Nurses Understanding of The Soul About Logotherapy Clients Low Self-

pada Remaja Awal 12-15 Tahun di Sugiyono. 2008. Metode Penelitian Desa Kambeng Kecamatan Slahung Kabupaten Ponorogo . Pare: STIKes Bhakti Mulia tidak dipublikasikan. Bastaman. 2007. Logoterapi: Psikologi untuk Menemukan Makna Hidup dan Meraih Hidup Bermakana. Jakarta : PT.Raja Grafindo Persada. Depkes RI. 2007. Riset Kesehatan Dasar 2007 . Jakarta: Balitbangkes Depkes RI Depkes RI. 2013. Riset Kesehatan Dasar 2013 . Jakarta: Balitbangkes Depkes RI Fitria, Nita. 2010. Prinsip Dasar dan Aplikasi Penulisan Laporan Pendahuluan dan Strategi Pelaksanaan Keperawatan LP dan SP untuk Diagnosis Keperawatan Jiwa Berat bagi Program S-I Keperawata n . Jakarta: Salemba Medika. Kanine, E. 2011. Pengaruh Terapi Generalis dan Logoterapi Individu Terhadap Respon Ketidakberdayaan Klien Diabetes Melitus di Rumah Sakit Administrasi. Bandung: Alfabeta. Provinsi Sulawesi Utara. Tesis. Jakarta: FIK UI. Koeswara. 1992. Logoterapi :Psikoterapi Viktor Frankl . Yogyakarta: Kanisius. Maryatun, Sri. 2011. Pengaruh Logoterapi Terhadap Perubahan Harga Diri Narapidana Perempuan dengan Narkotika Di Lembaga Pemasyarakatan Kelas IIA Palembang . Tesis. Jakarta: FIK UI Nursalam. 2011. Konsep dan Penerapan Metodelogi Penelitian Ilmu Keperawatan, Edisi 2 . Jakarta: Salembe Medika. Stuart, G.W Laraia, M.T. 2005. Principles and Practice of Psychiatric Nursing. 7th ed.. St.Louis: Mosby. Stuart, G.W Sundeen. 1995. Principles and Practice of Psychiatric Nursing . 5th ed.. St.Louis: Mosby Stuart, G.W. 2009. Principles and Practice of Psychiatric Nursing . 9th ed.. Canada: Mosby, Inc 733 COMPARISON BETWEEN TECHNIQUE TENDON SUTURE MODIFIED SAMU MS AND MODIFIED KESSLER MK TOWARDS TENDON SUTURE STRENGTHS TENSILE STRENGTH OF BROILERS TENDON GALLUS Nanang Muhibuddin Erni Rahmawati Moh Halili STIKES BHAKTI MULIA PARE KEDIRI Email : nanang_dr80yahoo.co.id Abstract Acute trauma at the arms, wrists, or fingers often cause the tendon rupture which certainly needs strong and effective suture. Therefore, the researcher is going to compare the strengths between tendon suture Modified Samu technique and Modified Kessler technique. This research design applied true experimental design through Pasca test in the first analysis and Prepost test for the second analysis. The samples of this research were 30 broilers which were categorized in inclusive and exclusive criteria by using simple random sampling. The first analysis was to test the strength of tendon suture Modified Samu and Modified Kessler Technique, while the second analysis was to test the effectiveness of tendon suture Modified Samu and Modified Kessler Technique. The data were collected through observation sheets which were suited to the checklist then analyzed through Mann –Whitney U-Test. After the research was conducted, tendon suture Modified Samu was 90 stronger than Modified Kessler technique, however, the Modified Kessler Technique was 90 more effective than Modified Samu technique. Based on Mann –Whitney U-Test in þ α 0,05 degree of suture strength, the score of þ 0,02 was 0,05, while the suture effectiveness, the score of þ 0,02 was 0,05. Regarding the results, it showed that Ho was rejected and H1 was accepted. It meant that there was significance difference of the suture strengths and the suture effectiveness between tendon suture Modified Samu technique and Modified Kessler technique of broilers. Regarding the difference, it is expected for the readers especially orthopedic surgeon to be able to use new technique which is Modified Samu in coordinating the tendon which got rupture. Key words: suture technique, suture strength, suture effectiveness.

1. Background

One of the complicate problems in orthopedic surgery is to restore the normal function of the finger with tendon rupture. Trauma of sharp on the arm, wrist and on the fingers often cause tendon rupture, both flexor and extensor tendons. The success of tendon graft surgery and rehabilitation is influenced by many factors. Among these factors which are highly instrumental is the kind of trauma tendon, torn tendon sheath, the tendon nutrition, shape and traumatic suture techniques, material and size of the threads and postoperative immobilization of the related finger . The handling of tendon rupture that is not optimal will result in tendon adhesion with surrounding tissue that will interfere with tendon gliding, that 738 finally result in impaired function of the related fingers, it can even occur rupture again Rizal, 2010. The success in the implementation of orthopedic surgery, especially in the tendon grafting, depending on the suture technique, which is used. However, the use of the suture technique should pay attention to the situation, the conditions and the shape or size of the tendon itself Surya, 2004. From the research results of E. Surya D. Pohan, 2004, obtained a connection gap in average load 1,269 kgf. While the results of the measurement of the difference in circumference or diameter of the tendon, before and after healing sewn on average 0.75 mm. Where these studies using rabbit as a model. From the preliminary study researchers concluded strength of the