Prosiding

d lnternationat Conference on Health, Education and

Management

Organized by:
Tri Mandiri Sakti lnstitute of Health Sciences

Editor:

Ade Herman Surya Direja, S.Kep., Ners., MAN

Tria Nopi Herdiani, SST., M.Kes
Pawiliyah, S.Kep., Ners., MAN

TRI MANDIRI SAKTI

INSTITUTE OF HEALTH SCIENCES
 CONCENTRATION OF HEALTH EDUCATION PEER BLOOD UREAAND CREATININE
GHRONIG RENAL FAILURE PATIENTS IN THE RUN HEMODIALYSIS HOSPITALS CURUP 82
...... I Derison Marsinova Bakara
......ii
EFFECT OF GINGER DRINK CONSUMPTION TO MORNING SICKNESS THE PREGNANT
U WOMEN OF FIRST TRIMESTER IN WORK AREA KAMPUNG DELIMA PRIMARY HEALTH
--... I GARE 20{8 ......... .......... 86
Ratna Nrngsih, Yanti Sutriyanti

ANALYSIS FACTORS ASSOCIATED WITH PATIENT SATISFACTION OF iNDWFERY

.".... I POSTPARTUIN NiOTHER CARE IN GENERAL HOSPITALS OF LEBONG DISTRICT ............. 95
Violita Siska Mutiara

RELATIONSHIP OF KNOWLEDGE OF PREGNANT IUOTHER WTH INTEREST

IG FOLLOWING PREGNANT MOTHER CLASS IN AREA OF PENURUNAN PRIi'ARY HEALTH
12 GARE lN BENGKULU CITY ........... r02
"-.._. Netty Herawaty, YuniRamadhaniati, Pftrt Subani

EFFECT OF DENTAL HEALTH EDUCATION ON KNOWLEDGE, ATTITUDE AND SKILLS

,-.... 17 RUB DENTAL SCHOOL AGE GHILDREN IN DISTRICT KEPAHIANG 2015
.......... IO9
Misniarti, Sri Haryani

LF- ANALYS|S TSSUES H|GH IiATERNAL TTiORTALTTY RATE (nrMR] rN THE PROVTNCE OF
-....21 wEsr SUMATRA ......... 114
Veby Fransisca Rozi, Asizal

EFECTIVENESS OF AUDIOVISUAL EDUCATION METHOD ON SELF MANAGEMENT OF

-.... 31 HIPERTENSIVE PATIENT AT DR. M. YUNUS BENGKULU HOSPITAL
,,..,.....,,..,.. 121
Fernalia, Busjra, Wati Jumaiyah

LEVEL OF BRA|N DERTVED NEUROTHROPTC FACTOR (BDNF) HTPPOCAMPUS BRA|N

.t.E
TISSUE IN RATS WISTAR PHYSICAL EXERCISE AEROBIC PERFORIUED THE
PROGRAMMATTC ........ 126
SeptiAndrianti, Yeni Eliyanti, Yovita Nefri Asuis

..... 46 TNJURY CURE MEASURES TO POST LAPARATOMY LENGTH OF STAY (LOS) PATTENTS
IN THE HOSPITAL MELATI RAFLESIA BENGKULU ......... 130
Rusiandy, Novega, Hetty Fuspita
IF
.....52 FACTORS INFLUENCING ELDERLY VISIT TO ELDERLY COMMUNITY HEALTH GARE IN
THE DTSTR|CT OF GEGER ............ 134
Tia NopiHerdiani

F HEALTH EDUCATION: KNOWLEDGE ABOUT PREMENSTRUAL SYNDROME IN FEMALE

STUDENTS ................_.. {39
..... 59 Muhammad Aditya Alfaizki, MitayaniPurwoko, Ratih Pntiwi

RELATIONSHIP OF HEALTH EDUCATION TO PAIN INTENSITY OF ANGINA PECTORIS

PATIENT'S tN CARDIOLOLOGY ROOlti AT Dr.ltt. YUNUS HOSPITAL BENGKULU .............. 142
.--._ 66 Dita Amita, Nurhasanah, Yenni Fusfttasari

EARLY VIGILANCE TOWARDS CHILDREN SEXUAL VIOLENCE AT PUBLIC ELEMENTARY

il SCHOOL 42 GADING CEMPAKA BENGKULU .,.,...,,......... 147
.... 69 Padila, Betri Anita, dan HenniFebriawati

RELATIONSHIP OF DEPRESSION LEVELS WTH QUALITY OF LIFE OF PATIENTS WHO

TREATED AT SOEPRAPTO MENTAL HOSPITAL BENGKULU PROVINCE ............................. T52
Ade Herman Surya Direja

1ll
* lnternotlonal Conference on Heolth, Educotion, ond Monaoement
Tri Mondiri Sakti lnstitute of Heolth Sciences Bengkulu-lndonesio
i

i
t
 RELATIONSHIP OF HEALTH EDUCATION TO PAIN INTENSITY OF ANGINA PECTORIS
PATIENT'S lN CARDIOLOLOGY ROOM AT Dr. i[. YUNUS HOSPITAL BENGKULU

Dita Amitar, Nurhasanah2, Yenni Fusfitasari3

Nursing of Science Program,

Bhakti Husada lnstitute of Health Science Bengkulu, lndonesia

ABSTRACT

Pektoruis angina usually accur 1-15 minutes and will lead to death if didnt know how to cared
about pektorius angina. One of way to treatment of angina pectoris is to provide health
education to encourage rest and nitroglycerin tablets consumed by placing under the tongue.
The problem of this research was still high pain of angina pectoris patient's in cardiology room
at Dr. M. Yunus Bengkulu Hospital. The purpoxd of this research was health education had
related with intensity pain in angina pectoris patient's in cardiology room at Dr. M. Yunus
Hospital. Design study in this research was desciptive analytic with cross sectional method with
sampling Simple Random Sampling, which amounted to 85 respondents.This research was at
31 March b 3A April 2015 and used sfafisfical test ChiSguare.
The results of the univariate analysis was the majority (64.4yo) had poor health education.
Almost all {49.4%) in the weight pain category. Ihe resulfs of the bivariate analysis that the
value P = 0.00 p <value a = 0.05 means significant. The conclusion of this reasearh was health
education had related with pain intensity of angina pectoris patient's.
Expected fo nurses at Dr. M. Yunus Hospital can more attention of health education with angina
pectoris patient's, in order'to avoid an increase instensity chest pain.

Keywords: Health Education, Angina P*torts.

INTRODUCTION Prevention of angina pectoris as well as the

More than 36 million people died of
Communicable Diseases (63% of
deaths). More than 9 million deaths caused
by non-communicable diseases occur
before the age of 60 years, and 90% of
deaths "premature" occurred in low and
middle income countries. Based on the
doctor's diagnosis, the prevalence of
coronary heart disease in lndonesia at 2013
is estimated at 0.5% or approximately 883
447 people, while based on the doctor's
diagnosis / symptoms estimated at 1.5o/o or
.approximately 2.65034 million people
(R|SKESDAS, 2013).
Pektoruis angina usually occur 1-15
minutes and if the condition is not
addressed then it will possibly end in death.
one way to handle it is to rest and
nitroglycerin tablets consumed by placing
under the tongue, because the drug works
to relax the blood vessels and the heart will
reduce the demand for oxygen. Actually,
anti-angina medication itself has various
types such as classes Nirat, betabloker,
and cannel antagonist. lf both the resting
and taking medication beramaan done then
we will get the results more effective to
tackle this disease angina pectoris.
prevention of various types of other
all diseases such as exercising regularly,
avoiding excessive stress and eating a
healthy diet and do not aggravate the heart
muscle.
Health education is an application of the
concept of education in the field of health..
Health education is an educational practice.
The concept of health education is the
educational concept applied in the health
field. The basic concept of education is a
meaningful learning process in education
that happens the process of grorvth,
development, or a change to a more
mature, better, and more mature at the
individual, group or community
(Notoatmodjo, 2010).
Chest pain that is felt is described
as feeling depressed, oppressed, such as
squeezing, heaviness or heat in acute
myocardial infarction is generally caused by
a sudden blockage of a coronary artery
suddenly due to the rupture of fatty plaques
or arteriosclerosis in the coronary arteries.
At the outbreak of the location. Plaques
quickly formed resulting in inhibition of
arterialthorough, and decide the blood flow
to the heart muscle, a condition resulting in

L42
3d lnternotlonol Conference on Hedlth, Educotion, ond Monogement
Tri Mandiri Sokti lnstitute of Heolth Sciences Bengkulu-lndonesia
 severe chest pain such as angina pectoris
accompanied by heavy sweating, shortness
of breath or feeling faint (Kabo 2008 ).
Some types of heart disease, is closely
related to diet and lifestyie choices, can be
prevented by the other is due to heredity,
infection, or other uncontrollable factors-
one common heart disease is
arteriosclerosis which is a follow up of
angina pectoris.
OBJECTIVES
The purposed of tlthis study was
known relationshiP with the
health
education level of painninin patients with
angina pectoris in the heart of the poly
Hospital Dr. M. Yunus Bengkulu.
Table 1
Frequency Distribution Relationship of Health Education intensity to pain intensity of angina
Pectoris Patient's
Pain lntensity
Moderate
Health Education Severe pain
oain
o/o
F o/o F F
Not Good 40 75,5 11 20,8
Good 2 6,2 8 25,0
Total 42 49,4 19 22,4
Based on the above table shows that of the
53 health education is not good haved 40
persons or (75.57o) of severe pain, there
were 11 people or (20.8olo) moderate pain,
there were 2 people or (3.8%) mild pain.
\Alhile good health education, there are 2
people or (6.20/o) severe pain, there are I
people or (25.0%) moderate pain, there are
22 people or (68.8%) mild pain. The results
of Chi-square test (Pearson Chi-Square) p
= 0.00 <o = 0.05, meaning there was a
relationship between health education with
the intensity of pain in patients with angina
pectoris. 53 respondents who are less well
health education (75.5o/o) of severe pain.
This statement obtrained investigators from
the answers patients answered questions
below median. Average - the patients
answered never get health education about
chest pain, the patient never received
health education about the causes of chest
pain, the patient did not get an explanation
of the signs and sYmPtom chest Pain,
patients also did not get an explanation on
how to address and prevent chest pain.
I { Mqnogement .
tnternationol Conference on Heolth, Educotion,.ond
Tri Sciences Bengkululndonesia
Mondiri iokti lnstitute of Heolth
RESEARCH METHODS
The research design w'as a
descriptive analytic with cross seciimal
method, the independent variable is heltt
education is done by giving questionnaires
to the respondents and the dependent
variable anginal pain level as measured
with a numeric rate scale. Statistical test
used ChLSquare.
RESULT AND DISGUSSION
Results Univariate analysis showed
that out of 85 resPondents are most
(il.4%\ had poor health and education of
almost half @9.4Yo) of severe pain.
Bivariate analysis results can be seen in
Table 1:
Total p
Mild pain
o/o o/o
F
2 3,8 53 100
0,00
22 68.8 32 100
24 28,2 85 100
Respondents were 53 people there are
poor health education (20.8Yo) moderate
pain. Health education is not good, but
there were nyrei this case because of the
knowledge of patients who are less
problems angina pectoris. This statement
obtained from the results of research there
are a few patients who answered never get
health education about pain. Patients can
not explain about the causes, signs and
symptoms of pain, how to cope and how to
prevent chest pain.
Respondents were 53 PeoPle there
are poor health education (3.8%) mild pain.
this is due to lack of information obtained
from patients about angina pectoris so that
patients do not understand about angina
pectoris. This statement obtained from the
results of research there are 2 people who
answered the patients never received
health education about pain, and patients
never get an explanation of the signs and
symptoms of chest pain, but the information
is poorly understood.
- !O?
 32 respondents who are either health
education (6.2Yo) of severe pain. This was
because the patient had health education
but patients do not underctand how to cope
with the chest pain. This statement
obtained from the respondents' answers,
there are 2 people who can only answer
three questions correctly, which never
received health education about pain and
its causes chest pain, ever get an
patient health education because of a lack
of resources obtained by the patient about
the disease, angina pectoris, so most
patients do not know how to treat and
prevent disease angina pectoris.
Pain that occurs in patients with angina
pectoris because the patient has a health
education is less well as frequent behavior
that can lead to the increased intensity of i

I
explanation of the signs and symptoms of the pain of angina pectoris, such as lack of
chest pain. patients never get an rest, physical activity, smoking, eating {

explanation how to cope with chesf pain. irregular diet, consuming caffeine, lack of
a

(
understanding of patients in handle the pain
32 respondents who are either health of angina pectoris attacks and taking diet
education (6-20/o) moderate pain. This pills. All of these behaviors can increase the I

statement obtained from the respondents' I

intensity of pain in patients with angina
answers. there are 8 people who can pectoris. I
answer four questions correctly and I
understand the intensity of pain. The Patients with poor health education are T

statement is never profit registered patient mostly small fraction of respondents T

G
health education about pain and its causes. (2O.8o/o) had moderate pain and a small
patients are able to explain about the signs (
portion of the respondents (3.8%) had mitd
and symptoms of pain, how to cope and pain, this happens because of a lack of G

can not explain how to prevent the chest c

education about the heatth of the patient
pain. such as angina pectoris ignorance patients t
about problems that cause angina pectoris. t
32 respondents with good health education Most patients do not have health education
n
are (6.20/o) mild pain. This statement about how to care for good health, and a G

obtained from respondents researchers. lack of understanding how prevention can I

There were 22 respondents were able to be done to reduce the pain of angina o
answer all pentanyaan properly, it is also pectoris. 2
capable of menjelakan on the intensity of
pain, angina pectoris well. this is because Mansjoer (2012) explained pain in patients
P
the respondents were never received health with angina pectoris is chest pain typical, ie I
education about chest pain, causes, signs as depressed or feel heavy in the chest that t
and symptoms of chest pain, and often radiating to the left arm. chest pain ft
understand how to address and prevent usually occurs when the patient is doing an
il
chest pain. activity and was soon lost when stopping
R
the activity.
5 Questions posed to the respondents, the, k
top answer can not be answered is the Poor health education led to the patienfs h
question all 4 and 5 on how to tackle and h
life can not understand the risk factors of
prevent such an increase in chest pain in
the activities they do every day that get to h
patients with angina pectoris. Patients who pr
increase the intensity of pain, angina
had no health education can not explain pectoris suffered h
about how to resolve in order to avoid an
Health education is an effort or activity to b
increase in the pain suffered by patients ot
create a community behavior conducive to
such as reducing foods that contain a lot of IG
health kesehatan.pendidikan working to
salt and fat, avoid foods that are ftee of make the public aware of or know how to tr
cholesterol that can lead to obesity, avoid
maintain their health, how to avoid or ir
smoking, avoid stress, regular exercise, prevent something that harms their health
and adequate rest. later, the patient also n
can not explain about how to prevent this
from happening severity of disease. So wlth
and the health of others, where should seek
treatment if sick , etc. (Notoatmodjo, 2010). rIE
the lack of knowledge about health Angina pectoris is chest pain due to ed
education resulted in an increased intensity
of chest pain. Things that result in poor myocardial ischemia ditimbukan and
temporary or reversible. (Fundamentals d
q
Pe

3d tnternotionol Conference on Heolth, Education, ond Monooement 14 fre

Tri Mondiri Sakti lnstitute of Health Sciences Bengkulu-lndonesia
rh
 nursing cardiothoracic, 2009). Angina
pectoris is a chronic syndrome in which the
client had an attack of typical chest pain
that is like a button, or feel heavy in the
chest that often radiating to the left arm is
raised at the time of the activity and
immediately lostwhen the activity stops.
Notoatmodjo (2010), explaining that the
individual's knowledge about the disease
and its prevention will affect the motivation
of individuals to behave in a healthy life,
affecting the perception of the gravity of the
disease and the benefits of such behavior.
In patients with angina pectoris should have
knowledge of how to improve the quality of
life and health to reduce the intensity of the
pain. The intensity of the pain of angina
pectoris can be lowered by doing moderate
physicalactivity, use of resour@s adequate
support during stressful (eg, nurses,
counselors and doctors), avoiding
excessive food, do not consume a diet drug
can increase heart rate, stop smoking
because smoking can increase heart rate,
blood pressure and blood carbon
monoxide. Angina patients should avoid
cold air, such as wearing gloves to cover
their nose / mouth during cold weather in
order to warm the air (Brunner & Suddarth,
2010).
Patients who have poor health education,
will increase the intensity of pain. Because
they do not have any knowledge of the
factors that can lead to the increased
,hl
i4 intensity of the pain of angina pectoris.
s Researchers assume that the respondents
had not given health education, did not
know what it is about the chest pain. All
because the respondent did not obtain
health information about chest pain'(angina
*tr pectoris). But after being given health
information with the delivery of material that
t" is easily understood by patients and
r{ consulted, making respondents easy in
F16 receiving the information provided about the
h4 pain of angina pectoris that knowledge
E} increases.
br
h; This research was also supported by
tu previous studies Ana Lusiana said in his
S* research on analysis of the patienfs health
ed
education angina pectoris against the
] perception of pain in Hospital Bed Lounge
t' Curup. With the results of the study are
l
lnternotionol
Mondiri Sokti lnstitute of
mostly (75Yol respondents are less good
health education.
CONCLUSION AND SUGGESTIONS
CONCLUSION
The results of this study there was a
significant relationship between health
education with the intensity of pain in
patients with angina pectoris in Cardiology
Room at Dr. M. Yunus Bengkulu Hospital.
SUGGESTION
Expecled to nurses at Dr. M. Yunus
hospital to pay more attention on health
education patients with angina pectoris, in
order to avoid an increase instensitas
especially chest pain.
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3d lnternotionol on
ffi oi ueofth sciences Bengkulu'lndonesio
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lnternotionql Conference Proceedings

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