EFFECT OF EARLY MOBILIZATION TO URINE RETENTION EVENT POST HERNIOTOMY OPERATION IN RSUD PROF DR SOEKANDAR MOJOSARI

EFFECT OF EARLY MOBILIZATION TO URINE RETENTION EVENT POST HERNIOTOMY OPERATION IN RSUD PROF DR SOEKANDAR MOJOSARI   By :Lutfi Wahyuni, Binarti Dwi Wahyuningsih   Hernia is a problem that can be found in the case of surgery and became the most cases of surgery after appendicitis. Emergency emergency cases can occur if the hernia is sedentary where there has been a blockage in the food channel which eventually the blood vessels caught should be surgery called herniotomy. Many problems arise from surgery and the risk of anesthesia (spinal anesthesia), including the presence of urinary retention events. This study aims to identify the incidence of urinary retention in postoperative herniotomy patients after early mobili- tation. The design used in this study was pre-experimental with a one-shot case study design. The population in this study were all patients who had undergone herniotomy surgery at 2nd grade inpatient room in RSUD Soekandar Mojosari in February 2017 as many as 27 people. Samples were taken using consecutive sampling technique. Data analysis using descriptive analysis. The result of the research showed that in stage 1 of 30 respondents (95%) who experienced urine retention decreased to 9 respondents (30%) in phase 2 subsequently decreased to 2 respondents (6,6%) in stage 3 and at stage 4 there were no respondents experience urinary retention. There is an effect of early mobilization on the incidence of urinary retention with different responses in each respondent. Early mobilization is influenced by physical factors, emotions and age and developmental status.   Keywords: Early Mobilization, Urine Retention, Herniotomy                                     EFFECT OF EARLY MOBILIZATION TO URINE RETENTION EVENT POST HERNIOTOMY OPERATION IN RSUD PROF DR SOEKANDAR MOJOSARI   By :Lutfi Wahyuni, Binarti Dwi Wahyuningsih   Hernia is a problem that can be found in the case of surgery and became the most cases of surgery after appendicitis. Emergency emergency cases can occur if the hernia is sedentary where there has been a blockage in the food channel which eventually the blood vessels caught should be surgery called herniotomy. Many problems arise from surgery and the risk of anesthesia (spinal anesthesia), including the presence of urinary retention events. This study aims to identify the incidence of urinary retention in postoperative herniotomy patients after early mobili- tation. The design used in this study was pre-experimental with a one-shot case study design. The population in this study were all patients who had undergone herniotomy surgery at 2nd grade inpatient room in RSUD Soekandar Mojosari in February 2017 as many as 27 people. Samples were taken using consecutive sampling technique. Data analysis using descriptive analysis. The result of the research showed that in stage 1 of 30 respondents (95%) who experienced urine retention decreased to 9 respondents (30%) in phase 2 subsequently decreased to 2 respondents (6,6%) in stage 3 and at stage 4 there were no respondents experience urinary retention. There is an effect of early mobilization on the incidence of urinary retention with different responses in each respondent. Early mobilization is influenced by physical factors, emotions and age and developmental status.   Keywords: Early Mobilization, Urine Retention, Herniotomy                                       EFFECT OF EARLY MOBILIZATION TO URINE RETENTION EVENT POST HERNIOTOMY OPERATION IN RSUD PROF DR SOEKANDAR MOJOSARI   By :Lutfi Wahyuni, Binarti Dwi Wahyuningsih   Hernia is a problem that can be found in the case of surgery and became the most cases of surgery after appendicitis. Emergency emergency cases can occur if the hernia is sedentary where there has been a blockage in the food channel which eventually the blood vessels caught should be surgery called herniotomy. Many problems arise from surgery and the risk of anesthesia (spinal anesthesia), including the presence of urinary retention events. This study aims to identify the incidence of urinary retention in postoperative herniotomy patients after early mobili- tation. The design used in this study was pre-experimental with a one-shot case study design. The population in this study were all patients who had undergone herniotomy surgery at 2nd grade inpatient room in RSUD Soekandar Mojosari in February 2017 as many as 27 people. Samples were taken using consecutive sampling technique. Data analysis using descriptive analysis. The result of the research showed that in stage 1 of 30 respondents (95%) who experienced urine retention decreased to 9 respondents (30%) in phase 2 subsequently decreased to 2 respondents (6,6%) in stage 3 and at stage 4 there were no respondents experience urinary retention. There is an effect of early mobilization on the incidence of urinary retention with different responses in each respondent. Early mobilization is influenced by physical factors, emotions and age and developmental status.   Keywords: Early Mobilization, Urine Retention, Herniotomy                                             EFFECT OF EARLY MOBILIZATION TO URINE RETENTION EVENT POST HERNIOTOMY OPERATION IN RSUD PROF DR SOEKANDAR MOJOSARI   By :Lutfi Wahyuni, Binarti Dwi Wahyuningsih   Hernia is a problem that can be found in the case of surgery and became the most cases of surgery after appendicitis. Emergency emergency cases can occur if the hernia is sedentary where there has been a blockage in the food channel which eventually the blood vessels caught should be surgery called herniotomy. Many problems arise from surgery and the risk of anesthesia (spinal anesthesia), including the presence of urinary retention events. This study aims to identify the incidence of urinary retention in postoperative herniotomy patients after early mobili- tation. The design used in this study was pre-experimental with a one-shot case study design. The population in this study were all patients who had undergone herniotomy surgery at 2nd grade inpatient room in RSUD Soekandar Mojosari in February 2017 as many as 27 people. Samples were taken using consecutive sampling technique. Data analysis using descriptive analysis. The result of the research showed that in stage 1 of 30 respondents (95%) who experienced urine retention decreased to 9 respondents (30%) in phase 2 subsequently decreased to 2 respondents (6,6%) in stage 3 and at stage 4 there were no respondents experience urinary retention. There is an effect of early mobilization on the incidence of urinary retention with different responses in each respondent. Early mobilization is influenced by physical factors, emotions and age and developmental status.   Keywords: Early Mobilization, Urine Retention, Herniotomy                                     EFFECT OF EARLY MOBILIZATION TO URINE RETENTION EVENT POST HERNIOTOMY OPERATION IN RSUD PROF DR SOEKANDAR MOJOSARI   By :Lutfi Wahyuni, Binarti Dwi Wahyuningsih   Hernia is a problem that can be found in the case of surgery and became the most cases of surgery after appendicitis. Emergency emergency cases can occur if the hernia is sedentary where there has been a blockage in the food channel which eventually the blood vessels caught should be surgery called herniotomy. Many problems arise from surgery and the risk of anesthesia (spinal anesthesia), including the presence of urinary retention events. This study aims to identify the incidence of urinary retention in postoperative herniotomy patients after early mobili- tation. The design used in this study was pre-experimental with a one-shot case study design. The population in this study were all patients who had undergone herniotomy surgery at 2nd grade inpatient room in RSUD Soekandar Mojosari in February 2017 as many as 27 people. Samples were taken using consecutive sampling technique. Data analysis using descriptive analysis. The result of the research showed that in stage 1 of 30 respondents (95%) who experienced urine retention decreased to 9 respondents (30%) in phase 2 subsequently decreased to 2 respondents (6,6%) in stage 3 and at stage 4 there were no respondents experience urinary retention. There is an effect of early mobilization on the incidence of urinary retention with different responses in each respondent. Early mobilization is influenced by physical factors, emotions and age and developmental status.   Keywords: Early Mobilization, Urine Retention, Herniotomy                                       EFFECT OF EARLY MOBILIZATION TO URINE RETENTION EVENT POST HERNIOTOMY OPERATION IN RSUD PROF DR SOEKANDAR MOJOSARI   By :Lutfi Wahyuni, Binarti Dwi Wahyuningsih   Hernia is a problem that can be found in the case of surgery and became the most cases of surgery after appendicitis. Emergency emergency cases can occur if the hernia is sedentary where there has been a blockage in the food channel which eventually the blood vessels caught should be surgery called herniotomy. Many problems arise from surgery and the risk of anesthesia (spinal anesthesia), including the presence of urinary retention events. This study aims to identify the incidence of urinary retention in postoperative herniotomy patients after early mobili- tation. The design used in this study was pre-experimental with a one-shot case study design. The population in this study were all patients who had undergone herniotomy surgery at 2nd grade inpatient room in RSUD Soekandar Mojosari in February 2017 as many as 27 people. Samples were taken using consecutive sampling technique. Data analysis using descriptive analysis. The result of the research showed that in stage 1 of 30 respondents (95%) who experienced urine retention decreased to 9 respondents (30%) in phase 2 subsequently decreased to 2 respondents (6,6%) in stage 3 and at stage 4 there were no respondents experience urinary retention. There is an effect of early mobilization on the incidence of urinary retention with different responses in each respondent. Early mobilization is influenced by physical factors, emotions and age and developmental status.   Keywords: Early Mobilization, Urine Retention, Herniotomy                               &nbsp

EFFECT OF DIABETES SELF MANAGEMENT EDUCATION (DSME) ON KNOWLEDGE ON CONTROL OF BLOOD SUGAR ON DIABETES MELLITUS PATIENTS

Many people who do not realize he has a disease that is more often called diabetes or diabetes. This is caused by several factors, including the level of knowledge, level of education, behavior, eating habits, closeness and exposure to information sources. One form of education that is commonly used and proven to be effective in improving the clinical outcome and quality of life of diabetes mellitus patients is Diabetes Self Management Education (DSME). This study aims to prove the influence of diabetes self-management education (DSME) to the knowledge of blood glucose control in people with diabetes mellitus in GayamanVillage and Kweden Village Work Area Health Center GayamanMojokerto. In this research the design used is Pre-experiment with One Group Pre-Post Test Design approach. The population is all DM patients in Gayaman Village and Kweden Village with 32 respondents. Samples from 32 respondents were taken using Total Sampling technique. Data collection techniques used questionnaires and data were analyzed using cross tabs. There is influence of diabetes self management education (DSME) to knowledge about controlling blood sugar level in people with diabetes mellitus with value 3,1%. Diabetes self management education (DSME) can be an intervention in providing knowledge to patients with DM, so that patients can control blood sugar levels well

PENINGKATAN SENSITIVITAS KAKI DENGAN RANGE OF MOTION DIABETIC EXERCISE PADA PENDERITA DIABETES MELITUS TIPE II

Abstract                Diabetes mellitus (DM) is a metabolic disease whose prevalence continues to increase. One of the chronic complications of type II diabetes mellitus is hyperglycemia which tends to progress to diabetic ulcers which are preceded by decreased sensitivity in the feet, due to impaired perfusion and peripheral neuropathy. Range of Motion (ROM) exercises to reduce blood sugar circulation, prevent nerve damage, increase blood circulation and improve foot sensitivity, have not been widely practiced by patients with type II diabetes. The purpose of this study was to determine the effect of the range of motion diabetic exercise on the level of foot sensitivity using 10 gram monofilament in type II DM. The population is type II DM patients in the Peterongan Public Health Center, Jombang Regency. Sampling in this study using purposive sampling. Respondents in this study were 80 respondents. Data collection was carried out before and after treatment, namely the range of motion diabetic execise using a 10 gram monofilament foot sensitivity examination. Based on the results of the study, the measurement of foot sensitivity before treatment was obtained by more than some respondents (65%) with the category of no foot sensitivity, while the foot sensitivity after treatment was obtained by more than some respondents in the normal category, namely 48 respondents (60%). Based on data analysis, there is a difference in the level of foot sensitivity of patients with type II DM between the pretest and posttest, as indicated by the results of the Mann-Whitney test, namely p = 0.000. Regular range of motion diabetic exercise can improve lower extremity blood circulation, increase foot sensitivity and flex the peripheral nervous system, thereby reducing the risk of diabetic foot ulcers in type II DM patients. Keywords: range of motion diabetic, foot sensitivity, diabetes mellitu

THE CORRELATION OF PSYCHOLOGICAL COUNSELING IN PKPR WITH THE ABILITY TO PROBLEM SOLVING ADOLESCENTS AGED 13-15 YEARS AT LOWER SECONDARY SCHOOL STATE 1 PURI MOJOKERTO

THE CORRELATION OF PSYCHOLOGICAL COUNSELING IN PKPR WITH THE ABILITY TO PROBLEM SOLVING ADOLESCENTS AGED 13-15 YEARS AT LOWER SECONDARY SCHOOL STATE 1 PURI MOJOKERTO By: Binarti Dwi,Lutfi Wahyuni,     Abctract : This study aims to analyze correlation between the role of adolescence care services (PKPR) particular program as psychological counseling to problem solving capabilities in adolescent aged 13-15 years at lower secondary school state 1 puri Mojokerto. This study used is analytic with cross-sectional. A simple of 52 people were taken by cluster random sampling. Protap monitoring data collection using standard PKPR 3 adolescence, especcially psychological counseling program and questionnaire problem solving abilities. Spearman rho test showed that p (0,000) < α (0,05) so, H0 is rejected it means there is correlation of psychological counseling in pkpr with the ability to problem solving adolescents aged 13-15 years at lower secondary school state 1 puri Mojokerto. Whith valve r-0,474 which shows correlation moderat. To improve quality of Psychological counseling services in PKPR expected to help adolescent  choose alternative solotions to problems and improve the ability of problem solving in adolescent. &nbsp

Range Of Motion Exercise Increase Foot Sensitivity Of People With Diabetes Mellitus Type II: Range Of Motion Exercise Meningkatkan Sensitivitas Kaki Penderita Diabetes Mellitus Type II

Range Of Motion Exercise diabetik merupakan jenis senam Latihan ROM ankle merupakan gerakan yang meliputi 2 gerakan yaitu dorsofleksi dan plantarfleksi yang mengakibatkan peningkatan kekuatan otot betis dan meningkatkan pompa otot betis sehingga memfasilitasi venous return yang berdampak positif dalam memfasilitasi difusi oksigen dan nutrisi (Rusandi, 2014).. Metode Pengabdian Masyarakat dengan Populasi  penderita  Diabetes mellitus Tipe 2 dusun Pajaran desa Peterongan Kecamatan Peterongan Kab Jombang , Sampling yang digunakan yaitu  Total Sampling, Jumlah Responden ada 36 responden. Pelaksaaan Pengabmas dengan memberikan modul dan Senam bersama Range of Motion  untuk  melancarkan Ektremitas Bawah, setelah itu diukur Sensivitas kaki perifer penderita diabetes tipe 2 dengan menggunakan  Monofilamen 10 gram .Dari Hasil yang didapat dari 36 responden, yang sensivitas kakinya normal ada 28 responden, Penurunan Sensivitas ada 6 responden dan tidak ada Sensivitas ada 2 Responden. Senam Range of Motion merupakan jenis terapi untuk penderita diabetes militus tipe 2, senam ini kaki penderita diaebetes mellitus tipe 2 menjadi lebih lancar peredaran darah, dan kelenturan sistem saraf dan aliran darah. Aktivitas fisik mampu meningkatkan sesivitas kaki

Senam Diabetes SENAM DIABETES SEBAGAI UPAYA MENURUNKAN KADAR GULA DARAH: SENAM DIABETES SEBAGAI UPAYA MENURUNKAN KADAR GULA DARAH

SENAM DIABETES SEBAGAI UPAYA MENURUNKAN KADAR GULA DARAH  Binarti Dwi Wahyuningsih1, Sri Sudarsih2, Moch Zainuddin3                 Senam diabetes melitus merupakan jenis senam aerobic low impact yang penekanannya pada gerakan ritmik otot, sendi, vaskuler dan saraf dalam bentuk peregangan dan relaksasi. Senam ini merupakan senam fisik yang dirancang menurut usia dan status fisik serta merupakan bagian dari pengobatan diabetes mellitus. Senam mempunyai efek menaikkan aksi insulin di jaringan, sehingga kebutuhan akan insulin menurun. Latihan jasmani yang berupa olah raga dapat menyebabkan terjadinya peningkatan aliran darah, pembuluh kapiler lebih banyak terbuka sehingga lebih banyak tersedia reseptor insulin dan reseptor menjadi akan lebih aktif yang akan berdampak terhadap penurunan glukosa darah pada pasien diabetes. Senam diabetes mellitus tipe 2 berperan dalam pengaturan kadar glukosa darah karena glukosa otot yang sedang bekerja dapat mencapai kenaikan sampai 15-20 kali lipat akibat peningkatan laju metabolic pada otot yang aktif dan hal ini dapat memperbaiki profil lemak, meningkatkan sensitivitas insulin sehingga akan menurunkan glukosa darah. Tahapan kegiatan yang akan dilakukan dalam kegiatan pengabdian kepada masyarakat ini adalah menyiapkan materi yang akan disampaikan pada saat penyuluhan dan berkoordinasi dengan kepala Desa Gayaman serta kader keehatan di Desa Gayaman. Rencana selanjutnya adalah melaksanakan senam diabetes bersama penderita diabetes tipe 2

PERBEDAAN PENGARUH METODE PEMBELAJARAN PROBLEM BASED LEARNING DAN COOPERATIVE LEARNING TERHADAP MOTIVASI BELAJAR DAN KEMAMPUAN BERPIKIR KRITIS DALAM MATA AJAR KEPERAWATAN MEDIKAL BEDAH MAHASISWA SEMESTER III AKPER BINA SEHAT PPNI MOJOKERTO

BINARTI DWI W, S 541202023. PERBEDAAN PENGARUH METODE PEMBELAJARAN PROBLEM BASED LEARNING DAN COOPERATIVE LEARNING TERHADAP MOTIVASI BELAJAR DAN KEMAMPUAN BERPIKIR KRITIS DALAM MATA AJAR KEPERAWATAN MEDIKAL BEDAH MAHASISWA SEMESTER III (AKADEMI KEPERAWATAN KEPERAWATAN BINA SEHAT PPNI MOJOKERTO)Tesis: Pendidikan Profesi Kesehatan Program Pascasarjana Magister Kedokteran Keluarga Universitas Sebelas Maret Surakarta 2013. Latar Belakang : Kemampuan berfikir kritis itu akan meningkatkan kemampuan mahasiswa untuk mencapai kompetensi yang diharapkan, juga perlu motivasi yang baik dalam meningkatkan kemampuan berfikir kritis dipengaruhi oleh metode pembelajaran yang diterapkan oleh instansi pendidikan dimana tempat mahasiswa belajar. Tujuan Penelitian :Penelitian ini bertujuan untuk menganalisa perbedaan pengaruh metode pembelajaran Problem Based Learning dengan Cooperative Learning terhadap motivasi dan kemampuan berfikir Kritis pada mata ajar Keperawatan Medikal Bedah Metode : Penelitian ini merupakan penelitian dengan desain true eksperimental.dilaksanakan di AKPER Bina Sehat PPNI Kab Mojokerto. Terdiri dari 121 responden dengan teknik Randomized control trial sampling Instrumen penelitian berbentuk kuesioner. Yaitu tentang motivasi belajar dan kemampuan berfikir kritis.Analisis data menggunakan Uji Analisis Kruskall wallis dan untuk membandingkan antar kelompok menggunakan Mann Whitney. Hasil Penelitian: Ada perbedaan pengaruh metode pembelajaran problem based learning dan cooperative learning terhadap motivasi belajar ditunjukkan dengan uji Kruskal Wallis dengan nilai signifikan (p < 0,016) sedangkan kemampuan berfikir kritis hasil uji kruskall Wallis menunjukkan nilai (p < 0,00 ) pada mahasiswa Akademi Keperawatan Bina Sehat PPNI kabupaten Mojokerto.Setelah beberapa variable penelitian dilakukan uji statistic Mann Whitney dengan hasil pada kemampuan berfikir kritis terdapat perbedaan pengaruh yang secara statistic signifikan antara metode pembelajaran Problem Based Learning dengan Konvensional terdapat perbedaan pengaruh yang sangat signifikan (p < 0,00), sedangkan Motivasi pembelajaran terdapat perbedaan pengaruh yang secara statistic signifikan antara metode pembelajaran Problem based learning dengan Cooperatif Learning (p < 0,005). Kesimpulan : Ada perbedaan pengaruh yang secara statistic signifikan pada metode pembelajaran Problem Based learning dan Cooperative Learning terhadap kemampuan berfikir kritis.Ada perbedaan pengaruh metode pembelajaran Problem Based Learning dan Cooperative Learning terhadap motivasi belajar mahasiswa pada mata ajar Keperawatan Medikal Bedah Akper Bina Sehat PPNI Mojokerto Kata kunci: metode pembelajaran,problem based learning,cooperatif learning,konvensional,motivasi belajar,kemampuan berfikir

THE RELATIONSHIP OF EMPLOYEE PERCEPTION ABOUT IMPLEMENTATION OF K3 WITH THE USE OF PPE (PERSONAL PROTECTION EQUIPMENT)

The use of Personal Protection Equipment (PPE) is the last choice of the method of controlling accident and occupational diseases. Nevertheless, the use of PPE discipline will be critical important for companies and employees to reduce the risk of accidents and occupational diseases. The purpose of of this research is to know the relation of employee perception about implementation of K3 with the use of personal protection equipment (PPE). The design of this research is analytic correlational with cross-sectional aproach 21-27 May 2017. The population this research was employees production unit in UPT. Balai Yasa Surabaya Gubeng. Sample were taken by total sanpling technique as much as 33 respondents. The data were collected with observation for the use of PPE and questionnaires for employee perception about implementation of K3, then tested with a statistical distribution (Crosstab) Chi-Square and are presented in tabular form. The result of the research shown of 33 respondents were 17 respondents (51,5%) who has a positive perception mostly has the use of PPE on the good level and 9 respondents (27,3%) has the use of PPE in the sufficient level. Based on this research gotten a statistical result with a value of the Ï value = 23,209 with Ï= 0,000 or É‘ &lt; 0,05 with this it can be concluded that there is a sognificant relationship between employee perception about implementation of K3 with the use of PPE. Based on this research are expected employees to improve discipline in the use of PPE (Personal Protection Equipment) in complete especially the use of mask and glove

THE DIFFERENCES OF PROJECT-BASED LEARNING AND COOPERATIVE LEARNING MODELS TO INFLUENCE OF CRITICAL THINKING ABILITY IN STUDENT MEDICAL AND SURGICAL SUBJECT 3RD SEMESTER OF DIII NURSING STUDY PROGRAM

Achieve maximum academic competition, it is necessary to have critical thinking skills. Both of these are certainly influenced by the learning methods applied by lecturers. Learning of Medical Nursing Nursing learning requires cognitive, affective and psychomotor abilities. Learning methods that are appropriate and easily accepted by students such as project based methods learning and cooperative learning provide learning experiences in the classroom to think more critically and have a high ability to master the concepts and cause motivation to learn. The purpose of this study was to determine the differences in the effect of Project Based Learning learning methods with Cooperative Learning on motivation and Critical Thinking skills in Surgical Medical Nursing teaching. The source population in this study was student D III Nursing STIKES HEALTHY DEVELOPMENT PPNI Mojokerto Semester III. The sample in this study was the third semester students, Nursing Diploma Program, as many as 78 students. The data collection techniques of this research were written test and questionnaire test. Data analysis was performed with data normality test using Kolmogorov mSmirnov test and the results were all data were normally distributed so that the data analysis used different tests namely Mann Whitney, as well as to determine differences in the effect of each class using the Wilcoxon test. The results showed the Asymp.Sig (2tailed) &lt; 0.05 which is 0.000 which means that there are differences in critical thinking skills between classes that use the project based learning model and the Cooperative Learning model after receiving treatment. The Project Based Learning Method guides students through a problem that is solved by a project so that the ability to think in students is more increased