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PENGARUH HOSPITALISASI TERHADAP TINGKAT KECEMASAN ANAK PRESCHOOL DI RUMAH SAKIT TK II PUTRI HIJAU KESDAM I/BB MEDAN Khairani, Ade Irma; Olivia, Nina
Jurnal Riset Hesti Medan Vol 3, No 2 (2018)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (423.758 KB) | DOI: 10.34008/jurhesti.v3i2.49

Abstract

Sick children have a different response in which the child has unusual anxiety by interacting with other people, it causes the child must undergo hospitalization. In Indonesia an estimated 35% of children undergoing hospitalization and 45% had anxiety. The purpose of this study was to determine the effect of hospitalization on the level of anxiety of preschool children in child inpatient hospital TK II Putri Hijau Kesdam I/BB city of Medan. This type of research is analytic survey with cross sectional design. The population in this study across Preschool children who were treated at the TK II Putri Hijau Kesdam I/BB Medan with the average monthly total of 35 patients. Samples used as many as 20 people using total sampling technique. The data were obtained using a questionnaire and analyzed by using Spearman Rank Test (Rho). The test results Spearman Rank (Rho) with the results obtained α = 0.05 p value = 0.001 (p value <α 0.05) and the correlation coefficient (ρ) with a value of -0.502 which can be concluded that there are significant and not the direction being between hospitalization support the preschool child's anxiety level. Thus, the better the hospitalization, the lower the anxiety levels of preschool children. It is expected that health professionals in order to work professionalism to achieve optimum service and maximum.Keywords: Hospitalization, Anxiety Levels, Preschool Children
Studi Kasus Pemenuhan Kebutuhan Perfusi Jaringan Serebral Pasien Stroke Haemoragik di Rumah Sakit TK II Putri Hijau Medan Tahun 2018 Mompang Tua Parlagutan; Ade Irma Khairani; Novalia Simanjuntak
Journal of Health Science and Physiotherapy Vol 1 No 1 (2019): Journal of Health Science and Physiotherapy
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Siti Hajar Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (502.411 KB) | DOI: 10.35893/jhsp.v1i1.13

Abstract

Stroke (cedera vaskular serebral (cerebral vascular accuident, CVA)), atau serangan otak adalah kondisi kedaruratan ketika terjadi defisit neurologis akibat dari penurunan tiba-tiba aliran darah ke area otak yang terlokalisasi. Stroke dapat iskemik atau haemoragik. Stroke haemoragik terjadi ketika pembuluh darah mengalami ruptur, darah meluber ke dalam ruang di sekitar neuron. Salah satu tanda dan gejala yang sering terjadi pada pasien Stroke Haemoragik adalah terjadinya Hipertensi. Desain penelitian ini merupakan penelitian deskriptif dengan 2 pasien pada Penyakit Stroke Haemoragik di Rumah Sakit Tk II Putri Hijau Medan. Adapun hasil yang didapatkan dari kedua responden pada penyakit Stroke Haemoragik yaitu Pemenuhan Kebutuhan Perfusi Jaringan Serebral kedua pasien terpenuhi namun waktunya yang berbeda dimana pasien I Pemenuhan Kebutuhan Perfusi Jaringan terpenuhi dihari ke 3, sedangkan pasien II Pemenuhan Kebutuhan Perfusi Jaringan Serebral terpenuhi pada hari kedua, hal ini dikarenakan perbedaan hasil tekanan darah dari kedua responden. Dari hasil diatas peneliti menyimpulkan bahwa dalam Pemenuhan Kebutuhan Perfusi Jaringan Serebral pasien Stroke Haemoragik memiliki perbedaan dikarenakan adanya hasil tekanan darah yang berbeda. Adapun saran dari hasil diatas kepada responden untuk selalu memperhatikan program pola pemenuhan kebutuhan perfusi jaringan serebral pada pasien penyakit Stroke Haemoragik.
Teknik Assertiveness Training dalam Penurunan Perilaku Kekerasan pada Pasien Skizoprenia di RS. Jiwa Prof. Dr. Muhammad Ildrem Medan Purwaningsih Purwaningsih; Ade Irma Khairani; Tio Elisa Marlina Lubis
Jurnal Riset Hesti Medan Vol 6, No 1 (2021)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v6i1.236

Abstract

Violent behavior is a form of aggressive or violent behavior that is shown verbally, physically or both to an object, other person or self that leads to the potential to be destructive or actively causes pain, danger and suffering. Assertiveness training is the application of behavioral training with the aim of assisting individuals in developing direct ways of relating in interpersonal situations. The increasing number of schizophrenic mental patients with violent behavior will have an impact on families and communities in the form of an economic burden and a decreased quality of life in carrying out daily activities. Qualitative research with assertiveness training technique is carried out as an application of behavioral training with the aim of helping individuals develop ways of direct contact in interpersonal situations. Based on the stages of applying assertive training techniques through group guidance, it shows that there is an increase in the patient's ability to express every problem he is facing. So it can be concluded that the implementation of assertive training techniques in revealing real patient problems through group activity guidance in hospitals. Hospital of Prof. Dr. Muhammad Ildrem Medan there have been developments and improvements.Violent behavior is a form of aggressive or violent behavior that is shown verbally, physically or both to an object, other person or self that leads to the potential to be destructive or actively causes pain, danger and suffering. Assertiveness training is the application of behavioral training with the aim of assisting individuals in developing direct ways of relating in interpersonal situations. The increasing number of schizophrenic mental patients with violent behavior will have an impact on families and communities in the form of an economic burden and a decreased quality of life in carrying out daily activities. Qualitative research with assertiveness training technique is carried out as an application of behavioral training with the aim of helping individuals develop ways of direct contact in interpersonal situations. Based on the stages of applying assertive training techniques through group guidance, it shows that there is an increase in the patient's ability to express every problem he is facing. So it can be concluded that the implementation of assertive training techniques in revealing real patient problems through group activity guidance in hospitals. Hospital of Prof. Dr. Muhammad Ildrem Medan there have been developments and improvements.
HUBUNGAN KEBIASAAN MAKAN DENGAN KEJADIAN OSTEOPOROSIS PADA LANSIA DI PUSKESMAS KUTALIMBARU KECAMATAN KUTALIMBARU KABUPATEN DELI SERDANG Purwaningsih Purwaningsih; Ade Irma Khairani
Jurnal Riset Hesti Medan Vol 3, No 1 (2018)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (321.446 KB) | DOI: 10.34008/jurhesti.v3i1.27

Abstract

Based on WHO data, osteoporosis is classified into 10 main degenerative diseases in the world there are ± 2000 million patients in the world with osteoporosis. In Indonesia, 19.7% of the elderly  or 3.6 million of people with osteoporosis. The increasing of incident of osteoporosis is related to the age and bad eating habits. The objective of this research is to analyze a correlation between the eating habit and osteoporosis to the elderly.This research was an analytic study with case control approach. This research was conducted in Puskesmas Kutalimbaru Regency of Deli Serdang. The population of this research were 190 persons. The sample was divided into 2 group (each group is consist of 95 persons). The analysis was univariable, bivariable using chi square and multi variable using multi logistic regression.The result of research indicates that the eating habit of elderly was related to the incident of osteoporosis significantly in Puskesmas Kutalimbaru sub district of Kutalimbaru, Regency of Deli Serdang, diet portion (p = 0.005, OR = 3.374), coffee consumption (p = 0.000, OR = 4.116) and green vegetables consumption (p; = 0.013, OR = 2.399). while variable that did not related to the osteoporosis to the elderly was water drink ( p = 0.512), milk consumption (p = 0.094) and fresh fruit consumption (p = 0.385). the dominant variable related to the osteoporosis to the elderly was coffee consumption. The elderly who always consume coffee  has a risk for osteoporosis 4.1 higher than elderly who did not or never consume coffee.The conclusion of this research is the osteoporosis to the elderly is related to the diet portion, consumption of coffee and green vegetables. It is suggested to the Puskesmas Kutalimbaru to provide the extension of health promotion about the nutrition content to the society with the target of elderly through society activities such as society gathering or religion gathering.Keywords : Eating Habit, Osteoporosis, Elderly
PERBEDAAN KECEMASAN PADA PASIEN YANG AKAN MENJALANI OPERASI BESAR SEDANG DAN KECIL Lermiana Br. Purba; Muchti Yuda Pratama; Ade Irma Khairani
Jurnal Riset Hesti Medan Vol 2, No 1 (2017)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.719 KB) | DOI: 10.34008/jurhesti.v2i1.33

Abstract

This study aims to look at the differences in anxiety in patients undergoing major surgery, medium, and small at the Hospital of Putri Hijau Medan. In line with the existing theory, to test the validity and reliability on the test the validity of measuring instruments, it turns out that valit 46 grain and based on the degree of reliability is equal to 0969. Measuring instrument used in this study had a high level of reliability (very reliable). To be able to analyze the data of this study tested the assumption that the distribution normality test and homogeneity test group. Based on the test normality distribution calculation kosmogorov-Smirnov shows research data analyzed has a distribution that is normally indicated by coefficient KS of 0.122 with P> 0.05 (P = 0089) three groups were used in this study is homogeneous with a coefficient of homogeneity of 2,724 with P > 0.05 (P = 0.077). Calculation of data analysis used in this research is the statistical analysis ANOVA one lane. Turns showed no differences were very signivikan anxiety among patients who will face major surgery, medium, and small, which is indicated by coefficient F = 17 385 with P <0:01 (P = 0:00). It turned out that patients undergoing major surgery  experience exyety at 103.73 100.07 Medium,skall amounting to 996.20Keywords: Difference anxious small medium and large operations
Faktor yang Mempengaruhi Kesulitan Berhenti Merokok pada Mahasiswa Akper Kesdam I/BB Medan Ade Irma Khairani; Suvi Novida; Muchti Yuda Pratama
Jurnal Kesmas Asclepius Vol 1 No 2 (2019): Jurnal Kesmas Asclepius
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jka.v1i2.947

Abstract

This study aims to determine the factors that influence the difficulty of Akper Kesdam I / BB Medan students to stop smoking. The research design that will be used is descriptive qualitative with a phenomenological study approach. The results showed all informants started smoking while still in school. From 12 informants, found 6 (50%) informants started smoking while sitting in high school, 4 (33%) informants started smoking while sitting in junior high school, and found 2 (17%) informants started smoking while still sitting in elementary school. Conclusion, the difficulty factor for the students of Akper Kesdam I / BB Medan to stop smoking is self (personal), addiction to cigarettes, the influence of the social environment, peers, ease of getting cigarettes and the existence of people who become role models of smoking. Keywords: Stop Smoking, Difficulty Factors
Discharge Planning Kepatuhan Minum Obat Pada Pasien Gagal Jantung Kongestif di Rumah Sakit TK II Putri Hijau Medan Vinky Wi Sheti Sinaga; Rani Sartika Dewi; AdeIrma Khairani
MAHESA : Malahayati Health Student Journal Vol 3, No 1 (2023): Volume 3 Nomor 1 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.847 KB) | DOI: 10.33024/mahesa.v3i1.8569

Abstract

ABSTRACT Congestive heart failure is a physiological condition in which the heart cannot pump enough blood to meet the body's metabolic needs. The number of deaths caused by congestive heart failure in the world is 17.9 million people. The prevalence of congestive heart failure in Indonesia is 98,336 people. The prevalence of congestive heart failure in North Sumatra is 55,351 people. One of the causes is due to non-adherence of patients taking medication. Efforts that can be made to improve adherence to taking medication are the provision of discharge planning. This research method is a descriptive study with a case study design covering the stages of assessment, diagnosis, intervention, implementation and evaluation in two congestive heart failure patients at TK II Putri Hijau Medan Hospital. The results of the study were obtained after administering the discharge planning medication adherence to clients I and II clients taking medication 3x1 days regularly, the patient knows the correct principles of taking medication. The conclusion from the results of this study is that discharge planning is effective in increasing medication adherence in congestive heart failure patients. Suggestions from researchers to encourage people with congestive heart failure to adhere to taking medication. Keywords: Discharge Planning, Medication Compliance, Congestive Heart Failure ABSTRAK Gagal jantung kongestif adalah kondisi fisiologis dimana jantung tidak dapat memompa darah yang cukup untuk memenuhi kebutuhan metabolik tubuh. Jumlah kematian yang disebabkan oleh gagal jantung kongestif di dunia sebanyak 17,9 juta orang. Prevalensi gagal jantung kongestif di Indonesia sebesar 98.336 orang. Prevalensi gagal jantung kongestif di Sumatera Utara sebesar 55.351 orang. Salah satu penyebabnya adalah karena ketidak patuhan pasien minum obat. Upaya yang dapat dilakukan untuk meningkatkan kepatuhan minum obat yaitu pemberian Discharge planning. Metode penelitian ini adalah penelitian deskriptif dengan rancangan studi kasus meliputi tahapan  pengkajian, diagnosa, intervensi, implementasi dan evaluasi pada dua pasien gagal jantung kongestif di Rumah Sakit TK II Putri Hijau Medan.  Hasil penelitian  didapatkan setelah  pemberian  discharge planning  kepatuhan minum obat pada klien I dan II klien minum obat 3x1 hari secara teratur, pasien mengetahui prinsip benar minum obat. Kesimpulan dari hasil penelitian ini adalah pemberian discharge planning efektif dalam meningkatkan  kepatuhan minum obat pada pasien gagal jantung kongestif. Saran dari peneliti agar menganjurkan penderita gagal jantung kongestif untuk patuh minum obat. Kata Kunci: Discharge Planning, Kepatuhan Minum Obat, Gagal Jantung Kongestif
PENGARUH PENDIDIKAN KESEHATAN GIGI DAN MULUT DENGAN ALAT PERAGA TERHADAP KEMAMPUAN MENGGOSOK GIGI PADA SISWA KELAS I SD NUR CAHAYA MEDAN SELAYANG Purwaningsih Purwaningsih; Evamona S2; Ade Irma Khairani
Jurnal Kesehatan dan Fisioterapi Vol 3, No 3 (2023): Jurnal KeFis - Juli 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pendidikan kesehatan gigi dan mulut memiliki peran penting dalam mempromosikan perilaku kesehatan gigi yang baik, terutama di kalangan anak-anak. Gigi dan mulut yang sehat adalah faktor krusial dalam mempertahankan kesejahteraan umum dan mencegah masalah kesehatan jangka panjang. Menjaga gigi dan mulut sejak usia dini menjadi bagian penting dalam upaya pencegahan penyakit gigi yang lebih serius di masa depan. Dalam konteks ini, penelitian ini akan menyelidiki pengaruh pendidikan kesehatan gigi dan mulut dengan alat peraga terhadap kemampuan menggosok gigi pada siswa kelas 1 SD Nur Cahaya Medan. World Health Organization (WHO), untuk angka kejadian karies mencapai 80-95% di bawah umur 12 tahun terserang karies. Diperkirakan bahwa 90% dari anak-anak usia sekolah di seluruh dunia pernah menderita karies. Di Asia dan Amerika mempunyai masalah karies gigi yang cukup tinggi, dibandingkan di Afrika. Di Amerika Serikat, karies gigi merupakan penyakit kronis anak-anak yang sering terjadi dan tingkatnya 5 kali lebih tinggi dari asma. Rumusan masalah penelitian ini adalah bagaimana pengaruh pendidikan kesehatan gigi dan mulut yang disajikan dengan bantuan alat peraga terhadap kemampuan siswa kelas 1 SD Nur Cahaya Medan Selayang dalam melakukan proses menggosok gigi secara efektif. Penelitian ini bertujuan untuk menganalisis pengaruh pendidikan kesehatan gigi dan mulut yang disampaikan melalui penggunaan alat peraga terhadap kemampuan menggosok gigi pada siswa kelas 1 SD Nur Cahaya Medan Selayang. Metode penelitian ini menggunakan rancangan pra-eksperimental dengan menggunakan one-group prestest posttest design, dengan tekhnik sampling yang digunakan adalah total sampling dimana semua populasi dijadikan sample yaitu sebanyak 34 responden. Instrumen yang digunakan pada penelitian ini untuk variabel independen adalah diberikan penyuluhan dan untuk variabel dependen menggunakan lembar observasi. Penelitian ini dianalisis dengan uji wilcoxon sign rank test dengan hasil p value= 0.001 (p= <0.05) artinya ada pengaruh pendidikan kesehatan gigi dan mulut dengan alat peraga terhadap kemampuan menggosok gigi pada siswa kelas I SD Nur Cahaya Medan. Pendidikan kesehatan gigi dan mulut dengan menggunakan alat peraga dapat meningkatkan kemampuan bagi siswa Sekolah dasar dan diharapkan mampu menggosok gigi dengan benar.Kata Kunci: Pendidikan Kesehatan1, Kemampuan2, Alat Peraga3, Menggosok Gigi4
Pengaruh Pemberian Kompres Hangat terhadap Penurunan Disminorea pada Remaja Putri di SMA Nurcahaya Medan Purwaningsih, Purwaningsih; Sinuraya, Evamona; Jundapri, Kipa; Khairani, Ade Irma
Jurnal Riset Hesti Medan Vol 8, No 2 (2023): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v8i2.320

Abstract

Dysmenorrhea, characterized by cramping in the lower abdomen, varies in severity from mild to severe and is influenced by the duration of menstruation and the amount of menstrual blood (Husna, 2018). According to the World Health Organization, approximately 90% of women worldwide experience dysmenorrhea, with 10-15% suffering from severe cases. Non-pharmacological treatments, such as warm compresses, need to be developed. In Indonesia, 55% of women of reproductive age suffer from dysmenorrhea, which can be disruptive despite generally not being dangerous. The Indonesian Ministry of Health (2020) reported that 37% of students in Indonesia have experienced dysmenorrhea at school, with a national incidence rate of 64.25%, including 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. Over the past 50 years, it has been recorded that 75% of women experience menstrual pain, with primary dysmenorrhea symptoms usually occurring in women of reproductive age and those who have never been pregnant, and 61% of unmarried women affected (Syamsuryanita & Nurul Ikawati, 2020). This study aims to analyze the effect of warm compress application on reducing dysmenorrhea in adolescent girls. A quantitative pre-experimental design was employed, involving a one-group pretest-treatment-posttest approach. The population consisted of 30 students at Nurcahaya High School Medan, with a sample size determined using the Slovin formula. The results showed that before applying warm compresses, 23.33% of respondents reported a pain scale of 6, while after treatment, 23.3% reported a pain scale of 2. The average pain level decreased from 5.69 before treatment to 4.05 after treatment. The Wilcoxon test indicated a significant effect of warm compresses on reducing dysmenorrhea pain (Asymp.Sig < 0.05), with an average score difference of 1.64. In conclusion, warm compress therapy significantly reduces dysmenorrhea intensity in adolescents, evidenced by the shift from moderate to mild pain levels, supported by a significant level of 0.000 < 0.05.
Asuhan Keperawatan pada Pasien Dispepsia di Rumah Sakit Tk. II Putri Hijau Manik, Yurike Pricilia; Khairani, Ade Irma; Dewi, Rani Sartika; Suharto, Suharto; Simamora, Endang Roswati
PubHealth Jurnal Kesehatan Masyarakat Vol. 2 No. 4 (2024): Edisi April
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v2i4.506

Abstract

  Dispepsia merupakan kumpulan gejala saluran pencernaan bagian atas yang meliputi rasa nyeri atau rasa tidak nyaman pada area gastro duo denum (epigastrium/ulu hati), rasa penuh terbakar, mual muntah, rasa cepat kenyang, terasa kembung, dan banyak mengeluarkan gas asam dari dalam mulut. Dispepsia adalah suatu penyakit yang tidak menular, yang menyerang saluran pencernaan bagian atas dan banyak terjadi dikalangan masyarakat. Dispepsia merupakan kumpulan gejala atau sindrom yang setiap keluhannya timbul biasanya berbeda beda pada masing-masing individu. Tanda dan gejala yang sering terjadi pada pasien dispepsia yaitu mengalami nyeri dapat tercermin dari perilaku pasien misal dari suara (menangis) ekspresi wajah (meringis, dan mengigit bibir) pergerakan tubuh (gelisah) interaksi sosial (menghindari percakapan).. Penelitian ini adalah penelitian studi kasus untuk mengungkapkan asuhan keperawatan pada pasien dispepsia. Intervensi dan pelaksanaan tindakan asuhan keperawatan pada pasien dispepsia yang dilakukan yaitu pemberian obat analgetik terhadap 2 klien yang mampu menurunkan nyeri pada pasien dispepsia. hasil evaluasi antara kedua klien didapatkan hasil yang sama pada pasien I (Ny.Y) dan pasien II (Nn.A) semua masalah bisa teratasi di hari ke 3 dengan Tindakan pemberian obat analgetik selama 10-20 menit pada pasien dispepsia. Setelah dilakukan pemberian terapi nyeri berkurang dari skala nyeri 6 dan 9 menjadi skala nyeri 3 (0-10).