed 5-10 minutes, once a day, 5 times a week for 4 weeks. The sample in this study were 11 respondents. Results: This research has been conducted from February 5 to March 3, 2018. The results of statistical tests obtained p value 0,000 wich it can be concluded that there is a significant influence between the mirror therapy on the ability of motion in stroke patients in Kumpulan Public Health 2018 year. Conclusion and Suggestions: It is recommended that mirror therapy should be used as one of the nonpharmacologic therapies in patients with weak extremities either through the provision of education in educational institutions and in health services by health care provider

HUBUNGAN TINGKAT PENGETAHUAN DAN LAMA MENDERITA DIABETES MELLITUS (DM) DENGAN KEJADIAN ULKUS DIABETIKUM PADA PASIEN DM TIPE 2

DM is a disease where the level of glucose (simple sugar) in high blood because the body cannot release or use insulin adequately. Type 2 diabetes can cause various chronic complications such as diabetic foot disorders. The number of DM patients in Bukittinggi Achmad Mochtar Hospital has increased in the last 2 years. In 2017 there are 1,350 DM patients, in 2018 there are 1,400 DM patients who visit the International Clinic. Information obtained from officers at the Achmad Mochtar Hospital International Police that officers did not provide health promotion about diabetic ulcers to DM patients who visited the internal poly. The purpose of the study was to determine the relationship level of knowledge and duration of suffering from diabetes with the incidence of diabetic ulcers. Descriptive analytic research method with cross sectional design. The population was all type 2 DM patients who visited the Bukittinggi Achmad Mochtar Hospital interne poly, with an average number of 117 people per month. The number of samples is 54 people, with sampling using accidental sampling. Data was processed and analyzed using the chi-square test. The results of univariate analysis showed that 72.2% of respondents had high level of knowledge, 61.1% had long suffered from DM and 79.6% had no diabetic ulcer. Bivariate results have a correlation between level of knowledge with the incidence of diabetic ulcer (p = 0,000) and there is a relationship between knowledge and incidence of diabetic ulcer (p = 0.036 and OR = 8.696). It was concluded that there was a relationship between level of knowledge and duration of suffering from diabetes with the incidence of diabetic ulcers. It is expected that the hospital management will make counseling information on diabetic ulcers for DM patients visiting the Bukittinggi Achmad Mochtar Hospital interne poly.&nbsp

Efek Ingesti Seduhan Daun Sungkai (Peronema canescens) terhadap Perubahan Glukosa Darah dan Kerusakan Ginjal Tikus Diabetes Mellitus

Gangguan aktivitas kualitatif atau kuantittatif jaringan ginjal pada diabetes melitus merupakan gangguan metabolisme dan homeostasis glukosa yang ditandai dengan hiperglikemia yang terjadi secara kronis karena menurun dan atau berkurangnya sensitifitas reseptor insulin dalam tubuh. Sungkai (Paronema canescens Jack) terdapat kandungan antioksidan seperti flavonoid, folifenol, alkaloid tanin, dan saponin. Flavonoid dapat menurunkan kadar glukosa darah dengan kemampuannya sebagai zat anti oksidan. Penelitian ini menguji efektivitas seduhan daun sungkai terhadap profil glukosa darah dengan indikasi terjadinya perubahan kadar glukosa darah, dan terjadinya proses kerusakan jaringan organ ginjal pada tikus wistar diinduksi diabetes melitus. Penelitian ini menggunakan desain true experiment dengan randomized pre-post-test with control group design. Hasil penelitian data selisih kadar gula darah tikus sebelum dan sesudah intervensi memperlihatkan terjadinya penurunan kadar gula darah pada kelompok K+(40.00±37.084), P-1 (90.17±24.441), P-2 99.17±14,442), sedangkan pada kelompok K- (-.83±2.927) terjadi penurunan.  Hasil uji paired t-test memperlihatkan nilai P value pada masing-masing kelompok adalah K- (P= .517), K+ (.046), P-1 (P= .001), P-2 (P= .001), sehingga terdapat pengaruh pemberian rebusan daun sungkai terhadap kadar gula darah pada tikus wistar yang diinduksi diabetes melitus. Penelitian ini juga menunjukan adanya perbedaan kerusakan jaringan organ ginjal tikus disetiap kelompok perlakuan pada persentase yang berbeda. Hasil analisis komposisi kandungan antioksidan dan flavonoid yang cukup tinggi pada daun Sungkai diyakini menjadi indikasi terjadinya perbaikan jaringan ginjal yang semakin membaik pada dosis sungkai yang lebih tinggi

Pengaruh Terapi Musik Flute Terhadap Penurunan Gula Darah Pada Pasien Diabetes Melitus Tipe II

Diabetes mellitus tipe II adalah kondisi hiperglikemia puasa yang terjadi meskipun insulin endogen tersedia. Adanya peningkatan kejadian angka dari tahun ke tahun sehingga membutuhkan intervensi untuk menurunkan kadar glukosa darah. Minimnya pengetahuan perawat puskesmas tentang cara lain dalam menurunkan gula darah seperti melakukan terapi musik Flute yang memberikan efek relaksasi pada penderita diabetes melitus sehingga dapat menghambat produksi hormon kortisol dan menurunkan kadar gula darah.. Adapun tujuan penelitian ini untuk menganalisis pengaruh terapi musik Flute terhadap penurunan gula darah pada pasien diabetes mellitus Tipe II dengan metode penelitian quasy eksperimental design, dengan pendekatan one group pretest-posttest design dengan sampel sebanyak 24 orang dengan teknik purposive sampling, data diolah menggunakan uji-t berpasangan. Adanya penurunan rata- rata kadar gula darah sebelum dibandingkan dengan sesudah dilakukan terapi musik flute.  Hasil penelitian menunjukkan ada pengaruh terapi musik suling terhadap penurunan gula darah dengan selisih rata-rata sebelum dan sesudah dilakukan adalah 51,25 dengan p-value 0,000 (<0,05). Sehingga dapat disimpulkan bahwa ada pengaruh terapi musik flute terhadap penurunan gula darah pada pasien diabetes mellitus tipe II

Hubungan Tingkat Stres Dengan Pola Tidur Mahasiswa Keperawatan Dalam Menyusun Skripsi Di Universitas Perintis Indonesia

Mahasiswa seringkali mengalami stress dalam menyelesaikan tugas akhir. Stress yang dialami dapat menyebabkan kualitas tidur yang buruk. Penelitian ini bertujuan untuk mengetahui hubungan tingkat stress dengan pola tidur mahasiswa keperawatan dalam menyusun skripsi di Universitas Perintis Indonesia tahun 2021. Penelitian ini menggunakan metode deskriptif analitik dengan desain cross sectional, dan teknik sampling adalah total sampling sebanyak 25 responden. Instrument yang digunakan adalah kuesioner Piitsburgh Sleep Quality Index (PSQI). Berdasarkan hasil penelitian yang dilakukan didapatkan hasil bahwa tidak ada hubungan antara tingkat stress dengan pola tidur mahasiswa keperawatan dalam menyusun skripsi (P-value >0,05). Sehingga diharapkan institusi pendidikan juga memperhatikan mekanisme koping atau pertahanan stress mahasiswa yang sedang menyusun skripsi dan untuk peneliti selanjutnya dapat melakukan penelitian dengan instrument yang berbeda dan jumlah sampel yang lebih banyak lagi dan membandingkan penelitian yang dilakukan saat melakukan ibadah puasa dan hari biasa