The Effect of Acupressure on Glasgow Comma Scale in Ischemic Stroke Patients in Goeteng Taroenadibrata Purbalingga Hospital Central Java-Indonesia

Background: Impairment of consciousness in stroke that is measured objectively by Glasgow Comma Scale is one of prognosis determinants and severity indicators. Several studies have shown that acupressure can provide neuroprotective effect cells. This study aims to identify the effect of acupressure on the value of GCS in stroke patients. Methods. The type of this study was quasi experimental. The number of samples was 25 respondents (11 intervention and 14 control). The intervention group got standard therapy and acupressure in 3 days. The control group only got standard therapy. GCS assessment was conducted on the first and last day. The differences of GCS value were analyzed with the Wilcoxon & Mann Whitney test. Results. There were significant differences in value GCS before and after treatment in the intervention group (p-value = 0.028), but not in the control group (p-value=0,243). Mann Whitney test showed that the average increase in value GCS of intervention group was higher than the control group (p- value=0,02). The effect of acupressure on the GCS value was shown through the inhibition of the side effects of standard therapy and variety of neuroprotective mechanism of the acupressure therapy itself. Conclusion. Stimulation of

HUBUNGAN KEPATUHAN MINUM OBAT DENGAN TEKANAN DARAH PADA PENDERITA HIPERTENSI

AbstrakLatar belakang: Sampai saat ini, hipertensi masih merupakan tantangan besar di Indonesia. Kepatuhan pasien dalam menggunakan obat berpengaruh terhadap keberhasilan terapi pengobatan. Adanya ketidakpatuhan pasien hipertensi dalam minum obat dapat memberikan efek negative yang sangat besar, seperti munculnya komplikasi. Tujuan: Mengetahui hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi di Puskesmas Karangjambu Kabupaten Purbalingga. Metode: Desain penelitian ini adalah cross sectional study. Responden dalam penelitian ini adalah pasien hipertensi di Puskesmas Karangjambu Kbupaten Purbalingga. Sampel diambil menggunakan teknik accidental sampling dengan jumlah 86 responden. Data dikumpulkan pada bulan Mei 2021 menggunakan kuesioner 8 – Item Morisky Medication Aderence Scale (MMAS – 8) dan pengukuran tekanan darah secara langsung. Hasil: Penelitian ini menunjukkan bahwa Sebagian besar responden adlaah perempuan (86%), sebgain besar berada pada kategori tingkat kepatuhan sedang (47%) dan pada kategori hipertensi tahap 2 (63%). Uji stastistik didapatkan nilai p value 0.901 menunjukkan bahwa tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi. Kesimpulan: Tidak ada hubungan kepatuhan minum obat dengan tekanan darah pada penderita hipertensi AbstractBackground: In Indonesia, hypertension is still a major problem. Adherence to treatment is critical for hypertension patients' long-term health and well-being. Adherence are required for hypertension therapy to be effective, and altering these patients' behavior has the greatest potential for improving hypertensive control. Objectives: To explore the relationship between medication adherence and blood pressure in hypertension patients. Methods: We used the cross-sectional study. This research sample was hypertension patients at Karangjambu Health Centre Purbalingga Regency. We included 89 respondents by accidental sampling technique. We collected the data by questionnaire. The Gamma & Sommers’d test was performed to analyze the data. Results: This research showed that that the majority of respondents were women (86%), the moderate category had the highest level of adherence (47%) and the most respondents suffer from hypertension stage 2 (63%). The statistical test result of 0.910 suggested that there was no relationship between medication adherence and blood pressure in hypertensive patients. Conclusions: There was also no significant between medication adherence and blood pressure.

Effectiveness of Giving Herbal Oil on Pressure Ulcers Management in Intensive Care Unit (ICU) Patients: Systematic Review

Background: Intensive Care Unit is a unit to treat critical patients who need intensive care and monitoring. This can pose many risks, one of which is getting pressure ulcers/decubitus ulcers. Pressure ulcers are wounds caused by continuous compression of soft tissue. Prevention of pressure ulcers can be done by treating the patient's skin using herbal oil. Purpose: To identify the effectiveness of giving herbal oil on the treatment of pressure ulcers in ICU patients. Methods: The literature search was carried out using the PICO framework. This systematic review is limited to articles published in 2011-2021. The databases used are Google Scholar, PubMed, Sage Journal, Science Direct, and ProQuest with the keywords (oil OR herbal oil) AND (decubitus OR pressure ulcers OR bedsores) AND (critical patient). The selection of articles follows the PRISMA flow. Assessment of article quality was carried out by supervisors and authors using the risk of bias from The Cochrane's Collaboration.  Results: Based on the seven articles reviewed, five recommended oils were obtained, including olive oil, Virgin Coconut Oil (VCO), fish oil, almond oil and henna oil. The oil is applied by three methods, including by smearing without massage, smearing with massage and dressing. The instruments used are the Braden Scale, Suriadi Sanada Scale, Pressure Ulcer Scale for Healing (PUSH), International NPUAP/EPUAP Pressure Ulcer Classification System, micro life NC100 infrared thermometer and Mini Nutritional Assessment (MNA). Conclusion: Herbal oil can be applied by various methods as a complementary therapy to prevent and treat pressure ulcers in patients in the ICU

Mobile app for the accuracy of emergency drug administration in children's cardiovascular resuscitation : A literature review

Background : Errors in the calculation of drug titration are one of the causes of medical errors that have an impact on the implementation of cardiopulmonary resuscitation in children. Calculations based on age, child weight and incorrect anthropometric data are what cause medical errors in the administration of emergency drugs in cases of pulmonary cardio resuscitation. One strategy in utilizing technological advances to minimize the occurrence of medical errors in drug administration with the titration method is to use a dose calculation application for drug titration.Objectives : The purpose of this literature review is to analyze the effect of using drug administration calculation applications for the prevention of medical errors in emergency cases and pediatric cardiopulmonary resuscitation. Methods : This research method is a literature review using PRISMA analysis with a database of PUBMED, Science Direct, Proquest, Springer, Wiley, Taylor ,and France from 2017-2022. Results :The use of mobile apps for drug administration or titration in cases of cardiovascular emergency children has proven to be effective and efficient because it can speed up the preparation time with dose accuracy to minimize ischemia assembled hypotension to vital organs and improve the hemodynamic status and maintain neurological status. Conclusions: Mobile applications is effective and efficient in preventing medical errors in drug administration with the titration method in cases of pediatric cardiopulmonary resuscitation.</em

Implementation of Deep Breathing Exercise Therapy to Reduce Fatigue Levels with GGK at Banyumas Hospital : Case Study

Introduction: Deep Breathing exercise is a breathing exercise with slow and deep breathing techniques, using the diaphragm muscle, allowing the stomach to be lifted slowly and the chest to be fully expanded. Purpose: To analyze the effect of deep breathing exercise to reduce fatigue&nbsp; levels of clients with CKD. Result: The results showed that the TTV examination before the intervention was given was BP 170/97 mmHg, RR 24x/minute, HR 76x/minute, and the FACIT Fatigue Scale score was 34 (mild weakness). Then, in the re-evaluation of TTV and fatigue after being given breathing exercises, the results were BP 159/95 mmHg, RR 20x/minute, HR 80x/minute, and the FACIT Fatigue Scale score was 48 (none). Conclusion: Providing intervention of deep breathing exercises for 1x4 hours is effective in reducing fatigue in CKD patients

Perception of preventing behavior against COVID-19 among Indonesian industrial workers

The coronavirus disease 2019 (COVID-19) pandemic is continuing, but companies have been allowed to continue their business with the obligation strictly to apply health protocol. A cross-sectional study aimed to examine the perception of COVID-19 and its prevention behavior based on the health belief model was conducted on 285 industrial workers from eight company types sampled by online survey. The results show that most workers have poor COVID-19 perceptions (54.7%). However, the workers showing good behavior (61.1%) in preventing COVID-19 transmission. Gender (p=0.009), education background (p=0.017) and company types (p=0.001) were related to the COVID-19 perception. In addition, the perceptions related to the behavior in preventing COVID-19 transmission (p=0.000). Except cues to action, all perception components, i.e., perceived susceptibility (p=0.000), seriousness (p=0.005), benefits (p=0.000), barriers (p=0.000), and self-efficacy (p=0.000) related to behavior to prevent COVID-19 transmission. However, the perception components show a weak correlation with preventing behavior (r=0.167-0.234). The information types were related to perceived barriers (p=0.046) and cues to action (p=0.007). Maintain a safe distance (p=0.029), using a face mask (p=0.039), and eat nutritious food (p=0.019) related to information types. The increase of COVID-19 perception is the key to improve industrial workers' behavior to prevent the COVID-19 transmission

Passive Range of Motion Therapy for Increasing Muscle Strength with non-Hemorrhagic Stroke in RSUD dr. R. Goeteng Taroenadibrata: Case Study

Background: Stroke is a life-threatening thing, so it is a serious thing to be handled in society. The number of stroke cases in Central Java is 2.1% or around 31,871 cases. Stroke is a functional disorder that occurs suddenly with clinical signs both focal and global lasting more than 24 hours. Non-pharmacological techniques that can overcome the disturbance of this stroke are passive range of motion (ROM) therapy. Purpose: to report the results of implementing passive ROM therapy to increase muscle strength in stroke patients who experience weakness in the extremities Results: After being given therapy for 3 consecutive days, the strength of the extremity muscles increased by 1 level or by 25 %. Conclusion: ROM intervention for 3x24 hours is effective for increasing extremity muscle strength in SNH patients Conclusion: ROM intervention for 3 days with a frequency of 2 times in a day is effective for increasing limb muscle strength in SNH patients

Pelaksanaan Trias Usaha Kesehatan Sekolah Di Sekolah Menengah Pertama Di Wilayah Kecamatan Purwokerto Kabupaten Banyumas

One of health promotion level form on school age is health school programs. The important of health school program are seen in health regulation Republic of Indonesia no 23 1992 ( UU 23 th, 1992), stated that school health programs were used for increasing health life of students. The outcome of school health programs is to increase student learning, growth and development optimally. The aim of this study was to know application of the three of health school programs. This study used descriptive method throughout survey at junior high school in south and west of Purwokerto regency by cluster sampling. The respondents were a student and a teacher who performing health school programs. The data showed with a distribution table of frequency. The result of this study showed that the applications of health school program about health education, health care, and environment health facilitate at 90.45%, 70.85%, and 50.89% respectivel

Modification of Breast Pump as a Negative Pressure Wound Therapy for Accelerating Wound Healing of Diabetic Ulcer

Introduction: Negative Pressure Wound Therapy (NPWT) is considered as the best treatment for accelerating wound healing, including diabetic ulcer. However, this device is still not available in Indonesia. Therefore, the purpose of this study were to make NPWT by using modifi cation of breast pump, and to elucidate the effect of this device on acceleration of wound healing in diabetic ulcer. Method: NPWT was made by using digital breast pump. Wounds were divided into two groups; wound-treated by NPWT (experimental group) and wound-untreated by NPWT (control). The negative pressure used for this study was 85 mmHg. Rats were sacrifi ced on day 7, and wound samples and surrounding skin were stained with Hematoxylin and Eosyn. Infl ammation, intensity of necrotic tissue, and wound closure were observed. Result: The device could deliver a negative pressure at a range of 85–140 mmHg. Wound size in the experimental group was smaller than in control group. Infl ammation was also less in the experimental group than control group. Discussion: The modifi cation of breast pump could be used as a negative pressure therapy for wounds, and has effect on reducing infl ammation and necrotic tissue. Further study is needed to elucidate the effect of this device on human subject