scholarly journals EFFECT OF ROSELLE (HIBISCUS SABDARIFFA) ON CHANGES IN HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA TAKING IRON SUPPLEMENT

2017 ◽  
Vol 3 (6) ◽  
pp. 771-777
Author(s):  
Rif’atun Nisa ◽  
Ariawan Soejoenoes ◽  
Sri Wahyuni

Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.Methods: This study was a quasy experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.Results: Paired t-test obtained p-value 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr and in the experiment group was 1.08. The hemoglobin levels in the experiment group were higher than the levels in the control group.  Independent t-test obtained p-value 0.000 (<0.05) indicating that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as a evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.

2021 ◽  
Vol 7 (1) ◽  
pp. 109-115
Author(s):  
Neneng Siti Lathifah ◽  
Zarma H ◽  
Nurul Isnaini

IMPROVEMENT OF HEMOGLOBIN (Hb) LEVELS IN PREGNANT WOMEN WITH ANEMIA WITH THE CONSUMPTION OF JAMBU SEEDS (PSIDIUM GUAJAVA. L) ABSTRACT Background Anemia in pregnancy is a national problem because it reflects the socio-economic condition of the community and its influence is very large on the quality of human resources. The incidence of anemia in pregnant women 2018 in Pesisir Barat Regency is 29.9%. The incidence of anemia in pregnant women at Krui Health Center is 67.5%. The purpose of this study is to know the effect of giving guava juice (Psidium Guajava. L) to the increase of hemoglobin (Hb) levels in pregnant women with anemia in Krui health center in 2019.Methods Quantitative Research Type, the research design is a quasi-experimental method with a Non-equivalent Control Group Design approach. The population in this study were as many as 60 second trimester pregnant women and third trimester who had anemia, a sample of 30 pregnant women. 15 people were given treatment with guava fruit juice and Fe tablets, and 15 people were given treatment with Fe tablets, with inclusion criteria Willing to be respondents, Willing to consume guava juice, Pregnant women with mild and moderate anemia with hemoglobin levels (Hb 7.9 - 10 g / dl). With purposive sampling sampling technique. Analyze data with T-test (univariat and bivariat).The results showed an average hemoglobin level before consumption of guava juice and Fe tablets of 9.72 gr / dl, the average hemoglobin level after consumption of guava juice and Fe tablets was 11.13 gr / dl, the average hemoglobin level before consumption of Fe tablets of 9.80 gr / dl, the average hemoglobin level after consumption of FE tablets was 10.60 gr / dl. Conclusion It was known that there was an effect of giving guava juice (Psidium Guajava. L) to Hb levels in pregnant women with anemia in Krui Public Health Center, West Coast District in 2019. The results of the t test were p value 0,000 <α (0.05).Suggestion  It is recommended for health workers, especially midwives, to encourage pregnant women to consume guava juice as a companion to Fe because it can raise hemoglobin levels in pregnant women. Keywords              : Guava Juice, Tablets Fe, Hemoglobin Level ABSTRAK Latar Belakang Anemia pada kehamilan merupakan masalah nasional karena mencerminkan keadaan sosial ekonomi masyarakat dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia. Angka kejadian anemia pada ibu hamil tahun 2018 di Kabupaten Pesisir Barat adalah sebesar 29,9%. Angka kejadian anemia pada ibu hamil di Puskesmas Krui sebesar 67,5%.Tujuan dari penelitian ini adalah diketahui Pengaruh Pemberian Jus Jambu Biji (Psidium Guajava. L) Terhadap Peningkatan Kadar Hemoglobin (Hb) pada Ibu Hamil dengan Anemia di Puskesmas Krui Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan Non-equivalent Control Group Design. Populasi dalam penelitian ini adalah sebanyak 60 orang ibu hamil trimester II dan trimester III yang mengalami anemia, Sampel sebanyak 30 ibu hamil. 15 orang diberikan perlakuan dengan jus jambu biji dan tablet Fe, dan 15 orang diberikan perlakun dengan tablet Fe, dengan kriteria inklusi Bersedia menjadi responden, Bersedia mengkonsumsi jus jambu biji, Ibu hamil dengan anemia ringan dan sedang dengan kadar hemoglobin (Hb 7,9 – 10 g/dl). Dengan teknik sampling purposive sampling. Analisa data dengan uji T-test (univariat dan bivariat).Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi jus jambu biji dan tablet Fe sebesar 9,72 gr/dl, rata-rata kadar hemoglobin setelah konsumsi jus jambu biji dan tablet Fe sebesar 11,13 gr/dl, rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,80 gr/dl, rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,60 gr/dl.Kesimpulan Diketahui Ada Pengaruh Pemberian Jus Jambu Biji (Psidium Guajava. L) Terhadap Kadar Hb pada Ibu Hamil dengan Anemia di Puskesmas Krui Kabupaten Pesisir Barat Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Saran bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi jus jambu biji sebagai pendamping Fe karena dapat menaikkan kadar hemoglobin pada ibu hamil. Kata Kunci            : Jus Jambu Biji, Tablet Fe, Kadar hemoglobin


2018 ◽  
Vol 4 (1) ◽  
pp. 39-44
Author(s):  
Dwi Antara Nugraha ◽  
Sri Endang Pujiastuti ◽  
Budi Widiyanto ◽  
Choiroel Anwar

Objective: This study aimed to determine the effectiveness of the combination of hypnotherapy and acupressure (hypno-pressure) on anxiety levels in patients with cardiovascular disorders.Methods: A quasy-experimental research with pretest-posttest with control group design was used. Fifty-six respondents were selected using purposive sampling in this study, which 28 respondents were randomly assigned in the experiment and control group. The Spielberger State-Trait Anxiety Inventory (STAI) Form Y was used to measure anxiety. Paired t-test and Independent t-test were used for data analysis.Results: There was a significant effect of hypno-pressure on the decrease of anxiety levels in patients with cardiovascular disorder with p-value 0.000 (<0.05), t = 7.217, and effect size of 1.96.Conclusion: Hypno-pressure could reduce anxiety levels in patients with cardiovascular disorder.


2018 ◽  
Vol 4 (1) ◽  
pp. 112-119
Author(s):  
Andika Siswoaribowo ◽  
Mateus Sakundarno ◽  
Muhammad Mu’in

Background: Diabetes Mellitus is a chronic disease that requires treatment for long periods of time so it can cause physical and psychological problems for sufferers and families (caregiver). Caregiver's role is expected to provide support for people with diabetes mellitus. Family psychoeducation is a strategy that can be applied for caregiver in overcoming problems that arise during the treatment of patients with diabetes mellitus.Objective: This study aims to determine the effect of family psychoeducation on caregiver support in the treatment of patients with diabetes mellitus type II.Methods: This research used a quasi experiment with  pre-test post-test control group design. A total of 46 caregivers and patients with diabetes mellitus were recruited puposively, with 23 respondents assigned in the experiment and control group. Caregiver support scale was used to measure caregiver support, and Hensarling Diabetes Family Support Scale (HDFSS) for measuring perception of patients toward the treatment of caregiver.  Data were analyzed using paired t-test and independent t-test. Results: Findings showed there was an increase of caregiver knowledge from 5.39 to 9.09 and an improvement of caregiver treatment from 40.30 to 67.04 after given family psychoeducation. There was a significant difference of caregiver support in the experimental and control group with p-value <0.001 (<0.05).Conclusion: Family psychoeducation can increase caregiver support in the treatment of diabetes mellitus patients. The intervention can be one of nurses interventions in the empowerment of family in improving the treatment of chronic diseases, particularly in diabetes mellitus.


2020 ◽  
Vol 2 (3) ◽  
pp. 163-169
Author(s):  
Rifi Wulandari

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. Rosella (Hibiscus sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasi-experiment with a pretest-posttest control group design. 32 participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The result indicated that there was an increase in hemoglobin levels in both the experiment and the control group. The mean increase of hemoglobin levels in the control group was 0.59gr and in the experiment group was 1.11. The hemoglobin levels in the experiment group were higher than the levels in the control group. Independent t-test obtained a p-value of 0.241 indicating that there wasn’t a significant mean difference of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared to pregnant women. Therefore, it is suggested for midwives to use the result of this research as evidence-practice through counseling for pregnant mothers about the utilization of rosella that can increase hemoglobin levels in pregnant.


2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Astuti Astuti ◽  
Kartika Asli ◽  
Asrida Asrida ◽  
Nunung Erviany ◽  
Ummul Khair

Honey contains complex nutrients including vitamins A, C, E, B and flavonoids which play a role in suppressing oxidative stress. This study aimed to determine the effect of honey and Fe on body weight and malondialdehyde (MDA) levels of anemia pregnant women. The type of this study was quasi-experimental with the pretest-posttest design. Data analysis using paired t-test and independent samples test. After implementation the average value of the intervention group was 2.30 ± 0.50 while the average value of the control group was 2.00 ± 0.20 which showed that there was an effect of giving honey + Fe and Fe to the weight of anemic pregnant women. Whereas the statistical test results of the independent samples test showed p> 0.05 (p = 0.307) which means that there was no significant difference between the administration of honey + Fe (intervention) and Fe (control). In the melondialdehyde (MDA) variable there was a decrease in the intervention group by 8.86 ± 2.78 with the paired t-test obtained p value 0.002, this indicates there is an effect of giving honey + Fe to malondialdehyde (MDA) levels. The average value in the control group was 0.92 ± 0.07 with the paired t-test p value of 0.653 indicating no effect of Fe on Melondialdehyde (MDA) levels. Based on the test of the independent samples test obtained p value 0.004 (α <0.05). Conclusion: administration of honey + Fe effectively reduces malondialdehyde (MDA) levels and increases the weight of anemic pregnant women.


2018 ◽  
Vol 4 (1) ◽  
pp. 104-111
Author(s):  
Chandra Irawan ◽  
Mardiyono Mardiyono ◽  
Suharto Suharto ◽  
Aris Santjaka

Background: Range of Motion (ROM) exercise has been identified in the literature that it has an effect in improving muscle strength, especially in patients with stroke. However, little is known about the effect of ROM exercise combined with hypnosis therapy.Objective: To determine the effect of combination of hypnosis therapy and ROM exercise on upper extremity muscle strength in patients with non-hemorrhagic.Methods: This study employed a quasy experiment with pretest-posttest control group design. Thirty-two samples were selected using simple random sampling, which 16 randomly assigned in the experiment and control group. Muscle strength was measured using Muscle Strength Scale. Hypnosis Deepening test was used to measure the level of hypnosis depth. Paired t-test and Independent t-test were used for data analysis.Results: The mean value of muscle strength in the experiment group was 3.50 and  the mean value in the control group  was 2.62. Independent sample t-test obtained p-value = 0.012, indicated that there was a statistically significant difference in the mean of muscle strength of upper extremity in the experiment and control group. Paired t-test obtained p-value = 0.000, which indicated that there was significant difference between the average of muscle strength value before and after treatmentConclusion: The combination of hypnosis therapy and ROM exercise has a significant effect in increasing muscle strength of upper extremity in patients with stroke non-haemorrhagic.


2020 ◽  
Vol 8 (2) ◽  
pp. 162-170
Author(s):  
Annisa Dwi Zulqaidah ◽  
Baiq Iin Rumintang

Background:Based on the results of Basic Health Research in 2013, the prevalence of anemia in pregnant women in Indonesia 37.1%. Prevalence of anemia in pregnant women in the working area of ​​UPT BLUD Meninting Health Center in 2017 amounted to 28.18 %. To increase the absorption of hemoglobin levels, iron supplementation needs to be combined with other micronutrients such as vitamin C Objective:To know the effectiveness of giving tablets added blood and vitamin C to the hemoglobin level of pregnant women Method:This research used Quasi Experiment with Non Equivalent Control Group design with 30 samples divided into intervention and control group Results:The characteristics of pregnant women found that most of them were 20-35 years old (83,3%), high school education (56,7%), respondents who did not work or housewives (96,7%), respondents multiparas (70%), the distance of pregnancy >5 years (61,9%). The average hemoglobin levels of pregnant women who only get tablets added blood 0.36 gr/dL. The average hemoglobin levels of pregnant women who get tablets added blood and vitamin C amounted to 1.2 gr/dL. Statistical test results independent t test obtained p value of 0.006 Conclusion:There is effectiveness of giving tablets added blood and vitamin C to pregnant woman's hemoglobin level


2021 ◽  
Vol 8 (1) ◽  
pp. 038-042
Author(s):  
Rifi Wulandari ◽  
Afrina Mizawati

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasy experiment with pretest-posttest control group design conducted in January 2020 in the working area of Ratu Agung Community Health Center. Thirty-two participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The paired t-test obtained a p-value of 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.59 gr and in the experiment group was 1.11. The hemoglobin levels in the experiment group were higher than the levels in the control group. The independent t-test obtained a p-value of 0.241 (> 0.05) indicating that there wasn't a significant difference of mean of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared of pregnant women. Therefore,


2016 ◽  
Vol 4 (1) ◽  
pp. 45-54
Author(s):  
Yossy Juliarni ◽  
Gunawan Gunawan2

Background: Salivary pH is one of factor which involved in caries development. Decreasing of salivary pH will cause enamel demineralization. Miswak (Salvadora persica) as a toothbrush because it has mechanical and chemical effects such as essential oil and bicarbonate which can stimulate salivary secretion. Thus, it will increase the buffer capacity and salivary pH lead to enamel remineralization. Objective: This study aimed to know the effect of toothbrushing with miswak (Salvadora persica) on salivary pH. Methods: The clinical experiment study with pre-test and post-test control group design. The sample of this study is the students of Faculty of Dentistry, Andalas University, Padang. There are 34 students that divided into two groups randomly that is case and control group. Case group used miswak while control group used conventional toothbrush, respectively brushing horizontally for 2 minutes. Salivary pH was measured using digital pH meter in scale of 0.0 to 14.0 with 0.1 sensitivity from pen type pH meter. The data analyzed by Shapiro-Wilk test continued by paired t-test and Mann-Whitney test. Results: paired t-test produced significant value p=0,001 in case group and p=0,000 in control group. Mann-Whitney test produced significant value p=0.317. There was no significant difference in statistic among these groups. Conclusion: Toothbrushing with miswak has effect on salivary pH. Miswak as effective as toothbrush on salivary pH Keywords:Toothbrushing, miswak (Salvadora persica), Salivar


2022 ◽  
Vol 4 (1) ◽  
pp. 157-167
Author(s):  
Siti Rohimah ◽  
Novia Puspita Dewi

Hipertensi merupakan faktor penyebab utama kematian akibat stroke dan jantung coroner. Salah satu faktor yang mempengaruhi tekanan darah adalah aktivitas fisik. Penelitian ini bertujuan untuk mengetahui pengaruh aktivitas fisik jalan kaki terhadap tekanan darah pada lansia hipertensi di Desa Sindangkasih Kecamatan Sindangkasih Kabupaten Ciamis. Penelitian ini menggunakan metode quasi eksperimen pre-test post-test control group design. Pengambilan sampel dengan teknik purposive sampling lansia  hipertensi derajat 1 dan diperoleh 30 responden yang terbagi menjadi 2 kelompok. Instrumen dalam penelitian ini menggunakan tensimeter. Analisis data menggunakan  paired t-test. Hasil penelitian menunjukan adanya penurunan rata-rata tekanan darah sistolik pada responden kelompok intervensi sebesar 15 mmHg, sedangkan untuk penurunan rata-rata tekanan darah diastolic sebesar 13 mmHg. Pada kelompok kontrol terjadi penurunan rata-rata tekanan darah sistolik sebesar 4,3 mmHg dan penurunan rata-rata tekanan darah diastolik sebesar 4 mmHg. Hasil analisa data  menggunakan uji Independen Sample T-test didapatkan nilai signifikan p-value kelompok intervensi = 0,000 dengan ? = 0,05 .Karena p-value < 0,05 maka ada pengaruh aktivitas fisik jalan kaki terhadap tekanan darah pada lansia hipertensi di Desa Sindangkasih Kecamatan Sindangkasih Kabupaten Ciamis Tahun 2021. Kesimpulan penelitian ini adanya pengaruh aktivitas jalan kaki selama 30 menit terhadap tekanan darah sistolik dan diastolik pada lansia hipertensi.


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