Istiroha, Istiroha
Fakultas Ilmu Kesehatan Universitas Gresik

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PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) IBU BERHUBUNGAN DENGAN KEJADIAN DIARE PADA BALITA (Mother Hygienic and Healthy Behavior Assosiated with the Incident of Infant Diarrhea) Istiroha, Istiroha; Sahak, Mohammad Amnun
Journals of Ners Community Vol 7, No 2 (2016): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

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ABSTRAK Perilaku hidup bersih dan sehat (PHBS) adalah semua perilaku kesehatan yang dilakukan atas kesadaran sehingga anggota keluarga atau keluarga dapat menolong dirinya sendiri di bidang kesehatan dan berperan aktif dalam kegiatan-kegiatan kesehatan di masyarakat. Bila hal ini tidak dilakukan maka akan berdampak pada anggota keluarga menjadi tidak sehat dan mudah sakit. Tujuan penelitian ini yaitu untuk menjelaskan hubungan perilaku hidup bersih dan sehat (PHBS) ibu dengan kejadian diare pada balita.Desain penelitian ini menggunakan case control design dengan purposive sampling. Sampel yang digunakan sebanyak 25 responden. Variabel indepen dalam penelitian ini adalah perilaku hidup bersih dan sehat (PHBS) dan variabel dependennya adalah diare pada balita. Data penelitian ini diambil dengan menggunakan kuesioner dan rekam medis dari dokter di Puskesmas Sangkapura Bawean.Hasil uji statistik Mann-Whitney menunjukkan bahwa PHBS ibu (α hitung ) = 0,004 (p< 0,05) yang artinya ada hubungan PHBS ibu dengan kejadian diare pada balita.PHBS ibu berguna untuk menjaga anggota keluarga agar sehat dan tidak mudah sakit serta peran petugas kesehatan diperlukan untuk melakukan health education agar anggota keluarga dapat melakukan PHBS secara mandiri.Kata kunci : Perilaku hidup bersih dan sehat (PHBS) ibu, diare pada balita ABSTRACT Hygienic and healthy behavior is all healthy behavior which done consciously by all family members. It may help their self to maintain health and actively participate in health-related activities in the community. If the behavior is not done, it will have an impact on family members become unhealthy and sick. The purpose of this study was to explain the relationship of mother hygienic and healthy behavior with the incidence of diarrhea in infants.This study used case control design with purposive sampling which the samples were 25 respondents. The independent variable was mother hygienic and healthy behavior and the dependent variable was infant diarrhea. The data was taken by questionnaires and medical records of Puskesmas Sangkapura Bawean.The results of statistical tests Mann-Whitney showed mother hygienic and healthy behavior (α count)=0.004 (p< 0,05) means that there was a correlation between mother hygienic and healthy behavior with incident of diarrhea in infant.Mother hygienic and healthy behavior is needed to maintan family member to be health and also health worker is needed to provide health education for community so that they could do hygienic and healthy life style. Keywords: Mother hygienic and healthy behavior, incident of diarrhea in infant.DOI : 10.5281/zenodo.1405569
EFEKTIFITAS AIR PERASAN DAUN CINCAU HIJAU DAN OBAT HIPERTENSI TERHADAP TINGKAT HIPERTENSI (The Effectiveness of Green Grass Jelly Leaf Juice and Administration for Hypertension Regimen to Hypertension Level) Istiroha, Istiroha; Dhanayati, Riana; Suwanto, Suwanto
Journals of Ners Community Vol 7, No 1 (2016)
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

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ABSTRAKHipertensi merupakan salah satu faktor terbesar penyebab morbiditas dan mortalitas pada penyakit kardiovaskular. Ada 2 terapi pengobatan untuk menurunkan tekanan darah baik farmakologis (captopril 12,5mg) dan non-farmakologis (perasan air cincau hijau). Tujuan dari penelitian ini yaitu membandingkan efektifitas air perasan daun cincau hijau (cylclea barbata miers) dan obat hipertensi terhadap tingkat hipertensi.            Desain penelitian ini menggunakan Quasy Eksperimental. Sample diambil dengan menggunakan purposive sampling yaitu sebanyak 10 responden yang diberikan intervensi cincau hijau dan 10 responden diberikan obat hipertensi captopril 12,5 mg. Variabel independen yaitu pemberian air perasan daun cincau dan pemberian obat hipertensi. Variabel dependen yaitu tingkat hipertensi. Data penelitian diambil menggunakan observasi.            Hasil uji statistik Wilcoxon Signed Rank Test pemberian air perasan daun cincau hijau menunjukkan hasil (α hitung) = 0,000 dan korelasi Z = 3,702. Sedangkan untuk pemberian obat hipertensi captopril 12,5 mg menunjukkan hasil (α hitung) = 0,000 dan korelasi Z = 4,802 artinya bahwa pemberian obat hipertensi (captopril 12,5 mg) lebih efektif untuk menurunkan hipertensi.            Hipertensi dapat diobati dengan berbagai macam terapi baik yang melalui terapi farmakologis (obat hipertensi) maupun menggunakan terapi non-farmakologis (air perasan daun cincau hijau).Kata kunci: Air perasan daun cincau hijau, obat hipertensi (captopril 12,5 mg) dan tingkat hipertensi   ABSTRACTHypertension or high blood pressure disease is disorder of the blood vessel resulted in the supply of oxygen and nutrients carried by the blood are inhibited to tissue that need. There are two therapeutic treatments for lowered blood pressure in both pharmacological (captopril 12,5mg) and non-pharmacological (green grass jelly leaf juice water). The purposed of this study was to compare the effectiveness of the juice of green grass jelly leave (cylclea barbata Miers) and hypertension drugs on the level of hypertension in patients with hypertension.            The study designed used Quasy Experimental. Samples were taken by using purposive sampling as many as 10 respondents on the intervention used green grass jelly and 10 respondents used hypertension drugs. The independent variables were the provision of green grass jelly leaf juice and hypertension regimen while the dependent variable was the level of hypertension. The data were taken by using observation.            The resulted of statistical Wilcoxon Signed Rank Test showed administration of green grass jelly leaf juice get the result (α count) = 0,000 and correlation Z=3.702, while administration for captopril 12,5 mg get the result (α count)=0,000 and correlation Z= 4.802, it means that the administration for hypertension drug (captopril 12,5 mg) is more effective to reduce hypertension level.    Hypertension can be treated in various ways, either through pharmacological therapy (medication hypertension) or used non-pharmacological therapy (green grass jelly leaf juice).Keywords: Green grass jelly leave juice, administration for hypertension regimen (captopril 12,5mg), and hypertension level.
TERAPI MUROTTAL BERPENGARUH TERHADAP PENURUNAN TINGKAT NYERI SELAMA PERAWATAN ULKUS DIABETIKUM (Murottal Therapy Affecting Decreasing the Level of Pain During Diabetic Ulcer Wound Care) Istiroha, Istiroha; Hariati, Erni
Journals of Ners Community Vol 9, No 2 (2018): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

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ABSTRAK  Perawatan ulkus diabetikum menimbulkan rasa nyeri akibat rangsangan dan trauma pada syaraf. Salah satu manajemen nyeri yang dapat dilakukan adalah dengan terapi non farmakologi yaitu terapi murrotal. Tujuan penelitian ini adalah menjelaskan pengaruh terapi murrotal terhadap tingkat nyeri selama perawatan ulkus diabetikum. Penelitian ini menggunakan rancangan Quasy Experiment dengan pre-posttest control design. Sampel penelitian ini adalah 26 pasien di Ruang Bedah RSI Darus Syifa Surabaya diambil dengan teknik purpossive sampling tanggal 10 September-30 Oktober 2017. Intervensi yang diberikan pada kelompok perlakuan adalah terapi murrotal surat Ar Rahman selama 15-30 menit sedangkan intervensi yang diberikan pada kelompok pembanding adalah rawat luka sesuai standart rumah sakit. Variabel independen penelitian ini adalah terapi murrotal sedangkan variabel dependen adalah tingkat nyeri selama perawatan luka. Instrumen penelitian adalah lembar skala nyeri numerik 0-10 (AHCPR) dan SOP terapi murrotal. Uji statistik yang digunakan Wilcoxon Sign Rank Test dan Mann Withney Test.  Hasil uji Wilcoxon Sign Rank Test  pada kelompok perlakuan didapatkan α = 0.002, sedangkan pada kelompok pembanding didapatkan α = 0,003 artinya ada perbedaan signifikan tingkat nyeri sebelum dan sesudah diberikan intervensi pada kedua kelompok. Hasil Mann Withney Test menunjukkan α = 0,000 artinya ada perbedaan signifikan tingkat nyeri sesudah diberikan intervensi pada kedua kelompok.Sebelum dilakukan terapi murrotal responden memiliki tingkat nyeri sedang dan setelah dilakukan terapi murottal tingkat nyeri menurun menjadi ringan hal ini terjadi karena mendengarkan murottal dapat menstimulasi hipotalamus yang berpengaruh pada peningkatan endorphin sehingga kadar kortisol menurun. Terapi murrotal dapat digunakan menjadi SOP dalam perawatan ulkus diabetikum. Kata kunci: Terapi murottal, tingkat nyeri, perawatan ulkus diabetikum.  ABSTRACT Diabetic ulcer wound care causes pain because of stimulation and trauma to the nerves. One of the pain management is by non-pharmacological therapy that is murrotal therapy. The aim of this study was to explain the effect of murrotal therapy on the level of pain during diabetic ulcer wound care.This study used the Quasy Experiment with pre-posttest control design. The samples of this study were 26 patients in the Surgical in Ward Room of the Darus Syifa Hospital Surabaya taken by purposive sampling technique from 10 September-30 October 2017. The intervention in the treatment group was the daily therapy of Ar Rahman's letter for 15-30 minutes while the intervention in the comparison group was wound care according to hospital standards. The independent variable of this study was murrotal therapy while the dependent variable was the level of pain during wound care. The research instruments were numerical pain scale sheets 0-10 (AHCPR) and Murrotal therapy SOP. The statistical test used was the Wilcoxon Sign Rank Test and Mann Whitney Test.The Wilcoxon Sign Rank Test in the treatment group shown α = 0.002, whereas in the comparison group α = 0.003 mean that there were a significant differences in the level of pain before and after intervention in both groups. The Mann Whitney Test showed α = 0,000 meaning that there was a significant difference in the level of pain after being given intervention in both groups.Before murottal  therapy, respondents had moderate pain levels and after murottal therapy the level of pain decreased to mild, this happened because listening murottal could stimulate the hypothalamus which had an effect on increasing endorphins so that cortisol levels decreased. Murottal therapy can be used as an procedure during diabetic ulcers wound care. Keywords: Murottal therapy, pain level, and diabetic ulcer wound care.DOI: 10.5281/zenodo.2629464
FAKTOR LAMA HARI PEMASANGAN INFUS TIDAK BERHUBUNGAN DENGAN KEJADIAN PLEBITIS (Long Days Cannula Installation Factor Is Not Associated With Phlebitis Incident) Istiroha, Istiroha; Erfatunafiah, Hanik
Journals of Ners Community Vol 8, No 2 (2017): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

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ABSTRAK Terapi intravena adalah salah satu tindakan invasif yang berisiko menimbulkan komplikasi lokal maupun sistemik. Plebitis merupakan salah satu komplikasi utama dari terapi intravena. Tujuan dari penelitian ini adalah untuk mengetahui dan menganalisa faktor mekanik yang mempengaruhi kejadian plebitis pada pasien yang mendapatkan terapi intravena.Penelitian ini menggunakan desain deskripsi korelasi dengan populasi semua pasien yang terpasang infus mulai dari masuk IGD sampai rawat inap dari tanggal 1-25 Januari 2017 di PKU Muhammadiyah Sekapuk Gresik. Teknik sampling yang digunakan adalah purposive  sampling dengan jumlah sampel 38 responden. Instrumen yang digunakan adalah lembar observasi. Data dianalisa dengan uji person chi squere  dan spearman’s  untuk melihat hubungan antara variabel  dengan tingkat kemaknaa p value < 0,05.          Hasil penelitian ini menunjukkan responden yang mengalami plebitis sebanyak 27 responden. Variabel yang dihubungkan dengan kejadian plebitis yaitu lokasi insersi (p=0,000), ukuran kanul (p=0,02), teknik disinfeksi pemasangan (p=0,000), lama hari pemasangan (p=0,29), perawatan infus (p= 0,001), artinya ada hubungan yang bermakna antara lokasi insersi, ukuran kanul, teknik disinfeksi, perawatan infus dengan kejadian plebitis, dan tidak ada hubungan yang bermakna antara lama hari pemasangan dengan kejadian plebitis.          Faktor lokasi insersi, ukuran kanul, teknik disinfeksi, dan perawatan infus menjadi faktor yang dapat menyebabkan terjadinya plebitis sehingga perawat disarankan untuk memperhatikan faktor-faktor tersebut agar pasien yang mendapat terpasang infus tidak terjadi plebitis. Kata  kunci : Faktor mekanik,  plebitisABSTRACT           Intravenous therapy is one of the invasive procedures. It  results local  and systemic complication. Phlebitis is one of the major complications of intravenous therapy. The purpose of this study was to identify and analyze the mechanical factors that influence the incidence of phlebitis in patients receiving intravenous therapy.          The design of this study was correlation description. The population were all patients who were infused from entry into the emergency unit until hospitalization from 1st-25th of January 2017 at PKU Muhammadiyah Sekapuk Gresik. Sampling technique used was purposive sampling with total sample 38 respondents. The instrument used was an observation sheet. The data was analyzed by Chi person squere test and Spearmans to see the relationship between the variables with the level p value < 0.05.          The results of this study shown there were 27 respondents that were phlebitis. Variables associated with the incidence of phlebitis were insertion locations (p=0.000), the size of the cannula (p=0.02), disinfection technique (p=0.000), long days cannula installation (p = 0.29), the cannula care (p=0.001), so those data mean that there was a significant correlation between insertion location, the size of the cannula, disinfection techniques, the cannula care with phlebitis incident, and there was no significant relationship between long days cannula installation with the phlebitis incident.          Factors of insertion location, cannula size, disinfection techniques, and infusion treatments are factors that can lead to phlebitis, so nurses are advised to pay attention to these factors in order for patients receiving plugged infusions to occur. Keywords :  Mechanical factors, phlebitisDOI : 10.5281/zenodo.1400998
PENGARUH AKTIVITAS PERLINDUNGAN KAKI TERHADAP SENSASI PROTEKSI DAN RANGE OF MOTION KAKI PADA PENDERITA DIBETES MELITUS TIPE 2 DENGAN NEUROPATI PERIFER Istiroha, Istiroha; Asnar STP, Elyana; Harmayetty, Harmayetty
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 10 No 2 (2017): AUGUST
Publisher : Unusa Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v10i2.125

Abstract

The somatosensory deficit in diabetic peripheral neuropathy can include loss of movement perception at the ankle joint and loss of plantar cutaneous sensation. Foot protection activities can maintain balance and strength of the legs. The purpose of this study was to determine the effect of foot protection activity on foot sensation, ROM of ankle and 1st MTP joint in type 2 diabetes with peripheral neuropathy. This research used pretest-postest control group design. Subjects used are patients with type 2 diabetes outpatient in RSUD Ibnu Sina Gresik as many as 28 patients. The subjects of the treatment group were given foot protection activity for 30 minutes, 2 times each week for 4 weeks. The variables measured were sensation of protection, ROM of ankle and 1st MTP joint. The instruments used are Semmes-Weinstein Monofilament Test (SWMT) 10g and goniometer. After 4 weeks of treatment, paired t test showed an increase in foot protection sensation, ROM of ankle and 1st MTP joint in the treatment group with p value SWMT = 0,000, ROM of ankle dorsiflexion p = 0,005, plantarflextion ankle p = 0,006, ankle eversion p = 0.002, ankle inversion p = 0,000, 1st MTP flexion p = 0.009 and 1st MTP extension p = 0.002. The independent t test value of foot protection sensation, ROM of ankle and 1st MTP joint between treatment and control group also showed significant differences in treatment group than control group. This study shows the effect of foot protection activity on the sensation of foot protection and ROM of the foot joint so that it can be used as an alternative intervention to prevent diabetic foot ulcers either independently or in health services.&nbsp;
SUMBANGSIH UJI PROTEIN TELUR DENGAN MENGGUNAKAN BAWANG PUTIH PADA MATA PELAJARAN BIOLOGI MATERI MAKANAN KELAS XI SMA/MA Syarifah, Syarifah; Fatiqin, Awalul; Istiroha, Istiroha
Bioilmi: Jurnal Pendidikan Vol 3 No 1 (2017): Bioilmi: Jurnal Pendidikan
Publisher : Program Studi Pendidikan Biologi Fakultas Ilmu Tarbiyah dan Keguruan Universitas Islam Negeri Raden Fatah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19109/bioilmi.v3i1.1341

Abstract

Protein compounds containing amino acids, composed of atoms C, H, O and N. Eggs are thesource of animal protein that has the highest quality or biological value. The purpose of thisstudy was to determine the value of protein in eggs and application in biology subjects. Thisresearch was conducted in June 2016 at IPA Laboratory UIN Raden Fatah Palembang. Proteinanalysis using Kjedahl method. The result of protein analysis obtained was lowest with theaddition of garlic P3 (200 g) the average value of 9.25%, the addition of garlic P2 (150 g) andP1 (100 g) with the mean of 9.42% and 9.48% had the same result systematically. Contributionin biology subjects is given in the method of egg protein test work with the addition of garlic ina systematic manner. In this case it can be concluded Fcount&gt; Ftabel, so the addition of garlicis able to maintain the quality of protein in eggs awake and its contribution in the biology lessonof food in the form LKS.