NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871

Pengaruh Pemberian Air Rebusan Daun Kersen (Muntingia calabura L.) Terhadap Penurunan Kadar Glukosa Darah Pada Mencit Diabetes Melitus

2024-11-06T02:14:56+00:00

Diabetes Mellitus (DM) is a chronic or chronic disease in the form of a metabolic disorder, characterized by high blood sugar levels. So treatment can be done by regularly consuming foods and herbal medicines that contain high levels of antioxidants such as flavonoids, saponins, tannins and alkaloids. Cherry leaves (Muntingia calabura L) are a plant that contains antioxidants. Therefore, this study aims to determine the effect of giving boiled water from cherry leaves (Muntingia calabura L.) on reducing blood glucose levels in mice with diabetes mellitus. This type of research is a pre-experimental laboratory using a pretest and posttest control group research design. A total of 20 mice were selected using a purposive sampling technique which were then divided into 4 groups, namely positive control group, negative control, treatment 1 (young cherry leaves with a dose concentration of 5%) and treatment 2 (young cherry leaves with a dose concentration of 10%). Bivariate analysis was carried out using the ANOVA test with the LSD Post-Hoc follow-up test. The research results obtained showed that giving a decoction of young cherry leaves had a significant effect on reducing blood glucose levels (p<0.05), and there was a significant difference between treatment groups, namely P1 versus P2 (p<0.05). In conclusion, giving a 10% dose of cherry leaf decoction (Muntingia calabura L) was more effective in reducing blood glucose levels in a mouse model of diabetes mellitus.

Analisis Faktor Penyebab Terjadinya Penyakit Hipertensi pada lansia Diatas Umur 60 Tahun

2024-12-21T01:57:51+00:00

Hipertensi merupakan manifestasi gangguan keseimbangan hemodinamik sistem kardiovaskular yang mana patofisiologinya tidak bisa diterangkan dengan hanya satu mekanisme tunggal. Semua definisi hipertensi adalah angka kesepakatan berdasarkan bukti klinis (evidence based) atau berdasarkan konsensus atau berdasar epidemiologi studi meta analisis. Hipertensi dapat diklasifikasikan berdasarkan penyebabnya, yakni hipertensi primer/essensial dan hipertensi sekunder, dan berdasarkan derajat penyakitnya. Angka insiden hipertensi sangat tinggi terutama pada populasi lanjut usia, usia di atas 60 tahun,. Tujuan penelitian ini untuk mengetahui Analisis faktor penyebab terjadinya penyakit hipertensi pada lansia diatas umur 60 tahun. Penelitian ini merupakan penelitian cross-sectional, Sampel yang digunakan berjumlah 105 sesuai kriteria inklusi dan ekslusi orang pada masyrakat Kaskasen kota tomohon. Hasil Penelitian dengan uji chi-square menyatakan bahwa terdapat hubungan antara Genetik dengan kejadian Hipertensi P-Value (0,006), olahraga dengan kejadian Hipertensi P-Value 0,020, Kebiasaan Merokok dengan kejadian Hipertensi P-Value 0,006 kesimpulan, terdapat hubungan diatara variber genetic, olahraga, kebiasaan merokok, dengn kejadian penyakit Hipertensi

HUBUNGAN DUKUNGAN SOSIAL KELUARGA DENGAN KEPATUHAN MINUM OBAT PADA PASIEN ODGJ DI UPT PUSKESMAS KEDUNGJAJANG KABUPATEN LUMAJANG

2024-11-08T04:44:36+00:00

Patients with mental disorders, are those who experience disturbances in their thoughts, feelings and behavior. Families with individuals who experience mental disorders will provide a negative social model. Families who can’t handle it, may deal with many challenges, including difficulties in the healing process, for family members who suffer from mental illness and lack of supervision in taking medication. The aim of this research is to determine the correlation between family social support and medication adherence in PWMD patients at the Kedungjajang Community Health Center, Lumajang Regency. This research design uses a cross sectional design. Sampling used an accidental sampling technique with a sample size of 56 respondents carried out from 1 to 31 July 2024. The instrument used for data collection was a questionnaire. The results of the study showed that of the 56 respondents' social support for adherence to taking medication for PWMD patients, 54 (96.4%) were good, while 51 (91.1%) of ODGJ patients were compliant in taking medication for PWMD. Data processing using the chi square test calculated using SPSS Windows obtained a value of p=0.038 (p<0.05) so it can be concluded that Ha is accepted, meaning there is a significant correlation between family social support and adherence to taking medication in PWMD patients at the Kedungjajang Community Health Center, Lumajang Regency. in 2024. As a nurse we are expected to improve communication, information, and education to the family of PWMD. It can help families play a bigger role in providing the best social support to PWMD patients and monitor medication adherence in PWMD patients.

HUBUNGAN OVERWEIGHT DENGAN KEJADIAN CHF (CONGESTIVE HEART FAILURE) DI RUANG RAWAT INAP RUMAH SAKIT RIZANI PAITON PROBOLINGGO

2024-11-10T01:17:31+00:00

Background: Congestive Heart Failure (CHF) is a growing health problem with high mortality and morbidity rates in both developed and developing countries. At Rizani Paiton Hospital Probolinggo, CHF is among the top ten most common cases. Overweight is one of the factors that worsen the condition of CHF patients, measured through Body Mass Index (BMI). Objective: To determine the relationship between overweight and the incidence of CHF in the inpatient ward of Rizani Paiton Hospital Probolinggo. Methods: This analytical study used direct observation and Gamma correlation analysis, involving 60 patient samples. Results: The significance value (sig) of 0.000 (p < 0.05) indicates a very significant correlation between overweight and the incidence of CHF. The correlation value of 0.922 shows a very strong and positive relationship, meaning that the higher the patient's BMI, the greater the risk of CHF. Conclusion: Overweight has a significant correlation with the incidence of CHF. Weight management is important as a preventive measure against CHF. Dietary control is necessary to reduce the risk of CHF.

Studi Kasus: Ketidaknyamanan Pada Ibu Hamil Dengan Intervensi Senam Kegel

2024-11-28T07:05:55+00:00

Frequent urination is a common complaint among pregnant women, particularly during the first and third trimesters, due to hormonal changes and the enlarged uterus exerting pressure on the bladder. This complaint can disrupt the comfort and quality of life of pregnant women and increase the risk of urinary tract infections. One intervention to address this issue is Kegel exercises. This study aims to analyze midwifery care for a 35-week pregnant woman with complaints of frequent urination using a Kegel exercise approach. The case study was conducted on Mrs. P, G3P2A0 pregnant woman at 35 weeks of gestation, at PMB Tinti Halipah Palembang on October 21, 2023. Data collection included interviews, observations, physical examinations, and documentation using the SOAP method. The intervention consisted of education on the physiological changes of pregnancy, fluid intake management, Kegel exercise implementation, and recommendations to maintain genital hygiene to prevent urinary tract infection. The results of the intervention showed that Kegel exercises helped strengthen pelvic floor muscles, reduce complaints of frequent urination, and improve comfort during pregnancy. Mrs. P was able to understand and implement the recommended fluid intake patterns and consistently performed Kegel exercises, significantly reducing the frequency of complaints. The condition of both the mother and the fetus remained good until the final evaluation. .

GAMBARAN PSIKOLOGIS DAN GANGGUAN KUALITAS TIDUR PASIEN HIPERTENSI DI PUSKESMAS BT.X TANJUNGPINANG

2024-11-28T07:01:39+00:00

Latar Belakang Psikologis merupakan salah satu faktor penyebab terjadinya penyakit hipertensi. Hipertensi merupakan salah satu jenis penyakit degeneratif yang umumnya dialami oleh lansia, namun belakangan ini penyakit degeneratif tersebut justru sudah mulai dialami oleh Dewasa Muda. Tujuan penelitian adalah untuk mengetahui gambaranaspek psikologis pada pasien hipertensi dewasa muda di Puskesmas Bt. X Tanjungpinang . Metode yang digunakan yaitu jenis penelitian kuantitatif dengan desain analisis deskriptif. Sampel yang diperoleh berjumlah 97 responden. Instrumen penelitian yaitu kuesioner Depression Anxiety Stress Scales (DASS). Metode analisis data menggunakan analisis univariat. Hasil diperoleh mayoritas pasien memiliki Tingkat Kecemasan sedang sebanyak 49 responden (50,5%), Tingkat Depresi normal sebanyak 75 (77,3%), Tingkat Stres normal sebanyak 95 (97,9%). Kesimpulan bahwa ada pengaruh antara tingkat kecemasan, stres dan depresi dengan tekanan darah penderita hipertensi.

EFEK DYNAMIC STRETCHING PADA NYERI DELAYED ONSET MUSCLE SORENESS OTOT QUADRICEPS PEMAIN FUTSAL REKREASIONAL

2024-11-28T07:49:22+00:00

Nyeri otot akibat olahraga yang berlebihan, dikenal sebagai Delayed Onset Muscle Soreness (DOMS), umum terjadi pada individu yang melakukan aktivitas fisik intensif. Penelitian ini bertujuan mengeksplorasi efek dynamic stretching terhadap intensitas nyeri DOMS pada otot quadriceps pemain futsal rekreasional di STIKes RS Dustira Cimahi. Penelitian dilaksanakan pada bulan [bulan penelitian] dengan melibatkan 20 pemain futsal berusia 19-23 tahun. Penelitian menggunakan desain time series dengan pendekatan one group pre-test and post-test. Pengukuran intensitas nyeri dilakukan menggunakan Numeric Rating Scale (NRS) sebelum dan setelah perlakuan selama empat sesi dalam kurun waktu empat minggu. Hasil penelitian menunjukkan penurunan signifikan pada rata rata skor nyeri dari 3,10 pada pre-test pertama menjadi 1,85 pada post-test keempat (p-value <0,05). Temuan ini menunjukkan bahwa dynamic stretching efektif dalam menurunkan intensitas nyeri DOMS melalui mekanisme peningkatan aliran darah dan aktivasi neuromuskular. Penelitian ini diharapkan memberikan kontribusi praktis bagi atlet dan pelatih dalam mengimplementasikan dynamic stretching sebagai metode pemanasan dan pemulihan untuk mencegah dan mengurangi nyeri otot.

The Effect of Health Counseling on Self-Management and Blood Pressure Stability in Hypertension Patients at the Klinik Ronaa Husada

2024-11-29T01:15:44+00:00

Hypertension is still one of the problems that exist in the world of health to this day. General public knows it as hypertension because of the increase in blood pressure exceeding the normal limit. According to 'Riskesdas’ data in Southeast Asia in 2018, the number of hypertension patients in Indonesia increased by 34.1% annually. This study uses a correlational analytical design with a cross-sectional approach. Data was collected in July 2024 with a population of 35 respondents and a sample of 33 respondents who met the inclusion and exclusion criteria with purposive sampling techniques. Data processing included coding, editing, and tabulating, then analyzed with SPSS software for the Wilcoxon test with an α of 0.05. The study results showed that before the counseling was carried out, as many as 13 respondents had poor self-management, while 15 had good self-management after counseling. Meanwhile, the blood pressure results before counseling were 21 respondents with unstable systolic results and 23 respondents with stable diastolics, while after counseling there were 24 respondents with stable systolic results and 33 respondents with stable diastolic. After the Wilcoxon test showed a p-value of 0.003 in self-management, a p-value of 0.001 in systolic blood pressure, and a p-value of 0.002 in diastolic blood pressure, which was smaller than α (0.05). This shows the influence of health counseling on self-management and blood pressure stability in hypertensive patients. This research shows that health counseling is essential to realize good self-management in hypertensive patients so that good blood pressure stability can be achieved.

Relationship Between Treatment Compliance Level and Vision Value in Post-Phacomulsification Cataract Surgery Patients at Rumah Sakit Bhayangkara Lumajang

2024-11-29T01:30:21+00:00

Cataracts are one of the causes of blindness, successful cataract treatment does not depend on surgery alone. Postoperative care and treatment greatly influences visual outcomes after surgery. The research aims to explain the relationship between the level of treatment compliance and visual acuity in patients after phacomulsification cataract surgery at Rumah Sakit Bhayangkara Lumajang. The research design used was analytical observational with a cross sectional approach. The target population is 70 patients with cataracts who check up at the eye clinic, the target population is post-cataract surgery patients who are controlled at the eye clinic with a amount of 46 patients. The research sample consisted of 45 respondents who were selected using the Accidental Sampling technique. Data collection used the MMAS-8 questionnaire to measure the level of treatment compliance and the Snellen Chart to measure visual acuity values. Data analysis used the Spearman rank correlation test. The results of measuring the level of compliance with treatment of patients after phacomulsification cataract surgery at Rumah Sakit Bhayangkara Lumajang were obtained by 17 patients (37.8%) of the amount respondents who had a low level of treatment compliance. The results of measuring the vision values of 16 patients (35.6%) of the amount respondents had good vision values. The results of data analysis using the Spearman rank correlation test showed a significant relationship between the level of treatment compliance and vision scores with a value of ρ = 0.000 < 0.05. This shows that the more compliant the treatment is, the better the visual acuity score. Research shows that patient compliance with post-cataract surgery treatment is critical for optimal recovery. High compliance is associated with improved vision, so disciplined patients tend to have better vision. These findings emphasize that interventions to improve patient compliance should be a top priority in cataract treatment, and postoperative patient compliance needs to be considered

The Effect Of Health Education Using Direct Demonstration Method On Compliance In The Use Of Personal Protective Equipment (PPE) In Sugar Cane Farmers Group In Desa Banyuputih Kidul , Kecamatan Jatiroto, Kabupaten Lumajang

2024-11-29T01:49:14+00:00

Personal protective equipment is very important in carrying out work which can cause work accidents, so health education using direct demonstrations makes a huge contribution to change respondent behavior. So with direct demonstrations it was hoped that people would understand and remember more quickly. The aim of this research wss to identify the effect of direct demonstration method health education on compliance with the use of personal protective equipment (PPE) in sugar cane farmer groups. The research method used in this research was a pre-experimental one group pre test and post test design. The population of this study was a group of sugar cane farmers in Desa Banyuputih Kidul , Jatiroto subdistrict, Lumajang district with a sample of 30 respondents. The sampling technique used Amount sampling with a data collection sheet, observation sheet and analyzed using the SPSS statistical test, the Willcoxon test showed that the results were p value = a = 0.000, a <0.05. The results of the research before health education using the direct demonstration method showed that most of the compliance was not good, 30 people (100%) and after health education using the direct demonstration method, the majority of compliance was good, 17 people (56.7%), and there was an influence of health education using the method. direct demonstration of the level of compliance among sugar cane farmer groups. It is hoped that this research can increase more efforts and support from village officials and farmer group administrators in providing personal protective equipment (PPE), and health education using the direct demonstration method can be applied in educational services in village communities, especially in farmer groups with other implementations.

Relationship Between Early Detection Of Signs And Symptoms Of Hypoglycemia With Hypoglycemia Prevention Behavior In Patients With Diabetes Mellitus Type II At Yosowilangun Community Health Center

2024-11-29T02:08:42+00:00

Diabetes mellitus is a metabolic disorder characterized by high blood sugar levels associated with abnormal carbohydrate, fat, and protein metabolism caused by decreased insulin secretion or decreased insulin sensitivity effectively. One of the acute complications in patients with Diabetes Mellitus (DM) 2 is hypoglycemia. Hypoglycemia is a blood glucose level ≤ 70 mg / dl (3.9 mmol / L). The purpose of this study was to determine the correlation between early detection of signs and symptoms of hypoglycemia and hypoglycemia prevention behavior in patients with type II diabetes mellitus at the Yosowilangun Health Center.This study design was descriptive analytical using a cross-sectional method. All patients with type II diabetes mellitus at the Yosowilangun Health Center. This study used a purposive sampling technique. The Amount population is 50 patient. The research sample was 48 respondents. The instrument used for data collection using a questionnaire for early detection of signs and symptoms and prevention of hypoglycemia. Both instruments were categorized as good, sufficient, and lacking. The statistical test used Spearmen-rank with a significance level of 0.05.The results of the study showed that early detection of signs and symptoms of hypoglycemia was sufficient (66.7%) and prevention of hypoglycemia was sufficient (44.8%). The results of data analysis using the Spearmen-rank test showed that the p value was smaller than significant (0.001 <0.05), so there was a correlation between early detection of signs and symptoms of hypoglycemia and prevention of hypoglycemia in Type 2 DM patients at the Yosowilangun Health Center. The results of this study can be concluded that Type 2 DM respondents with a history of hypoglycemia can prevent hypoglycemia through knowledge of the signs and symptoms of hypoglycemia, so that they can minimize recurrent hypoglycemia. This can be recommended for health services that early detection of the disease as a guideline in treating Type 2 DM patients with hypoglycemia

Relationship Between Response Time Level Of Patient Handling With Patient Satisfaction Level In Emergency Of Klakah Lumajang Community Health Center

2024-12-07T04:16:56+00:00

The health center is one of the health facilities that are widely used by the community where the health center and its network are the spearhead of health services in Indonesia. Response time is an indicator of speed and accuracy in handling patients which is calculated from the time the patient arrives until the patient is treated. The purpose of this study was to determine the Relationship between the Level of Response Time Speed of Patient Handling and the Level of Patient Satisfaction in the Emergency Room of the Klakah Health Center. In this study, the sample determination used the Accidental Sampling method and a Cross-sectional research design with data collection techniques using questionnaires and observations. The population in this study was 100 emergency room patients who met the inclusion and exclusion criteria, with a sample of 80 respondents.The results obtained that the Level of Response Time Speed of Handling Patients in the Emergency Room of Klakah Health Center, Lumajang Most of them are in the fast category, namely 67 people (83,8%), in the slow category there are 12 respondents, namely (15%) and in the very slow category there is 1 respondent, namely (1.3%). This finding indicates that response time greatly influences the level of patient satisfaction at the Klakah Health Center Emergency Department in the fast category, namely 67 people (83.8%).

HUBUNGAN SPIRITUAL LEADERSHIP DENGAN MANAJEMEN KEPERAWATAN : SCOOPING REVIEW

2024-12-07T11:28:29+00:00

Spiritual leadership in nursing management is emerging as an approach that integrates spiritual values with leadership practices in the health care environment. In this context, leaders not only act as decision makers, but also as mentors who motivate and inspire teams through ethical principles, empathy and a deep sense of responsibility.

This research uses the Arksey and O'Malley model to carry out the analysis. Data Source: The literature analyzed consisted of Scholar, Science Direct, and Pubmed from January 2020 to June 2024. Identification and selection of literature used Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) Moher 2009.

The result was 12 articles analyzed, consisting of 8 quantitative articles, 2 descriptive articles, and 2 qualitative articles. This article summarizes the findings regarding spiritual leadership in nursing management, namely that there is a relationship between spiritual leadership and performance, trust, motivation, leadership style and health services.

Conclusion: There is a relationship between spiritual leadership and performance, trust, motivation, leadership style and health services.

Plank Exercise Dapat Meningkatkan Keseimbangan Remaja Di SMAN 01 Bongan

2024-12-06T12:06:43+00:00

Keseimbangan pada remaja bertujuan untuk mempertahankan pusat massa tubuh terhadap sumbu tubuh untuk melawan gravitasi bumi yang di pengaruhi oleh proses sensorik atau system saraf, motorik atau musculoskeletal. Keseimbangan merupakan salah satu aspek penting dalam Kesehatan dan kebugaran tubuh manusia. Keseimbangan memungkinkan seseorang untuk melakukan aktivitas sehari-hari dengan lancer dan mengurangi resiko jatuh. Kajian ini merupakan studi Pre eksperimental yang bertujuan untuk mengetahui adanya peningkatan pada keseimbangan dengan pemberian plank exercise. Dengan desain penelitian one group pre-test dan post-test. Dengan sampel 20 orang remaja laki-laki dan Perempuan yang berusia 16-17 tahun di SMAN 01 Bongan. Penulis memberikan pengukuran keseimbangan dengan Y Balance Test kepada sampel dengan meminta untuk menyeimbangkan satu kaki sekaligus meraih sejauh mungkin dengan kaki satunya dalam 3 arah terpisah: anterior, posterolateral, dan posteromedial, setelah itu di berikan plank exercise. Frekuensi Latihan adalah 3 kali seminggu selama satu bulan dengan 3 kali pengulangan untuk pengukuran keseimbangan dan plank exercise ditahan selama 10 detik. Berdasarkan hasil Y Balance Test terdapat pengaruh dari pemberian plank exercise selama 12 kali yang di dapatkan dari uji t berpasangan diperoleh nilai p= 0,000<0,05 untuk left dan right dengan nilai pre-test keseimbangan sebesar 82,45 untuk left dan 85,25 untuk right dan post-test keseimbangan 90,65 untuk left dan 92,45 untuk right. Sehingga didapatkan adanya pengaruh dari pemberian plank exercise untuk keseimbangan remaja usia 16-17 tahun di SMAN 01 Bongan.

ANALISIS FAKTOR (ATTITUDE, SUBJECTIVE NORM, PERCEIVED CONTROL) YANG MEMPENGARUHI NIAT IBU DALAM PENCEGAHAN STUNTING DENGAN PEMBERIAN ASI EKSKLUSIF BERDASARKAN THEORY OF PLANNED BEHAVIOR

2024-12-07T02:10:37+00:00

Exclusive breastfeeding has a great contribution to the growth and development and endurance of children. Children who are exclusively breastfed will grow and develop optimally and do not get sick easily. Based on preliminary studies, data were obtained as much as 60% of mathers intentions in stunting prevention (exclusive breastfeeding). The purpose of the study is to analyze the factors on influence mather intentions in stunting prevention, namely: attitude, subjective norm, perceived control, in preventing stunting.

This study used observational analytics with cross-sectional design. The study population mothers who had babies aged 0-6 months, a total of 72 people in Jaddih Village. Sample size: 61 respondents. The independent variables were attitude, subjective norm, perceived control. and the dependent variable was intention. The instrument in this research used 4 questionnaires which were modified by the researcher. Sampling technique; purposive sampling. Data analysis: spearman rank.

The results of the spearman rank test of the attitude variable with intention get a p value of 0.001 (0.05) then there is a relationship between attitude and intention. Norm variables with intention get a p value of 0.002 (0.05) then there is a subjective norm relationship with intention. The perceived variable with intention is assigned a p value of 0.001 (0.05) then there is a relationship between perceived control and intention. The conclusion of this study is that there is a relationship between attitude, subjective norm, perceived control and the intention of mothers to provide exclusive breastfeeding in stunting prevention.

Suggestions for respondents are expected to add insight so that they are maximized in carrying out stunting prevention by improving attitude, subjective norms, perceptions of control so that mothers will have the intention to practice fulfilling nutritional intake in stunted children. Especially in mothers who have babies aged 0-6 months. Information from this study is expected to increase the active role of the community in stunting prevention, one of which is the benefits of health services

The Effect Of Chest Percussion On The Reduction Of Additional Breath Sounds In Pneumonia Patients In The Bougenville Room Of Rumah Sakit dr. Haryoto Lumajang

2024-12-07T02:19:14+00:00

Pneumonia is an acute inflammation of lung tissue caused by microorganisms, symptoms that appear such as increased temperature and can be accompanied by seizures, restlessness, cyanosis, shortness of breath, and productive coughing, so that proper treatment is needed to remove sputum that accumulates in the airways, one of which is chest physiotherapy with the Chest Percussion method. The purpose of this study is to determine the effect of Chest Percussion on the decrease in additional breath sounds in pneumonia patients in the bougenville room of Rumah Sakit dr. Haryoto Lumajang. The design of this study was a pre-experimental study using a one-group pretest-posttest approach using standard operating procedures on chest percussion and observation sheets for additional breathing sounds. The statistical test used was the wilcoxon test, with a research sample of 31 respondents taken by the accidental sampling method from July 31 until August 30, 2024. The results in this study showed that of the 20 (64.5%) respondents with missing ronkhi when coughing/inhaling before the Chest Percussion action, there were 18 (90%) respondents who at the time after the procedure changed to sound smooth ronkhi and the remaining 2 (10%) did not experience any change. Meanwhile, in 11 (35.5%) respondents who at the time before the Chest Percussion action heard a smooth ronkhi sound, 11 (100%) of the respondents after receiving the action changed to clear. The results of the Wilcoxon statistical test obtained a p-value of 0.000 (p < 0.05) which means that there is a significant influence between Chest Percussion on additional decrease of breathing sounds in pneumonia patients. The results of this study can be concluded that Chest Percussion can reduce sputum in pneumonia patients, with reduced sputum the sound of the ronkhi in pneumonia patients can be reduced. It can be recommended for hospitals that Chest Percussion is a guideline in treating pneumonia with additional sounds.

The Correlation Between Sugar Level Values in Patients with DM and the Incidence of Skin Fungus in the Skin Clinic of Bhayangkara Hospital Lumajang

2024-12-17T03:51:22+00:00

DM is a group of metabolic diseases with characteristics of hyperglycaemia that occurs due to abnormalities in insulin secretion, insulin action or both. Skin sugar levels constitute 55% of blood sugar levels in ordinary people. In patients with diabetes, the ratio increases to 69-71% of blood glucose that has been elevated. The purpose of this research is to determine the correlation between sugar level values in patients with dm and the incidence of skin fungus in the skin clinic of Bhayangkara Lumajang hospital.This study was a quantitative study with a r etrospective design, and is a type of correlational research. The sample size was 41 patients with total sampling technique. Data were collected by observing patient medical record data from January 2022 - December 2023 and using an instrument in the form of a checklist, then the data were analysed using the Spearman rank test. According to the results, the majority of patients (63,4%) had high blood sugar levels when they checked into the Skin Clinic, and the majority of patients (58,5%) had skin events meeting severe criteria. The results of the analysis test showed a Sig.(2-tailed) = 0.000 < 0,05 and r (correlation coefficient) = +0,701, meaning that there is a relationship between blood sugar values in patients with DM and the incidence of skin fungus in the Dermatology Clinic of Bhayangkara Lumajang Hospital. As an effort to improve the quality of services at the skin clinic, this research requires support from management in the form of a standard operating procedure so that every patient diagnosed with skin fungus is also checked for blood sugar considering that there is a strong relationship between sugar levels and the incidence of skin fungus

Gambaran Jumlah Eosinofil Pada Penderita Penyakit Asma Di Rumah Sakit Universitas Muhammadiyah Malang

2024-12-07T04:36:02+00:00

Asma adalah suatu kondisi di mana saluran udara mengalami penyempitan karena aktivitas rangsangan yang berlebihan menyebabkan peradangan dan kontraksi sementara, dan asma dapat menyebabkan penyakit paru-paru tidak menular. Asma dapat terjadi pada semua usia dan manifestasinya sangat berbeda. serta berbeda-beda pada setiap orang. Tujuan penelitian ini adalah untuk mengetahui gambaran jumlah eosinofil pada pasien asma di Rumah Sakit Universitas Muhammadiyah Malang. Penelitian ini merupakan penelitian deskriptif kuantitatif yang menggunakan sampel seluruh data rekam medis sebanyak 42 pasien. Dalam teknik pengambilan sampel digunakan teknik total sampling Berdasarkan hasil penelitian ini menunjukkan bahwa sebagian besar eosinofil pada responden memiliki nilai di atas normal pada pria sebanyak 9 orang (35%), pada wanita terdapat 5 orang (31%). Hasil untuk jumlah eosinofil yang nilainya normal adalah 17 orang (65%) pada pria, 11 orang (69%) pada wanita. Berdasarkan penelitian yang dilakukan di Rumah Sakit Universitas Muhammadiyah Malang yang menunjukkan gambaran jumlah eosinofil pada setengah dari pasien normal pada penderita asma.

HUBUNGAN DUKUNGAN KELUARGA DENGAN PENGAMBILAN KEPUTUSAN TERAPI HEMODIALISA

2024-12-07T11:42:56+00:00

Chronic Kidney Disease Stage 5 is a progressive and irreversible kidney function disorder. This condition necessitates that patients with chronic kidney failure receive kidney replacement therapy, such as haemodialysis. Haemodialysis is a method of treating patients with chronic kidney failure that requires a lot of money, not just 1-2 months. But it also takes quite a long time. Without family support, it is impossible to carry out haemodialysis treatment according to the scheduled schedule. The main problem faced by patients when they first undergo haemodialysis is decision-making. After receiving a diagnosis of chronic kidney failure, patients often feel uncertain about making decisions about haemodialysis therapy. This study aims to determine the relationship between family support and haemodialysis therapy decision-making. This research is a correlational analytical study with a cross-sectional approach. The number of samples in this study was 103, and data collection techniques used random sampling. Based on the Spearman Rank test, the research results showed that there was a relationship between family support and haemodialysis therapy decision-making (p-value = 0.000, p<0.05). This research suggests that families should provide good family support, including self-esteem support, information, instrumentality, social closeness, and motivation, to aid in haemodialysis therapy decision-making.

PERAN PERAWAT PENANGGUNG JAWAB ASUHAN TERHADAP KUALITAS PELAYANAN KESEHATAN : SCOOPING REVIEW

2024-12-07T11:36:57+00:00

Peran Perawat Penanggung Jawab Asuhan (PPJA) dalam manajemen keperawatan telah menjadi fokus perhatian karena kontribusinya terhadap peningkatan mutu layanan kesehatan. PPJA berperan penting dalam supervisi, pelaksanaan asuhan keperawatan berbasis standar, serta optimalisasi kualitas pendokumentasian dan diagnosis.

Penelitian ini menggunakan metode review berdasarkan model Arksey dan O'Malley dengan analisis literatur yang diperoleh dari Science Direct, Scholar, dan Pubmed untuk periode Januari 2020 hingga Juni 2024. Literatur dipilih menggunakan pendekatan PRISMA Moher 2009.

Hasilnya mencakup analisis dari 12 artikel yang terdiri dari 8 penelitian kuantitatif, 3 penelitian deskriptif, dan 1 penelitian kualitatif. Temuan menunjukkan peran PPJA dalam meningkatkan kualitas pelayanan melalui pelatihan berkelanjutan, supervisi, pendekatan patient-centered care, dan inovasi teknologi. Selain itu, faktor kepemimpinan situasional, kompetensi PPJA, dan kolaborasi antara akademisi dan praktisi keperawatan terbukti berkontribusi secara signifikan terhadap mutu layanan keperawatan.

Kesimpulan: Peran PPJA yang didukung oleh pelatihan, supervisi, dan inovasi mampu meningkatkan kualitas layanan, keselamatan pasien, dan efisiensi pelaksanaan asuhan keperawatan. Optimalisasi kompetensi PPJA merupakan strategi yang penting untuk keberlanjutan layanan kesehatan berkualitas tinggi.

HUBUNGAN FLEKSIBILITAS LUMBAL DAN LINGKAR PINGGANG TERHADAP KELUHAN LOW BACK PAIN PADA KARYAWAN RS X DI TANGERANG

2024-12-18T04:13:54+00:00

Low Back Pain (LBP) merupakan masalah kesehatan yang umum terjadi, dapat memengaruhi kualitas hidup, produktivitas kerja, dan kesejahteraan individu, termasuk karyawan. Penelitian ini bertujuan untuk menganalisis hubungan antara fleksibilitas lumbal dan lingkar pinggang dengan keluhan LBP pada karyawan RS X di Tangerang. Desain penelitian menggunakan pendekatan cross-sectional dengan pengukuran data pada satu waktu tertentu. Sebanyak 55 karyawan back office dipilih sebagai sampel menggunakan teknik purposive sampling, berdasarkan kriteria inklusi: usia 25–60 tahun, pria maupun wanita, bekerja minimal 6 bulan, dan mengalami LBP miogenik. Data primer dikumpulkan melalui wawancara dan pemeriksaan langsung, kemudian dianalisis menggunakan uji Pearson. Hasil penelitian menunjukkan adanya hubungan signifikan antara fleksibilitas lumbal dengan keluhan LBP (r = 0,341; p = 0,011) dan tidak ada hubungan antara lingkar pinggang dengan keluhan LBP (r = 0,190; p = 0,165). Disimpulkan bahwa fleksibilitas lumbal yang rendah berhubungan dengan keluhan LBP dan lingkar pinggang yang besar tidak berhubungan dengan keluhan LBP. Penelitian ini menyarankan agar studi selanjutnya melibatkan jumlah sampel yang lebih besar untuk hasil yang lebih representatif.

HUBUNGAN INDEKS MASSA TUBUH, DURASI KERJA, DAN MASA KERJA DENGAN KELUHAN MUSCULOSKELETAL DISORDER PADA PENGEMUDI OJEK MOTOR ONLINE

2024-12-17T05:43:47+00:00

Musculoskeletal Disorders (MSDs) adalah keluhan kesehatan yang menyerang otot, saraf, tendon, dan ligamen. Faktor risiko MSDs mencakup aspek individu seperti indeks massa tubuh (IMT), durasi kerja, dan masa kerja. Penelitian ini bertujuan untuk mengetahui hubungan antara IMT, durasi kerja, dan masa kerja dengan keluhan MSDs pada pengemudi ojek motor online.Penelitian menggunakan desain cross-sectional dengan total sampling pada 100 pengemudi ojek motor online di Gading Serpong, Provinsi Banten. Alat ukur yang digunakan pada variabel IMT, Durasi kerja, dan masa kerja pada kuesioner dalam bentuk google form serta variabel Musculosceletal disorder menggunakan Nordic Body Map. Analisis data yang digunakan adalah Uji Pearson dengan hasil menunjukan tidak terdapat hubungan signifikan antara IMT dan durasi kerja dengan keluhan MSDs (nilai P =0,586 >0,05 dan p=0,152 >0,05). Namun, ditemukan hubungan signifikan antara masa kerja dengan keluhan MSDs (p=0,039 <0,05). Maka disimpulkan kejadian Musculosceletal disorder pada pengemudi ojek motor online dipengaruhi oleh lamanya masa kerja.

Manajemen Nyeri dengan Teknik Relaksasi Autogenik dan Aromaterapi Pada Lansia dengan Hipertensi

2024-12-17T06:52:58+00:00

Hypertension in the elderly is often accompanied by chronic pain that affects their quality of life, requiring safe and effective pain management interventions. This study aimed to evaluate the effectiveness of autogenic relaxation techniques and aromatherapy in reducing pain in elderly individuals with hypertension. A descriptive case study design was used with two elderly clients in the working area of UPTD Sukaraya Public Health Center, Baturaja Timur District, over two weeks. Data were collected through interviews, observations, and documentation. The results showed a reduction in pain scale from 6 to 4 for Client I and from 4 to 3 for Client II after the intervention. In addition, the clients' blood pressure significantly decreased, and improvements were noted in sleep quality and daily activities. In conclusion, the combination of autogenic relaxation techniques and aromatherapy is effective in reducing pain intensity in elderly individuals with hypertension. It is recommended to integrate this technique into nursing care practices and conduct further research with a larger sample size.

ASUHAN KEPERAWATAN DIABETES MELITUS DENGAN PENDEKATAN TEORI JEAN WATSON: LITERATURE REVIEW

2024-12-18T04:20:35+00:00

Artikel ini merupakan tinjauan literatur tentang penerapan teori Jean Watson dalam asuhan keperawatan pada pasien Diabetes Melitus (DM). Teori Jean Watson menawarkan pendekatan yang humanistik, berfokus pada hubungan terapeutik yang mendalam antara perawat dan pasien, serta mengintegrasikan aspek fisik, emosional, dan spiritual dalam praktik keperawatan. Dalam artikel ini, kami menjelaskan konsep dasar dari teori Jean Watson, mengidentifikasi manfaat utama dalam asuhan keperawatan Diabetes Melitus, seperti peningkatan kepatuhan pengelolaan penyakit, perbaikan kualitas hidup, dan pemenuhan kebutuhan holistik pasien. Namun, penerapan pendekatan ini juga menghadapi tantangan, termasuk kurangnya pemahaman teori oleh perawat, keterbatasan waktu dalam praktik klinis, serta pengintegrasian nilai-nilai spiritual ke dalam perawatan sehari-hari. Tantangan-tantangan ini dapat diatasi melalui pelatihan profesional berkelanjutan, dukungan manajemen rumah sakit, dan penyesuaian strategi intervensi berbasis kebutuhan pasien. Dalam kesimpulan, penerapan teori Jean Watson dalam asuhan keperawatan Diabetes Melitus memiliki potensi besar untuk meningkatkan hasil kesehatan pasien melalui pendekatan yang holistik dan penuh kasih. Dengan pemahaman yang mendalam tentang prinsip-prinsip dasar teori, manfaat yang diberikan, dan solusi atas tantangan yang dihadapi, perawat dapat menciptakan pengalaman perawatan yang lebih bermakna dan relevan. Teori Jean Watson adalah kerangka kerja yang kuat untuk membantu perawat dalam memberikan asuhan keperawatan yang optimal dan humanistik bagi pasien Diabetes Melitus.

RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE OF ADOLESCENTS TOWARDS HIV/AIDS PREVENTION AT YPK IMMANUEL HIGH SCHOOL MANOKWARI

2024-12-21T01:56:20+00:00

Global HIV Number In 2023, there will be 39.9 million people worldwide living with HIV. Of these, 38.6 million are adults and 1.4 million are children. Global HIV-related deaths. In 2023, 630,000 people will die from HIV-related causes worldwide. HIV cases in Indonesia. The estimate of PLHIV in West Papua Province in 2024 is 12,050 and PLHIV who have been found until January 2024 are 4,681 people or around 39%, still very far from the fast track target of 95%. To determine the relationship between knowledge and attitudes of adolescents towards HIV/AIDS prevention at SMU YPK Immanuel Manokwari 2024. This type of research is a quantitative research type with a quasi-experimental method or "Quasi Experiment". The design used in this study is the One-Group Pretest-Posttest Design. The sample consisted of 60 students, using nonprobability sampling with purposive sampling. Where students will be measured for knowledge and attitudes about HIV/AIDS prevention after the pre-test will be given treatment/counseling about HIV/AIDS prevention, after that will be given a post-test questionnaire. The results of the study obtained an increase in knowledge and attitudes after treatment or counseling about HIV/AIDS prevention and with the Wilcoxon test and obtained a value (α <0.05).