scholarly journals EFFECT OF FRUIT DECOCTION OF PHALERIA MACROCARPA ON URIC ACID LEVELS IN ELDERLY

2018 ◽  
Vol 4 (5) ◽  
pp. 524-527
Author(s):  
Rostime Hermayerni Simanullang

Background: The incidence of gout is rising both in the developed and developing countries not only in the elderly but also in young adults. Thus, the effort to reduce its incidence is necessary.Objective: To determine the effect of fruit decoction of phaleria macrocarpha on the levels of uric acid in the elderly.Methods: This was a pre-experimental study with pretest and posttetst design. This study was conducted at Sei Semayang Village North Sumatra from April to May 2017. There were 10 elderly selected using purposive sampling. Urid acid levels were measured using monitoring system of Easy Touch GCU. Independent t-test were used for data analysis.Results: Findings of this study showed that there was a significant difference in the mean value of the levels of uric acid before and after given fruit decoction of phaleria macrocarpa (p=0.004).Conclusion: There was a significant effect of fruit decoction of phaleria macrocarpa to decrease the level of uric acid in elderly. It is suggested that fruit decoctions of phaleria macrocarpa can be one of alternative therapies to prevent the increase of uric acid.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tilahun Fufa Debela ◽  
Zerihun Asefa Hordofa ◽  
Aster Berhe Aregawi ◽  
Demisew Amenu Sori

Abstract Background The consequences of obstetric fistula on affected women are more than the medical condition. It has extensive physical, psychological, social, and economic consequences on them. Obstetric fistula affects the entire health and entire life of women. Women suffering from obstetric fistula are often abandoned by her partner, relatives, and the community. This study aimed to determine the quality of life of obstetrics fistula patients before and after surgical repair. Methods Institutional-based prospective, before and after study design was conducted in the Jimma University Medical Center from November 1, 2019–October 30, 2020. A face-to-face interview was conducted with fistula patients who visited Jimma University Medical center, fistula clinic during the study period. All fistula patients were included in the study. Accordingly, 78 women who underwent surgical repair were interviewed. The means and the standard deviation were computed using conventional statistics formulas. The unpaired t-test was used to compare two independent means, and one-way analysis of variance (ANOVA) was used to compare the quality of life before repair and after a successful repair. Linear regression analysis was done for identifying determinants of quality of life. A P value of 0.05 will be considered statistical significance. Result The overall quality of life of women was 58.17 ± 7.2 before the surgical repair and 71.20 ± 10.79 after surgical repair. The result indicates there is a significant difference in the mean value of pre and post-operative (P < 0.001). The overall satisfaction of women with their health status before the surgical repair was 22.5 ± 1.30and it has increased to 53.0 ± .90after surgical repair. The physical health dimension score was 16.51 ± 5.27 before the surgical repair while it has increased to 21.77 ± 5.38 after the surgical repair. The score of the social domain before the surgical repair was 5.19 ± 1.34 and it has increased to 7.13 ± 3.67 after the surgical repair. The score of the environmental health domain was 17.41 ± 2.89 before the surgery while it also increased to 21.65 ± 4.04 after the surgical repair. The results have shown there was a significant difference in the mean values of pre and post-operatives in both social and environmental scores (P < 0.001). The score of the psychological health domain before the surgery was 19.06 ± 1.46 and it was increased to 19.84 ± 3.21 after the surgical repair. The result showed there is a significant difference in mean value pre and post-operative (P = 0.048), though it is a slight improvement compared to other domains. Conclusion The overall quality of life of the patient with fistula was improved after successful surgical repair. Although all domains of quality of life had shown significant improvement after successful surgical repair, the psychological domain showed slight improvement.


2018 ◽  
Vol 4 (2) ◽  
pp. 211-218
Author(s):  
Wulansari Wulansari ◽  
Ani Margawati ◽  
Rita Hadi W

Background: Depression is one of the most common psychosocial problems in the elderly. The incidence of depression in the elderly is greater in the elderly living in the social service unit than the elderly in the community. Management of depression in the elderly should be more emphasized on interventions that focus on the individual needs of the biopsychosocial and spiritual aspects. Brain gym therapy and Benson relaxation are considered appropriate in decreasing depression.Objective: This study was to determine the effect of brain exercise and Benson relaxation on the level of depression in elderly in the elderly social service unit.Methods: This was a quasy experimental study with pretest posttest control group design. Fifty-six elderly included in this study, which 28 assigned in the experiment and control group. The depression level was assessed using Geriatric Depression Scale (GDS). Wilcoxon and Mann-Whitney test were used for data analyses.Results: The study showed that the mean GDS score in the experiment group before the intervention was 7.21, while the mean value of GDS in the control group was 6.64. The mean value of GDS in the experiment group after the intervention was 5.04 and the mean in control group was 6.18. There was a significant difference of GDS score between experiment and control group with p-value of 0.021 (<0.05).Conclusion: There was a significant effect of brain gymnastics and Benson relaxation therapy in reducing depression in elderly. brain gymnastic therapy and benson relaxation can be one of independent nursing interventions as an effort to improve care for elderly groups.


2019 ◽  
Vol 7 (2) ◽  
pp. 104-113
Author(s):  
Dwi Novitasari ◽  
Ikit Netra Wirakhmi

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache. Keywords: Autogenic relaxation, headache, hypertension.


IQTISHODUNA ◽  
2011 ◽  
Vol 2 (2) ◽  
Author(s):  
Lulu Nurul Istanti, SE., MM.,

This research presents an empirical analysis of difference between abnormal return and trading volume activity before and after earths-quake, in Yogyakarta at May 27, 2006. And examine its statistical properties. This research argues that there was difference between abnormal return and trading volume activity before and after quake. For this purpose, the mean difference test, using t-test, was applied to compare the mean value of abnormal return and trading volume activity before and after quake. The sample of this research consists of the insurance firms listed at the Jakarta Stock Exchange. Investigation on the sample firms involved periods of ten days before quake and ten days after quake. The results of this research indicate that there was no significant difference between the abnormal return and trading volume activity before and after quake. This evidence confirms that even did not positively influence abnormal return and trading volume activity as suggested theoretically.  


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Zahra Mandegari Bamakan ◽  
Khadijeh Nasiriani ◽  
Farzan Madadizadeh ◽  
Fatemeh Keshmiri

Abstract Background The knowledge and attitude of health care providers are important and influential factors in providing care services to the elderly and need to be considered during the training course. Simulation in geriatric nursing education can be an opportunity for learners to experience the restrictions of the elderly. The present study was conducted to determine the effect of training through simulation on the attitude and knowledge of nursing students in elderly care. Methods This study was quasi-experimental with two experimental and control groups of pre and post-test, which was conducted on 70 nursing students of the 5th semester (two groups of 35 people). For the experimental group, the elderly simulation suit was worn for two hours, which was designed by the researcher and created sensory, physical, and motor restrictions similar to the elderly for students. Before and after the study, Kogan’s attitudes toward older people scale and Palmore’s “facts on aging quiz” were completed by students. The data were analyzed using an independent t-test and paired t-test using SPSS version 16 software. Results The mean scores of students’ knowledge in the experimental and control groups had no significant difference at the beginning of the study (p < 0.05). But the mean scores of knowledge in the experimental group before and after the intervention was (9.2 ± 2.6) and (15.3 ± 3.5), respectively, and in the control group before and after the intervention was (10.4 ± 2.9) and (11.3 ± 2.6), respectively, which had a statistically significant difference (p = 0.0001). The mean scores of students’ attitudes in the experimental and control groups had no significant difference at the beginning of the study (p < 0.05). The mean scores of attitude in the experimental group before and after the intervention was (114.69 ± 8.4) and (157.31 ± 10.7), respectively and in the control group before and after the intervention was (113.34 ± 13.6) and (108.5 ± 16.6), respectively, which was significantly different (p = 0.0001). Conclusions Based on the findings, the experience of aging restrictions through simulation has improved the knowledge and attitude of nursing students towards the elderly. Nursing education requires the growth of attitudinal skills, individuals’ beliefs, and creating empathy among them, so creating simulation opportunities can assist nursing students in the educational processes.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Ester Florencia Sagay ◽  
Hedison Polii ◽  
Herlina I. S. Wungouw

Abstract: Changes to respiratory function due to regular aerobic exercise will affect the value of pulmonary function, especially in Forced Vital Capacity (FVC). This research aimed to determine the effect of aerobic exercise on FVC overweight male students of Unsrat Medical Faculty. This research is analytic with design experimental, one group pre and post test design. The sampling technique used is non-purposive sampling technique. The research sample was taken from the students of the Faculty of Medicine 2009, Univercity of Sam Ratulangi who fulfill the inclusion criteria. Some 32 students were selected as research subjects. After giving informed consent, FVC measurement was done with the spirometer. After it was measured, they were given treatmen in the form aerobic exercise using a stationary bike for three weeks with frequency of exercise three times a week and exercise intensity for 30 minutes. We measured again FVC values after the exercise three times program. Normality test data showed significance for FVC value before treatment by 0.752, and after treatment by 0.912. Comparison of the average value before and after exercise were tested by using a paired test. Significant value for FVC is P = 0.084, means there is no significant difference between FVC values before and after exercise (P> 0.05). The mean FVC was 3.88 before treatment and after treatment the mean value was 4.00, an increase in the average value of 0.11. Conclusion:Aerobic Exercise on a regular basis using a stationary bike on the overweight male student can improve lung function in particular the mean FVC but there was no significant difference from the mean value. Keywords: FVC, Aerobic Exercise, Overweight.   Abstrak: Perubahan fungsi pernapasan karena latihan aerobik secara teratur akan mempengaruhi nilai fungsi paru khususnya Forced Vital Capacity (FVC). Penelitian ini untuk mengetahui pengaruh latihan aerobik terhadap FVC mahasiswa pria Fakultas Kedokteran Unsrat dengan berat badan lebih.Penelitian ini bersifat analitik dengan rancangan eksperimental one grup pre and post test design. Pengambilan sampel dilakukan dengan teknik non purposive sampling. Sampel penelitian diambil dari Mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi Angkatan 2009.Sejumlah 32 orang mahasiswa terpilih sebagai subjek penelitian dan dilakukan pengukuran FVC dengan Spirometer.Setelah itu diberikan perlakuan berupa latihan aerobik menggunakan sepeda statis selama tiga minggu dengan frekuensi latihan tiga kali seminggu dan intensitas latihan selama 30 menit.Selanjutnya dilakukan pengukuran kembali nilai FVC sesudah program latihan.Uji normalitas data menunjukkan nilai signifikansi untuk FVC sebelum perlakuan sebesar 0.752, dan sesudah perlakuan sebesar 0.912. Perbandingan nilai rata  rata  sebelum dan sesudah latihan diuji dengan menggunakan uji t berpasangan.Nilai signifikan untuk FVC adalah P = 0.084, berarti tidak terdapat perbedaan yang bermakna antara nilai FVC sebelum dan sesudah latihan (P > 0.05) .Nilai rerata FVC sebelum pelakuan adalah 3,88  dan nilai rerata sesudah perlakuan adalah  4,00,  terjadi penigkatan nilai rerata sebesar 0,11.Simpulan:Latihan Aerobik menggunakan sepeda statis secara teratur dapat meningkatkan nilai rerata fungsi paru khususnya FVC tetapi tidak terdapat perbedaan yang bermakna dari nilai rerata tersebut. Kata Kunci: FVC, Latihan Aerobik, Berat Badan Lebih (Overweight).


2021 ◽  
Vol 2 (2) ◽  
pp. 108
Author(s):  
Emdat Suprayitno ◽  
Zakiyah Yasin ◽  
Istiqamatul Karamah ◽  
Dian Ika Puspitasari

 Introduction: The problems in hypertension will cause emotional or mental disorders, one of which is anxiety. Feelings arise due to the fear and ignorance of an individual about hypertension experienced and the impact that will occur in the future. Psychoeducation is the provision of information about disease management and individual psychological aspects. This study aims to determine the effect of psychoeducation on the anxiety level of elderly patients with hypertension in Nambakor Village, Saronggi District.Methods: This research method is pre-experimental with the research design is one group pre test post test. The sampling technique used is Random Sampling and the number of samples is 30 respondents. Data collection using a questionnaire on the level of anxiety Depression Anxiety and Stress Scale.Result: The results showed that the mean of the anxiety score before the psychoeducation intervention was 24,43±7,60 and the mean of the anxiety score after the psychoeducation intervention was was 23,23 ± 7,83. The results of the paired t test of anxiety score was p = 0.002, means that there is significant difference in anxiety scores before and after psychoeducation.Conclusion: There is an influence of psychoeducation on the level of anxiety in the elderly with hypertension. The conclusion obtained is that psychoeducation can increase knowledge in patients with hypertension so that it is expected to be one form of intervention that can be applied. 


2018 ◽  
Vol 7 (2) ◽  
pp. 104-113
Author(s):  
Dwi Novitasari ◽  
Ikit Netra Wirakhmi

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache.


Author(s):  
Mohammad Reza Vafaeenasab ◽  
Athareh Amiri ◽  
Mohammad Ali Morowatisharifabad ◽  
Seyedeh Mahdieh Namayande ◽  
Hossein Abbaszade Tehrani

Introduction: Balance in the elderly is one of the important issues, and imbalance can create irreparable problems for the elderly. The aim of this study was to investigate the effect of Frenkel balance exercise and aerobic exercise (walking) on improving the balance of elderly patients in Kerman province in 2016-2017.  Methods: We used a randomized block design, with 4 participants in each block; 48 elderly men and women living in the nursing homes of Kerman province were randomly assigned to two groups, balance (Frenkel) exercises and aerobic exercises (walking). The two groups performed Frenkel exercises and aerobic exercises (walking) for three 10- to 15-min sessions a week for five weeks. The balance time using the Sharpened Romberg test was recorded to measure static balance and the Get Up and Go test used to measure dynamic balance before and after the exercise program. To describe the variables studied, central tendency indicators and dispersion were used. Paired t-test was used to compare the time of balance before and after intervention and independent t-test to compare changes in balance time between two groups. Results: The mean static balance (with Sharpend Römberg test) was increased from 3.16 s to 6.01 s in Frenkel exercise, and from 3.33 s to 4.95 s in aerobic training group, indicating an improvement in the static balance after intervention. The mean time of dynamic balance (in the Get Up and Go test) during Frenkel exercise reduced from 17.07 s to 12.03 s, and during aerobic training from 17.08 s to 10.9 seconds, indicating an improvement in dynamic balance (p < 0.01). However, there was no significant difference in the mean changes in the duration of dynamic and static balance before and after intervention in the two groups. Conclusion: Both Frenkel exercise and walking equally improve static and dynamic balance in the elderly in different settings.


Biomedika ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. 24
Author(s):  
Chandra Irawan ◽  
Aris Sudiyanto ◽  
Mohammad Fanani

Arthritis or rheumatism in the elderly (called osteoarthritis) is chronic and can not be recovered. Pain becomes the main symptoms of osteoarthritis joints experience. The pain can disrupt motor function, sleep disorders and psychological stress. Nowadays, the treatment for elderly with osteoarthritis pain therapy is to pharmacotherapy. Due to psychological disorders such as anxiety and depression play a role in the recurrence of pain, then there is a complementary therapy intervention that is self-hypnosis. Self-hypnosis (as a complementary therapy) popular and familiar because it is easy to do, inexpensive and can be done at home independently. The aimed of this study was to find out whether there is any influence of self-hypnosis on the pain intensity and level of anxiety elderly with osteoarthritis.This study was a quantitative research in the form of quasi experimental randomized pretest-posttest control group design, intervention module using self-hypnosis to reduce pain intensity and level of anxiety elderly with osteoarthritis. This study was approved by the hospital ethics committee. The result of this study was a significant difference in the value pretest and posttest group treated osteoarthritis pain and anxiety elderly. The mean value of NRS (pain) treatment group pretest posttest 1,47 ± 0.57 and 0.97 ± 0.72 with p = 0.001> 0.05. The mean value of TMAS (anxiety) treatment group pretest amounted to 13.13 ± 2.27 posttest 10.93 ± 3.35 with p= 0.000Keywords: Self-Hypnosis, Pain Intensity, Level Of Anxiety, The Elderly With Osteoarthritis.


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