Iwan Purnawan
Universitas Jendral Soedirman

Published : 7 Documents
Articles

Found 7 Documents
Search

PENGARUH ACUPRESSURE TERHADAP NILAI GCS PADA PASIEN CEDERA KEPALA SEDANG DI RSUP DR HASAN SADIKIN BANDUNG Purnawan, Iwan; Haroen, Hartiah; Kosasih, Cecep Eli
Jurnal Keperawatan Padjadjaran Vol 13, No 2 (2011): Majalah Keperawatan Unpad
Publisher : Fakultas Keperawatan Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (71.575 KB)

Abstract

Iwan Purnawan*Hartiah Haroen**Cecep Eli Kosasih**                                             ABSTRAKPenurunan kesadaran pada cedera kepala yang di ukur secara objektif oleh Glasgow Comma Scale (GCS) merupakan salah satu penentu prognosis dan indikator kegawatan. Beberapa penelitian menunjukan bahwa stimulasi acupressure mampu memberikan efek neuroprotektif  yang mencegah kerusakan sel-sel otak dari iskemik yang ditimbulkan cedera kepala. Penelitian ini bertujuan untuk mengidentifikasi pengaruh acupressure terhadap nilai GCS pada pasien cedera kepala sedang di RSUP dr Hasan Sadikin Bandung.Jenis penelitian ini adalah Quasy Experimental dengan menggunakan teknik Control Group pre-test and post-test design. Pengambilan sampel dilakukan secara random. Jumlah sampel dalam penelitian ini adalah 37 responden yang terbagi dalam dua kelompok, yaitu kelompok kontrol (16 responden) dan perlakuan (21 responden). Kelompok perlakuan, selain mendapatkan terapi standar, ia juga mendapatkan acupressure selama 5 menit dalam 3 hari. Perbedaan nilai GCS pada kelompok kontrol dan perlakuan dianalisis dengan uji Wilcoxon. Sedangkan perbedaan peningkatan nilai rata-rata GCS pada kelompok kontrol dengan kelompok perlakuan dianalisis menggunakan uji Mann Whitney. Hasil uji statistik menunjukkan adanya perbedaan bermakna rata-rata nilai GCS antara  sebelum dan sesudah perlakuan baik pada  kelompok kontrol (p=0,07) maupun perlakuan (p=0,01).  Namun demikian, peningkatan rata-rata nilai GCS pada kelompok perlakuan lebih tinggi dari kelompok kontral. Hal ini ditunjukan dengan nilai p pada uji Mann Whitney sebesar 0,037 (p<0,05). Implikasi dari penelitian ini adalah acupressur sebagai terapi non-farmakologi bisa dipertimbangkan menjadi terapi komplementer bagi terapi farmakologi dalam penanganan pasien cedera kepala sedang.    Kata Kunci : Acupressure, Cedera kepala sedang, Penurunan kesadaran  ABSTRACTImpairment of consciousness in head injury that is measured objectively by Glasgow Comma Scale is one of prognosis determinants  and severity indicators. Several studies have shown that stimulation of acupressure can provide neuroprotective effect that prevents damage to brain cells from ischemic injury.  This study aims to identify the effect of acupressure on the value of GCS in patients with head injuries in the Hospital of dr. Hasan Sadikin Bandung. The type of this study was quasy experimental that used pre test and post test control group design. Sampling was done randomly. The number of samples in this study was 37 respondents who were divided into two groups, namely the control group (16 respondents) and intervention group (21 respondents). Besides having standard therapy, the intervention group also got therapy of acupressure for 5 minutes in 3 days. The differences of GCS score in the control group and the intervention group were analyzed with the Wilcoxon test. The differences of the increase of the GCS average of the control group and intervention group were analyzed by using Mann Whitney test. The results of statistical tests showed significant difference of the average value of GCS both before and after treatment in those two groups, namely: in the control group (p=0.07) and the  intervention (p = 0.01). However, the increase of the GCS average value of the intervention group was higher than the control group. This was evidenced by the p-value on Mann Whitney test of 0.037 (p <0.05). The implication of this study is that acupressure as a non-pharmacological therapy can be considered as a complementary therapy to pharmacological therapy in the treatment of patients with moderate head injury.  Keywords: Acupressure, Moderate head injury, Decreased consciousness
Hubungan Indeks Massa Tubuh dengan Kadar Asam Urat Darah pada Penduduk Desa Banjaranyar Kecamatan Sokaraja Kabupaten Banyumas Kumalasari, Tyas Sitaresmi; Saryono, Saryono; Purnawan, Iwan
Jurnal Keperawatan Soedirman (JKS) Vol 4, No 3 (2009)
Publisher : Jurusan Keperawatan FKIK Unsoed

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Uric acid is a weak acid that distributed throughout the extracellular fluid as a sodium urate . The amount of uric acid on the blood is influenced by dietary intake of purines, uric acid biosynthesis of the body and rate of uric acid excretion. Indonesian had nutrient problems on the globalization, where human lifestyle and meal pattern have canged. The result of body mass index of survey on the 1995-1997 at the 27 of province show that prevalence of obessity is 6,8% on man and 13,5% on woman.The aim this study was to know the correlation between body mass index with blood uric acid levels of the society Banjaranyar Sokaraja of Banyumas. The cross sectional study used to assess body mass index, and blood uric acid in 52 respondent that fulfill in inclution criteria. Sample research taken by simple random sampling.The average of body mass index and blood uric acid were normal cathegory, it was 27 respondent (51,92%), and normal blood uric acid levels cathegory was 41 respondent (78,85%). The correlation between body mass index with blood uric acid levels on man was r=-0,09 with p=0,70>α=0,05 and on woman was r=0,05 with p=0,80>α=0,05. There was no correlation between body mass index with blood uric acid levels of the society Banjaranyar Sokaraja Banyumas.
Pelaksanaan Trias Usaha Kesehatan Sekolah di Sekolah Menengah Pertama di Wilayah Kecamatan Purwokerto Kabupaten Banyumas Saryono, Saryono; Ramawati, Dian; Purnawan, Iwan
Jurnal Keperawatan Soedirman (JKS) Vol 2, No 2 (2007)
Publisher : Jurusan Keperawatan FKIK Unsoed

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

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% respectively
Efektivitas Gentamisin Anestesi dan Iodine Povidone 10% terhadap Penyembuhan Luka Post Operasi Sectio Caesaria di RSUD Purbalingga Santosa, Dani Tri; Haryati, Welas; Purnawan, Iwan
Jurnal Keperawatan Soedirman (JKS) Vol 3, No 1 (2008)
Publisher : Jurusan Keperawatan FKIK Unsoed

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The nursing focus in the ward are client recovery condition, prevent of infection, and help stand alone of client. So were not complications when client go home. One of wound care method using aseptic procedure is to prevent post operate wound infections. There are some opinion about post operative wound care with antiseptic and antibiotic to prevent wound infection. The aim of this research to prove the effectiveness  of Gentamicyn anesthesia and Iodine Povidone 10 % toward  wound healing process  of sectio caesarea post operative in RSUD Purbalingga. This research was experimental method who researcher did direct interventions to sample whom fill in inclussion and exclussion criteria. The sample taken with purposive sampling. The sheet collected by observation sheet. Researcher strart intervention at 3rd day post operative. The sheet collected while dressed at 5th day post laparotomy operative. Then the sheet analyzed by Chi Square test. Result of this research from 20 wound care sample with 10 (50 %) use Gentamicyn anesthesia 10 (50 %) and 10 (50 %) use Iodine Povidone 10 %. They have same affectivity to prevent wound complication of sectio caesarea operative. That evidence X2 = 0,40, X2 < 3,481, p > 0,05. So hipotesis refused. This study show that  Gentamicyn anesthesia have similar  affectivity to  Iodine Povidone 10 % toward wound healing process of sectio caesarea post operative in RSUD Purbalingga on January 2008.
PENGARUH TERAPI AKUPRESSURE TERHADAP KADAR ASAM URAT DARAH PADA LANSIA Rakhman, Arif; Purnawan, Iwan; Purwadi, Arikh Ratna
Jurnal Skolastik Keperawatan Vol 1, No 2 (2015): July - December
Publisher : Fakultas Ilmu Keperawatan Universitas Advent Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRAK Pendahuluan: Asam urat adalah produk akhir dari hasil metabolisme purin. Jumlah asam urat dalam darah dipengaruhi oleh makanan tinggi purin dan atau terganggunya pengeluaran asam urat melalui ginjal. Akupresur merupakan salah satu intervensi keperawatan dengan memberikan tekanan pada titik tertentu di permukaan tubuh menggunakan jari. Sudah banyak penelitian mengenai efektivitas terapi akupresur, namun belum ada yang meneliti efek terapi akupresur terhadap asam urat darah. Tujuan: Penelitian ini bertujuan untuk mengetahui efek terapi akupresur terhadap kadar asam urat darah pada lansia di Panti Wreda Catur Nugraha Kabupaten Banyumas. Metode: Penelitian ini merupakan penelitian pre experiment dengan pendekatan pre test-post test without control design. Pengambilan sampel menggunakan teknik total sampling. Besarnya sampel adalah 11 responden yang memenuhi kriteria inklusi dan eksklusi. Analisis data menggunakan uji statistik paired t test. Hasil: Rata-rata kadar asam urat darah sebelum dilakukan terapi akupresur adalah 5,99 mg/dl dan rata-rata kadar asam urat setelah dilakukan terapi akupresur adalah 4,04 mg/dl. Hasil uji paired t test didapatkan hasil t hitung = 2,441 (t hitung > dari t tabel) dan nilai p = 0,035 (p value<α = 0,05). Diskusi: Penurunan ini disebabkan adanya perbaikan fungsi ginjal dalam mensekresi asam urat dan penurunan produksi purin dari glikolisis otot yang terjadi akibat stres. Terdapat pengaruh yang signifikan terapi akupresur terhadap kadar asam urat darah pada lansia di Panti Wreda Catur Nugraha Kabupaten Banyumas. Terapi akupresur dapat menurunkan kadar asam urat darah pada lansia di Panti Wreda Catur Nugraha Kabupaten Banyumas. Kata Kunci: Akupresur, Asam urat, Lansia   ABSTRACT Introduction: Uric acid is the last product of purin metabolism. The amount of uric acid in blood influenced by food high purines and or impairement of uric acid excretion in kidney. Acupressure is one of nursing intervention by giving a pressure on specific point. There was many research about acupressure efectivity, but none did research about the effect of acupressure therapy on blood uric acid level. Objective: This study aimed to find out the effect of acupressure therapy on blood uric acid level towads elderly at Panti Wreda Catur Nugraha Kabupaten Banyumas. Method: This study used pre experiment design with pre test- post test without control approach design and total sampling technique. The amount of sample was 11 respondent which had fulfill the inclution and exclution criteria. Data analysis used by statistical paired t test. Result: The average of uric acid level before accupressure therapy was 5.99 mg/dl and uric acid level after acupressure therapy was 4.04 mg/dl. The result of paired t test was obtained t= 2.441 (obtained t > table t) and value of p=0.035 (p<α=0,05). Discussion: The decrease of average blood uric acid level occured by kidney improvement in uric acid secretion and reduction of purin from muscle glicolisis as a consequence of stress. There was a significant effect of acupressure therapy on blood uric acid level in elderly at Panti Werdha Catur Nugraha Kabupaten Banyumas. Acupressure therapy could decrease blood uric acid level on elderly at Panti Wreda Catur Nugraha Kabupaten Banyumas. Keywords: Acupressure, Elderly, Uric AcidFull printable version: PDF
PENGARUH LIGHT MASSAGE TERHADAP TEKANAN DARAH PENDERITA HIPERTENSI PRIMER DI KABUPATEN BANYUMAS Awaludin, Sidik; Upoyo, Arif Setyo; Purnawan, Iwan
Interest : Jurnal Ilmu Kesehatan Vol 7, No 1 (2018): Interest : Jurnal Ilmu Kesehatan
Publisher : Interest : Jurnal Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (157.514 KB)

Abstract

Abstract : Blood Pressure, Light Massage, Hypertention. The impact of hypertension leads to heart attack, renal failure and stroke if the blood pressure is not controlled. Light massage is a complementary therapy for blood pressure control of patients with primary hypertension. Light massage can cause a relaxation response and reduce stress. The purpose of this study was to identify the effect of light massage on the decrease in blood pressure. Research design is pre experimental. The number of respondents in this study were 16 respondents. Sampling technique used is purposive sampling. The study was conducted by measuring blood pressure before and after light massage therapy. Blood pressure measurement using digital tensimeter. Test the difference in blood pressure before and after intervention using Wilcoxon test. The results showed a significant difference in blood pressure before and after treatment in the group receiving light massage therapy (p value 0.035). Light massage affects the decrease in blood pressure in patients with primary hypertension.  Keywords: Blood Pressure, Light Massage, Hypertention
Modification of Breast Pump as a Negative Pressure Wound Therapy for Accelerating Wound Healing of Diabetic Ulcer Sari, Yunita; Purnawan, Iwan; Hartono, Hartono
Jurnal Ners Vol 10, No 1 (2015): Vol. 10 Nomor 1 April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.V10I12015.104-111

Abstract

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.Keywords: diabetic wound, breast pump, negative pressure, wound healing