Articles
Edukasi Perawatan Kaki Efektif dalam Meningkatkan Pengetahuan dan Perilaku Pasien Diabetes Mellitus
Sanny Frisca;
Dheni Koerniawan
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal
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DOI: 10.32583/keperawatan.v15i4.200
Diabetes mellitus tipe II merupakan penyakit yang ditandai dengan peningkatan kadar gula dalam darah yang dapat menyebabkan banyak komplikasi. Komplikasi DM yang sering terjadi pada pasien adalah ulkus kaki, karena pada umumnya pasien tidak menyadari adanya ulkus akibat neuropati yang dialami. Ulkus kaki dapat meningkatkan kebutuhan pengobatan dan perawatan pada pasien. Namun, ulkus kaki dapat dideteksi secara dini oleh pasien secara mandiri dengan melakukan pemeriksaan berkala pada kaki pasien. Pemberian edukasi diharapkan dapat meningkatkan pengetahuan pasien dan membuat pasien memiliki sikap yang baik dan pada akhirnya melakukan tindakan skrining yang diajarkan. Tujuan dari penelitian adalah mengetahui efektivitas edukasi terhadap peningkatan pengetahuan dan perilaku. Penelitian kuantitatif ini dilakukan terhadap 40 responden (20 kontrol dan 20 intervensi) dengan desain kuasi eksperimen pre-test dan post-test menggunakan purposive sampling. Hasil penelitian pengetahuan responden pada kelompok intervensi meningkat secara signifikan sebelum dan setelah edukasi dengan p-value 0,001, sementara tidak terjadi perbedaan pada kelompok kontrol. Perilaku responden pada kelompok intervensi meningkat secara signifikan sebelum dan setelah edukasi dengan p-value 0,046, sementara tidak terjadi perbedaan pada kelompok kontrol. Pengetahuan (p-value= 0,001) dan perilaku (p-value= 0,037) antar kelompok memiliki perbedaan secara signifikan, namun pada sikap tidak terlihat perbedaan signifikan. Perlu diberikan pendampingan untuk memaksimalkan hasil edukasi pada sikap dan perilaku. Perlu melakukan survey awal untuk kebiasaan pasien DM melakukan perawatan kaki dan alasan pasien tidak melakukannya.
Hiperglikemia sebagai prediktor kondisi kaki pada pasien Diabetes Mellitus
Dheni Koerniawan;
Sanny Frisca
Jurnal Anestesi Vol. 1 No. 2 (2023): April : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia
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DOI: 10.59680/anestesi.v1i3.337
The condition of the feet of DM patients is one of the indicators that must be studied in monitoring the incidence of ulcers. In DM patients, ulcer problems can occur as a result of vascular and neurological damage. Both causes are initiated through poor metabolic control as assessed by blood glucose levels. The purpose of this study is to analyze several factors that are theoretically and empirically related to the condition of the feet. This cross-sectional study was conducted on the DM group in Palembang city (n = 50), by filling out a characteristic questionnaire, examining foot conditions, and measuring fasting blood sugar levels. The research findings revealed that of all the factors tested with Kendall Tau, blood sugar levels were the only one that was significant (p-value = 0.002) so that it could be significant as a predictor of the condition of the feet. Controlling these levels is important in controlling the incidence of ulcers in patients. The next step that can be taken is to carry out a thorough examination of the patient's neurovascular condition with the Ankle Brachial Index (ABI) and the Michigan Neuropathy Screening Instrument (MNSI).
Korelasi Positif antara Sikap dengan Kepatuhan Minum Obat Pasien Hipertensi di Palembang
Dheni Koerniawan;
Sanny Frisca
Jurnal Keperawatan Vol 16 No 1 (2024): Jurnal Keperawatan: Maret 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal
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DOI: 10.32583/keperawatan.v16i1.1432
Hipertensi masih menjadi perhatian penting dalam upaya pengendalian tekanan darah demi mencegah komplikasi penyakit lain yang dapat timbul secara mendadak dan mengakibatkan disablitias penderitanya. Salah satu masalah yang sering muncul dalam kasus hipertensi adalah tekanan darah yang tidak stabil dan ketidakpatuhan minum obat menjadi salah satu penyebabnya. Hal yang cukup mendorong kepatuhan dari faktor internal individu adalah sikap. Penelitian ini bertujuan untuk mengetahui hubungan antara sikap dengan kepatuhan minum obat pasien hipertensi di Palembang. Penelitian ini menggunakan desain potong lintang dengan 89 sampel dan dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan bahwa mayoritas responden berjenis kelamin laki-laki, rerata usia 54,69 tahun, telah menderita hipertensi dengan rerata 7,29 tahun dan berada pada klasifikasi hipertensi derajat 1, serta rerata skor sikap 36,25 dan kepatuhan minum obat 34,56. Uji Pearson’s memperlihatkan adanya korelasi positif kuat yang signifikan antara sikap dan kepatuhan minum obat (r=0,71; p<0,001). Direkomendasikan bagi tenaga kesehatan untuk mengedukasi dan mendukung pasien hipertensi sehingga dapat meningkatkan sikap pentingnya patuh minum obat.
PENDAMPINGAN WARGA SOAK PERMAI KECAMATAN SUKARAMI DALAM MENINGKATKAN DERAJAT KESEHATAN DAN AMAN DARI COVID 19
Sebayang, Rosnita;
Sanny Frisca;
Aniska Indah Fari;
Veroneka Yosefpa Winda;
Keristina Ajul;
Abna Prayoga Pramono;
Luftiah Tri Agustina
Jurnal Pengabdian Ilmu Kesehatan Vol. 2 No. 2 (2022): Juli: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional
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DOI: 10.55606/jpikes.v2i2.303
Kasus COVID-19, semakin hari terus bertambah, berdasarkan data dari Gugus Tugas Percepatan Penanganan COVID-19 Republik Indonesia, jumlah kasus terkonfirmasi positif hingga 30 November 2020 adalah 534.266 orang dengan jumlah kematian 16.815 orang. Melihat data tersebut masih sangat mengkhawatirkan artinya masyarakat belum memahami tentang pencegahan penyebaran COVID-19. Resiko penyebaran ini dikarenakan tidak mematuhi protokol kesehatan seperti; menggunakan masker, mencuci tangan, dan menjaga jarak, maka diperlukan pendampingan untuk meningkatkan derajat kesehatan dan Aman dari Covid 19. Kegiatan pendampingan dalam bentuk penyuluhan kesehatan, untuk meningkatkan pemahaman masyarakat dalam mencegah dan meningkatkan derajat kesehatan dan aman dari COVID-19. Diharapkan kegiatan pendampingan ini memberikan dampak positif, bagi siswa/siswi untuk mematuhi protokol kesehatan.
Faktor Determinan Kondisi Kaki Pasien Diaetes Mellitus
Frisca, Sanny
Faletehan Health Journal Vol 10 No 03 (2023): Faletehan Health Journal, November 2023
Publisher : Universitas Faletehan
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DOI: 10.33746/fhj.v10i03.316
Diabetes mellitus (DM) is a chronic disease that can lead hyperglicemia condition. Hyperglicemia can cause macrovasculer, microvascular, and neurophaty diseases which lead to foot disease. To prevent it, patients need knowledge and practice of foot care. This study aimed to find factors that contribute to patient’s knowledge and foot condition. The data were collected by a questionnaire to assess patient’s knowledge and an observation checklist to assess patient’s foot condition. The bivariate analysis used Kendall Tau test and ordinal regression for multivariate. This study had 30 respondents with characteristic of pre-elderly age (56.7%), graduating from high school (76.7%), living with DM <1 year (53.3%), hyperglicemia (53.3%), low in knowledge (73.3%), and having a bad foot condition (73.3%). The results showed that respondents’ characteristics have no significant correlation to knowledge and foot condition. The analysis results of Kendall Tau test showed that hyperglicemia (τ=0.409; p=0.012) and patients’ knowledge (τ=0.480; p=0.015) significantly related to foot condition. Hyperglicemia and patients’ knowledge became predictor of foot condition with determinant coefision of 39.5%. Thus, if patients have a good knowledge and do not have hyperglicemia, they will achive a good foot condition. Therefore, education about foot care and how to stabilize blood sugar to the patients is necessary for further study.
Penerapan Perawatan Kaki Terhadap Resiko Ulkus Pada Penderita Diabetes Mellitus di Wilayah Kelurahan Sukarami
Feliciyanvi Uverni;
Sanny Frisca;
Novita Elisabeth Daeli
Jurnal Ventilator Vol. 2 No. 3 (2024): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia
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DOI: 10.59680/ventilator.v2i3.1237
Diabetes mellitus is a degenerative disease characterized by high blood sugar levels caused by impaired insulin secretion in the body. The main chronic complications in diabetes mellitus sufferers are macrovascular, microvascular and neuropathy. One of the consequences of peripheral neuropathy is ulcers. To prevent trauma to the feet or ulcers, you can provide foot care. This research aims to develop the application of foot care that contains the risk of ulcers in diabetes mellitus sufferers in Sukarami Village. This research uses qualitative research with a case study approach. There were 3 respondents who suffered from diabetes mellitus with inclusion and exclusion criteria. This research was carried out by providing foot care interventions carried out for 4 consecutive days in diabetes mellitus sufferers. The results of implementing EBP showed that there was an improvement in the condition of the respondents' feet. It is hoped that the results of this research will increase independent foot care behavior to prevent the risk of ulcers.
Penerapan Terapi Slimber Ice untuk Mengurangi Rasa Haus pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis
Margareta Ayu Mitasari;
Novita Elisaebth Daeli;
Sanny Frisca
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 1 (2025): Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/quwell.v2i1.1383
CKD patients undergoing hemodialysis need to manage fluid restrictions, fluid restrictions trigger thirst and cause hypervolemia which can worsen the patient's condition. The intervention of sucking ice cubes or slimmer ice can help reduce thirst and help patients manage fluids. The aim of this scientific work is to provide slimber ice therapy intervention to reduce thirst in Chronic Kidney Failure patients undergoing hemodialysis. This case study uses a descriptive method with a nursing process approach carried out on 3 respondents aged 19-56 years using a One Group Pretest Posttest research design and measured using the Visual Analog Scale (VAS) instrument before and after being given slimber ice therapy and analyzed by calculating the average value. The results showed that the age of the respondents was 19-56 years, gender was female for 1 respondent, male for 2 respondents. After being given slimber ice therapy to 3 respondents twice, when the patient underwent hemodialysis therapy twice a week, the average score for thirst was reduced from a VAS score of 5.1 (moderate thirst) to a score of 1.2 (light thirst) after being given the therapy. It is hoped that the results of this case study can be applied to reduce thirst and help limit fluids in CKD patients undergoing hemodialysis at Charitas Hospital Palembang.
Efikasi Diri Menurunkan Kendala dalam Berperilaku Sehat
Koerniawan, Dheni;
Sanny Frisca
Jurnal Ventilator Vol. 1 No. 1 (2023): Maret : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia
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DOI: 10.59680/ventilator.v1i1.338
Healthy behaviours are formed because individuals make decisions and commit to continuing habits that support the improvement or maintenance of health. Self-efficacy gives confidence to individuals to achieve goals to achieve good health conditions, but it is not uncommon for individuals to experience barriers in the commitment process. This study aims to determine the relationship between self-efficacy and barrier to healthy behaviour. Researchers used cross section as a research design to take parameters of 186 respondents taken randomly which then the data will be analyzed in descriptive and inferential correlations. The results showed that there was a significant moderate positive relationship between self-efficacy and obstacles to healthy behaviour. Therefore, it is recommended to provide health services that focus on increasing confidence in individuals in order to reduce the constraints felt and prescribed by individuals and can study other factors that can also reduce barriers in healthy behaviour.
EDUKASI DAN BRAIN GYM EXERCIES DALAM MENINGKATKAN KONSENTRASI BELAJAR REMAJA
Manurung, Aprida;
Pranata, Lilik;
Daeli, Novita E;
Frisca, Sanny
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram
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DOI: 10.31764/jmm.v9i2.30093
Abstrak: Remaja merupakan masa dimana seseorang lebih intens dengan peer group. Remaja memiliki tantangan untuk fokus berkonsentrasi dalam belajar karena penggaruh peer groupnya. Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas bekerja sama dengan SMK di Kota Palembang melakukan edukasi dan Brain Gym Exercies dengan tujuan agar remaja mendapatkan pengetahuan umum tentang konsentrasi belajar dan mampu melakukan brain gym exercies sebagai upaya untuk meningkatkan konsentrasi belajar. Kegiatan ini dilakukan dengan memberikan sosialisai dan mempraktikan Brain Gym Exercies. Adapun mitra dalam pengabdian ini adalah siswa kelas XI di SMK Kota Palembang sebanyak 60 siswa. Kegiatan evaluasi pengetahuan dilakukan menggunakan kuesioner tentang konsentrasi belajar sebelum dan setelah dilakukan edukasi. Terdapat peningkatan pengetahuan sebesar 85%. Evaluasi brain gym exercies dilakukan dengan Army Alpha Test sebelum dan setelah mempraktikan brain gym exercies, dengan hasil 40% remaja menunjukan peningkatan konsentrasi. Kegiatan Brain Gym Exercies ini diharapkan dapat dilakukan sebelum memulai proese belajar untuk meningkatkan konsentrasi belajar siswa.Abstract: Adolescence is a time when someone is more intense with their peer group. This adolescence has challenges to focus on concentrating on learning because of the influence of their peer group. The Faculty of Health Sciences, Musi Charitas Catholic University in collaboration with SMK in Palembang City conducted education and Brain Gym Exercises with the aim that adolescents gain knowledge about how to improve concentration and are able to do brain gym exercises as an effort to improve learning concentration. This activity was carried out by providing socialization and practicing Brain Gym Exercises. The partners in this service were 60 grade XI students at SMK Palembang City. Knowledge evaluation activities were carried out using questionnaires about learning concentration before and after education. There was an increase in knowledge of 85%. Evaluation of brain gym exercises was carried out with Grid Concentration Exercises before and after practicing brain gym exercises, with the results that 28% of adolescents showed increased concentration. This Brain Gym Exercise activity is expected to be carried out before starting the learning process to improve students' learning concentration.
Penerapan Terapi Relaksasi Benson terhadap Perubahan Tekanan Darah pada Pasien Hemodialisa di Rumah Sakit Palembang
Rizki Berliana;
Aniska Indah Fari;
Sanny Frisca
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 3 (2025): September : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.62383/quwell.v2i3.2284
Chronic kidney disease (CKD) that is left untreated can lead to serious complications, one of which is hypertension in hemodialysis patients. Intradialytic hypertension can impair quality of life and increase mortality risk. Benson relaxation therapy, which combines breathing techniques with the repetition of positive words, has the potential to lower blood pressure. The purpose of this research is to measured blood pressure during and subsequent to Benson relaxation therapy in hemodialysis patients. This quantitative research employed a pre-experimental methodological approach with a case study approach. The subjects consisted of 3 respondents selected from a population of 24 hemodialysis patients at a hospital. Blood pressure data were collected using a digital sphygmomanometer and analyzed descriptively. After three sessions of Benson relaxation therapy lasting approximately 10 minutes each, systolic blood pressure decreased with the maximum reduction of 18 mmHg and the lowest reduction of 2 mmHg, while diastolic blood pressure decreased with the maximum reduction of 20 mmHg and the lowest reduction of 1 mmHg. Benson relaxation therapy can reduce blood pressure in patients undergoing hemodialysis. Benson relaxation therapy may be considered as a non-pharmacological intervention to help lower blood pressure in hemodialysis patients. After three sessions of Benson relaxation therapy lasting approximately 10 minutes each, systolic blood pressure decreased with the maximum reduction of 18 mmHg and the lowest reduction of 2 mmHg, while diastolic blood pressure decreased with the maximum reduction of 20 mmHg and the lowest reduction of 1 mmHg. These results indicate that Benson relaxation therapy can significantly reduce blood pressure in hemodialysis patients. The therapy’s effectiveness in reducing blood pressure may be attributed to the deep breathing exercises and the relaxation response it induces, which helps to reduce the overall stress on the cardiovascular system.