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POLA HIDUP PASIEN GAGAL GINJAL KRONIK SEBELUM MENJALANI TERAPI HEMODIALISIS DI RUANG HEMODIALISA Nurhayati, Evalatifah; Hia, Zami Nirma okterina; Lubis, Lisnawati; Debora, Trionyta; Rahmi, Intan Mutia; Dian, Dian
Jurnal Kesmas Prima Indonesia Vol. 8 No. 1 (2024): Edisi Januari
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v8i1.4725

Gagal Ginjal Kronik (GGK) terjadi akibat ginjal kehilangan fungsi dalam membuang racun. GGK bersifat menahun. Terapi hemodialisis diperlukan pada pasien gagal ginjal kronik untuk mencegah terjadinya kelainan metabolik yang dapat mengakibatkan kematian. Tujuan penelitian ini yaitu untuk mengetahui pola hidup pasien gagal ginjal kronik sebelum menjalani terapi hemodialisis. Penelitian ini bersifat deskriptif. Sedanglan yang menjadi populasi penelitian ini yaitu pasien yang mengalami gagal ginjal kronik di Januari 2023 di RSU Royal Prima Medan sebanyak 112 orang. Pengambilan sampel penelitian ini yaitu accidental sampling. Sampel penelitian ini berjumlah 53 orang. Hasil penelitian ini menunjukkan dari 53 responden, 24 orang memiliki kebiasaan merokok (45,3%), kebiasaan mengkonsumsi jamu 50 orang (94,3%), kebiasaan mengkonsusmsi obat analgesik 28 orang (52,8%), kebiasaan mengkonsumsi lemak 34 orang (64,2%), dan kebiasaan mengkonsumsi kandungan tinggi garam 31 orang (58,5%). Kesimpulan dari penelitian ini bahwa pola hidup responden sebelum menjalani terapi hemodialisis dulunya mempunyai pola hidup yang tidak baik.

PENGARUH DUKUNGAN KELUARGA TERHADAP KUALITAS HIDUP PASIEN DIABETES MELITUS DI RUMAH SAKIT UMUM ROYAL PRIMA Lubis, Lisnawati; Meliana, Sari; Nurhayati, Evalatifah; Debora, Trionyta; Rahmi, Intan Mutia; Siregar, Patimah Sari
Indonesian Trust Health Journal Vol 7 No 2 (2024): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v7i2.261

Diabetes mellitus or diabetes, is when the body cannot use the insulin produced by the pancreas efficiently or cannot make enough insulin hormone, an increase in blood glucose levels occurs. High blood glucose is caused by a lack of insulin or a failure of cells to respond to it. The role and support of the family plays an important role in the quality of life of DM patients. This study aims to determine the effect of family support on the quality of life of Diabetes Mellitus patients at the Royal Prima General Hospital. This research design uses a "cross sectional study" methodology, with a population of 150 people. Using accidental sampling procedures and questionnaires as research instruments, the research sample consisted of 50 DM patients at RSU Royal Prima Medan. Chi-square test was used. The results obtained from the chi-square test, p value (<0.05) statistically show that family support and quality of life of DM patients are related. More specifically, there is a relationship between the quality of life of DM patients with information support (p-value = 0.002), assessment support (p-value = 0.000), instrumental support obtained (p-value = 0.000), and emotional support (p-value = 0.000). This study shows that individuals with DM will have a higher quality of life when they have strong family support. Abstrak Diabetes mellitus atau kencing manis, adalah ketika tubuh tidak dapat menggunakan insulin yang diproduksi pankreas secara efisien atau tidak dapat membuat cukup hormon insulin, peningkatan kadar glukosa darah terjadi. Glukosa darah tinggi disebabkan oleh kurangnya insulin atau kegagalan sel untuk meresponsnya. Peran dan dukungan keluarga berperan penting pada kualitas hidup pasien DM. Penelitian ini bertujuan untuk mengetahui pengaruh dukungan keluarga terhadap kualitas hidup pasien Diabetes Mellitus di Rumah Sakit Umum Royal Prima. Rancangan penelitian ini menggunakan metodologi "cross sectional study", dengan jumlah populasi 150 jiwa. Menggunakan prosedur accidental sampling dan kuesioner sebagai instrumen penelitian, sampel penelitian terdiri dari 50 pasien DM di RSU Royal Prima Medan. Uji chi-square digunakan. Hasil yang diperoleh dari uji chi-square, nilai p (<0,05) secara statistik menunjukkan bahwa dukungan keluarga dan kualitas hidup pasien DM berhubungan. Lebih spesifik, terdapat hubungan antara kualitas hidup pasien DM dengan dukungan informasi (p-value = 0,002), dukungan penilaian (p-value = 0,000), dukungan instrumental yang diperoleh (p-value = 0,000), dan emotional support (p-value = 0,000). Studi ini menunjukkan bahwa individu dengan DM akan memiliki kualitas hidup yang lebih tinggi ketika mereka memiliki dukungan keluarga yang kuat.

SUPPORT FAMILY RELATIONSHIP WITH QUALITY LIFE OF A DIABETIC MELLITUS PATIENT AT ESHMUN HOSPITAL Melya Rima, Oka; Debora, Rezky; Elysabeth Tambunan, Chintia; Risna Hutagalung, Siti; Nurhayati, Evalatifah; Lubis, Lisnawati
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 1, Januari 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i1.1680

This study examines how family support and the quality of life of patients with diabetes at Eshmun Hospital are related. Diabetes melitus is chronic disase that reqires longtem management, where family support has an important role in imprving the patint's quality of life. This study uses a quanttative method with a crosectional research design. The research sample is a diabetic mellitus patient who visited Eshmun Hospital, with a purposive sampling techniq. Data were collected using a structured questionaire that included aspects of family support and the patient's quality of life, then analyz using a chi-square statistical test. The results showed a signficant relationship betwen family support and quality of life in patients with diabetes melitus (p-value < 0.05). in Eshmun Hospital. Good family support, such as emotional, instrumental, evaluative, and informational support, has ben shown to have a positive effect on the patient's quality of life. With the support of family, patients feel more motivated to undergo treatment and maintain a healthy lifestyle. This is study recommends the importance of the role of the family in supporting diabetic mellitus patients to improve their quality of life

Motivasi Diri dan Dukungan Keluarga dengan Kepatuhan Minum Obat pada Penderita Penyakit.TBC Paru Ramadani, Khairuni; Nurhayati, Evalatifah; Zai, Agus Krisnawati; Siboro, Markus; Mulia, Ima Riski; Lubis, Lisnawati
Journal of Language and Health Vol 6 No 1 (2025): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i1.5948

Penyakit menular tuberkulosis, juga dikenal sebagai.TBC, adalah masalah kesehatan di seluruh dunia, terutama di negara-negara terbelakang seperti Indonesia. Penyembuhan.TBC paru-paru memerlukan waktu kurang dari enam bulan dan bergantung pada seberapa baik perawatan yang. diberikan kepada pasien. Sayang.nya, banyak.pasien.tidakmenerima perawatan. Peran keluarga.dan motivasi diri seseorang untuk pengobatannya.sangat penting untuk menentukan tingkat kepatuhan seseorang terhadap.pengobatannya. Tujuan utama penelitian ini adalah untuk mengetahui apakah motivasi diri dan dukungan keluarga berpengaruh terhadap kepatuhan pengobatan pada pasien tuberkulosis. Penelitian dalam penelitian ini bersifat cross-sectional dan berdasarkan analisis kuantitatif. Data penelitian dikumpulkan melalu kuesioner yang dibagikan langsung ke responden dan dianalisa dengan univariat dan multivariat. Pada tahun 2024, di Puskesmas Kauko Gunungsitoli, terdapat korelasi yang kuat antara dukungan keluarga dan kepatuhan pengobatan pada pasien tuberkulosis, dengan nilai p sebesar 0,000 (p < 0,05). Dari sini dapat disimpulkan bahwa pasien TB yang mendapat dukungan dari keluarga cenderung lebih patuh dalam menjalani pengobatan sesuai anjuran dokter.

Kualitas Hidup Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa Lubis, Lisnawati; Nurhayati, Evalatifah
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6764

Gagal ginjal kronik (GGK) adalah masalah penurunan fungsi ginjal yang terjadi akibat berbagai penyebab sehingga berakhir pada kegagalan ginjal untuk berfungsi semestinya dan harus digantikan dengan terapi hemodialisis atau cangkok ginjal, penelitian ini dilakukan untuk mengetahui bagaimana kualitas hidup pasien gagal ginjal kronik di RSU Royal Prima Medan, penelitian menggunakan teknik penelitian deskriptif kuantitatif dengan pendekatan Cross-Section dengan alat instrumen kuisioner WHOQOL-BREF. Data hasil penelitian dioleh dengan menggunakan Analisa data univariat dan bivariat. Hasil penelitian yang dilakukan pada 56 sampel pasien Gagal Ginjal Kronik yaitu mayoritas punya kualitas hidup yang cukup sebanyak 36 responden (64,3 %), hasil ini sudah menunjukkan hasil yang cukup memuaskan mengingat para responden akan seumur hidup akan melakukan Hemodialisa.

Effect of Chest Physiotherapy on Respiratory Effectiveness in Children with Pneumonia Lubis, Lisnawati; Siregar, Patimah Sari; Basri, Basri; Sucahyo, Dedek; Nurhayati, Evalatifah
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7419

Pneumonia remains a leading cause of morbidity and mortality in children, especially those with weakened immunity due to factors such as insufficient breast milk, malnutrition, HIV or measles infection, premature birth, or incomplete immunizations. Environmental exposures—including dust, cigarette smoke, and air pollution further elevate the risk. This study aimed to systematically review literature (2019–2024) on the effectiveness of chest physiotherapy in improving clinical outcomes, specifically respiratory rate, oxygen saturation, length of hospital stay, and symptomatic recovery in children with pneumonia. We conducted electronic searches on Google Scholar, NCBI, and accredited Indonesian journals using the keywords “chest physiotherapy” and “pneumonia in children.” From approximately 60 initially identified articles, eight met our inclusion criteria and were reviewed in full. Most studies were quasi‑experimental; one was a randomized controlled trial. Study populations ranged from infants (0–5 years) to older children (6–12 years). Interventions comprised postural drainage, clapping, vibration, percussion, deep‑breathing exercises, and effective coughing techniques. Results from eight studies indicated modest improvements in oxygen saturation and reductions in respiratory rate in some small trials. However, findings were inconsistent, with substantial heterogeneity in methodology, intervention protocols, and outcome reporting. Overall evidence quality was low to moderate. Chest physiotherapy may offer potential benefits in terms of oxygenation and respiratory rate in pediatric pneumonia patients. Nevertheless, current evidence remains limited and heterogeneous. High‑quality randomized controlled trials using standardized protocols are needed to establish stronger recommendations

PENGARUH DUKUNGAN KELUARGA TERHADAP PENGAWASAN DIET PADA PASIEN DIABETES MELITUS Lian, Muhammad; Rambe, Ira Purnama Sari; Nurhayati, Evalatifah; Lubis, Lisnawati; Simanjuntak, Rokkianto
Indonesian Trust Health Journal Vol 7 No 1 (2024): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v7i1.224

Diabetes, often known as diabetes mellitus, is a metabolic disease that develops when a person's blood sugar levels rise over normal ranges. Abnormal glucose metabolism in response to high absolute and relative insulin levels is the etiology of diabetes, or DM. For DM patients, the involvement and support of family play a vital part in the efficacy of media treatment. Any counsel or words of encouragement that the group offers to sick individuals or other members who are experiencing health issues is considered family support. In addition to functional ability, psychological well-being, social health, and well-being, illness and its treatment can impact the health and social well-being of those with DM. The study's goal was to look over how family support affected the dietary monitoring of RSU Bina Kasih Medan patients with diabetes mellitus. This study approach employs a cross-sectional design. Primary data, or information gathered through in-person interviews and the distribution of questionnaires, is used in this data collection. Research findings show a p value <0.05. There is an influence of emotional support on diet supervision with p value (0.038). There is an influence of family information support on dietary supervision with p value (0.010). There is an influence of family instrumental support on dietary supervision with a p value (0.04) and there is an influence of family assessment support on dietary supervision with a p value (0.03). It is evident that family assistance is essential to helping diabetes mellitus patients monitor their diets over the course of their recovery and treatment. Abstrak Diabetes merupakan penyakit metabolik yang berkembang pada individu yang kadar gula darahnya berada dalam kisaran abnormal. Metabolisme glukosa yang tidak normal yang disebabkan oleh peningkatan kadar insulin absolut dan relatif yang merupakan penyebab utama diabetes, atau DM. Keterlibatan dan dukungan keluarga pasien memiliki peran utama pada keberhasilan terapi yang dijalani. Dukungan keluarga mencakup semua bentuk nasihat atau kata-kata penyemangat yang diberikan keluarga kepada anggota yang sakit atau menderita berbagai kondisi medis. Selain kemampuan fungsional, kesejahteraan psikologis, kesehatan sosial, dan kesejahteraan, kesehatan dan kesejahteraan sosial penderita DM mungkin dipengaruhi oleh penyakit dan pengobatannya. Tujuan penelitian ini mengamati dampak dukungan keluarga terhadap pengawasan diet pada pasien diabetes di RS Bina Kasih. Desain cross-sectional digunakan dalam metodologi penelitian ini. Data primer, atau informasi yang dikumpulkan melalui wawancara langsung dan penyebaran kuesioner digunakan dalam pengumpulan data ini. Temuan penelitian menunjukkan nilai p value < 0,05. Ada pengaruh dukungan emosional terhadap pengawasan diet dengan p value (0,038). Ada pengaruh dukungan informasi keluarga terhadap pengawasan diet dengan p value (0,010). Ada pengaruh dukungan instumental keluarga terhadap pengawasan diet dengan p value (0,04) dan ada pengaruh dukungan penilaian keluarga terhadap pengawasan diet dengan p value (0,03). Dapat disimpulkan bahwa Dukungan keluarga berperan penting dalam membantu individu penderita diabetes melitus mengatur pola makannya selama fase penyembuhan dan terapi.

Effect of Chest Physiotherapy on Respiratory Effectiveness in Children with Pneumonia Lubis, Lisnawati; Siregar, Patimah Sari; Basri, Basri; Sucahyo, Dedek; Nurhayati, Evalatifah
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7419

Pneumonia remains a leading cause of morbidity and mortality in children, especially those with weakened immunity due to factors such as insufficient breast milk, malnutrition, HIV or measles infection, premature birth, or incomplete immunizations. Environmental exposures—including dust, cigarette smoke, and air pollution further elevate the risk. This study aimed to systematically review literature (2019–2024) on the effectiveness of chest physiotherapy in improving clinical outcomes, specifically respiratory rate, oxygen saturation, length of hospital stay, and symptomatic recovery in children with pneumonia. We conducted electronic searches on Google Scholar, NCBI, and accredited Indonesian journals using the keywords “chest physiotherapy” and “pneumonia in children.” From approximately 60 initially identified articles, eight met our inclusion criteria and were reviewed in full. Most studies were quasi‑experimental; one was a randomized controlled trial. Study populations ranged from infants (0–5 years) to older children (6–12 years). Interventions comprised postural drainage, clapping, vibration, percussion, deep‑breathing exercises, and effective coughing techniques. Results from eight studies indicated modest improvements in oxygen saturation and reductions in respiratory rate in some small trials. However, findings were inconsistent, with substantial heterogeneity in methodology, intervention protocols, and outcome reporting. Overall evidence quality was low to moderate. Chest physiotherapy may offer potential benefits in terms of oxygenation and respiratory rate in pediatric pneumonia patients. Nevertheless, current evidence remains limited and heterogeneous. High‑quality randomized controlled trials using standardized protocols are needed to establish stronger recommendations

SUPPORT FAMILY RELATIONSHIP WITH QUALITY LIFE OF A DIABETIC MELLITUS PATIENT AT ESHMUN HOSPITAL Melya Rima, Oka; Debora, Rezky; Elysabeth Tambunan, Chintia; Risna Hutagalung, Siti; Nurhayati, Evalatifah; Lubis, Lisnawati
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 1, Januari 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i1.1680

This study examines how family support and the quality of life of patients with diabetes at Eshmun Hospital are related. Diabetes melitus is chronic disase that reqires longtem management, where family support has an important role in imprving the patint's quality of life. This study uses a quanttative method with a crosectional research design. The research sample is a diabetic mellitus patient who visited Eshmun Hospital, with a purposive sampling techniq. Data were collected using a structured questionaire that included aspects of family support and the patient's quality of life, then analyz using a chi-square statistical test. The results showed a signficant relationship betwen family support and quality of life in patients with diabetes melitus (p-value < 0.05). in Eshmun Hospital. Good family support, such as emotional, instrumental, evaluative, and informational support, has ben shown to have a positive effect on the patient's quality of life. With the support of family, patients feel more motivated to undergo treatment and maintain a healthy lifestyle. This is study recommends the importance of the role of the family in supporting diabetic mellitus patients to improve their quality of life

Pengaruh Latihan Slow Deep Breathing terhadap Penurunan Tekanan Darah Pasien Penderita Hipertensi Hulu, Ristin; Sari, Milza; Junita, Ulya Anisa; Lubis, Lisnawati; Nurhayati, Eva Latifah
Jurnal Penelitian Perawat Profesional Vol 6 No 4 (2024): Agustus 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i4.2665

Hipertensi adalah suatu gangguan pada pembuluh darah yang mengakibatkan suplai oksigen dan nutrisi yang dibawa oleh darah terhambat sampai kejaringan tubuh yang membutuhkanyang disebabkan oleh (umur/usia,jenis kelamin), obesitas, asupan makanan, merokok, berat badan dan faktor stres, ras dan etnis. Tujuan dari penelitian ini adalah mengetahui pengaruh latihan slow deep breathing terhadap penurunan tekanan darah pasien penderita hipertensi. Dalam penelitian ini menggunakan desain Quasi Eksperimen with Control Group dan Uji normalitas menggunakan Shapiro-wilk atau Kolmogorov-Smirnov. Penelitian dilaksanakan di RSU Bina Kasih Medan pada bulan 5-15 Januari 2024. Populasi dalam penelitian ini adalah yang berobat pada bulan Mei-Juli 2023 sebanyak 250 orang kemudian teknik sampling yang digunakan adalah purposive sampling, sehingga penelitian ini diikuti oleh 72 responden yang kemudian dibagi menjadi dua kelompok yaitu 36 responden untuk kelompok intervensi dan 36 responden untuk kelompok kontrol. Hasil penelitian didapatkan rata-rata tekanan darah responden pada kelompok intervensi pretes 148.97/95.67 mmHg dan posttes 142.03/90.42 mmHg, sedangkan pada kelompok kontrol pretest 167.31/97.42 mmHg dan posttest 154.78/93.64 mmHg. Perbedaan tekanan darah pada responden kelompok intervensi sebelum dan sesudah sistolik 6.944 dengan p=0.002 dan diastolik 5,250 dengan p=0.009, sedangkan pada kelompok kontrol sistolik 12,528 dengan p = 0.000 dan diastolik 3,774 dengan p = 0.045. Dapat disimpulkan bahwa ada pengaruh slow deep breathing terhadap penurunan tekanan darah.

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