Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan
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Hubungan Dukungan Keluarga dengan Tingkat Harga Diri pada Penderita Stroke di Rumah Sakit Umum Royal Prima Medan
Stroke is a condition where a part of the brain is suddenly disturbed which is caused by a lack of blood supply, which causes an inhibition of metabolic processes. As a result of a stroke affects the psychological function of the patient, so the patient feels his level of self-esteem decreases or is low. The role and support of families play an important role in the rehabilitation process to provide health services for stroke patients. The aim is to find out the relationship of family support with the level of self esteem (self-esteem) in stroke patients at the Royal Prima Medan Hospital in 2019. The design used a "cross sectional study" approach with a population of 2,690 people. Samples were stroke patients at RSU Royal Prima medan, as many as 25 respondents using accidental sampling techniques and questionnaires as research instruments. The test used is the chi-square test. The results of the study Based on the chi-square test found p value (<0.05) statistically shows that there is a relationship between family support and the level of self esteem (self-esteem) in stroke patients specifically there is a relationship between informational support (p-value = 0.009), assessment support (p-value = 0.003), Instrumental support is obtained (p-value = 0.009), Emotional support (p-value = 0.004) with the level of self esteem (self-esteem) in stroke patients. This research shows that good family support will positively impact the level of self esteem (self-esteem) in stroke patients
Hubungan Karakteristik dan Tekanan Sosial dengan Perilaku Berisiko Penularan HIV/AIDS
HIV / AIDS in Indonesia was concentrated in certain population groups (key populations) who have a high risk of HIV transmission related to their behavior, one of which is loading worker. This study aims to determine the relationship of characteristics and social pressures with risk behaviors of HIV / AIDS transmission in loading workers in Port of Padang City. This type of research was analytic with cross sectional design. This research was conducted from January - April 2019 at the Port of Padang City. The study population numbered 834 people and a sample of 90 people. Sampling was done by cluster sampling technique. Primary data collection is done by interview using a questionnaire. Data analysis includes univariate analysis and bivariate analysis. The results showed no relationship between age, education, and ethnicity with HIV/AIDS risk behavior in loading workers. There was a relationship between social pressure and HIV/AIDS risk behavior in loading workers. It is recommended to Koperbam to provide information routinely on HIV / AIDS risk behavior in loading workers. It is also recommended that Koperbam cooperate with the local health center to carry out an HIV check
Efektivitas Penerapan Discharge Planning Terhadap Kesiapan Pulang dan Kepuasan Pasien Congestive Hearth Failure (CHF) Di Murni Teguh Memorial Hospital
Congestive Hearth Failure (CHF) is one of the biggest contributors to death in the world. The recurrence of recurrence after hospitalization in CHF patients increases every year due to lack of knowledge of the disease, treatment to be undertaken and care after returning from health services. One effort that can be done in reducing the recurrence rate in patients with CHF yaiyu is by planning treatment activities that will be undertaken by patients starting from thebeginning of entering health services until planning to go home.Discharge Planning is a process that starts when a patient enters health services to return home from health services so that patients get continuous health care both in the healing process and in maintaining their health status until the patient feels ready to return to his environment and is satisfied with treatment that has been undertaken in health services. The purpose of this study was to determine the effectiveness of the application of discharge planning to the readiness of returning home and patient satisfaction of Congestive Heart Failure (CHF) patients at Murni Teguh Memorial Hospital. The research method that will be used in this study is Quasi Experiment (quasi-experimental) post test only non equivalent control group, where in this design there are no restrictions on randomization when entering subjects into the treatment group or the control group. The sample in this study were 90 respondents (45 treatment group respondents and 45 control group respondents). The sampling technique in this study with non probability techniques with consecutive sampling approach. Bivariate analysis is performed to test hypotheses or to determine the effectiveness of the relevant variables used are non-parametric statistics with the type of test mann withney t-test. The results of the study are significant if the p value is less than 0.05 (p value <0.05). The results of this study indicate that the application of discharge planning is effective in increasing the readiness and satisfaction of CHF patients
Efektivitas Gel Ekstrak Biji Putat Air [Barringtonia racemose (L) Spreng] terhadap Penyembuhan Luka Diabetik di Perawatan Luka Asri Medan
Diabetes mellitus (DM) is a serious chronic disease that occurs when the pancreas does not produce enough insulin (a hormone that regulates blood sugar or glucose), or when the body cannot effectively use the insulin it produces. The basic health research report (RISKESDAS), shows that the prevalence of diabetes mellitus in Indonesia is 6.9%. North Sumatra data on the prevalence of diabetes mellitus is 1.8% or around 160 thousand people. Problems that arise in patients with DM include the emergence of DM ulcers. These diabetic ulcers or wounds usually often occur on the hands or feet of the patient. The prevalence of diabetic wounds in Indonesia is around 15%, the amputation rate is 30%, the mortality rate is 32% and diabetic wounds are the most common cause of hospitalisation at 80%. A natural material that can be used as an alternative biological therapy for wound management is putat air [Barringtonia racemosa (L). Spreng]. This plant contains many saponins that are useful as anti-inflammatory, antinociceptive and help the proliferation process by increasing collagen production. The effectiveness and convenience of using putat air (B. racemosa) seed extract on diabetic wounds is improved by formulating it into a gel dosage form with carbopol 940 as the base material. This study aims to identify the effectiveness of putat air (B.racemosa) seed gel on diabetic wound healing. The research design was quasy experiment pre post design. The number of samples was 32 people. The sampling technique was total sampling. The research was conducted at Asri Wound Clinic Medan. The instrument used for diabetic wound monitoring was Bates Jonson Assessment Tool (BWAT). Data analysis using paired t test. The results of the wound assessment of respondents for 4 times with an interval of 4 days. The 4th observation showed a decrease in score. Based on the BWAT wound healing continuum, the respondents' wound conditions were still in the wound degeneration phase. The majority of the wound area 50%; the edge of necrosis tissue is sticky, soft and there is black false scarring (black eschar); the amount of necrosis tissue > 50% of the wound bed; the skin colour around the wound is dark red; oedematous tissue < 4mm around the wound; granulation tissue 25 and epitalisation < 25%. The statistical test results of the difference in mean 3.782 and P value = 0.001 (<0.05), it can be concluded that there is a significant difference in the wound healing scores of respondents before and after the intervention. This study proves that the gel of putat air (B. racemosa) seed extract can be used as an alternative to diabetic wound healing, especially in the inflammatory phase as auotolysis
FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK (GGK) YANG MENJALANI TERAPI HEMODIALISA DI RSU ROYAL PRIMA MEDAN
Chronic Kidney Disease is a process where the kidney gradually become out of function in more than three months. World Health Organization (WHO) states that the growth of chronic kidney disease sufferers globally in 2013 increased up to 50% from the previous year, in 2014, chronic kidney disease sufferers in United States of America increased up to 50% and every year that are approximately 200.000 people in United States of America undergoing hemodialysis. The objective of this study is to identify factors affecting the quality of life of chronic kidney disease patients that undergo hemodialysis therapy in Royal Prima Medan Hospital in 2019. This study uses descriptive analytic study with Cross Sectional approach. The population in this study are 70 people, and 70 people as samples with total sampling technique. The result of this study shows that there is no connection between age and the quality of life of chronic kidney disease patients that undergo hemodialysis therapy (p value = 0,910 > 0,05), no connection between gender and quality of life (p value = 0,599 > 0,05), no connection between education background and quality of life (p value = 0,943 > 0,05), and there is a connection between the duration of hemodialysis with quality of life (p value = 0,001 < 0,05). The patients are expected to obey the hemodialysis therapy in order to achieve a good quality of life.
PENGARUH PULMONARY REHABILITATION PROGRAM TERHADAP PENINGKATAN KUALITAS HIDUP PASIEN PENYAKIT PARU OBSTRUKSI KRONIK DI INSTALASI RAWAT INAP ROYAL PRIMA MEDAN
Chronic obstruction pulmonary disease (COPD) is a health problem that currently exists worldwide. Pulmonary disease of chronic obstruction requires special attention, in patients of chronic obstruction of lung disease subjected to limited activity, physical and psychological disorders so that it will affect the quality of his life. One of the efforts that can be done to improve the quality of his life is the granting of Pulmonary Rehabilitation Program. The study aims to determine the influence of Pulmonary Rehabilitation Program on improving the quality of life of chronic obstruction lung disease in hospital inpatient installations of Royal Prima Medan. This research is pre-ecperimental research. The large sample is 10 people. Samples taken using accidental sampling technique are aksidental sampling (accidental). The instruments used are the Pulmonary Rehabilitation Program and the questionnaire sheet of life quality. The test used in the study uses the Wilcoxon test. The results of the statistical test in the study obtained p value 0.014 can be concluded there is a significant influence between the pulmonary rehabilitation of the program on improving the quality of life of chronic obstruction pulmonary disease patients. The advice of this research is expected for the hospital especially the nurse further increase the pulmonary rehabilitation of the program especially in patients with chronic obstruction of lung disease to improve the quality of life.
PEMBERDAYAAN WANITA: PELATIHAN DAN MANAJEMEN LAKTASI PADA IBU BEKERJA DI INSTITUSI PENDIDIKAN DI MEDAN
Breast Milk is one of the world health organization programs. The profile of Indonesia's health data for 2015 shows the scope of administration. Exclusive breastfeeding in Indonesia is still low, the percentage of infants breastfeeding exclusively 0 to 6 months is 55.7% lower than in 2011, which was 61.5%. Some of the problems related to achieving exclusive breastfeeding in North Sumatra Province are that there are still many institutions that employ women not giving an opportunity for mothers who have babies 0-6 months to carry out exclusive breastfeeding as evidenced by the unavailability of lactation rooms and supporting devices; and there are still many health workers at the service level who have not cared for or have not side with the fulfillment of the baby's right to get exclusive breastfeeding. For this reason, the team from the Universitas Sumatera Utara, Faculty of Nursing sought to increase the coverage of exclusive breastfeeding specifically by making facilities for breastfeeding mothers and increasing breastfeeding knowledge and skills through community service about Lactation Management. All mothers have the knowledge and ability to carry out lactation management. It is expected by these two educational institutions, so that the team can continue to carry out community service in these two places.Keywords: women's empowerment, lactation managemen
PENGETAHUAN WANITA TENTANG KANKER PAYUDARA
Introduction about breast cancer is very important in order to decrease new cases through the efforts of prevention and early detection to make it easier to recognize the risk factors and symptoms of breast cancer. This community service activities aiming to identify women's ability to detect early breast cancer. This community service activities performed on May to October 2018 in the UPT PUSKESMAS PB SELAYANG II Medan. The method of implementation of community service activities started by measuring the level of knowledge about society and the cadre of breast cancer, followed by the giving of material (counseling) about breast cancer by SADARI. Results dissemination instruments of knowledge work in the area of women's health centers on breast cancer obtained that 30 women (60%) have less knowledge about breast cancer. For it to do a follow-up to train cadres and taught to the community to recognise and assess the risk factors in a sustainable way next taught how about SADARI techniques and further stages need to be done breast exam by using breasligh
STUDI KASUS PEMENUHAN BERSIHAN JALAN NAFAS PADA PASIEN TB PARU DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN TAHUN 2018
Background of pulmonary tuberculosis is an infective disease caused by a microbacterium tuberculosis basil which is one of the breathing diseases under parts most tuberculosis bacilli enter the lung tissue through airbone infection and then undergo a process known as the primary focus of ghon. The main symptoms of pulmonary tuberculosis are coughing for two weeks or more, cough accompanied by phlegm, sputum mixed with blood, difficulty breathing, weakness, loss of appetite, weight loss. One of the signs and symptoms of tuberculosis are coughing accompanied by phlegm and will lead to the ineffectiveness of the respiratory tract hygiene is not effective. Effective coughing is a nursing activity to clear secretions in the airway, which serves to improve secretion mobilization and prevent high risk of retention of secretions. After being given an effective cough action within 1 x 24 hours, the patient is expected to experience an increase in airway clearance in pulmonary TB patients at the Second Putri Hijau Hospital in Medan. The design of this study was a descriptive study with 2 pulmonary TB patients at the Second Putri Hijau Hospital in Medan. The results obtained from the two respondents in patients with pulmonary TB that fulfillment of airway clearance is met, but the time is different because the age is different from the two respondents. From the above studies it can be concluded that teaching coughs can effectively increase secretion mobilization. The advice from researchers is to always pay attention to the treatment program by always monitoring and evaluating the actions of teaching effective cough to patients with pulmonary TB.Keywords: pulmonary tuberculosis, respiratory hygiene, effective coug
ANALISIS HUBUNGAN PELAKSANAAN PROMOSI KESEHATAN DENGAN KUNJUNGAN IBU BALITA KE POSYANDU DI PUSKESMAS NANGGALO DAN PUSKESMAS LUBUK BUAYA KOTA PADANG TAHUN 2015
The role of health promotion is very important in anticipating the behavior of the public to know, willing and able to mobilize mothers to Posyandu. But, the process of behavioral change in society is not easy, it is seen at the Nanggalo Health Center which has a rate visit new mothers to Posyandu is 43.2% and highest 77.1% in Puskesmas Lubuk Buaya with a target of 80%. The research has done in February until August 2015 was conducted using qualitative research methods, the research location in Nanggalo Health Center and Lubuk Buaya Health Centre in Padang City. The qualitative data was collected using interview guideline to 6 informants, document analysis and observation. Qualitative data processing by triangulation. At Nanggalo and Lubuk Buaya Health Centre there is no technical rule, financial resources, and Region Budget Income and Health Operational Financial. At Nanggalo Health Centre, Health Promotion Officer as posyandu officer, and then at Lubuk Buaya Health Centre Health Promotion Officer as activity coordinator. Lubuk Buaya Posyandu stay at citizen home and facilities are available but in Nanggalo hasn’t. Partnership and empowerement Lubuk Buaya Health Centre run as expected compare Nanggalo Health Centre cause of that the mother to visit posyandu almost reach of target. Health Centre make technical rule and decision letter to hold posyandu training, and health promotion manual direction.Keywords : Analysis Health Promotion (Advocacy, Partnership, Community Empowerment), Visit Mother Toddle