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Abstrak :
Manajemen kesehatan yang tidak efektif akan mempersulit pengontrolan tekanan darah pada masalah hipertensi, terutama pada lansia. Keluarga memiliki peranan dalam mempengaruhi kondisi kesehatan lansia. KIAN ini bertujuan untuk menganalisis asuhan keperawatan pada keluarga dengan hipertensi agregat lansia melalui penerapan aroma foot massage. Intervensi ini dilakukan selama 12 sesi dengan pengukuran tekanan darah sebelum dan sesudah intervensi. Hasil analisis menunjukkan keefektifan intervensi aroma foot massage pada keluarga kelolaan dan meningkatnya tingkat kemandirian keluarga.

 

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Ineffective health management could worsen controlling blood pressure in people with hypertension, especially elderly. Family has a role in influencing the health condition of the family member. This Study aims to analyze nursing process in families with hypertension in elderly through the application of aroma foot massage. This intervention was conducted in 12 sessions and blood pressure measurements before and after the intervention. The results of the analysis showed the effectiveness of the aroma foot massage interventions for elderly and also there is an increased in level of the family independence evaluation.

 

Abstrak :
Hipertensi menjadi salah satu penyebab kematian diseluruh dunia dan dapat diderita oleh kelompok usia mana saja, salah satunya lansia. Berdasarkan data Riskesdas tahun 2018, prevalensi hipertensi usia 55-64 tahun sebanyak 55,2%; usia 65-74 tahun sebanyak 63,2%; dan usia ≥ 75 tahun sebanyak 69,5%. Hipertensi dapat terus meningkat pada tahun 2050 karena jumlah lansia diperkirakan mencapai 2 milyar jiwa. Karya ilmiah ini bertujuan untuk menjabarkan asuhan keperawatan dengan foot massage sebagai upaya menurunkan tekanan darah pada keluarga yang memiliki agregat lansia dengan hipertensi. Intervensi foot massage diberikan dengan tujuan memberikan rasa rileks, menurunkan rasa nyeri, meningkatkan kenyamanan, dan memperlancar aliran darah sehingga tekanan darah menurun. Intervensi foot massage dilakukan 6 hari berturut-turut selama 15 menit. Pengukuran tekanan darah dilakukan 5-10 menit sebelum dan sesudah diberikannya intervensi foot massage untuk melihat stabilisasi tekanan darah sesuai dengan target yang ingin dicapai. Hasil evaluasi mendapatkan adanya penurunan darah, yaitu sebelum terapi foot massage menunjukkan rata-rata tekanan darah sistolik 145,16 mmHg dan rata-rata tekanan darah diastolik 69,67 mmHg, namun setelah dilakukan terapi foot massage rata-rata tekanan darah sistolik 134 mmHg dan rata-rata tekanan darah diastolik 68,83 mmHg. Pembatasan garam harian, mengkonsumsi obat antihipertensi secara rutin, melakukan aktivitas fisik, dan mengelola stres perlu dilakukan keluarga dalam mengontrol tekanan darah. Tindakan foot massage tidak memberatkan perekonomian keluarga dan gerakannya dapat diikuti masyarakat luas. ......Hypertension is one of the causes of death worldwide and can be suffered by any age group, one of which is the elderly. Based on Riskesdas data for 2018, the prevalence of hypertension aged 55-64 years was 55.2%; aged 65-74 years as much as 63.2%; and age ≥ 75 years as much as 69.5%. Hypertension can continue to increase in 2050 because the number of elderly people is estimated to reach 2 billion people. This scientific work aims to describe nursing care with foot massage as an effort to reduce blood pressure in families that have an aggregate of elderly people with hypertension. Foot massage interventions are given with the aim of providing a sense of relaxation, reducing pain, increasing comfort, and facilitating blood flow so that blood pressure decreases. The foot massage intervention was carried out 6 days in a row for 15 minutes. Blood pressure measurements were carried out 5-10 minutes before and after the foot massage intervention was given to see blood pressure stabilization according to the target to be achieved. The evaluation results found a decrease in blood pressure, namely before foot massage therapy showed an average systolic blood pressure of 145.16 mm Hg and an average diastolic blood pressure of 69.67 mm Hg, but after foot massage therapy the average systolic blood pressure was 134 mm Hg and the average diastolic blood pressure was 68.83 mm Hg. Restricting daily salt, taking antihypertensive drugs regularly, doing physical activity, and managing stress needs to be done by the family in controlling blood pressure. The act of foot massage does not burden the family's economy and the movement can be followed by the wider community.

Abstrak :
Semakin bertambahnya usia, fungsi tubuh manusia mengalami penurunan. Diabetes mellitus termasuk kedalam 10 penyakit terbanyak yang diderita oleh lansia dan menjadi penyebab kematian terbanyak. Diabetes merupakan gangguan pada sistem endokrin yang terjadi di pancreas. Terganggunya hormone insulin yang mengakibatkan tingginya kadar glukosa dalam darah. Komplikasi diabetes yang sering terjadi adalah neuripati perifer yang dapat menyebabkan penurunan sensitivitas kaki. Karya ilmiah ini bertujuan untuk menganalisis asuhan keperawatan pada Nenek L yang berusia 64 tahun dengan masalah keperawatan perfusi perifer tidak efektif melalui penerapan foot massage. Hasil intervensi yang dilakukan lima kali dalam waktu tiga minggu dengan jarak tiga hari pada tiap intervensi didapatkan adanya peningkatan sensitivitas kaki yang di evaluasi menggunakan monofilament test 10g. ......With increasing age, the function of the human body decreases. Diabetes mellitus is included in the 10 most common diseases suffered by the elderly and is the most common cause of death. Diabetes is a disorder of the endocrine system that occurs in the pancreas. Disruption of the hormone insulin which results in high levels of glucose in the blood. The most common complication of diabetes is peripheral neuropathy, which can cause decreased foot sensitivity. This scientific work aims to analyze nursing care for Grandma L who is 64 years old with ineffective peripheral perfusion nursing problems through the application of foot massage. The results of the intervention carried out five times within three weeks with a distance of three days in each intervention showed an increase in foot sensitivity which was evaluated using the 10g monofilament test.

Abstrak :
Benign Prostat Hiperplasia BPH merupakan pembesaran kelenjar prostat karena peningkatan kadar dehidrotestosteron dan proses penuaan. Salah satu tindakan untuk mengatasi BPH adalah pembedahan Transurethral Resection of the Prostate TURP . TURP sering menimbulkan masalah nyeri bagi pasien. Salah satu upaya untuk mengurangi nyeri dengan intervensi keperawatan mandiri foot massage. Tujuan penelitian untuk mengetahui pengaruh foot massage terhadap nyeri pasca pembedahan TURP. Desain penelitian quasi eksperimen dengan kelompok kontrol, sampel diambil dengan metode simple random sampling double blind. Sampel dalam penelitian ini terdiri dari 13 responden kelompok kontrol dan 13 responden kelompok intervensi. Hasil penelitian setelah dilakukan foot massage ada perbedaan score nyeri yang bermakna. Rerata nyeri pada kelompok intervensi lebih rendah daripada kelompok kontrol p=0,02 dan ada perbedaan nyeri setiap pemberian intervensi p=0.01 . Kesimpulan foot massage berpengaruh pada penurunan nyeri pasca pembedahan TURP.

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Benign Prostatic Hyperplasia BPH is an enlarged prostate gland caused by increased dihydrotestosterone levels and aging process. One way to overcome BPH is Transurethral Resection of the Prostate TURP . However, pain is commonly felt by patients after TURP. The intervention of foot massage may be helpful to reduce the pain. The purpose of this study was to determine the effect of foot massage on the pain arises after TURP surgery. The design of this research was quasi experiment with control group, while the sample was taken by employing simple random sampling method, precisely double blind. The sample in this study consisted of 13 respondents, grouped as the control group, and another 13 respondents, grouped as the intervention group. The result showed that after getting a foot massage there was a significant difference of pain score. The average score of the intervention group was lower than that of the control group p 0.02 and there was a difference of the pain in each intervention p 0.01 . The conclusion is that foot massage has an effect on decreasing the pain after TURP surgery.

Abstrak :
Hipertensi adalah penyakit tidak menular yang paling banyak dialami oleh lansia di Indonesia. Pijat kaki dengan minyak pijat lavender dan musik tradisional rindik bermanfaat dalam memodifikasi patofisiologi hipertensi sehingga mampu memengaruhi tekanan darah lansia. Desain penelitian ini adalah quasi eksperimen dengan pendekatan pre-posttest design pada 64 orang responden, yang dibagi menjadi 32 orang responden sebagai kelompok intervensi dan 32 orang responden sebagai kelompok non intervensi. Kelompok intervensi diberikan pijat kaki dengan minyak pijat lavender dan musik tradisional rindik selama 12 sesi dalam enam minggu selama 33 menit tiap sesinya. Hasil statistik menunjukkan bahwa ada pengaruh yang signifikan pijat kaki dengan minyak pijat lavender dan musik tradisional rindik terhadap tekanan darah sistolik (p value < 0,001) dan diastolik (p value < 0,001) pada lansia dengan hipertensi di Kabupaten Tabanan, Bali. Intervensi ini dapat dijadikan salah satu pilihan terapi komplementer dalam asuhan keperawatan komunitas lansia dengan hipertensi dan mengurangi risiko terjadinya komplikasi lanjutan akibat tekanan darah tinggi.

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Hypertension is the most numerous non communicable disease in Indonesian older person. Foot massage with lavender massage oil and traditional music of rindik useful in modifying hypertensions pathophysiology of older person that can affect blood pressure. This study design was quasi experiment with pre-posttest design approach in 64 respondents, that is divided into 32 respondents as a intervention group and 32 respondents as a non intervention group. The intervention group recieved foot massage with lavender massage oil and traditional music of rindik for 12 sessions during six weeks for 33 minutes in each session. The statistical result showed there is the significantly effect of foot massage with lavender massage oil and traditional music of rindik on sistolic blood pressure (p value < 0,001) and diastolic blood pressure (p value < 0,001) among older person with hypertension in Tabanan Regency, Bali. This intervention can be used as one of complementary therapy in community health nursing care plan option for controlling older person with hypertension and decreasing risk of incremental complications as a result of high blood pressure.

Abstrak :
Kanker merupakan pertumbuhan selyang abnormal, mampu melakukan metabolisme sel sendiri sehingga dapat dengan mudah bermetastase ke organ lain dan menimbulkan kematian. Insiden kanker dengan bertambahnya tahun bertambah pula angka mortalitas kanker. Dengan kemajuan tehnologi berbagai cara dilakukan untuk menurunkan angka insiden kanker dan morbiditas kanker. Karya Ilmiah Akhir KIA ini adalah sebagai laporan praktek residensi keperawatan medikal peminatan onkologi di RS Cpto Mangunkusumo Jakarta. Karya Ilmiah ini berisi tentang penerapan teori Virginia Henderson pada pasien kanker tiroid yang didalamnya terdapat intervensi penggunaan reflexology foot massage untuk mengurangi kecemasan pada pasien yang menjalani keoterapi dan proyek inovasi Cryoterapyoral pada pasien ca colon yang menjalani kemoterapi untuk mencegah dan mengurangi mukosistis. Kesimpulan : bahwa Teori Virginia Henderson cocok di terapkan pada pasien kanker tiroid. Intervensi penggunaan reflexiology foot massage dapat digunakan sebagai salah satu alternatif pilihan untuk mengurangi kecemasan pasien yang menjalani kemoterapi. Cryoterapi oral diharapkan dapat di terapkan di pelayanan keperawatan untuk mengurangi dan mencegah mukositis. ......Cancer is an abnormal cell growth, capable of metabolizing the cells themselves so that it can easily metastasize to other organs and cause death. Incidence of cancer with increasing years also the mortality rate kanke. With the advancement of technology various ways are done to reduce the incidence rate of cancer and cancer morbidity. This Final Scientific Work KIA is as a report of medical residency practice of oncology specialization in Cpto Mangunkusumo Hospital Jakarta. This scientific work contains the application of Virginia Henderson 39;s theory to thyroid cancer patients. The intervention of reflexology foot massage is to reduce anxiety in patients undergoing chemotherapy. Oral Cryoterapy innovation project in ca colon patients undergoing chemotherapy to prevent and reduce mucosistis. Conclusions: Virginia Henderson Theory is suitable to apply to patients with thyroid cancer. Intervention of reflexology foot massage may be used as an alternative option to reduce anxiety of patients undergoing chemotherapy. Oral cryotherapy is expected to be applied in nursing services to reduce and prevent mucositis.

Abstrak :
Praktik Spesialis Keperawatan Medikal Bedah dengan kekhususan pada sistem muskuloskeletal ini bertujuan untuk mengaplikasikan peran perawat sebagai pemberi asuhan, pengelola, pendidik dan peneliti. Peran sebagai pemberi asuhan dilakukan dengan mengelola satu kasus utama; fraktur tertutup intertrokhanter femur dan 30 pasien yang mengalami masalah pada sistem muskuloskeletal dengan pendekatan teori adaptasi Roy. Peran perawat sebagai peneliti dilakukan dengan penerapan tindakan keperawatan yang berbasis bukti ilmiah (Evidence-Based Nursing Practice) yaitu dengan menerapakan foot massage untuk mengurangi nyeri dan kecemasan pada pasien paska pembedahan fraktur ekstremitas bawah. Sedangkan peran sebagai pengelola dilakukan dengan menyusun protokol pengembangan ERAS untuk pasien yang akan menjalani operasi hip. Seluruh rangkaian kegiatan tersebut bertujuan untuk mewujudkan asuhan keperawatan yang komprehensif dalam rangka meningkatkan kualitas pelayananan keperawatan. Clinical Practice of Medical-Surgical Nursing Spesialialist in specialty of orthopaedic nursing aims to apply the role of nurse as a direct patient care provider, managers, educators and researchers in the clinical setting. Role as a care provider has done by one patient (major managed cases) with closed fracture intertrochanter femur and 30 patients with musculoskeletal problems using adaptation Roy Nursing theory approach. The role of nurses as a researchers has contructed by applying the nursing action based by evidence is foot massage to reduce pain and anxiety in patients after surgery for lower limb fracture. While the role as a nursing manager is done by comliling the ERAS development protocol for patients who undergo hip surgery. All activities aim to realizing the holistic nursing care in order to improve the quality of nursing services.

Abstrak :
[ABSTRAK
Diabetes melitus (DM) yang telah diderita selama bertahun-tahun dapat mengarah ke berbagai komplikasi, diantaranya yaitu terjadinya peripheral arterial disease (PAD). Salah satu indikator terjadinya PAD pada pasien DM tipe 2 yaitu adanya penurunan nilai ankle brachial index (ABI) pada ekstremitas bawah pasien. Jika hal ini terus dibiarkan, maka bisa terjadi neuropati yang dapat memicu munculnya ulkus kaki diabetik. Intervensi yang dapat diberikan untuk meningkatkan nilai ABI yaitu dengan melakukan foot massage atau latihan ROM ankle dorsofleksi. Tujuan penelitian ini adalah untuk mengetahui efektivitas pemberian kombinasi foot massage dan latihan ROM ankle dorsofleksi terhadap nilai ABI pada pasien DM tipe 2. Penelitian ini merupakan penelitian quasi experiment dengan metode pre and post test without control yang terdiri dari 2 kelompok intervensi dengan besar sampel 20 responden. Hasil penelitian ini menunjukkan bahwa terdapat hubungan yang signifikan antara pemberian kombinasi latihan ROM ankle dorsofleksi dan foot massage terhadap peningkatan nilai ABI (p value = 0,033 untuk ekstremitas kanan dan p value = 0,001 untuk ekstremitas kiri). Rekomendasi penelitian ini yaitu agar para perawat dapat memberikan intervensi kombinasi latihan ROM ankle dorsofleksi dan foot massage dalam rangka mencegah terjadinya PAD pada pasien DM tipe 2.

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ABSTRACT
The chronic diabetes mellitus has the potential to cause several complications including peripheral arterial disease (PAD). A parameter indicating PAD amongst Type 2 diabetes mellitus patients is the decline in the ankle brachial index (ABI) on their lower extremity. Once this condition persists, it can cause neuropathy leading to the occurrence of leg diabetic ulcer. An intervention believed to overcome this problem is conducting foot massage or ankle dorsiflexion range of motion (ROM) exercises. This research aimed at investigating the effectiveness of exercise combination of foot massage and ankle dorsiflexion ROM on ABI scores among type 2 diabetes mellitus patients. This study used quasi-experiment method with pre and post-test without control design, and consisted two intervention groups involving 20 participants. The study revealed that there was distinctive correlation between the exercise combination of foot massage and ankle dorsiflexion ROM and the increase of ABI scores of the patients (p value = 0.033 for the right extremities and p value = 0.001 for the left extremities).The findings suggest that such intervention can be considered or even be provided by nurses taking care of type 2 diabetes mellitus patients to prevent them from the possible deteriorating complication, the peripheral artery disease.;The chronic diabetes mellitus has the potential to cause several complications including peripheral arterial disease (PAD). A parameter indicating PAD amongst Type 2 diabetes mellitus patients is the decline in the ankle brachial index (ABI) on their lower extremity. Once this condition persists, it can cause neuropathy leading to the occurrence of leg diabetic ulcer. An intervention believed to overcome this problem is conducting foot massage or ankle dorsiflexion range of motion (ROM) exercises. This research aimed at investigating the effectiveness of exercise combination of foot massage and ankle dorsiflexion ROM on ABI scores among type 2 diabetes mellitus patients. This study used quasi-experiment method with pre and post-test without control design, and consisted two intervention groups involving 20 participants. The study revealed that there was distinctive correlation between the exercise combination of foot massage and ankle dorsiflexion ROM and the increase of ABI scores of the patients (p value = 0.033 for the right extremities and p value = 0.001 for the left extremities).The findings suggest that such intervention can be considered or even be provided by nurses taking care of type 2 diabetes mellitus patients to prevent them from the possible deteriorating complication, the peripheral artery disease., The chronic diabetes mellitus has the potential to cause several complications including peripheral arterial disease (PAD). A parameter indicating PAD amongst Type 2 diabetes mellitus patients is the decline in the ankle brachial index (ABI) on their lower extremity. Once this condition persists, it can cause neuropathy leading to the occurrence of leg diabetic ulcer. An intervention believed to overcome this problem is conducting foot massage or ankle dorsiflexion range of motion (ROM) exercises. This research aimed at investigating the effectiveness of exercise combination of foot massage and ankle dorsiflexion ROM on ABI scores among type 2 diabetes mellitus patients. This study used quasi-experiment method with pre and post-test without control design, and consisted two intervention groups involving 20 participants. The study revealed that there was distinctive correlation between the exercise combination of foot massage and ankle dorsiflexion ROM and the increase of ABI scores of the patients (p value = 0.033 for the right extremities and p value = 0.001 for the left extremities).The findings suggest that such intervention can be considered or even be provided by nurses taking care of type 2 diabetes mellitus patients to prevent them from the possible deteriorating complication, the peripheral artery disease.]