Jurnal Ilmiah Keperawatan IMELDA

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

Ernita Rante Rupang — 2024-04-06

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

Eka Nugraha Naibaho — 2024-04-06

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

Tengku Atika Rahmanisa — 2024-04-06

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

Susanti Niman — 2024-04-06

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.

KESIAPAN FASILITAS KESEHATAN PRIMER SWASTA KLINIK PRATAMA DALAM PELAYANAN TBC

Serius Halawa — 2024-04-06

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

Dearly Gabriela Alexander — 2024-04-06

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

Stephanie Dwi Guna — 2024-04-06

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

Erna Kadrianti — 2024-04-06

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

Edisyah Putra Ritonga — 2024-04-06

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

Suyanta Suyanta — 2024-04-06

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.