Jurnal Ilmiah Keperawatan IMELDA

HUBUNGAN STATUS GIZI DENGAN KEJADIAN TB PARU DI RUMAH SAKIT KHUSUS PARU SUMATERA UTARA TAHUN 2023

2024-04-06T08:50:48+00:00

Nutritional status is a value that shows the balance between the absorption of nutrients from food and the nutritional needs required by a person's body. Pulmonary TB is a disease caused by Mycobacterium tuberculosis and can be transmitted through air or droplets. Pulmonary TB sufferers who have less than normal nutritional status require a longer healing time and it is possible that pulmonary TB disease can recur. This study aims to determine the relationship between nutritional status and the incidence of pulmonary TB at the North Sumatra Special Lung Hospital in 2023. This research was conducted on April 5 - 18 2023. This research method uses a cross sectional design using a purposive sampling technique with a total of 88 respondents. This research instrument uses observation sheets, scales, and measuring tape. In this research, the data analysis used is univariate and bivariate analysis. The research results showed that of the 88 respondents there were 49 respondents (55.7%) with a mild level of underweight nutritional status, and 59 (67.0%) respondents had positive (+) acid-fast bacteria results. The statistical test results show that there is a relationship between nutritional status and the incidence of pulmonary TB at the North Sumatra Special Lung Hospital in 2023 with the results of the chi-square test, obtained p value = 0.002. Therefore, the nutritional status of pulmonary TB patients needs to be improved and paid attention to in order to speed up the healing process for pulmonary TB patients with health education provided by health services.

EVALUASI PENGALAMAN PASIEN DENGAN HIPERTENSI SELAMA PERAWATAN DI RUANG RAWAT INAP RUMAH SAKIT IMELDA PEKERJA INDONESIA MEDAN

2024-04-06T08:50:48+00:00

Hypertension often causes no symptoms, while persistently high blood pressure over a long period of time can cause complications. The purpose of the study was to determine the experience of patients with hypertension during treatment in the inpatient ward of Imelda Indonesian Workers Hospital Medan. The type of research conducted in this study is a qualitative research with a descriptive phenomenological approach. This research was carried out in the inpatient ward of Imelda Indonesian Workers Hospital Medan in July-August 2022. Participants in this study were 5 patients with hypertension. Data collection techniques in this study used in-depth interview techniques. The results of the study of participants affected by hypertension varied in their length of suffering from hypertension, between 1 to 7 years. Participants revealed that the initial symptoms felt were dizziness, headache, blurred vision, the presence of objects that seemed to move, stiffness and pain in the back of the neck and weakness. When symptoms occurred, participants did not know if the symptoms they felt were signs of having hypertension. Participants affected by hypertension maintained their daily diet at the beginning of their hypertension, still limiting foods such as coffee, meat, fatty foods, but after a long time they could no longer hold back their appetite so they could no longer limit their daily food. Participants have difficulty when maintaining a diet, namely participants have not been able to keep food from salty, fatty, fried, meat and have not been controlled in maintaining a daily food diet. The experience of participants when receiving hypertension therapy was that at the beginning they were sick, participants were still obedient in taking drugs, but over time the participants were getting bored and even fed up with hypertension drugs so that more people did not take drugs according to the doctor's recommendations that had been given to participants. The changes felt when participants were affected by hypertension were that participants were more limited in time to carry out activities and some even took holidays or leave because they had to be hospitalized because of the high blood pressure experienced by these participants. The support that the participants got was that the participant's family always provided support to the participants and accompanied them until the treatment process was completed.

EFEKTIVITAS TINDAKAN AMBULASI DINI TERHADAP PENURUNAN NYERI PUNGGUNG POST KATETERISASI JANTUNG KLIEN DENGAN SINDROM KORONER AKUT (SKA): SEBUAH STUDI KASUS DI RSUD ARIFIN ACHMAD PROVINSI RIAU

2024-04-06T08:50:48+00:00

Acute coronary syndrome (ACS) is a disease in which blood flow to the heart is decreased. Cardiac catheterization is one of the medical interventions to treat ACS. Post-catheterization patients must be immobilized to prevent hematoma and bleeding in the insertion area. Back pain was one of the complaints frequently reported by patients who were required for strict bed rest and immobilization after cardiac catheterization. The purpose of this study with the application of nursing care to Mr. Y and Mr. D with the implementation of early ambulation to reduce the discomfort of post-cardiac catheterization back pain in the CVCU room of Arifin Achmad Hospital, Riau Province strarted from 10th June – 17th June 2023. The analyze nursing care for patients' back pain with early ambulation after cardiac catheterization on implementation of early ambulation begins with a head bed 15o, head bed 30o, lateral position opposite to the puncture site as one piece, and then Patients were also advised to walk around the room and use the bathroom if they wanted. Based on the results of the early ambulation, it was found that the pain scale before Mr. Y was VAS 5 (moderate pain) and Mr. D VAS 4 (moderate pain). After early ambulation, the back-pain scale of Mr. Y was VAS 1 (mild pain), and Mr. D's pain scale was VAS 3 (mild pain). The above study concludes that the application of early ambulations can increase the patients' back pain.

MASTURBASI DAN GUILTY FEELING PADA REMAJA

2024-04-06T08:50:48+00:00

The development of reproductive organs and hormones triggers changes in sexual behavior in adolescents. Masturbation is a sexual behavior that often occurs in adolescents. Masturbation has a negative stigma because it is taboo to do. Feelings of guilt can be experienced by teenagers who masturbate. This study aims to determine the correlation of masturbation with feelings of guilt in adolescents. The research method is a cross-sectional correlation. The research sample used convenience sampling and collected as many as 385 respondents. The instruments used are masturbation behavior and feelings of guilt. Data analysis was performed using the Kendall-Tau correlation test. The study's results showed that 72.2% of respondents were male and 27.8% female. The average age of the respondents was 17.06 years, the moderate guilty feeling was 9.50, and the average masturbation behavior was 54.99. There is a negative correlation between masturbation behavior and guilty feelings (p-value 0.001; r = -0.124). In conclusion, there is a correlation between masturbation behavior and guilty feeling. The more masturbation behavior that is done, the less sense of guilt will be increasingly not felt. Sexual behavior involves not only biological aspects but psychological, social and moral aspects. Teenagers need to get health education about healthy sexual behavior.

PENERAPAN TINDAKAN PROGRESSIVE MUSCLE RELAXATION (PMR) DAN DEEP BREATHING EXERCISES (DBE) UNTUK MENGATASI SESAK NAPAS PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) DI RSUP PERSAHABATAN JAKARTA TIMUR

2024-04-29T03:44:14+00:00

Background: Chronic obstructive pulmonary disease (COPD) is a chronic lung disease with progressive, irreversible and partially reversible airway obstruction. COPD includes chronic bronchitis and emphysema, or a combination. COPD patients generally complain of continuous shortness of breath and this will result in a decrease in the patient's quality of life and as a result the patient will go back and forth to the hospital. To prevent this, it is necessary to do breathing exercises. The aim of implementing EBNP is to implement Progressive Muscle Relaxation (PMR) and Deep Breathing Exercises (DBE) interventions to change the shortness of breath response in COPD patients in the form of a randomized controlled trial with a pre-post-test design. The sampling technique uses G-Power version 3.1.9.7 with T-test, one tail, effect size 0.53, alpha error 0.05, and power 0.80, a minimum of 18 is required plus a possibility of error of 10%, so the number of patients needed in this study is 20 at Persahabatan Hospital, East Jakarta. The implementation of PMR actions with 13 (thirteen) movements and DBE with 6 (six) movements is carried out every day for 5 weeks, from May 15 to June 16 2023. Method: The study design in this research is a case study involving 40 respondents. Respondents were divided into two groups, namely 20 people in the PMR group and 20 people in the DBE group. Evaluation is carried out every week using the dyspnoe-12 instrument. Results: This application shows that there is a difference in the response to shortness of breath between before and after the PMR procedure (P value 0.001) and the DBE procedure (P value = 0.001). Conclusion: The application of EBNP recommends the need for nurses to carry out PMR and DBE interventions to change the shortness of breath response in COPD patients.

PENERAPAN EFEKTIVITAS RELAKSASI BENSON TERHADAP KUALITAS TIDUR PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) YANG MENJALANI HEMODIALISIS DI RSUD TARAKAN JAKARTA PUSAT

2024-04-29T03:45:08+00:00

Background: Hemodialysis patients can experience psychological problems such as: stress, anxiety, depression, and insomnia or disturbed sleep quality. Prolonged sleep quality disturbances can have an impact on the patient's quality of life, thus requiring interventions that are safe and easy to implement, one of which is Benson relaxation. The aim of applying Benson's relaxation to sleep quality in chronic kidney disease (CKD) patients undergoing hemodialysis. The application of evidence based nursing practice (EBNP) is through literature searches via the PubMed data base with the final result being an article entitled "The Effect of Benson's Relaxation Technique on the Quality of Sleep of Irian Hemodialysis Patients: A Randomized Trial" in the form of a randomized controlled trial with pre -post-test design. The sampling technique used G*Power based on effect size = 0.73, power of 0.8, and α = 0.05 with 44 hemodialysis patients (22 intervention group and 22 control group) at Tarakan Hospital, Central Jakarta. The application of Benson relaxation is carried out for 20 minutes, 2 times a day 3 days per week for 4 weeks from June 16 to July 15 2023. Sleep quality data was collected using the PSQI questionnaire before and after the intervention with paired t-test and independent sample test. t-test. The results of the implementation showed that the sleep quality score after the intervention had improved (p value 0.002) in the intervention group, while the sleep quality score did not improve in the control group (p value 0.061). The calculated t value between the intervention group and the control group was 2.894 (p value 0.006), so there was a significant difference in sleep quality between the two groups. Conclusion: there was an increase in the sleep quality score of hemodialysis patients in the intervention group and there was a difference in the average quality score after Benson relaxation between the intervention group and the control group. Suggestion: Benson relaxation can be used as a nursing intervention for hemodialysis patients as a measure to prevent sleep quality disorders.

KESIAPAN FASILITAS KESEHATAN PRIMER SWASTA KLINIK PRATAMA DALAM PELAYANAN TBC

2024-04-06T08:50:49+00:00

Tuberculosis (TB) is a type of infectious disease which is one of the ten main causes of world health problems because it has negative impacts including death. The aim of this research is to find out how prepared the private primary health facility Pratama Clinic is for TB services. The research method used is descriptive qualitative research. The location of this research was carried out at four Pratama Clinics in the working area of the Terjun Community Health Center, Paya Pasir Village, Medan City. This research was carried out from March to August 2023. The number of participants in this research were 8 health workers who worked at the Pratama Clinic. Research data was collected through in-depth interviews with participants and analyzed thematically. The research results consist of 5 (five) themes, namely: (1) tuberculosis examinations have been carried out, but sputum examinations are still carried out at community health centers, (2) examination results take a long time due to the lack of equipment, (3) tuberculosis training is only attended by personnel certain health conditions and (4) patients do not return to the clinic to get tuberculosis results because the patient's understanding of tuberculosis is still lacking. The conclusion of this research is that the Pratama clinic is ready to treat TB patients and the clinic only provides pots for suspected sputum from patients, the limited sputum examination tools mean that you have to wait for the results within two to three days, the Pratama clinic has already attended training but those who do training only certain people and patient understanding about tuberculosis is still lacking.

PENERAPAN PRINSIP 12 BENAR DALAM PEMBERIAN OBAT: STUDI FENOMENOLOGI PENGALAMAN PRAKTEK KLINIS MAHASISWA KEPERAWATAN DI UNIVERSITAS A

2024-04-06T08:50:49+00:00

Background: Every nursing student will of course undergo clinical practice in their education process. One of the demands in clinical practice is that applying the 12 correct principles in medication administration can prevent errors in administering medication and maintain the professionalism of nurses. However, there are still many students who have not applied the 12 principles of correct medication administration so the risk of errors in medication administration is greater. Objective: The aim of this research is to explain how the clinical practice experiences of Indonesian Adventist University nursing students in applying the 12 principles of correct medication administration. Method: This research is a qualitative research with a phenomenological study of students' experiences in applying the 12 correct principles of medication administration when carrying out clinical practice. Research data was collected through focused discussions consisting of 2 groups consisting of 8 UNAI nursing students each who were selected using convenience sampling, where the students involved are nursing students who have participated in clinical practice at least twice. Research data stored in recorded form will then be transcribed and grouped into appropriate themes. Results: From this research, research results were obtained in the form of students' experiences of making mistakes, the challenges faced by students, the benefits of applying the 12 correct principles and how students overcome the challenges they experience. Conclusion: The application of the 12 correct principles in the clinical practice of UNAI nursing students helps students develop skills and knowledge and increases the self-confidence of UNAI nursing students. Suggestion: Future researchers are expected to be able to research more deeply into students' clinical practice experiences, especially in applying the 12 correct principles of drug administration with a more specific scope.

KURANGNYA MANAJEMEN PERAWATAN DIRI DAN PENGENDALIAN TEKANAN DARAH PASIEN HIPERTENSI DI DAERAH LAHAN BASAH

2024-04-06T08:50:49+00:00

Hypertension is the non-communicable disease with relatively high prevalence in Indonesia. The continuity of hypertension care is crucial for patients to control their blood pressure and prevent complications of this silent-killer disease. This research aims to analyze the self-management and blood pressure control of hypertension patients in wetland areas. Taking place in the area supported by the Faculty of Nursing, Universitas Riau, which is the coastal area of the Siak River, Pekanbaru, this research was a quantitative study; descriptive analytic. Thirty participants who were hypertensive patient without complication were chosen by purposive sampling. The instruments were a hypertension patient self-management questionnaire and a digital sphygmomanometer to measure blood pressure. The result showed the majority of the participants was in productive age; adult (33%) and pre-elderly (47%). The result also showed that no participant had good self-management, and most of them had poor self-management (53%). It also revealed only 23% of participants consume anti-hypertension medications regularly, while the rest of them is not taking medication at all. Most of the participants’ blood pressures were uncontrolled (97%). The average systolic pressure was 159 mmHg with maximum point at 238 mmHg and diastolic pressure was 98 mmHg with maximum point at 141 mmHg. This research indicates the urgency in dealing with hypertension, especially in research locations.

EKSPLORASI ASUHAN KEPERAWATAN KELUARGA DI RUMAH (HOME CARE) DI PUSKESMAS SUDIANG RAYA

2024-04-06T08:50:49+00:00

There are still quite a lot of health problems in the world and in Indonesia that require long-term care at home. Home care is a form of nursing service, including community nursing care carried out at home. This research aims to explore family nursing care through home visits (Home Care) at the Sudiang Raya Community Health Center, with the main focus being policies, objectives, competencies possessed by implementers, implementation processes, monitoring and evaluation of the implementation of family nursing care through home visits (Home Care). This research took place at the Sudiang Raya Community Health Center, Makassar City. The research was carried out March – August 2022. This research uses descriptive qualitative methods to understand and explain the phenomenon of implementing nursing care through home visits. Data collection used an in-depth interview guide for 6 nurse participants who worked at the Community Health Center. The data collected was in menuscript form and then analyzed using Cresswell to determine themes. The themes in this research are 1) the role of community nurses, 2) Implementing Family Nursing Care, 3) Preventive and curative services, and 4) Home Care in the Community.

PENGARUH EDUKASI KESEHATAN TERHADAP PENCEGAHAN PENULARAN COVID-19 PADA MASYARAKAT DI KELURAHAN PAYAH PASIR TAHUN 2022

2024-04-09T07:15:33+00:00

Corona Virus Disease 2019 (COVID-19) is a disease caused by a new type of Coronavirus, namely Sars-CoV-2, which was first reported in Wuhan, China on December 31 2019. The North Sumatra Health Service stated that in North Sumatra on March 30 2021 There were 406 positive COVID-19 cases, 41 cases died and 122 patients recovered a day. The Medan City Health Service in general data related to COVID-19 in Medan City recorded that 14,440 people had been exposed to COVID-19, 13,019 had recovered, and 461 patients had died. This shows that Medan is a city with a COVID-19 red zone. This research aims to determine the effect of health education on preventing the transmission of COVID-19 in the community. This type is quantitative with the research design used in this research being a quasi-experimental study with a one group pretest and posttest design method. The sample size was 108 respondents. Data were collected using a questionnaire and analyzed using the Paired t test. Data were analyzed using the Paired t Test. The research results show that there is an influence of health education on preventing the transmission of COVID-19 (P = 0.00 < 0.05). Based on the research results, it can be concluded that health education plays an important role in public knowledge to prevent the transmission of COVID-19. It is hoped that all respondents and the public will continue to prevent transmission by complying with established health protocols and health workers are expected to provide information on an ongoing basis to increase public knowledge about COVID-19.

PENGARUH AKTIVITAS MONTESSORI TERHADAP KEMAMPUAN KOGNITIF KLIEN PSIKOGERIATRI DENGAN SCHIZOFRENIA KRONIS

2024-04-06T08:50:49+00:00

Elderly individuals who have been exposed to psychosis (schizophrenia) since youth or adulthood will experience severe cognitive function decline, such as memory deficits, executive function, and attention. Other cognitive functions are also affected, including language function, intelligence, and orientation. Montessori activities are activities that are tailored to the interests and skills of clients and can be applied to stimulate or prevent cognitive decline in the elderly. This study aims to determine the effect of Montessori activities on the cognitive abilities of chronic schizophrenic psychogeriatric clients. The research design is a quasi-experimental study with a non-randomized control group pre-post test design. Data collection used the MMSE (Mini Mental State Examination) questionnaire or Folstein test twice, before and after the intervention. The sample size was 30 people, divided into 15 people in the experimental group and 15 people in the control group. The research was conducted at the Laras Jiwo Psychiatric Rehabilitation Center in the Magelang Regency area from September to November 2022. The results showed that Montessori activities did not significantly affect the improvement of cognitive abilities (MMSE score), as evidenced by the Mann-Whitney test results with the difference coefficient of the posttest between the experimental and control groups obtained a z-value of -1.579 and a p-value of 0.114 (p>0.05). However, the difference coefficient between pre and post in the experimental group showed a significant difference with a z-value of -3.436 and a p-value of 0.001 (p<0.05), thus it can be concluded that Montessori activities still have an effect on improving MMSE in the experimental group.

HUBUNGAN KUALITAS TIDUR DENGAN KADAR GULA DARAH PADA PASIEN DIABETES MELITUS DI PUSKESMAS TANAH TINGGI KOTA BINJAI TAHUN 2023

2024-04-29T03:48:04+00:00

Diabetes mellitus is a degenerative disease that increases rapidly and can attack almost the entire population. Diabetics have symptoms that make them uncomfortable, especially at night. The ability to maintain sleep quality can be explained by the length of sleep and the discomfort felt during sleep or when waking up. The aim of the research is to find out whether there is a relationship between sleep quality and blood sugar levels in diabetes mellitus patients at the Tanah Tinggi Community Health Center, Binjai City. The type of research used was correlation research with a cross sectional design, a population of 113 people, sampling using random sampling with a purposive sampling technique of 28 respondents suffering from type 2 diabetes mellitus. The data collection instrument was a questionnaire to measure the quality of the patient's sleep using the Pittsburgh questionnaire. Sleep Quality Index (PSQI) and measurement of instantaneous blood sugar levels (KGS) using a glucometer. Statistical testing of research data used the chi square statistical test with a significance limit (α) of 0.05 using the SPSS computerized system. The results of the study showed that the majority of diabetes mellitus patients' sleep quality was in the poor category, numbering 14 people (50.0%), and the majority of blood sugar level measurements in the abnormal category were 19 people (67.9%). The results of statistical tests using the chi-square test showed that the p value was 0.000 <0.005, so Ho was rejected and Ha was accepted, which means there is a significant relationship between sleep quality and blood sugar levels in diabetes mellitus patients at the Tanah Tinggi Binjai Community Health Center in 2023. Conclusions are based The results of research on the relationship between sleep quality and blood sugar levels in type 2 diabetes mellitus patients, there is a relationship between good sleep quality and normal blood sugar levels, so it is important to maintain a healthy lifestyle and good quality sleep.

HUBUNGAN AKTIVITAS FISIK DENGAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2 DI PUSKESMAS BINJAI ESTATE

2024-04-29T03:50:21+00:00

Diabetes mellitus (DM) is a dangerous disease because it can cause many complications. Physical activity is necessary for successful diabetes treatment. The aim of this study was to determine the relationship between physical activity and blood glucose levels in type 2 diabetes patients at the Binjai Estate Health Center. The type of research used is correlational research with a cross sectional design. The population of this study consisted of type 2 DM patients in the working area of the Binjai Estate Health Center from January 2020 to March 2020, using a purposive sampling technique, the population was 209. The sample size was taken 20% of the total population, namely 42 people (Arikunto, 2013). The data collection method used the Baecke questionnaire, analysis used the chi-square test with α = 0.05. The research results showed that the majority of DM sufferers had the type with light physical activity, namely 21 people (50.00%) and the majority of DM sufferers had the type with KGD >200 mg/dL, namely 34 people (81.00%). The test results obtained Asymp.Sig value. (2 sides) = 0.000, namely <0.05, meaning there is a relationship between physical activity and blood sugar levels in type 2 DM sufferers at the Binjai Estate Health Center. It is recommended for diabetes mellitus sufferers to always be active in physical activity.

PENGARUH PEMBERIAN EDUKASI KESEHATAN TERHADAP TINGKAT KECEMASAN PADA PASIEN YANG MENJALANI HEMODIALISA DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN

2024-05-27T04:24:36+00:00

Hemodialysis is a therapy for Chronic Kidney Failure (CKD) patients to replace kidney function using an artificial kidney in the form of a dialysis machine. Hemodialysis patients will experience lifelong dependence, this will result in imbalanced changes in their lives, these changes will give rise to physical and psychological problems, one of which is anxiety. Health education is a planned effort to influence other people to carry out what is expected. The aim of this research was to determine the effect of providing health education using leaflets on the anxiety level of hemodialysis patients at the Imelda Workers Indonesia General Hospital, Medan. The method used is correlative descriptive. The number of samples in this study was 38 respondents using a purpose sampling technique. The results of the research using the Wilcoxon statistical test resulted in a p-value of 0.00 with a significance of p < (0.05) p-value of 0.00 < 0.05. The conclusion obtained was that providing health education using leaflet media influenced the anxiety level of Chronic Kidney Failure (CKD) patients undergoing hemodialysis at the Imelda Workers Indonesia General Hospital, Medan