Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan
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Manajemen Diri (Self Management) Perilaku Sehat pada Pasien Hipertensi
Hypertension is one of the most common causes of morbidity and mortality all over the world, also known as “the silent killer” because people with hypertension are without symptoms. West Sumatera Province reported that the prevalence of hypertension at the age 18 years has increased from 25,8% in 2013 to 31,7% in 2018. Successful strategies to manage the blood preasure depends on patients self-care management or the ability and willingness of the patient to change and maintain certain behavior.The purpose of this research is to determine the effect of self-education management of hypertension patients in the working area of primary health care in Bukittinggi.Design of this research is a quasi experimental design with pretest-posttest with control group. The sample which used were 62 respondents consist of 31 people in the intervention group and 31 people in the group control. Sampling was done by consecutive sampling technique. Data was analyzed Wilcoxon signed rank test and Mann Whitney test. The result of this research shows that there isn’t any effect of self education management to healthy behavior which includes exercise and healthy diet of the intervention group and the control group at community health center in Bukittinggi (mean rank after the intervention 0,05). Based on the result of this research it can be concluded that the habits of respondents who carry out light and medium activities every day and also education provided by primary health care have given big impact to respondent’s habits where they always do exercise and healthy diet in their daily life.The result of this research can be used as an input for primary health care to maintain and improve education of healthy behavior for hypertension patients
Hubungan Fatigue dengan Kejadian Excessive Daytime Sleepiness pada Perawat
Nurses hold an important responsibility for maintaining patients’safety. It has been known that fatigue and sleepiness may result in errors with negative consequences for patient safety. The purpose of this study was to examine the relationship between fatigue and excessive daytime sleepiness among nurses. This research design is descriptive correlation. The total sample in this study was 36 nurses. This research was conducted at the Special Eye Hospital Medan. Sampling using purposive sampling. Data collection using the Three-Dimensional Work Fatigue Inventory (3D-WFI) and The Epworth Sleepiness Scale. Data analysis using the Chi-Square test. The results of this study indicate that the majority of nurses experience tired fatigue as many as 22 respondents (61.1%) compared to 14 respondents (38.9%) not tired. Chi Square test showed an association between fatigue and excessive daytime sleepiness (EDS) in nurses (P = 0.000 <α 0.05). This study recommends nurses to optimize the work hours of nurses to overcome daytime sleepiness, and for nurses to maintain conditions in order to avoid excessive sleepiness which can cause adverse event
Karakteristik Bayi Baru Lahir dari Ibu Terkonfirmasi COVID-19
Corona Virus Disease 2019 (COVID-19) is a pandemic that began in the city of Wuhan in December 2019 and spread rapidly globally and has not ended until now. The COVID -19 infection is very deadly and no age is immune to the infection. Elderly people, pregnant women and newborns are the age group vulnerable to COVID -19 infection. Studies conducted so far have not revealed anything about vertical transmission of COVID -19 from mother to neonatus. The purpose of this study was to determine the characteristics of neonatus from mothers with confirmed COVID -19. The research method uses a retrospective principle with a cross sectional approach, the number of samples is 59 newborns from mothers with confirmed COVID -19. The results showed that there were only 4 babies (6.8%) who tested positive for mothers with confirmed COVID -19. The characteristics of newborns from mothers with confirmed COVID -19 are 31 neonatus (52.5%) are female, 46 neonatus (78%) have a normal weight between 2500-4000 grams, the majority of neonatus are born at a normal gestational age between 37-40 weeks, as many as 50 neonatus (84.7%) and most of them were born by cesarean section as many as 44 neonatus (74.6%). In general, newborns are able to adapt well, as indicated by the APGAR values in the first and fifth minutes including the normal category and no babies in the heavy category. However, almost all babies born to mothers with confirmed COVID-19 were given formula milk, namely 58 neonatus (98.3%). Therefore, it is hoped that it can be taken into consideration for leaders at research sites and related to be able to facilitate exclusive breastfeeding for newborns from mothers with confirmed COVID-19 while still implementing health protocols and considering the clinical conditions of mothers and neonatus because until now there are no reports that prove that COVID -19 can be transmitted through breastfeeding. The author also suggests that further research can be done to prove whether there is vertical transmission from mother to neonatus
Nutritional Investment for Pregnant Mother Through Utilization of Additional Local Foods Made of Carrots
According to nutritional monitoring nutritional status conducted by the Directorate of Public Health, 2017 showing that the percentage of pregnant women at risk of Chronic Energy Deficiency is 14.8%. One of the factors that can cause this problem is due to the lack of knowledge and skills of the mother to fulfill nutrition during pregnancy. Nutritional deficiencies in pregnant women should be avoided, to meet nutritional needs during pregnancy and prevent the consequences of malnutrition, additional food is needed. The type of supplementary food given to pregnant women can be in the form of local food-based PMT or manufacturer's PMT. In accordance with Minister of Health Regulation No. 51 of 2016 concerning Nutrition Supplementation Product Standards. Rumah Berastagi Village is one of the villages in Berastagi Subdistrict, Karo Regency which consists of 4 neighborhoods, one of them is Ujung Aji neighborhood which is the place of this community services. A total of 15 pregnant women are the target of antenatal care. The majority of the community are farmers that planting vegetables and fruits, and one of the vegetable they plant is carrot. The method of community services are education and training. The results of Community Service activities in June 2019, there was an increase in knowledge and skills of pregnant mother to utilized local based food –carrot- as additional nutrition. The results of the examination of Hemoglobin (Hb) levels are able to detect early complications during pregnancy
Self Efficacy: Performance Accomplishment dan Perilaku Merokok Remaja
Smoking behavior among teenagers has been increasing worldwide, triggering youth morbidity and mortality rates associated with smoking illnesses. Performance accomplishment, source of self-efficacy, has a significant influence on the high proportion of teenage smoking behavior. The purpose of this study was to assess the relationship between performance accomplishment and teenage smoking behaviors. The study was conducted on April 16 – 23, 2015 in Aceh Province, Indonesia. Data were collected by disseminating a Likert scale questionnaire, consisting of general perceived self-efficacy, including performance accomplishment. The population of this study were 4,856 students, with a total sample of 368 students from 13 senior high schools. The study employed an analytic observational research design with the stratified proportional random sampling technique. Bivariate analysis by Chi-square test was applied to examine the data, processed by using SPSS version 20.0. The results indicated that there were significant relationships between self-efficacy and teenage smoking behavior (p=0.0001) and between performance accomplishment and teenage smoking behavior (p=0.0001). This study concluded that performance accomplishment has been strongly associated with the smoking behavior among young adults
Uji Efektifitas Ekstrak Etanol Bawang Batak terhadap Keputihan yang Berlebihan pada Wanita Usia Subur
Batak onion plants contains flavonoids, triterpenoids, steroids, and saponins. Compounds that can inhibit bacterial growth are flavonoids. This type of research is a quantitative study using a true experimental research design (pure experiment) with a rancangan “pretest-posttes“ model. Namely, before the treatment was carried out, observations were made on the sample and after the treatment was also carried out several observations. Collecting samples, making simplicia, making extraction by maceration using 96% ethanol solvent, making thick extracts with concentrations of 15%, 20% and 25%. The effectiveness test was carried out in reducing excessive vaginal discharge by taking the vaginal discharge for women of childbearing age, then doing a pH test on the vaginal discharge and adding the ethanol extract of batak onions after that the pH test was again carried out. The results showed that the onion extract (Allium schoenoprasum L) concentrations of 15%, 20% and 25% were able to reduce excessive vaginal discharge in women of childbearing age and the results of vaginal pH examinations showed that the concentration of 25% was faster to stabilize vaginal pH which was too alkaline. For further researchers, it is recommended to formulate the ethanol extract of the onion hobo (Allium schoenoprasum L) into a solid soap or ovule preparation
Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan dan Sikap Siswa SMP Dharma Pancasila Tentang Manajemen Kesehatan Menstruasi
Menstrual Hygiene Management (MHM) is the management of hygiene and health when women experience menstruation. The main problem in adolescents related to menstruation is the lack of knowledge about MSM and poor water sanitation. Many girls don't have the right understanding that menstruation is a normal biological process. Community service aims to improve students' knowledge and attitudes about menstrual health management. The method used is socializing; identify the state of menstrual health service facilities in schools: bathrooms, water, information; carry out bathroom renovations; provide educational media about menstrual health management in the form of posters, videos, leaflets, modules and flip sheets. Pre-test and post-test aims to identify students' knowledge and attitudes about menstrual health management. Analysis of the data used is the dependent t test. The knowledge of students before being given health education majority was in the sufficient category and thereafter increased to good. Likewise, students' attitudes increase to be positive. The statistical test results obtained mean difference of 7.72 and P Value = 0.001, it can be concluded that there is a significant effect of health education on knowledge. For attitudes the mean difference is 1.62 and the P value = 0.001, it can be concluded that there is a significant influence on health education on student attitudes. Therefore it is suggested to the school to include this topic in the subject matter. So students can apply it early and their reproductive health can be maintained
Pengetahuan Remaja Anak Jalanan Tentang Bahaya Seks Bebas dan Penyakit Menular Seksual di Komunitas Peduli Anak Kelurahan Medan Maimun
Reproductive health and adolescent understanding of the dangers of free sex and sexually transmitted diseases in Indonesia is still low, this can be seen from the many cases of pregnancy outside of marriage, dating violence and abortion with high-risk drugs. Adolescent's understanding of reproductive health is a provision for adolescents to behave in a healthy and responsible manner. Not all adolescents have received sufficient and correct information about reproductive health. Street children are a group of children who are on the side of the road or on the road, who carry out activities in the hope of earning money for life. Knowledge and attitudes towards personal hygiene of reproductive organs are also poor in terms of research results. Therefore they need to be given counseling, guidance and support, so that healthy growth and development can occur so that one day these teenagers will become healthy adults physically, spiritually and socially through the formation of health cadres. This community service is carried out on street teenagers in the Community Caring for Children (KOPA) Medan Maimun. Medan city. The methods used in this activity are: 1. Health education with material on adolescent reproductive health, the dangers of free sex behavior and sexually transmitted diseases; 2. Cadre training; 3. Assistance of cadres in conducting counseling to peers (peer group). 4. Evaluation of the success of the program: post-test for outreach cadres and youth participants. The data analysis used was univariate. The number of respondents 25 people. The results showed that the majority of the Padang ethnic group (76%), junior high school education (54%), father and mother still (father 80% and mother 92%), education of 80% high school parents. The results of the questionnaire on knowledge were still there (44%) street children had not answered questions about the symptoms of HIV/AIDS. Symptoms of HIV/AIDS include fever, night sweats, continuous diarrhea, fatigue, and persistent coughing and weight loss. They also have not all answered correctly on the question of gangrene is a type of sexually transmitted infection (24%), mode of transmission of sexually transmitted diseases (20%); and HIV/AIDS can cause death (20%). This is because young children have never received this information either at school or from their parents. Researchers suggest that the KOPA manager should actively cooperate with the nearest PUSKESMAS to provide information about the dangers of free sex and sexually transmitted diseases
Pengaruh Terapi Perilaku Koqnitif Terhadap Gambaran Diri: Sistematika Review
Body image is a crucial factor in the formation of individual identity. Increasing body image on an individual requires an intervention which can change thoughts, feelings and attitudes affecting the behavior related to the whole body and its function. This systematic review evaluates the existed evidence to identify the effect of Cognitive Behavioral Therapy (CBT) on body image. The literature review is conducted by selecting the corresponding articles which are published between 2011 and 2017. Various databases used are CINAHL, EBSCO, Proquest, Pubmed, Science Direct, and Semantic Scholar. The inclusion criteria are the articles publishing original data, being fully written in English, researching human as an object and exploring the cognitive behavioral therapy and body image. There are eight articles that showed the effect of cognitive behavioral therapy on body image including reducing body image concern, reducing bad stigma towards body image and irrational beliefs on body changing, increasing body area satisfaction, improving appearance evaluation and improving a positive body image. The application of cognitive behavioral therapy is essential and effective in improving body image. This study recommends health professionals, especially nurses, to apply cognitive behavioral therapy in patients with various diseases involving body image disturbance
Pengaruh Teknik Relaksasi Benson Terhadap Penurunan Nyeri Pada Pasien Post Operasi Sectio Caesarea di RSUD Dr. Achmad Mochtar Bukittinggi
Cesarean delivery is increasingly in demand by pregnant women in developed and developing countries, this is because advances in science and technology are constantly developing, especially in the field of health. Physiologically, cesarean section surgery can have a post-operative effect that is pain. Pain management in postoperative cesarean section consists of pharmacological and non-pharmacological management. One technique that can be used to reduce pain scale in a non-pharmacological way is Benson's relaxation. The purpose of this study was to determine the effect of Benson's Relaxation Techniques on Pain Reduction in Post Sectio Caesarea Patients in Dr. Achmad Mochtar Bukittinggi in 2019. This study uses Quasi Experimental with the control group. The population in this study were all post-sectio caesarea patients in the Midwifery Room of RSUD Dr. Achmad Mochtar Bukittinggi. The sample of this study was 15 intervention groups and 15 control groups taken with the Non Probality Consecutive sampling technique. Performed in April - Juli 2020. The instrument in this study uses the Numeric Rating Scale (NRS). From the 20 respondents obtained the Independent Sample T-Test parametric test results p value 0.001 (p<0.005). This means that there is an effect of Benson's Relaxation Technique on Pain Reduction in Post Sectio Caesarea Patients at RSUD Dr. Achmad Mochtar Bukittinggi in 2020. With the knowledge of the Effect of Benson Relaxation is expected to be a nursing intervention in reducing pain in post cesarean sectio patients