Jurnal Ilmiah Keperawatan IMELDA

HUBUNGAN SELF EFFICACY DAN KESEJAHTERAAN SPIRITUAL DENGAN PENGGUNAAN STRATEGI KOPING PADA ORANG DENGAN HIV (ODHIV)

Thu, 27 Mar 2025 00:00:00 +0000

HIV infection continues to be a significant public health problem worldwide, including Indonesia, with impacts spanning social, economic, and cultural aspects. People living with HIV (PLHIV) are faced with various pressures and are in dire need of coping strategies. This study aimed to determine the relationship between self-efficacy and spiritual well-being with the use of coping strategies in PLHIV. This study is an analytic study with a cross sectional approach. A sample of 39 ODHIV was selected using purposive sampling method. Data were collected by filling out the GSES questionnaire to assess self-efficacy, the SWBS questionnaire to measure spiritual well-being, and the BRIEF RCOPE questionnaire to determine coping strategies. Logistic regression multinomial inferencial test found no association between self-efficacy and spiritual well-being with the use of coping strategies. Most were male (76.9%), high school education level (64.1%), and married (59%). Descriptive analysis obtained respondents who used problem-oriented coping strategies (28.2%); emotion-oriented (38.5%); and religious-oriented (33.3%). Multinomial logistic regression test showed no significant association between self-efficacy and the use of coping strategies and no association between spiritual well-being and coping strategies (p-value > 0.05). Spiritual aspects are important to consider as they can be a source of coping and motivation to help patients cope with sudden illness and reduce the level of pain due to the perceived condition so as to quickly move towards healing. Nurses need to apply nursing care using coping instruments, comprehensively from the assessment process to the evaluation process.

HUBUNGAN ANTARA KADAR GULA DARAH SEWAKTU DAN LAMA MENDERITA DENGAN KOMPLIKASI DIABETES MELITUS TIPE 2 DI RUMAH SAKIT PANTI RAPIH

Dita Hanna Febriani — Thu, 27 Mar 2025 00:00:00 +0000

There are many factors that trigger complications in type 2 diabetes mellitus. Some of them are age, body mass index, hypertension, hyperlipidemia, and smoking. However, there are still inconsistent research results related to random blood sugar levels and duration of suffering with diabetes complications. The aim of this study was to determine the relationship between random blood sugar levels and duration of suffering of diabetes with diabetes complications. This study is a correlational analytical study with a cross-sectional approach involving 150 respondents. Respondents were recruited using a purposive sampling method. Data collection used a demographic data questionnaire and random blood sugar measurements result. The finding of this study indicated that most respondents were women, had low education, and were 59 years old on average. There was no relationship between random blood sugar levels and diabetes complications. There was a significant relationship between duration of suffering with diabetes complications (p = .000). Nurses are expected to be able to provide appropriate interventions as the duration of the patient's illness increases so that patients can manage their condition better.

KEPATUHAN PENDERITA TUBERKULOSIS MINUM OBAT ANTI TUBERKULOSIS SECARA MANDIRI

Nixson Manurung, Deddy Sepadha Putra Sagala — Thu, 27 Mar 2025 00:00:00 +0000

Health is a state of well-being, physically, mentally, spiritually and socially that enables everyone to live a socially and economically productive life. Pulmonary tuberculosis is a global health problem that can impact productivity and quality of life. According to WHO, there are an estimated 1,020,000 new TB cases per year (399 per 100,000 population) with 100,000 deaths per year (41 per 100,000 population). Compliance of pulmonary tuberculosis patients in taking medication is key to the success of tuberculosis treatment. This study aimed to explore patients' perceptions of pulmonary tuberculosis and medication adherence. This study is a qualitative study with a phenomenological approach. Data were collected using in-depth interviews and then analyzed by content analysis. The informants in this study consisted of eight tuberculosis patients. The results of this study found three themes, namely (1) understanding of tuberculosis disease, (2) the impact of tuberculosis disease, (3) patients' perceptions of tuberculosis disease. It was concluded that a better understanding of tuberculosis disease and treatment adherence can contribute to treatment success. It is suggested that patients can be aware and encouraged to take medication regularly.

IMPLEMENTASI PERILAKU HIDUP BERSIH DAN SEHAT DENGAN KEJADIAN DIARE PADA ANAK DI SD AR-RAHMAN MEDAN

Arif Rahman Aceh — Thu, 27 Mar 2025 00:00:00 +0000

Diarrhea often attacks babies and toddlers, if not treated further, diarrhea will cause dehydration and lead to death. The aim of this research is to implement clean and healthy behavior in the school environment. This research uses a cross-sectional correlative analytical descriptive observational approach. This research was conducted at SD Ar-Rahman Medan with a population of 256 people. The sampling technique was Accidental Sampling of 90 people. This research uses a questionnaire measuring tool with multivariate analysis. The results of the study concluded that there is a relationship between clean and healthy living behavior in terms of influencing the incidence of diarrhea simultaneously (simultaneously) with a significance level of ? = 0.05. The conclusion is that the three categories of clean and healthy living behavior consisting of hand washing, healthy snacks and healthy latrines have the same ability to simultaneously influence the incidence of diarrhea.

EFEKTIVITAS TERAPI REMINISCENCE DALAM MENGURANGI DEPRESI PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2024

Thu, 27 Mar 2025 00:00:00 +0000

^{Chronic kidney failure is a non-communicable disease caused by a decrease in the ability of the kidneys to carry out their functions. Hemodialysis therapy is a therapy given to sufferers of chronic kidney failure which functions to replace the work of the kidneys using a dialysis machine. Hemodialysis procedures performed on kidney failure patients are likely to cause depression because sufferers undergoing hemodialysis may experience feelings of discomfort or depression due to weakness in their physical condition and dependence on dialysis machines throughout their lives. The aim of this study was to determine the effectiveness of reminiscence therapy in reducing depression in chronic kidney failure patients undergoing hemodialysis at Imelda Pekerja Indonesia Hospital. This type of research is quantitative research, with the Quasy Experiment method, and with a pre-test and post-test group research design. This research was conducted in April – July 2024 in the Hemodialysis Room at Imelda Pekerja Indonesia Hospital, Medan. This research uses a non-probability sampling technique using a purposive sampling method, namely using inclusion criteria in determining the sample, so that the total research sample is 20 respondents. The instrument used in this research is a questionnaire that refers to the Beck Depression Inventory (BDI-II) to determine depression status. Data analysis used univariate and bivariate analysis with the Wilcoxon test in the SPSS application. The results of the Wilcoxon statistical test showed a significant (p) value of 0.000 (p < 0.05), meaning that there was an effect of giving reminiscence therapy on depression status or in other words reminiscence therapy was effective in reducing depression in chronic kidney failure patients undergoing hemodialysis at Imelda Pekerja Indonesia Hospital, Medan.}

PENGARUH REBUSAN DAUN SELEDRI DAN JUS MENTIMUN UNTUK MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS SIGALINGGING KAB. DAIRI

Heriaty Berutu, Rugun Togianur Lingga — Thu, 27 Mar 2025 00:00:00 +0000

WHO states that the blood pressure limit is 120-140 mmHg and systolic pressure is 80-90 mmHg. Hypertension is often found in developed societies, both men and women, old and young and the symptoms are not clearly visible. This disease is called silent diseases and is a major risk factor for the development or cause of heart disease and stroke. If not controlled, it will cause damage to other organs of the body, such as the brain, kidneys, and eyes and paralysis of the organs of movement. The purpose of the study was to determine the effect of celery decoction combined with cucumber juice to lower blood pressure in people with hypertension. The research method used a quantitative approach using Quasi Experimental Design where the experimental group and the control group were not selected randomly. In this design, both the experimental group and the control group were compared, although the group was selected and placed without going through random. The two existing groups were given a pretest, then given treatment, and finally given a posttest. The study population was all patients who had hypertension and who were treated in the Health Center Work Area. This study was conducted in the Sigalingging Health Center work area, Dairi Regency. The sample in the study were patients diagnosed with hypertension, which based on an initial survey, was found to be 44 people using data analysis techniques, univariate analysis and bivariate analysis with t-paired.

DAMPAK PROGRAM PEMBINAAN KELUARGA REMAJA (BKR) TERHADAP UPAYA PENCEGAHAN STUNTING DI BALAI PENYULUHAN KB PALANGGA

Ria Harjunia, Sri Susanty, Jafriati Jafriati — Wed, 26 Mar 2025 00:00:00 +0000

Background: Stunting is an abnormal growth condition that has become one of the primary nutritional issues among toddlers in society. The Adolescent Family Development Program (Bina Keluarga Remaja or BKR) is an initiative developed by the National Population and Family Planning Agency (BKKBN) aimed at fostering family resilience and enhancing the quality of adolescents.

Purpose: This study aims to analyze the impact of the Adolescent Family Development Program (Bina Keluarga Remaja or BKR) on stunting prevention within the operational area of the Family Planning Counseling Center in South Palangga District.

Methods: This research employs a quantitative method with a pre-experimental approach, conducted from May to June 2024. The study population consists of 350 adolescents attending junior high schools (SMP) and vocational high schools (SMK) in the Amondo Village area. The sample was selected using simple random sampling, resulting in a total of 188 participants, comprising 94 junior high school students and 94 vocational high school students.

Results: The research results indicate a p-value of 0.000 for the knowledge variable, a p-value of 0.000 for the attitude variable, and a p-value of 0.000 for the action variable.

Conclusion: The Adolescent Family Development Program significantly influences adolescents' knowledge, attitudes, and actions in preventing stunting. Collaboration is essential, involving adolescents' participation, parents' skills in guiding their teenagers, school-level supervision, government policy support, and the competencies of educators and counselors in providing education and monitoring.

PENGARUH PEMBERIAN HAND MASSAGE DENGAN AROMATERAPI LAVENDER DALAM MENURUNKAN STRES KELUARGA PASIEN ICU

Margaretha Kurniastuti — Thu, 27 Mar 2025 00:00:00 +0000

The care of family members in the Intensive Care Unit (ICU) is one of the causes of stress in families who are waiting in the hospital. There are various contributing factors such as changes in family roles, the cost of care and critical conditions are one of the causes of stress in families. Families, as medical decision-makers, are expected to be stable and unaffected by excessive stress. Therefore, it is important to find effective ways to assist the patient's family in managing the stress that arises. Complementary therapy such as lavender aromatherapy combined with hand massage is one alternative method in helping to reduce stress in families. This study aims to determine the effect of giving lavender aromatherapy with hand massage in reducing stress in the patient's family in the ICU waiting room. This research is a quasi experimental method with one group test pretest and postest. Respondents in this study were 16 people who were determined using purposive sampling technique. This study used the perceived stress scale 10 (PSS-10) instrument. This research was conducted in one of the private hospitals in Yogyakarta City in January 2023.This study aims to determine the effect of giving lavender aromatherapy with hand massage to the patient's family in the ICU waiting room. This research is a quasi experimental method with one group test pretest and postest. Respondents in this study were 16 people who were determined using purposive sampling technique. This study used the Perceived Stress Scale 10 (PSS-10) instrument. The results of the bivariate analysis test using the Wilcoxon test showed a significant difference in pretest and posttest scores on the provision of hand massage intervention with Lavender aromatherapy (p < 0.005). The conclusion that hand massage intervention with lavender aromatherapy is effective in reducing stress in the patient's family.

PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN REMAJA TENTANG PERILAKU SEKSUAL BERISIKO

Maylar Gurning, Rina Hardiyanti, Hadija Batara — Thu, 27 Mar 2025 00:00:00 +0000

Perilaku seksual berisiko yang terjadi pada remaja dapat menyebabkan masalah kesehatan yang serius, seperti kehamilan tak diharapkan, penyakit menular seksual dan HIV AIDS. Remaja yang melakukan perilaku sekusal beresiko yang dilakukan pada remaja berdampak pada tingginya angka aborsi dan menjadi penyebab kematian tertinggi saat ini, selain itu ada masalah sosial dan menyebabkan penyakit menular seksual. Maka hal ini perlu dilakukan informasi untuk meningkatkan pengetahuan remaja tentang bahaya perilaku seksual beresiko. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan kesehatan terhadap pengetahuan remaja tentang perilaku seksual berisiko. Metode pernelian menggunakan pre-experimental design One group pretest-posttest, sampel diambil dengan stratified random sampling dengan keterwakilan setiap kelas XI jurusan TKJ. Intervensi yang diberikan melalui video selama 15 menit yang diberikan kepada siswi, dimana kelompok diberi pretest dan psottest terkait kuesioner pengetahuan tentang perilaku seksual berisiko. Uji statistik yang digunakan wilcoxon sign rank test. Hasil penelitian menjunjukkan sebelum responden diberikan pendidikan kesehatan tentang perilaku Seksual berisiko adalah sebanyak 61 (50,4%) memiliki pengetahuan kurang dan terjadi perubahan sesudah diberikan pendidikan kesehatan tentang perilaku seksual dengan jumlah responden sebanyak 71 (58,7%) dengan pengetahuan baik. Hasil uji statistik wilcoxon menunjukkan bahwa ada pengaruh pendidikan kesehatan terhadap pengetahuan perilaku seksual berisiko pada remaja di SMK Negeri 1 Kota Sorong dengan p-value = < 0,000 (<0,05). Kesimulan dari penelitian ini bahwa ada pengaruh pendidikan ksehatan terhadap pengetahuan siswi tentang perilaku seksual berisiko. Diharapkan agar remaja dapat mengendalikan dan mendapatkan informasi tentang bahaya dan dan dampak dari melakukan perilaku seksual berisiko.

PERBEDAAN TINGKAT KESEMBUHAN ULKUS DIABETIK MENGGUNAKAN PENCUCI LUKA NACL 0,9% DENGAN PIPER CROCATUM

Thu, 27 Mar 2025 00:00:00 +0000

Diabetic wounds, a condition experienced by diabetics due to impaired blood flow, neuropathy, prolonged inflammation, and excessive bacterial infection can result in tissue death (necrosis) which increases the risk of amputation. The wound washing process plays a very important role in determining the quality of wound healing. Piper Crocatum leaf contains flavonoids, saponins, alkaloids, tannins, and essential oils as antidiabetics and antibacterials. There are not many clinical studies that directly compare the effectiveness of NaCl 0.9% and Piper crocatum in healing diabetic ulcers. This study aims to analyze the difference in wound healing rates in diabetic ulcer patients before and after treatment, which involves the use of NaCl and piper crocatum decoction. This type of research is quasi-experimental with accidental sampling technique with the criteria of controlled blood sugar levels and non-smoking in 5 diabetic ulcer patients who underwent wound washing treatment using 0.9% NaCl, and 5 diabetic ulcer patients who received wound washing treatment with piper crocatum decoction. The results of the paired t-test (p<0.000) showed that there was an effect of wound washing using 0.9% NaCl and piper crocatum on the healing rate of diabetic ulcers in each group. The healing rate was measured using Bates Jensen Wound Assessment Tool.

KESADARAN DAN KESIAPSIAGAAN BENCANA PADA MASYARAKAT PESISIR KALIMANTAN UTARA

Thu, 10 Apr 2025 00:00:00 +0000

The role of disaster awareness and preparedness in improving disaster preparedness in the community is vital. The relationship between disaster awareness and disaster preparedness in coastal communities has not been directly ascertained, so research is needed to assess the problem. The purpose of this study was to identify the relationship between disaster awareness and disaster preparedness in coastal communities. This study is a correlational and cross-sectional study. This study involved 100 respondents using an convenience sampling technique. This research was conducted in one of the coastal sub-districts of Tarakan City, North Kalimantan Province. The data collection process was carried out from October to November 2024. The disaster awareness and preparedness assessment instrument used a questionnaire from previous research. The Chi-Square test was used to see the relationship between disaster awareness and disaster preparedness. The results showed that most respondents were female (58%), worked as farmers/fishermen (33%), graduated from high school/vocational school (41%), the average age of respondents was 37.33 years with an average income of Rp1,626,000 per month. Most respondents with low disaster awareness also had low disaster preparedness (53%). The results of the Chi-Square test showed that there was a relationship between disaster awareness and disaster preparedness (p = 0.001). The low disaster awareness and disaster preparedness in coastal communities, it is necessary to provide disaster education to the community so that the community is ready to face disaster conditions, especially in coastal areas.

HUBUNGAN TINGKAT PENGETAHUAN MAKANAN BERGIZI DAN PENDIDIKAN IBU DENGAN SIKAP DALAM UPAYA PENCEGAHAN STUNTING PADA BALITA DI KELURAHAN Y

Thu, 27 Mar 2025 00:00:00 +0000

The mother's level of knowledge and education regarding stunting prevention plays an important role in stunting prevention. In previous research, research had not been carried out on these two things, namely the level of knowledge and education of the mother and attitudes towards preventing stunting. This study aims to analyze the relationship between the level of maternal knowledge about nutritious food and maternal education and their attitudes towards preventing stunting in toddlers. The method used is non-experimental quantitative research with a correlational descriptive design, using a cross-sectional study approach. A total of 148 samples were selected using random sampling techniques, and data was obtained through filling out questionnaires whose validity and reliability were tested. The sample criteria in this study were mothers who had children under five (0-59 months), lived in sub-district Y and were willing to be research respondents. The questionnaire used was a questionnaire related to knowledge and education and the mother's attitude in preventing stunting. The results of analysis using Spearman correlation showed that there was a significant relationship between mothers' knowledge about nutritious food and their attitudes towards preventing stunting (r = 0.404, p < 0.001). In addition, there was a stronger relationship between mothers' education level and their attitudes towards stunting prevention (r = 0.569, p < 0.001). It is hoped that mothers can increase their knowledge about nutrition and stunting prevention by participating in nutrition education programs and utilizing resources to provide nutritious food at affordable costs. The recommendation for future research is to conduct research related to other factors that influence mothers' attitudes in preventing stunting.

EFEKTIVITAS PROGRESSIVE MUSCLE RELAXATION (PMR) DENGAN MUSIK KLASIK MOZART TERHADAP TEKANAN DARAH PADA PASIEN GAGAL GINJAL KRONIS DENGAN INTRADIALYTIC HYPERTENSION

Nirmala Nirmala, Santi Herlina, Santi Herlina — Thu, 27 Mar 2025 00:00:00 +0000

Chronic kidney disease (CKD) can develop into end stage renal disease (ESRD), requiring hemodialysis therapy. However, this can cause complications such as intradialytic hypertension (IDH), defined as a pre-HD blood pressure >140/90 mmHg or a post-HD blood pressure > 130/80 mmHg. Therefore, the combination of PMR with mozart classical music is recommended. This study aims to analyze the effectiveness of this combined therapy on blood pressure. The research design is quasi experimental using descriptive tests, paired t tests and independent t tests. With a purposive sampling technique, a sample of 38 respondents was divided into intervention and control groups in the hemodialysis unit of RSUD Tarakan. The results showed a significant effect on SBP (p value <0.001) and DBP (p value <0.001) in the intervention group, SBP (p value <0.001) and DBP (p-value = 0.003) in the control group, and significant differences in post-dialysis SBP (p-value = 0.001) and DBP (p value <0.001) between the two groups. In the intervention group, there was a decrease in SBP and DBP, whereas in the control group, there was an increase in SBP and DBP. Therefore, this combined therapy can be a complementary treatment for CKD patients with IDH to stabilize blood pressure, especially during intradialysis.

PREDIKTOR KECEMASAN PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) DI RUANG HEMODIALISIS RUMAH SAKIT PANTI RAPIH YOGYAKARTA

Fittriya Kristanti — Thu, 27 Mar 2025 00:00:00 +0000

Chronic Kidney Disease (CKD) has an impact on decreasing quality of life, increasing financial expenses and the most fatal condition, namely premature death. Hemodialysis is a therapy that can extend the life expectancy of CKD patients, but the Hemodialysis process has an impact on anxiety in CKD patients. The purpose of this study was to determine the predictors of anxiety in Chronic Kidney Disease patients in the Hemodialysis Room of Panti Rapih Hospital, Yogyakarta. The research design used was descriptive correlational and used a cross-sectional approach, with 33 respondents. The sampling technique was accidental sampling, this study was conducted in March 2023-April 2023 in the hemodialysis room of Panti Rapih Hospital, Yogyakarta. This study used the Hamilton Anxiety Rating Scale (HARS-A) and Multidimensional Scale of Perceived Social Support (MSPSS) instruments. The dependent variable in this study was anxiety, the independent variable was social support. The results showed that gender influenced anxiety in CKD patients undergoing HD therapy with a p value = 0.026. Predictors of anxiety in Chronic Kidney Disease patients in the Hemodialysis Room of Panti Rapih Hospital, Yogyakarta are education level and occupation.

HUBUNGAN CARING DAN SPIRITUALITAS TERHADAP MOTIVASI PASIEN STROKE YANG MENJALANI FISIOTERAPI DI RUMAH SAKIT

Nunung Sitepu, Ellyta Aizar, Asrizal Asrizal, Siti Zahara Nasution — Fri, 11 Apr 2025 00:00:00 +0000

Stroke patients often experience decreased motivation in undergoing physiotherapy, which results in a slow recovery process. Patient motivation is influenced by various factors, including the quality of care provided by nurses and the patient's level of spirituality. Caring and spirituality are believed to be able to strengthen the patient's spirit to undergo the rehabilitation process consistently. Objective: This study was conducted to examine the effect of Caring and spirituality on the motivation of stoke patients. Methods: This study used analytical research methods with a cross-sectional design. This study involved 75 respondents with stroke who underwent physiotherapy at H. Adam Malik Medan Hospital in April - August 2020 with a sampling technique, namely purposive sampling. Data collection used Caring instrument by Watson, spirituality with daily spiritual experience scale and motivation with participation motivation questionnaire with data analysis using fisher's exact test. The results showed that there was a significant relationship between caring and spirituality on motivation with each p-value of 0.001 (p-value <0.05). Conclusion: caring and spirituality each have a relationship to the motivation of stroke patients undergoing physiotherapy in the hospital

ANALISIS FAKTOR YANG MEMPENGARUHI KEJADIAN STUNTING PADA BALITA UMUR 24-59 BULAN DI PUSKESMAS BIAK MULI KABUPATEN ACEH TENGGARA TAHUN 2023

Amenda Sebayang, Siti Hukamah — Fri, 11 Apr 2025 00:00:00 +0000

A multifactorial determinant analysis was conducted to identify contributions to the incidence of stunting-a condition of linear growth involution caused by chronic nutritional deficiencies and exposure to repeated infections-in children aged 24-59 months in the Biak Muli Health Center area, Southeast Aceh District, in 2023. This study adopted a cross-sectional survey design with a quantitative approach and descriptive-correlational design involving 85 mothers of toddlers as subjects. Data processing was conducted through univariate analysis, bivariate test using Chi-Square, and multivariate test with multiple logistic regression to identify significant determinants. Results showed that birth weight history (p=0.019; OR=4.051; CI 95%: 1.359-12.070), exclusive breastfeeding (p=0.009; OR=4.900; CI 95%: 1.571-15.285), parenting (p=0.012; OR=4.592; CI 95%: 1.475-14.298), and parental income level (p=0.024; OR=4.044; CI 95%: 1.303-12.557) were significantly correlated with stunting prevalence, while the variables of maternal knowledge (p=0.487), history of infection (p=0.101), and access to health services (p=0.095) did not show statistical significance. Family income was identified as the dominant predictor of stunting incidence in the child population in this region. Based on these findings, recommendations are directed at intensifying education to mothers of toddlers on comprehensive stunting prevention, including optimal nutrition interventions, environmental sanitation, and promotion of exclusive breastfeeding in the crucial period of early life, to reduce the risk of growth retardation in preschool.