Browsing by Author "Karim, Darwin"
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Item Analisis Pola Sosiodemografi Kejadian Stroke Akibat Sumbatan Pembuluh Darah Otak (Iskemik) Di Pekanbaru(2015-10-12) Utomo, Wasisto; Karim, DarwinStroke merupakan suatu sindrom klinis yang dapat menimbulkan kematian atau kelainan yang menetap lebih dari 24 jam, tanpa penyebab lain kecuali gangguan vascular. Dari seluruh kejadian stroke, lebih dari dua pertiga adalah stroke iskemik dan sisanya adalah stroke hemoragik. Terjadinya stroke tidak terlepas dari faktor sosiodemografi dari masyarakat yang meliputi umur, pendapatan, kebiasaan makan, jarak dengan pelayanan kesehatan, penyakit penyerta dan riwayat genetik. Tujuan penelitian ini adalah untuk mengetahui factor sosiodemografi yang berhubungan dengan kejadian stroke karena sumbatan (iskemik). Metode : Rancangan penelitian observasional dengan pendekatan Cross sectional. Variabel independen adalah factor sosiodemografi yang meliputi umur, pendapatan, kebiasaan makan, jarak dengan pelayanan kesehatan, penyakit penyerta dan riwayat genetik, sedangkan variabel dependen adalah kejadian stroke iskemik yang dibuktikan dengan hasil pemeriksaan CT Scan periode Juli-Oktober 2013. Jumlah responden yang didapatkan adalah 50 oran, diambil secara incidental sampling. Analisis data dengan X2 untuk uji bivariat. Hasil : Faktor sosiodemografi yang memiliki pola signifikan terhadap kejadian stroke iskemik adalah umur pasien >= 45 tahun (P value=0,023; OR = 5,4) dan kebiasaan makanan bersantan(P value=0,000; OR = 18,9). Sedangkan factor sosiodemografi lainnya (pendapatan, jarak dengan pelayanan kesehatan, penyakit penyerta dan riwayat genetic) tidak memiliki pola signifikan (P value= 0,224; 0,247; 0,758 dan 1,000) terhadap kejadian stroke iskemik. Simpulan : Terdapat 2 faktor sosoidemografi yang memiliki pola signifikan terhadap kejadian stroke iskemik umur lebih dari 45 tahun dan kebiasaan makan bersantan. Saran : Perlu dilakukan pengelolaan yang baik, dan pemberian informasi tentang faktor sosiodemografi serta cara memodifikasi dan memperbaikinya.Item Description Of The Incident Hypertension And Risk Factors That Contribute To The Occurrence Of Hypertension In Coastal Siak River(2015-06-20) Karim, Darwin; Erwin; Utomo, Wasisto; Mulia, PutraHypertension is a serious health problem and one of the most important causes of premature death worlwide. Hypertension incidence rates increased along with accompanying risk factors. This study aims to know the description of the incidence of hypertension and the risk factors that contribute to the incidence of hypertension in the coastal Siak River. The methode used is descriptive correlational cross-sectional approach. The study was conducted in the Puskesmas Rumbai Pesisir, using simple random sampling technique, obtained a sample of 100 respondents. Measuring instruments used in the form of a questionnaire. Data were analyzed by univariate statistical test frequency distribution, bivariate data were analyzed with Pearson's Product Moment Correlation. The results showed that there is significant relationship between gender (p value 0.0 with OR 2.12 in men rather than women), body mass index (p value 0.04 with OR 0.64 in obesity person), consumption of foods high in salt (p value 0.026 with OR 3.03), fried food consumption (p value 0.08 with OR 3.36) and lack of exercise (p value 0.05 with OR 0.38) with the incidence of hypertension. It can be concluded that there are risk factors can be modified in hypertension and can not be modified, that affect the incidence of hypertension. This study expected can be a foundation management of hypertension disease in the community.Item Efektifitas Pendidikan Kesehatan Tentang Pengelolaan Air Bersih Terhadap Pencegahan f Penyakit Diare Pasca Banjir Di Daerah Pesisir Simgai Siak Pekanbaru(2013-03-21) Hasneli, Yesi; Karim, DarwinThe purpose of this study was to determine the effectiveness of health education about management of using the clean water for the prevention of diarrheal diseases after the floods in coastal areas of the Siak River Pekanbaru. Design of this study was a quasi experimental approach "cross-sectional". The experiment was conducted in the Puskesmas Rumbai conducted in March and May 2012. Research procedures that provide health education in the intervention group (15 person) on water management for the prevention of diarrheal diseases after the flood and after it was given the post test questions. The control group after being given a pre-test questions are not given health education and immediately following the treatment process at the health center and after treatment given post test questions. The resuhs were in the control group p value is 0.719, which means that there is an increase in knowledge of the respondents and in the intervention group p value is 0.001, which means there is an increased knowledge of the I respondent after health education about water management for the prevention of diarrhea.Item EFEKTIFITAS SEDUHAN DAUN SAMBILOTO TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI PRIMER(2013-07-11) Octavindo, Yuri; Karim, Darwin; AgrinaThe aim of this research is to analize the effect of steeping leaves of andrographis paniculata to reduce primary hypertension patients’s blood pressure. The research used quasy experimental method with non-equivalent control group design which devided into two groups, treatment group and control group. The sampling technique explored purposive sampling with 30 hypertension patients which selected based on inclusion criteria. The sample devided into 15 people of treatment group and 15 people of control group. The patients of treatment group were given a glass of steeping leaves of andrographis paniculata everyday in a weeks. Where as control group, were not given. The equipment was used to measure blood pressure is sphygmomanometer. Data analysis applied were univariate and bivariate by using dependent sample t test and independent sample t test to show the result. The result of this research showed that mean of mean artery pressure (MAP) before drinking leaves of andrographis paniculata was 119,33 mmHg and mean of mean artery pressure (MAP) after drinking leaves of andrographis paniculata was 96,31 mmHg in the last time which this member with p value was 0,000 (less than 0,05). The conclusion is drinking steeping leaves of andrographis paniculata could help patient with primary hypertension to reduce their blood pressure.Item Efektifitas terapi bekam terhadap penurunan tekanan darah pada penderita hipertensi primer(2014-01-07) Jansen, Susiana; Karim, Darwin; MisrawatiThe aim of this research is to analize the effect of cupping therapy in reducing primary hypertension patients’s blood pressure. The research was conducted at the Pusat Pengobatan Al-Jawad, Kereta Api Street, Pekanbaru. The design used in this research was pre-experimental method with one group pretest-posttest design which consisted of only the experimental group. The sampling technique explored was purposive sampling with 15 hypertension patients which were selected based on inclusion criteria. Measuring instruments used are sphygmomanometer. Respondents were given the intervention with cupping therapy 1 time a week for 2 weeks. Data analysis applied in the research were univariate and bivariate by using dependent sample t test, independent sample t test, wilcoxon, and mann-whitney. The result showed that mean of blood pressure before cupping therapy was 166/96,67, while the mean of blood pressure after cupping therapy was 140/75,67. The result of the research indicated decrease of blood pressure after intervention given with P value = 0,000. The conclusion of the research is that cupping therapy can help patient with primary hypertension to reduce their blood pressure.Item The Effectiveness Of Emotional Freedom Technique (Eft) Therapy To Anxiety Of Breast Cancer Patients Stage Ii And Iii(2016-01-13) Ningsih, Santi Fitria; Karim, Darwin; Sabrian, FebrianaThe aim of this study was to determine the effectiveness of Emotional Freedom Technique (EFT) therapy to anxiety of breast cancer spatients stage II and III. This study used "Quasy experiment" design with "Non-equivalent control group”. The study was conducted in Anyelir room and Cendrawasih room in Arifin Achmad Hospital Pekanbaru. Purposive sampling technique with inclusion criteria was used to recruit 30 respondents. The instrument in this study used in both groups was a questionnaire that has beentested for validityandrealibility. The data were analyzed using paired sample t-test and independent sample t-test. The results in experimental group showed p value (0.005) <α (0.05) which means that EFT was effective to decrease anxiety in breast cancer patient. Based on this result, it is recommended that health provider especially nurses to use Emotional Freedom Technique (EFT) therapy as one of non pharmacological therapy to decrease anxiety.Item The Effectiveness Of Swedish Massage With Lavender Oil To Improve Muscle Strength Of Post-Stroke Patients.(2016-01-13) Sari, Novianti; Karim, Darwin; Elita, VenyOne of the health problems in stroke patients that suffered motor deficits such as paralysis and weaknesses arising as a result of loss of voluntary control of the motor movement.This research was to determine the effectiveness of swedish massage with lavender oil to improve muscle strength of post stroke patients. The design of this research was “Quasy experimental design” with “Pre testpost test with control group”. The research was conducted in the working area of Harapan Raya public health center . The total sample were 30 respondents who fit the inclusion criteria and were chosen by purposive sampling technique. Collecting data to provide observation sheet limb muscle strength measurements were carried out for 14 consecutive days. Measuring instrument that used in both groups was muscle strength scale of Medical Research Council Scale. The analysis used were univariate and bivariate analysis by using Wilcoxon and Mann Whitney test. The result showed that there was a significant increased of limb muscle strength in experimental group with p value (0,000) < α (0,05). Whereas in the control group was not found significant changes because it is not given treatment. It can be concluded that the swedish massage with lavender oil was effective to improve limb muscle strength for post stroke patients. Based on this research the therapy swedish massage with lavender oil can be used as a non pharmacological therapy to improve limb muscle strength in post stroke patientsItem HUBUNGAN PENGETAHUAN DAN SIKAP KELUARGA TENTANG PHBS DENGAN PENERAPAN PHBS DI TATANAN RUMAH TANGGA(2013-07-05) Meilisa, Syafni; Pristiana Dewi, Ari; Karim, DarwinThe purpose of this research is to find out relation of knowledge and family attitude about Sanitary Lifestyle with implementation Sanitary Lifestyle in the order of household. Methodology on this research was a descriptive correlative with cross sectional approach. The sample in this research are 88 families residing in the village of Meranti Pandak with cluster sampling technique. Measuring instrument was used a questionnaire with 35 statements. The analysis was used univariate and bivariate analysis by Chi-squared test. The results showed that there is no relationship between knowledge and family attitude with the implementation of Sanitary Lifestyle (p value 0.251 and 0.434). Families are expected to be able to increase their knowledge and awareness of the important of Sanitary Lifestyle in behaviors in daily lives, so that family members can avoid various diseases.Item HUBUNGAN TINGKAT PENGETAHUAN PERAWAT PEROKOK TENTANG KANKER PARU TERHADAP MOTIVASI UNTUK BERHENTI MEROKOK DI RSUD ARIFIN ACHMAD PEKANBARU(2013-07-11) Impriyadi; Karim, Darwin; Zulfitri, ReniThis study aims to determine the relationship of the level of nurses’ knowledge about lung cancer smokers motivation to quit smoking in hospitals Arifin Achmad Pekanbaru. The study design with a description correlation to see the relationship of dependent and independent variables. The number of samples is 30 people who taken used with accidental sampling technique. The was colled by a questionnaire with 37 questions. The result was analyzed using univariate and bivariate analysis and presented in frequency distribution tables. The results of statistical tests obtained p value of 0000 in which the p value < 0.05 means that there is a significant association between the level of knowledge about lung cancer on motivation to quit smoking in the general Hospitals Arifin Achmad Pekanbaru. Based on these results, it is expected the nurses who have smoked can bahave healthy lifestyle including not smoking as a reflection of herItem Identification Of Home Care Needs Of Patients With Chronic Kidney Disease Undergoing Hemodialysis In Pekanbaru, Indonesia(2015-06-18) Bayhakki; Karim, DarwinNeeds of Home Care for patients with chronic diseases are increasing rapidly in developing countries, including Indonesia. Home care services are also growing in many provinces in Indonesia. The home care services are organized by personal, organization, or hospital. The objective of this study was to identify home care needs of patients with Chronic Kidney Disease undergoing hemodialysis. This study was a descriptive study. 60 participants undergoing hemodialysis in hemodialysis center Arifin Achmad General Hospital were recruited using convenience sampling. Data were collected using a questionnaire which has been tested its validity and reliability. The results showed that 26 participants (43.3%) were in early adult stage (26-35 years old). There were 41 participants (68.3%) reported that they did not need home care and only 19 participants (31.7%) needed it. The study also revealed that needs of home care were mostly related to physiological needs such as oxygenation, food and drink, wound or skin treatment. The participants who needed home care also needed psychological, social and spiritual consultation and support. It is suggested to home care providers to provide care which are needed by their patients and also provide nurses who can fulfill the needs professionally at the patients’ homes.Item Identifikasi Dan Analisis Sarana Sanitasi Dasar Terhadap Kejadian Penyakit Diare Di Daerah Pesisir Provinsi Riau(2015-08-10) Hasneli, Yesi; Karim, Darwin; Woferst, RismadefiTahun 2015 diharapkan tujuan MDGs bisa dicapai sesuai target. Bidang kesehatan memiliki kewenangan pada poin 1, 4, 5, 6 dan 7. Salah satu tujuan MDGs yaitu menurunkan angka kematian anak. Di Riau distribusi penderita diare pada tahun 2009 terdapat 87.239 penderita. Angka kematian diare saat KLB tahun 2009 adalah 5.756 penderita dengan angka kematian 100 orang dan CFR = 1.74%. Tujuan penelitian ini adlah mengidentifikasi penyakit diare, mengidentifikasi kepemilikan SDS (Sarana Sanitasi Dasar: jamban, tempat sampah, pengelolaan air limbah), dan menganalisis SDS. Desain penelitian adalah survey yaitu melihat mengidentifikasi dan menganalisis SDS terhadap kejadian penyakit diare. Hasil penelitian adalah: Pengelolaan sampah: 50.7 % sampah dikumpul ke tempat pembuangan sampah, 34.6 % dibakar, dibuang ke lubang dan tidak ditutup dengan tanah 15.5 %, di buang ke lahan kosong 2.1 %. Jamban: tempat penyaluran pembuangan akhir tinja (tangki septik 81.8 %, pipa sewer 4.6 %, lubang tanah 13.2 %, langsung ke saluran drainange 0.4 %). Pengelolaan Air Limbah: sebanyak 97.1 % sudah memiliki Sarana Pembuangan Air Limbah (SPAL) dan 2.9 % tidak memiliki SPAL. Cara Ibu Mengolah Air Minum: direbus 85.7 %, ditambah kaporit 14.3 %. Kapan Waktu Paling Dekat Anggota Keluarga Terkena Diare: Kemarin 2.9 %, 1 minggu terakhir 14.3 %, 1 bulan terakhir 19.3 %, 3 bulan terakhir 7.3 %, 6 bulan terakhir 13.6 %, > 6 bln yll 9.3 %, tidak tau 19.3 %. Berdasarkan data, diare masih sering terjadi. Hal ini berkaitan dengan kepemilikan sanitasi dasar. Perlu kerjasama lintas sektoral dalam mengatasi masalah ini untuk mencegah terjadinya diare.Item pengaruh paparan asap rokok elektrik terhadap motilitas dan kadar mda testis mencit jantan (mus musculus, l.)(2015-08-08) Karim, Darwin; Ilyas, Syafruddin; Ardinata, DediPenelitian ini bertujuan untuk mengetahui pengaruh paparan asap rokok elektrik terhadap motilitas dan jumlah sel sperma mencit jantan (Mus musculus, L.). Penelitian ini memakai mencit jantan dewasa (Mus musculus, L.) sebanyak 20 ekor yang dibagi dalam 2 kelompok perlakuan. Kelompok pertama sebagai kelompok kontrol yang tidak mendapatkan paparan asap rokok elektrik dan kelompok kedua sebagai kelompok perlakuan yang mendapatkan paparan asap rokok elektrik selama 15 hari. Hasil yang didapat menunjukkan adanya perbedaan yang nyata pada motilitas sperma kelompok yang mendapat paparan asap rokok elektrik (p<0,05) dibandingkan dengan kelompok kontrol dan pada kadar MDA testis kelompok mencit yang dipapari asap rokok elektrik didapati hasil yang berbeda tidak nyata dengan kelompok kontrol (p>0,05). Paparan asap rokok elektrik memberikan pengaruh negatif terhadap kemampuan reproduksi mencit dan hal ini kemungkinan dicetuskan oleh adanya produk radikal bebas yang dihasilkan oleh asap rokok elektrik.