Luh Mira Puspita, Luh Mira
Nursing Program, School of Medicine, Udayana University

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PENGARUH SENAM KAKI DIABETIK TERHADAP SENSITIVITAS KAKI PADA PASIEN DM TIPE 2 Sanjaya, Putu Budhi; Yanti, Ni Luh Putu Eva; Puspita, Luh Mira
Coping: Community of Publishing in Nursing Vol 7 No 2 (2019): Agustus 2019
Publisher : Program Studi Sarjana Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Pasien DM tipe 2 lebih berisiko mengalami ulkus kaki apabila terdapat penurunan sensasi protektif kaki. Penelitian ini bertujuan untuk mengetahui pengaruh senam kaki diabetik terhadap sensitivitas kaki pada pasien DM tipe 2 di Royal Diabetes Clinic BROS Denpasar. Jenis penelitian ini adalah Quasi-experimental dengan Nonequivalent control group design. Sampel penelitian diambil secara porpusive samplingberjumlah 26 orang (13orang kelompok intervensi dan 13 orang kelompok kontrol). Instrumen penilaian menggunakan skor sensasi protektif kaki yang diukur menggunakan homemade 10-g monofilament. Senam kaki diabetik dilakukan setiap hari selama dua minggu. Data dianalisis menggunakan uji Wilcoxon dan Mann-Whitney U test dengan derajat kemaknaan ??0,05. Hasil analisis data menunjukkan sensitivitas kaki lebih baik pada pasien DM tipe 2 yang diberikan senam kaki diabetik dengan p value=0,000. Saran dalam penelitian ini adalah diharapkan senam kaki diabetik dapat diadakan atau diberikan di institusi pelayanan kesehatan terutama yang menangani pasien DM khususnya DM tipe 2.   Kata kunci: DM tipe 2, senam kaki diabetik, sensitivitas kaki   ABSTRACT Patients with type 2 diabetes are more likely at risk of foot ulcers due to the declining of nerve sensitivity. This study aimed to determine the effect of diabetic foot exercise toward foot sensitivity of patients with type 2 DM in the Royal Diabetes Clinic BROS Denpasar. This research was a Quasi-experimental with Nonequivalent control group design. Samples were taken in purposive sampling that was about 26 people (13 interventions group and 13 control group). The assessment instruments used foot protective sensation scores that were measured by using a homemade 10-g monofilament. The diabetic foot exercisewas done every day for two weeks. Data were analyzed using the Wilcoxon test and Mann-Whitney U test with the significance level of ??0, 05. The results of data analysis showed a better foot sensitivity in patients with type 2 DM who were given the diabetic foot exercise with p value=0.000. A suggestion in this study was the diabetic foot exercise were expected to be held in a health care institution, especially for patients type 2 DM.   Keywords: type 2 DM, diabetic foot exercise, foot sensitivity
PENGARUH TERAPI SLOW STROKE BACK MASSAGE DENGAN MINYAK ESSENSIAL LAVENDER TERHADAP PENURUNAN INTENSITAS NYERI LOW BACK PAIN Primayanthi, A.A.Ayu Emi; Azis, Abdul; Puspita, Luh Mira
Coping: Community of Publishing in Nursing Vol 4 No 1 (2016): APRIL 2016
Publisher : Program Studi Sarjana Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Low Back Pain is pain that is felt in the lower back region. This pain can be local or radicular or both and felt among the bottom corner of the ribs to fold under the buttocks are in the lumbar region. Pain management is usually the pharmacological and non-pharmacological therapies. Cutaneous stimulation, distraction, relaxation, guided imagery, and hypnosis are examples of non-pharmacological interventions that are often used in nursing to manage pain, one of them with a slow-stroke back massage therapy combined with lavender essential oil. This study aims to determine the therapeutic effect of slow stroke back massage with lavender essential oil to decrease the intensity of pain in low back pain at Latu Usadha nursing clinics. This research uses a pre-experimental study using one group pre-test and post-test design without control conducted on 24 respondents selected by incidental sampling technique. Data collected by interview using VAS pain scale were performed before and after the intervention. Data using Shapiro Wilk normality test and then the data is processed by using the Wilcoxon test. Results obtained is ? = 0.000 means there is a therapeutic effect of slow stroke back massage with lavender essential oil to decrease pain in low back pain. Therapy SSBM with lavender oil can reduce pain in low back pain.
PENGARUH DIAPHRAGMATIC BREATHING EXERCISE TERHADAP KAPASITAS VITAL PARU PADA PASIEN ASMA DI WILAYAH KERJA PUSKESMAS III DENPASAR UTARA Mayuni, Anak Agung Istri Dwi; kamayani, Made Oka Ari; Puspita, Luh Mira
Coping: Community of Publishing in Nursing Vol 3 No 3 (2015): JURNAL EDISI SEPTEMBER-DESEMBER 2015
Publisher : Program Studi Sarjana Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract. Asthma occurs due to obstruction of the breath, one of the symptoms is the shortness of breath that can increase respiratory muscle work as a compensation mechanism of the body. However, gradually the respiratory muscles will experience weakness, so that it will lose a vital capacity in asthma patients. Diaphragmatic Breathing Exercise is one of respiratory exercises that aim to increase respiratory muscle strength. This research aims to know the existence of the influence of Diaphragmatic Breathing Exercise against the vital capacity in asthma patients after a given intervention for two weeks. The design used Nonequivalent Control Group Design with a purposive sampling technique. A large sample was 30 people (15 persons and 15 persons treatment group control group). Independent T-test results of the Test are obtained by the value of the Sig p 0.000 < 0.05, which means there is a significant difference between the average difference in the vital capacity of lungs in the treatment group and the control group. So it can be concluded that there is an influence of Diaphragmatic Breathing Exercise against the vital capacity of lungs in asthma patients at Wilayah Kerja Puskesmas III Denpasar Utara.
PENGARUH STIMULASI DUA DIMENSI TERHADAP KEKUATAN OTOT EKSTREMITAS ATAS PASIEN STROKE NON HEMORAGIK Fitriani, Ni Luh Eka Tuastri; Sukarja, Made; Puspita, Luh Mira
Coping: Community of Publishing in Nursing Vol 7 No 2 (2019): Agustus 2019
Publisher : Program Studi Sarjana Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Stroke adalah penyakit darurat neurologis yang terjadi karena gangguan aliran darah otak yang tiba-tiba mengakibatkan kematian sel-sel saraf otak yang mengakibatkan disfungsi sensorik dan motorik yang memengaruhi timbulnya kecacatan dan bahkan kematian. Stimulasi dua dimensi harus diberikan kepada pasien stroke dalam membantu mempercepat peningkatan kekuatan otot ekstremitas atas pada pasien stroke adalah dengan menggabungkan berbagai latihan gerakan aktif dengan terapi musik. Penelitian ini bertujuan untuk mengetahui bagaimana efek stimulasi dua dimensi terhadap peningkatan kekuatan otot pasien stroke non-hemoragik ekstremitas atas. Desain penelitian ini adalah desain eksperimen semu dengan desain kelompok kontrol pretest posttest. Dalam penelitian ini, teknik pengambilan sampel yang digunakan adalah Non Probability Sampling yaitu purposive sampling. Teknik analisis data uji normalitas Shapiro Wilk karena sampel kurang dari 50, distribusi normal uji parametrik data uji t berpasangan dan distribusi abnormal uji non-parametrik uji Mann Whitney. Penelitian ini dilakukan di ruang nagasari dan Rumah Sakit mawar Sanglah hingga 13 Mei hingga 29 Mei 2015. Hasil intervensi pretest dan posttest serta kelompok kontrol diuji paired T-test diperoleh Sig. (2 ekor) 0,000 dan 0,004. Perbedaan nilai pretest dan posttest perbedaan dalam kelompok perlakuan dan kontrol diuji dengan hasil Mann-Whitney Sig. (2 tailed) 0,000 (p?0,05) yang berarti ada efek stimulasi dua dimensi terhadap kekuatan otot tungkai atas.   Kata kunci: terapi musik, stroke non hemoragik, latihan rentang gerak, kekuatan otot ekstremitas atas   ABSTRACT Stroke was a neurological emergency disease that occurs due to disruption of cerebral blood flow suddenly resulted in the death of brain nerve cells resulted in sensory and motor dysfunction which affected the onset of disability and even death. Two-dimensional stimulation should be given to stroke patients in helped to accelerate the increased in upper extremity muscle strength in stroke patients is to combine active range of motion exercises with music therapy. This study aims to determine how the two-dimensional stimulation effect to increased muscle strength of upper limb non-hemorrhagic stroke patients. This study design was a quasi experimental design with pretest posttest control group design. In this study, the sampling technique used is Non Probability Sampling is purposive sampling. Data analysis technique Shapiro Wilk normality test because the sample is less than 50, the normal distribution of data parametric test of paired t test and abnormal distribution a non-parametric test Mann Whitney test. This research was conducted at room nagasari and mawar Sanglah Hospital until May 13 to May 29, 2015. The results of pretest and posttest intervention and control groups were tested paired T-test results obtained Sig. (2 tailed) 0,000 and 0,004. Difference in value of pretest and posttest differences in treatment and control group were tested with the Mann-Whitney result Sig. (2 tailed) 0,000 (p?0,05) which means there is a two-dimensional stimulation effect on upper limb muscle strength.   Keywords: music therapy, non haemorrhagic stroke, range of motion exercises, upper extremity muscle strength