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IMPACT OF PATIENT SATISFACTION IN THERAPEUTIC COMMUNICATION ASPECTS AFTER IMPLEMENTATION OF CLINIC SUPERVISION BY NURSE MANAGER Grace Aneke Merentek; Asnet Leo Bunga; Wilhemus Hary Susilo
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (786.508 KB) | DOI: 10.47718/jpd.v7i1.802

Abstract

Background: Nursing is an activity of providing care to individuals, families, groups or communities both sick and healthy as a form of professional service where the nursing practice is a service organized by nurses in the form of nursing care. One of the tasks of the nursing manager is to coordinate through supervision/supervision. Aims: This study aims to analyze, explore the effect of training and implementation of clinical supervision on nurse-patient therapeutic communication. Methods: This study used quasi-experimental design research before and after post control group. The number of samples in this study was 100 respondent nurses and patients who were divided into 75 intervention groups who were given training and implementation of supervision and control groups of 25 respondents. Results: The study showed that the improvement in the supervision capability of the headroom clinics increased significantly (p = 0,000) after training and implementation of clinical supervision. Patient satisfaction with therapeutic communication has increased with a value (p = 0,000). Conclusion: Implementation of clinical supervision contributed to patient satisfaction and therapeutic communication of patient nurses by 17.6%, while 82.4% was influenced by other variables (quality of service, hospital products). This study further recommends the implementation of clinical supervision to be one of the models in developing the quality of nursing services.
IPSWICH TOUCH TEST SEBAGAI METODE SEDERHANA DALAM MENDETEKSI DIABETIC POLYNEUROPATHY (DPN) : LITERATURE REVIEW Paridah Paridah; Ana Damayanti; Indrawati Indrawati; Grace A Merentek; Sofyawati Yunus
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 8 No 02 (2020): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v8i02.1065

Abstract

ABSTRAK Penderita Diabetes Melitus (DM) memiliki potensi untuk menyebabkan banyak komplikasi baik yang dikelola dengan baik atau tidak dan banyak dari mereka tidak menyadari hal tersebut. Gangguan sensasi pada ekstermitas bawah, merupakan gejala awal komplikasi DM yang akan menjadi cikal bakal terjadinya Diabetic Foot Ulcer (DFU). Studi literature ini bertujuan untuk menampilkan hasil dari beberapa penelitian yang menggunakan IpTT dalam penelitian terhadap deteksi neuropati pada pasien DM. Metodologi yang digunakan untuk tinjauan ini adalah hasil telaah dari beberapa penelitian tentang ”Ipswich Touch Test” yang dipublikasi pada tiga data base. Kami mengkategorikan studi berdasarkan tipe DM, metode penelitian yang dilakukan adalah ah Randomize Controlled Trial dengan systematic review. Kami membandingkan kesimpulan penelitian berdasarakan tingkat sensibilitas klien diabetes pada daerah perifer/DPN dengan IpTT. Temuan kami menunjukkan bahwa IpTT merupakan salah satu metode yang reliabel, valid mudah, murah dan tidak menimbulkan bahaya serta dapat diajarkan kepada pasien dan keluarga dalam mendeteksi risiko Diabetic foot ulcer (DFU) pada penderita diabetes. IpTT juga memiliki nilai prediktif negatif yang tinggi dan keakuratan yang sangat baik bila dibandingkan dengan metode skrining standar mendukung perannya sebagai alat skrining untuk mendeteksi risiko DFU pada pasien diabetes. Kesimpulannya adalah IpTT merupakan salah satu metode untuk menilai tingkat sensibilitas pasien DM yang cukup sensitif, efektif, spesifik, mudah dilakukan tidak memerlukan biaya maupun alat serta tidak menimbulkan bahaya baik bagi pasien maupun pemeriksa dan dapat dilakukan oleh siapapun. Kata kunci: Ipswich Touch Test, neuropati, sensibilitas ABSTRACT People with diabetes mellitus (DM) have the potential to cause many complications no matter how well-managed and most of them are unaware. Impaired sensation in the lower extremity, is an early warning of DM complications that will become a Diabetic Foot Ulcer (DFU). The aim of this study is to present the results from several studies using IPTT in research neuropathy of DM patients detection. The methodology used for this review is the result of several studies on the "Ipswich Touch Test" published on three data bases. We categorize studies based on type of DM, the research method is Randomize Controlled Trial with a systematic review. We compared the study conclusions based on the level of diabetes client sensibility in the peripheral area/DPN with IpTT. Our finding show that IpTT is a reliable, easy, inexpensive and harmless method and it can be taught to the patients and families in detecting the risk of diabetic foot ulcer (DFU). IpTT also has a high negative predictive value and excellent accuracy when it compared to standard screening methods for supporting role as screening tool to detect the risk of DFU in diabetic patients. The conclusion is the IpTT as a method for assessing the level of DM patient sensibility is quite sensitive, effective, specific, easy to do, cost-free, without tools and harmless to both patients and examiners and it can be done simply by almost anyone. Kata Kunci: Ipswich Touch Test, neuropathy, sensibility
KEGIATAN PENGABDIAN KEPADA MASYARAKAT (PkM) DONOR DARAH DI STIKES BETHESDA TOMOHON Andro Ruben Runtu; Meilita Enggune; Djoise Kaunang; Elizabeth Purba; Welmin Lumi; Nolla Lisa Lolowang; Grace Merentek; Rivolta Musak; Angelia Pondaa; Ever Lontaan; Jeane Sumarauw; Marieska Waworuntu; Agustinus Langitan
COVIT (Community Service of Health) Vol. 3 No. 1 (2023): MARET 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/covit.v3i1.14616

Abstract

This community service activity aims to provide additional blood stock to PMI that can be used by people who need blood. PkM blood donor participants totaling 41 donors which is an important part in efforts to balance blood demand and stock. It is hoped that the participants will benefit from this activity, if done sincerely, this endeavor is very noble and will be beneficial for the giver, so that the participants are very enthusiastic about participating in community service activities for blood donors at STIKES Bethesda Tomohon. Keywords: Community Service, Blood Donation
PENYULUHAN KESEHATAN TENTANG DIET GOUTY ARTHRITIS DAN PEMERIKSAAN GRATIS ASAM URAT PADA LANSIA Andro Ruben Runtu; Meilita Enggune; Nolla Lolowang; Angelia Pondaa; Agustinus Langitan; Djoise Kaunang; Elizabeth Purba; Grace Merentek; Ever Lontaan; Jeane Sumarauw
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2023): Volume 4 Nomor 2 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

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Abstract

Penyakit gout artritis menjadi masalah utama di dunia kesehatan, karena dibuktikan dari berbagai kasus terdapat banyaknya komplikasi dari penyakit tersebut diantaranya gagal ginjal, batu ginjal dan lain-lain masih cukup tinggi di masyarakat. Di Puskesmas Tara-tara penyakit gouty arthritis merupakan 3 penyakit terbesar pada lansia. Kegitan Pengabdian Masyarakat ini dilakukan oleh dosen Prodi D3 Keperawatan, dengan menggunakan metode penyuluhan kesehatan, tanya jawab dan pemeriksaan gratis asam urat. Jumlah masyarakat yang mengikuti kegiatan ini sebanyak 28 orang lansia. Hasil yang didapatkan masyarakat sangat antusias dalam mengikuti kegiatan ini dan kegiatan ini sangat bermanfaat dalam menambah pengetahuan tentang diet gouty arthritis.
PENYULUHAN TENTANG HIV/AIDS PADA SISWA SMK KRISTEN 2 TOMOHON Andro Ruben Runtu; Djoise Kaunang; Elizabeth Purba; Meilita Enggune; Welmin Lumi; Angelia Pondaa; Nolla Lolowang; Grace Merentek; Rivolta Musak; Ever Lontaan; Jeane Sumarauw; Agustinus Langitan
COVIT (Community Service of Tambusai) Vol. 2 No. 2 (2022): SEPTEMBER 2022
Publisher : Universitas Pahlawan Tuanku Tambusai

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Abstract

To overcome the problem of the high incidence of HIV AIDS, the Republic of Indonesia Minister of Health Regulation Number 21 of 2013 concerning the prevention of HIV and AIDS has been stipulated, which contains efforts to overcome HIV/AIDS in Indonesia. So this activity is part of the community service carried out by AKPER Bethesda Tomohon lecturers, which aims to provide health education about HIV/AIDS to students at Christian Vocational School 2 Tomohon. There were 154 HIV/AIDS counseling participants, where this activity was an important part of efforts to prevent HIV/AIDS in the community, especially students. It is hoped that participants will benefit from this activity, such as knowing the HIV/AIDS disease process, causes, transmission, treatment and prevention. Participants were very enthusiastic about taking part in community service activities providing information about HIV/AIDS. Keywords: Counseling, HIV/AIDS
IMPACT OF PATIENT SATISFACTION IN THERAPEUTIC COMMUNICATION ASPECTS AFTER IMPLEMENTATION OF CLINIC SUPERVISION BY NURSE MANAGER Grace Aneke Merentek; Asnet Leo Bunga; Wilhemus Hary Susilo
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v7i1.802

Abstract

Background: Nursing is an activity of providing care to individuals, families, groups or communities both sick and healthy as a form of professional service where the nursing practice is a service organized by nurses in the form of nursing care. One of the tasks of the nursing manager is to coordinate through supervision/supervision. Aims: This study aims to analyze, explore the effect of training and implementation of clinical supervision on nurse-patient therapeutic communication. Methods: This study used quasi-experimental design research before and after post control group. The number of samples in this study was 100 respondent nurses and patients who were divided into 75 intervention groups who were given training and implementation of supervision and control groups of 25 respondents. Results: The study showed that the improvement in the supervision capability of the headroom clinics increased significantly (p = 0,000) after training and implementation of clinical supervision. Patient satisfaction with therapeutic communication has increased with a value (p = 0,000). Conclusion: Implementation of clinical supervision contributed to patient satisfaction and therapeutic communication of patient nurses by 17.6%, while 82.4% was influenced by other variables (quality of service, hospital products). This study further recommends the implementation of clinical supervision to be one of the models in developing the quality of nursing services.
IPSWICH TOUCH TEST SEBAGAI METODE SEDERHANA DALAM MENDETEKSI DIABETIC POLYNEUROPATHY (DPN) : LITERATURE REVIEW Paridah Paridah; Ana Damayanti; Indrawati Indrawati; Grace A Merentek; Sofyawati Yunus
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 8 No 02 (2020): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v8i02.1065

Abstract

ABSTRAK Penderita Diabetes Melitus (DM) memiliki potensi untuk menyebabkan banyak komplikasi baik yang dikelola dengan baik atau tidak dan banyak dari mereka tidak menyadari hal tersebut. Gangguan sensasi pada ekstermitas bawah, merupakan gejala awal komplikasi DM yang akan menjadi cikal bakal terjadinya Diabetic Foot Ulcer (DFU). Studi literature ini bertujuan untuk menampilkan hasil dari beberapa penelitian yang menggunakan IpTT dalam penelitian terhadap deteksi neuropati pada pasien DM. Metodologi yang digunakan untuk tinjauan ini adalah hasil telaah dari beberapa penelitian tentang ”Ipswich Touch Test” yang dipublikasi pada tiga data base. Kami mengkategorikan studi berdasarkan tipe DM, metode penelitian yang dilakukan adalah ah Randomize Controlled Trial dengan systematic review. Kami membandingkan kesimpulan penelitian berdasarakan tingkat sensibilitas klien diabetes pada daerah perifer/DPN dengan IpTT. Temuan kami menunjukkan bahwa IpTT merupakan salah satu metode yang reliabel, valid mudah, murah dan tidak menimbulkan bahaya serta dapat diajarkan kepada pasien dan keluarga dalam mendeteksi risiko Diabetic foot ulcer (DFU) pada penderita diabetes. IpTT juga memiliki nilai prediktif negatif yang tinggi dan keakuratan yang sangat baik bila dibandingkan dengan metode skrining standar mendukung perannya sebagai alat skrining untuk mendeteksi risiko DFU pada pasien diabetes. Kesimpulannya adalah IpTT merupakan salah satu metode untuk menilai tingkat sensibilitas pasien DM yang cukup sensitif, efektif, spesifik, mudah dilakukan tidak memerlukan biaya maupun alat serta tidak menimbulkan bahaya baik bagi pasien maupun pemeriksa dan dapat dilakukan oleh siapapun. Kata kunci: Ipswich Touch Test, neuropati, sensibilitas ABSTRACT People with diabetes mellitus (DM) have the potential to cause many complications no matter how well-managed and most of them are unaware. Impaired sensation in the lower extremity, is an early warning of DM complications that will become a Diabetic Foot Ulcer (DFU). The aim of this study is to present the results from several studies using IPTT in research neuropathy of DM patients detection. The methodology used for this review is the result of several studies on the "Ipswich Touch Test" published on three data bases. We categorize studies based on type of DM, the research method is Randomize Controlled Trial with a systematic review. We compared the study conclusions based on the level of diabetes client sensibility in the peripheral area/DPN with IpTT. Our finding show that IpTT is a reliable, easy, inexpensive and harmless method and it can be taught to the patients and families in detecting the risk of diabetic foot ulcer (DFU). IpTT also has a high negative predictive value and excellent accuracy when it compared to standard screening methods for supporting role as screening tool to detect the risk of DFU in diabetic patients. The conclusion is the IpTT as a method for assessing the level of DM patient sensibility is quite sensitive, effective, specific, easy to do, cost-free, without tools and harmless to both patients and examiners and it can be done simply by almost anyone. Kata Kunci: Ipswich Touch Test, neuropathy, sensibility
Dukungan Suami Dalam Antenatal Care Lolowang, Nolla; Enggune, Meilita; Merentek, Grace Aneke; Lalawi, Elsaviera
Jurnal Keperawatan Profesional (KEPO) Vol. 5 No. 2 (2024): Volume 5 Nomor 2 November 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v5i2.979

Abstract

Di Indonesia, terdapat hampir 20.000 kejadian kematian ibu akibat komplikasi pada saat hamil maupun melahirkan setiap tahunnya. Menghindari komplikasi, ibu hamil membutuhkan dukungan emosional yang diberikan oleh orang terdekat yaitu suami.  Dukungan emosional adalah kepedulian dan empati yang diberikan oleh suami yang dapat menyakinkan ibu hamil bahwa dirinya diperhatikan. Dukungan suami masih bervariasi dan belum maksimal. Tujuan dari penelitian ini untuk mengetahui gambaran dukungan suami dalam Antenatal Care. Desain penelitian yang digunakan yaitu deskriptif dengan jumlah sampel 98 orang yang menggunakan teknik sampling total sampling. Penelitian dilakukan pada Februari sampai Maret 2021, data diambil menggunakan kuesioner. Hasil penelitian menunjukan dukungan suami kategori baik 32 subjek (32,7%), cukup 57 subjek (58,2%), kurang 9 subjek (9,1%). Sebagian besar dukungan suami pada Antenatal Care masih pada kategori cukup, maka perlu adanya peran serta dari tenaga kesehatan dalam memberikan sosialisasi atau pendidikan kesehatan tentang pentingnya Antenatal Care sehingga bukan hanya ibu hamil yang mengetahui tentang Antenatal Care, tetapi masyarakat luas khususnya para suami, sehingga dapat memahami dan memberikan dukungan kepada ibu hamil yang melakukan Antenatal Care.
A Qualitative Study on Women's Experiences of Obesity and Weight Changes Following the Use of Injectable Contraceptives Angelia Pondaa; Siska Sibua; Cicilia Karlina Lariwu; Grace Aneke Merentek; Ever Mario Lontaan; Finni Fitria Tumiwa; Meilita Enggune; Maryati Agustina Tatangindatu
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/8q0edf51

Abstract

Background: Three-month injectable contraception is one of the most widely used contraceptive methods in Indonesia due to its practicality and effectiveness. However, long-term use is often associated with weight gain, which may affect women's physical, psychological, and social well-being, as well as the continuation of contraceptive use. Objective: This study aimed to explore the experiences and perceptions of women using three-month injectable contraception regarding weight gain in the working area of Bahu Public Health Center, Malalayang District, Manado City. Methods: This study employed a qualitative design with a phenomenological approach. Data were collected through in-depth interviews with 12 participants selected using purposive sampling. The number of participants was determined based on the principle of data saturation. Data were analyzed to identify themes related to participants’ experiences and perceptions of weight gain during the use of three-month injectable contraception. Results: The findings revealed that most participants experienced weight gain after using three-month injectable contraception. The increase in body weight affected their physical activities, caused feelings of discomfort, reduced self-confidence, and influenced social interactions. Despite these challenges, the majority of participants chose to continue using injectable contraception because they perceived it as practical, effective, and suitable for their family planning needs. Conclusion: Weight gain is a common experience among users of three-month injectable contraception and has physical, psychological, and social impacts. Nevertheless, the perceived benefits of this contraceptive method remain the primary factor supporting its continued use. Suggestion: Healthcare providers are encouraged to strengthen counseling regarding the potential side effects of three-month injectable contraception, provide education on weight management strategies, and conduct regular weight monitoring to enhance users’ comfort, satisfaction, and adherence to contraceptive use.
EDUKASI KESEHATAN TENTANG DIABETES MELITUS DAN PEMERIKSAAN KADAR GLUKOSA DARAH DI BALAI PENYANTUNAN SOSIAL LANJUT USIA TERLANTAR SENJA CERAH MANADO Pingkan Timbuleng; Linnie Pondaag; Andro Ruben Runtu; Nolla Lisa Lolowang; Grace Merentek; Maria Jeinny Regar; Ceril Pungus; Diana Pusung; Esther Hutagaol; Fransiska Kristianingsih
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 7 No. 4 (2026): Vol. 7 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v7i4.61897

Abstract

Diabetes melitus merupakan salah satu penyakit tidak menular yang banyak terjadi pada lanjut usia dan berisiko menimbulkan berbagai komplikasi apabila tidak terdeteksi serta tidak dikelola dengan baik. Rendahnya pengetahuan mengenai diabetes melitus dan kurangnya pemeriksaan kesehatan secara berkala menjadi faktor yang menghambat upaya pencegahan dan deteksi dini pada lansia. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan lansia tentang diabetes melitus serta melakukan skrining kadar glukosa darah di Balai Penyantunan Sosial Lanjut Usia Terlantar Senja Cerah Manado. Metode yang digunakan adalah pendidikan masyarakat melalui edukasi kesehatan menggunakan ceramah interaktif dan diskusi, yang dilanjutkan dengan pemeriksaan kadar glukosa darah menggunakan metode Point of Care Testing (POCT). Peserta kegiatan berjumlah 54 orang lansia. Hasil kegiatan menunjukkan bahwa proporsi lansia dengan tingkat pengetahuan baik meningkat dari 44,44% sebelum edukasi menjadi 74,07% setelah edukasi. Hasil pemeriksaan kadar glukosa darah menunjukkan bahwa 39 peserta (72,22%) memiliki kadar glukosa darah 90–100 mg/dL, sedangkan 15 peserta (27,78%) memiliki kadar glukosa darah lebih dari 100 mg/dL. Kegiatan ini menunjukkan bahwa edukasi kesehatan yang dipadukan dengan skrining glukosa darah efektif meningkatkan pengetahuan lansia serta mendukung deteksi dini diabetes melitus. Program serupa perlu dilakukan secara berkala untuk mendukung pencegahan dan pengendalian diabetes melitus pada kelompok lanjut usia.