the effect of Kegel Exercise toward urinary in continence on the elderlies

Because of the increasing age, it causes the changes of anatomy and function of the urinary organs caused by weakening of the pelvic muscles. About 12 million people, 34% occurred in men and 60% in women. Indonesia 32.2% in the Elderlies suffers urinary incontinence. The aims of this study was to determine the effect of Kegel Exercise toward urinary in continence on the elderlies.The design of this study is Quasy experiment with design of one group pretest-posttest. This research was conducted in January-August 2015. The population in this research was 110 Elderlies, based on inclusion criteria were 12 people taken by total sampling techniques. The Data was collected by using questionaire and checklist sheets. Data were analyzed by using univariate and bivariate statistical dependent T-test with Shapiro Wilk normality test. The result showed that the frequency of urinary incontinence in the elderlies before doing Kegel exercises had the average about 10.58 with deviation 2,065. Freqency of urinary incontinence in the elderlies after doing Kegel exercises had the average about 8.00 with standard deviation 2,796. After doing the statistical, there is the effect of urinary incontinence before and after doing Kegel exercises in the elderlies. Kegel exercises can reduce urinary incontinence. It can be applied as the daily activities at social institution every day

The Effectiveness Of Health Promotion On The Neglect Of Elderly Through A Transcultural Nursing Approach : Rabab Culture

Knowledge has a big impact on the formation of a person's behavior. Behavior that is based on knowledge will be lasting compared to behavior that is not based on knowledge. Delivery of knowledge can be done in various ways. One of them is health promotion through traditional culture which is rabab art. Rabab traditional art is a musical instrument from Minangkabau that is made from coconut shell and played by one or more players. The player will sing a rhyme that is called Kaba and it has an educational message such as education about elderly neglectfulness. The objective of this study was to effectiveness of rabab culture on family education about elderly neglectfulness. The study design was a quasi-experimental design with one group pretest post-test. The study was conducted in Gurun Laweh Sub-District, Padang City, West Sumatra Province. The study population was 55 people and number of samples was 48 people. Study results show that most respondents (20 people) were at an early age (58.8%). Before the experiment, people with less knowledge were 11 people (32.4%) and after the experiment, it reduced to 9 people (26.5%). There is a difference in people’s knowledge between before and after the rabab experiment with a P-value of 0.037. It was concluded that there was a need to increase family knowledge about elderly welfare. It is recommended that healthcare workers should provide health education to the community about elderly neglectfulness and future researchers can use different variables and educational media for better results

PENINGKATAN PENGETAHUAN PASIEN DAN KELUARGA PASIEN DALAM PENATALAKSANAAN DAN PENCEGAHAN ANEMIA

Hemoglobin levels, hematocrit, and erythrocyte count all decline in anemia, which is characterized by a reduction in the number of erythrocyte masses. Iron deficiency, also referred to as iron deficiency anemia, is the most typical cause of anemia. According to the 2018 Basic Health Research (Riskesdas), anemia affects 3–4 out of 10 teenagers in Indonesia based on the characteristics of age groups 5–14 years and 15–24 years, respectively. The Pariaman City Hospital's interne chamber was the location of the community service project, which was carried out in April 2023 with a target audience of 15 patients and their families. In order to change preventative behavior and improve health status, the goal of this community service is to promote patient and family understanding about anemia prevention and management. The process for carrying out community service is divided into three stages: planning, carrying out, and evaluating. According to the findings of the community service project, the patient's family had a low level of awareness about the prevention and management of anemia before receiving counseling (pre-test) and a high level of knowledge after receiving counseling (post-test). The hospital is advised to keep offering ongoing health education to patients' families regarding the prevention of anemia and discharge planning for patients with reference to managing a healthy diet and nutrition.   Abstrak Anemia adalah keadaan dimana terjadi penurunan jumlah masa eritrosit yang ditunjukkan oleh penurunan kadar hemoglobin, Hematokrit dan hitung eritrosit. Penyebab paling umum dari anemia adalah kekurangan zat besi atau yang disebut dengan anemia defisiensi zat besi. Riset Kesehatan Dasar (Riskesdas) 2018 menunjukkan anemia di Indonesia menurut karakteristik umur 5-14 tahun sebesar 26,8% dan umur 15-24 tahun sebesar 32,% artinya 3-4 dari 10 remaja menderita anemia. Pelaksanaan pengabdian masyarakat dilaksanakan pada bulan April 2023 dengan sasaran Pasien dan Keluarga Pasien di ruangan Interne RSUD Kota Pariaman berjumlah 15 orang.  Tujuan Pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan pasien dan keluarga pasien terhadap pencegahan dan penatalaksanaan anemia sehingga adanya perubahan perilaku yang bersifat preventif dalam meningkatkan derajat kesehatan. Metode dalam pelaksanaan pengabdian masyarakat dengan tiga tahap yaitu tahap perencanaan, tahap pelaksanaan dan tahap evaluasi. Hasil pengabdian masyarakat didapatkan bahwa tingkat pengetahuan keluarga pasien tentang pencegahan dan penatalaksanaan Anemia sebelum diberikan penyuluhan (Pre test) adalah rendah yaitu sebesar 66.7 % dan setelah diberikan penyuluhan (post test) meningkat menjadi tinggi yaitu sebesar 86.6 %. Disarankan kepada pihak rumah sakit agar terus memberikan promosi kesehatan secara berkesinambungan kepada keluarga pasien terkait pencegahan anemia dan discharge planning bagi pasien  dalam mengatur pola makan serta gizi yang seimbang

Factors Associated with Psychological Impact of Junior High School Students after Earthquake in Padang, West Sumatera, Indonesia

Objectives: To examine factors associated with psychological impact of junior high school students after earthquake in Padang, West Sumatera, Indonesia. Method: This was a cross-sectional study, purposive random sampling was composed of 270 students were recruited from three Junior High Schools consist of SLTP 7, SLTP 13 and SLTP 25 in Padang West Sumatera from Mey - June 2013. The psychological impact were assessed using the Depression Anxiety and Stress Scales-21 (DASS-21) and Way of Coping questionnaire was used to measure the coping strategies. Result: Using the DASS-21 with a score of 24.4% for symptom of depression, 58.1% and 22.6% was found to suffer anxiety and stress rescpectively. Factors found to be significantly associated with depression, anxiety and stress were younger age group, but gender not associated with anxiety, socio-economic status and living arrangement not associated with depression and anxiety, loss family member and coping strategies (p<0.05). Conclusion: Additional research is needed to investigate the long- term, earthquake-related psychopathology. Nurses should receive more education about disaster-related psychological health skills to provide adequate psychological counseling and intervene successfully to assist students who survived the tragedy to optimize their psychological health status after earthquake.

PENGARUH DISCHARGE PLANNING DENGAN PENDEKATAN FAMILY CENTERED NURSING TERHADAP KUALITAS HIDUP PASIEN STROKE

Pasien pasca stroke iskemik cendrung memiliki gejala sisa yang dapat mempengaruhi fungsi fisik dan aktifitas sehari-hari pada pasien. Penelitian ini bertujuan untuk mengetahui Pengaruh Discharge Planning Dengan Pendekatan Family Centered NursingÂ&nbsp;Terhadap Â&nbsp;Kualitas Hidup Pasien Stroke Â&nbsp;Di RSI. Ibnu Sina Padang Tahun 2016. Desain penelitian quasi experimental, non equivalent, control group pre test dan post test design. Pengambilan sampel consecutive samplingÂ&nbsp;yang berjumlah 26 orang. Sampel yaitu pasien stroke iskemik. Uji statistik yang digunakan wilxocon signed test. Teknik pengambilan sampel dengan consecutive sampling. Analisis data menggunakan uji statistik Mann Whitney. Hasil uji satatistik dengan nilai p=0,346 artinya tidak terdapat perbedaan kualitas hidup pasien stroke siskemik sesudah diberikan discharge planning dengan pendekatan family centered nursing.Â&nbsp;Â&nbsp;Disarankan bagi perawat agar dapat memberikan disharge planningÂ&nbsp;dengan baik pada keluarga pasien dalam memberikan dukungan keluarga terhadap pasien pasca perawatan stroke selain itu disharge planningÂ&nbsp;juga diberikan pada pasien untuk dapat meningkatkan motivasi dan semangat hidup yang tinggi sehingga pasien tidak mengalami depres

Hand massage therapy against anxiety in surgical patients

Anxiety in the preoperative stage reaches 534 million people, with an incidence rate of 5-25% among those aged 5-20 years and 50% among those aged 55 years and over, causing an increase in blood pressure that hinders rehabilitation efforts. One technique to reduce anxiety during surgery is hand massage. This research aims to understand better the effect of hand massage therapy on preoperative pain at RSI Ibnu Sina Padang in 2022. This research is experimental, using a pre - post-test design with 32 samples divided equally between intervention and control groups. The research was conducted for a full week at RSI Ibnu Sina Padang, Multazam Surgical Inpatient. Information was collected using the Hamilton Anxiety Rating Scale (HARS) and analyzed with the help of the Wilcoxon and Mann-Whitney tests. Research based on the Wilcoxon test showed a difference in the severity of symptoms between the groups participating in the experiment before and after the application of hand massage therapy (p 0.0001 for both comparisons). The results of the Mann - Whitney U test showed that hand massage could reduce the level of pain experienced by surgical patients at RSI Ibnu Sina Padang (p = 0.0001)

EMBENTUKAN KADER REMAJA SEHAT JIWA DI SMPN GUNA PENCEGAHAN MASALAH KESEHATAN JIWA PADA REMAJA

Abstrak: Gangguan kesehatan jiwa adalah penyebab utama kecacatan pada generasi muda diseluruh dunia. Prevalensi permasalahan kesehatan jiwa dikalangan remaja meningkat seiring bertambahnya usia. Masa transisi perubahan remaja yang membingungkan, membuat remaja terpapar dengan berbagai stressor. Kegiatan ini bertujuan untuk memberikan pelatihan keterampilan deteksi dini masalah kesehatan jiwa remaja dan keterampilan manajemen stress remaja kepada kader remaja sehat jiwa di sekolah menengah pertama negeri (SMPN) 4 VII Koto Sungai Sariak Padang Pariaman guna pencegahan masalah kesehatan jiwa pada remaja. Sasaran utama adalah siswa SMPN 4 VII Koto Sungai Sariak berjumlah 30 orang. Metode kegiatan dengan memberikan pelatihan tentang deteksi dini masalah kesehatan jiwa menggunakan intrumen pelaporan mandiri kesehatan remaja IDASS-Y dan workshop manajemen stress pada remaja. Evaluasi kegiatan menggunakan kuisioner pre dan post-test terkait keterampilan siswa dalam melakukan deteksi dini masalah kesehatan jiwa remaja dan manajemen stress. Setelah pelatihan sebagian besar keterampilan kader remaja sehat jiwa mengalami peningkatan. Keterampilan deteksi dini masalah kesehatan jiwa remaja meningkat menjadi 73,3%, Keterampilan teknik nafas dalam meningkat menjadi 100%, keterampilan teknik distrasi meningkat menjadi 86,7%, keterampilan teknik hypnosis 5 jari meningkat menjadi 93,3%, dan keterampilan teknik spiritual meningkat menjadi 83,3%. Kesimpulan: kader remaja sehat jiwa yang telah dibentuk memiliki keterampilan dalam kategori baik.Abstract: Mental health disorders are the main cause of disability in young people throughout the world. The prevalence of mental health problems among adolescents increases with age. The transition period of adolescent change is confusing, exposing teenagers to various stressors. This activity aims to provide training in early detection skills for adolescent mental health problems and adolescent stress management skills to mentally healthy adolescent cadres at state junior high school (SMPN) 4 VII Koto Sungai Sariak Padang Pariaman in order to prevent mental health problems in adolescents. The main target is 30 students of SMPN 4 VII Koto Sungai Sariak. The activity method is to provide training on early detection of mental health problems using the IDASS-Y adolescent health self-reporting instrument and stress management workshops for adolescents. Evaluation of activities using pre and post-test questionnaires regarding students' skills in early detection of adolescent mental health problems and stress management. After training, most of the skills of mentally healthy youth cadres have improved. Early detection skills for adolescent mental health problems increased to 73.3%, deep breathing technique skills increased to 100%, distraction technique skills increased to 86.7%, 5 finger hypnosis technique skills increased to 93.3%, and spiritual technique skills increased to 83.3%. Conclusion: the mentally healthy youth cadre that has been formed has skills in the good category

PENGARUH PENYULUHAN TERHADAP TINGKAT PENGETAHUAN DAN SIKAP REMAJA TENTANG SEKS PRANIKAH PADA SISWA SMK NEGERI 8 PADANG TAHUN 2017

Abstract Adolescence is one of the stages in an individual's life to reach adulthood. The problem of sexuality is very visible among teenagers. Based ond SKRRI 2012 survei,&nbsp; between 51-75% students in Padang City done devation of sexsual behavior. The purpose of this study is to determine the influence of counseling on the level of knowledge and attitudes of teens about premarital sex. This research is a quantitative research method that is pre-experimental design with one group of pretest-posttest design. The populations of this study are 589 students from XI grade of&nbsp; SMK, used cluster random sampling&nbsp; technique with the number of samples are 58 female students. This study was conducted at SMKN 8 Padang in 2017. The analysis was using dependent T-test. The result showed an increase in knowledge and attitudes of teens about premarital sex before and after getting the counseling with p value = 0,000 from it was 70.7% of adolescents had low level became 8.6%, 22,4% of adolescents had low medium level became 13,8% and also 6,6% of adolescents had high knowledge became 77,6% after being given the counseling, and The adolescent attitudes was 44,8% negative and was 55,2% positive before giving counseling became decreased became was 34.5% negative and was 65,5% positive after being given counseling. It can be concluded that there is an influence of counseling to level of knowledge and attitude of adolescents before and after getting the counseling about premarital sex. It is expected that the school for provide information and counseling program for youth through cooperation with local health agencies that health center care to increase knowledge and attitudes of adolescents about health&nbsp; specially the premarital sex that activities such as counseling at school for every month a specially since the beginning of the school orientation. Keywords:&nbsp; Knowledge, Attitude, Premarital ,sex, Adolescence ABSTRAK Remaja merupakan salah satu tahap dalam kehidupan individu untuk mencapai dewasa. Survei SKRRI 2012,&nbsp; siswa/i SMAN di Kota Padang melakukan penyimpangan perilaku seksual. Tujuan penelitian untuk mengetahui pengaruh penyuluhan terhadap tingkat pengetahuan dan sikap remaja tentang seks pranikah. Penelitian ini kuantitatif dengan menggunakan metode pre-eksperimental desaign dengan rancangan one group pretest-posttest design. Populasi penelitian siswa kelas XI SMK Negeri 8 Padang, teknik pengambilan sampel cluster random sampling dengan jumlah sampel 58 siswa. Penelitian dilaksanakan di SMK Negeri 8 Padang pada bulan Januari s/d Juli tahun 2017. Analisa secara univariat dan bivariat menggunakan uji T- test dependen. Hasil penelitian terdapat perbedaan pengetahuan dan sikap remaja tentang seks pranikah sebelum dan sesudah penyuluhan dengan p=0,0007,7% tingkat pengetahuan rendah menjadi 8,6%, 22,4% tingkat pengetahuan sedang menjadi&nbsp; 13,8% dan 6,9% tingkat pengetahuan tinggi menjadi 77,6% setelah diberikan penyuluhan. Sikap remaja 44,8% negatif dan positif 55,2% sebelum penyuluhan mengalami penurunan menjadi 34,5% bersikap negatif dan 65,5% bersikap positif sesudah diberikan penyuluhan. Dapat disimpulkan, ada pengaruh penyuluhan terhadap tingkat pengetahuan dan sikap remaja sebelum dan sesudah dilakukan penyuluhan tentang seks pranikah. Disarankan pihak sekolah untuk memberikan informasi atau penyuluhan&nbsp; lebih lanjut melalui kerjasama dengan instansi kesehatan setempat seperti puskesmas dan klinik swasta tentang kesehatan khususnya pencegahan seks pranikah sejak awal orientasi sekolah dan menjadi kegiatan rutin setiap bulan