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Fernandez, Gratsia Victoria
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Secondary Prevention pada Pasien Hipertensi melalui Penyuluhan Pengendalian Tekanan Darah Berbasis Integrasi Teori Health Belief Model dan Model Adaptasi Fernandez, Gratsia Victoria; Lampus, Nancy Sicilia; Sirait, Imelda
Jurnal Abmas Negeri (JAGRI) Vol. 5 No. 2 (2024): Volume 5 Nomor 2 Desember 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jagri.v5i2.1046

Abstract

Pengendalian tekanan darah pada hipertensi masih menjadi masalah kesehatan yang penting dan menemukan strategi untuk mengatasinya menjadi masalah di seluruh dunia. Kegiatan pengabdian masyarakat ini bertujuan untuk peningkatan perilaku pencegahan sekunder pasien hipertensi dalam melakukan pengendalian tekanan darahnya dalam kondisi yang stabil. Metode pelaksanaan pengabdian masyarakat ini adalah dengan ceramah dan tanya jawab. Kegiatan pengabdian masyarakat ini dilaksanakan pada dua Puskesmas di Kota Manado. Metode yang digunakan adalah edukasi dengan ceramah, tanya jawab. Hasilnya, selama kegiatan berlangsung, peserta tampak sangat antusias dan mengikuti kegiatan sampai akhir. Partisipasi peserta juga ditunjukkan dengan keaktifan dengan memberikan pertanyaan-pertanyaan mengenai materi penyuluhan yang diberikan. Kesimpulannyakegiatan ini dapat terlaksana dengan baik dan bermanfaat bagi peserta khususnya pasien hipertensi dalam meningkatkan pengetahuan dan perilaku dalam melakukan pengendalian tekanan darah.
ASUHAN KEPERAWATAN MEDIKAL BEDAH PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) DENGAN PENERAPAN TEKNIK RELAKSASI (SLOW-DEEP BREATHING, HIPNOSIS 5 JARI DAN RELAKSASI BENSON) DI RUANG RAWAT INAP IRINA C1 RSUP PROF. DR. RD. KANDOU MANADO imbang, deslia; Natalia, Adriani; Mariana, Dina; Fernandez, Gratsia Victoria
Mapalus Nursing Science Journal Vol. 2 No. 2 (2024): Mapalus Nursing Science Journal (MNSJ)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

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Abstract

AbstrakLatar Belakang : Kehidupan pasien CKD yang menjalani hemodialisis bergantung pada teknologi dan tenaga profesional untuk bertahan hidup yang dapat mengakibatkan ketergantungan terhadap mesin dialysis yang dimana mempengaruhi keadaan fisik dan psikologis pasien penderita CKD. Tujuan : Untuk memaparkan asuhan keperawatan pada pasien CKD dengan penerapan teknik relaksasi (hipnosis 5 jari, napas dalam lambat, dan benson). Metode : Penelitian ini menggunakan metode studi kasus dimana penulis mengambil 1 pasien dengan CKD untuk dijadikan pasien kelolaan dan diberikan intervensi teknik relaksasi (hipnosis 5 jari, napas dalam lambat, dan benson) selama 4 hari perawatan. Hasil : penulis mengambil pasien Ny. CK dengan diagnosa medis CKD on HD sebagai pasien kelolaan dan diberikan intervensi teknik kombinasi relaksasi pada diagnosa keperawatan yang muncul, sehingga berdasarkan hasil evaluasi terdapat perbaikan kondisi setelah diberikan tek relaksasi hipnosis 5 jari, napas dalam lambat, dan relaksasi benson. Kesimpulan : terapi relaksasi dapat diberikan pada pasien CKD dengan tetap memperhatikan ak kondisi pasien. Kata Kunci : CKD, Hipnosis 5 Jari, Napas Dalam Lambat, Benson Abstract Background: The lives of CKD patients undergoing hemodialysis depend on technology and professional staff to survive which can result in dependence on dialysis machines which affect the physical and psychological condition of patients suffering from CKD. Objective: To explain nursing care for CKD patients by applying relaxation techniques (5 finger hypnosis, slow deep breathing, and Benson). Method: This study used a case study method where the author took 1 patient with CKD to be treated as a patient and was given relaxation technique intervention (5 finger hypnosis, slow deep breathing, and Benson) for 4 days of treatment. Results: the author took the patient Mrs. CK with a medical diagnosis of CKD on HD was a managed patient and was given a combination of relaxation technique intervention based on the nursing diagnosis that emerged, so that based on the evaluation results there was an improvement in his condition after being given the 5 finger hypnosis relaxation technique, slow deep breathing and Benson relaxation. Conclusion: relaxation therapy can be given to CKD patients while still paying attention to the patient's condition.
Pelatihan Kader dalam Deteksi Dini Penyakit Tidak Menular dan Budidaya Tanaman Obat Keluarga Wirawan, Alfonsius Ade; Nurmawan, Wawan; Fernandez, Gratsia Victoria
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 1 (2025): Jurnal Pengabdian kepada Masyarakat Nusantara Edisi Januari - Maret
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i1.5275

Abstract

Angka penderita penyakit tidak menular (PTM) semakin meningkat tiap tahunnya. Salah satu upaya dalam mengurangi tren peningkatan angka kesakitan ini adalah dengan membentuk Kader sebagai perpanjang tangan Puskesmas kepada warga. Deteksi dini PTM menjadi salah satu kegiatan yang sebaiknya dilakukan secara rutin oleh Kader dalam mencegah PTM serta agar warga juga dapat melakukan monitoring kesehatannya. Namun Kader masih belum memahami cara melakukan deteksi dini PTM. Selain deteksi dini PTM, pemanfaataan Tanaman Obat Keluarga (TOGA) juga menjadi langkah lain dalam pencegahan PTM bagi warga. Karena itu, penting dilakukan pelatihan Kader dalam deteksi dini PTM serta pemanfaatan TOGA sebagai bagian pencehatan PTM. Metode kegiatan ini pengabdian kepada masyarakat dengan tahapan terdiri dari sosialisasi, pelatihan dan penerapan teknologi, pendampingan dan evaluasi. Hasil kegiatan ini meliputi : (1) pengetahuan Kader tentang PTM dan TOGA meningkat, (2) Kader mampu melakukan deteksi dini PTM, dan (3) Warga memiliki TOGA di pekarangan rumahnya. Simpulan dari kegiatan ini adalah pelatihan dan pendampingan Kader dapat meningkatkan pemahaman dan keterampilan Kader dalam melakukan deteksi dini PTM serta pemanfaatan TOGA.
Behavioral Models for Controlling Blood Pressure in Patients with Hypertension Fernandez, Gratsia Victoria; Sudiana, I Ketut; Widyawati, Ika Yuni
Genius Journal Vol. 5 No. 1 (2024): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v5i1.347

Abstract

Objective: This study aimed to develop a behavior model in controlling blood pressure of patients with hypertension by integrating the theory of Health Belief Model and adaption model theory by Roy. Method: This was a cross-sectional study conducted in January 2020. The population in this study was hypertension patients at the Community Health Center. The sampling technique used in this study was consecutive sampling. The instrument used in this study was a questionnaire. The data were analyzed by Partial Least Squares. Result: Modification factor, cues to action, individual beliefs and cognator significantly affected the behavior for blood pressure control with t-statistic value >1.96. Modification factors affected individual beliefs (t=10,648). Conclusion: This behavioral model can assist nursing in developing strategies to improve blood pressure control behavior in hypertensive patients. The behavior of the hypertensive patients was possibly improved by the involvement of the health worker by routinely educating the patients and their family related to hypertension and how to control blood pressure and also related to stress and how to manage it as well as with support from the family in self-care management and lifestyle modification.
Peningkatan Kesadaran Masyarakat tentang Cara Penularan dan Pencegahan HIV/AIDS Melalui Penyuluhan Stop Stigma dan Diskriminasi terhadap ODHA Ahmad, Musfirah; Fernandez, Gratsia Victoria; Kundre, Rina Margaretha
Jurnal Abmas Negeri (JAGRI) Vol. 5 No. 1 (2024): Volume 5 Nomor 1 Juni 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jagri.v5i1.770

Abstract

Penyakit HIV/ AIDS merupakan salah satu penyakit yang kasusnya meningkat setiap tahunnya. Meskipun penyakit ini merupakan penyakit yang sudah sering dibahas, namun masih saja ada masyarakat yang kurang memahami proses penularannya sehingga melakukan stigma dan mendiskriminasi pasien ODHA (Orang dengan HIV/AIDS). Tujuan pengabdian masyarakat (pengabmas) ini adalah meningkatkan pengetahuan dan pemahaman peserta mengenai cara penularan dan pencegahan penyakit HIV/AIDS agar dapat meminimalisir stigma pada ODHA dan masyarakat dapat menerima ODHA di lingkungannya. Metode pelaksanaan pengabdian masyarakat ini adalah dengan tiga tahapan yaitu, melakukan pre-test, memberikan penyuluhan terkait stop stigma dan diskriminasi terhadap ODHA, penyampaian testimoni pengalaman ODHA dalam menghadapi stigma, dan mengevaluasi tingkat pemahaman peserta. Hasilnya menunjukkan selama kegiatan berlangsung, peserta menunjukkan antusiasme terhadap topik penyuluhan. Pengetahuan peserta meningkat serta peserta menunjukkan empati yang besar pada ODHA yang mengalami stigma selama bertahun-tahun. Kesimpulan kegiatan pengabmas ini dapat berkontribusi dalam peningkatan kesadaran masyarakat untuk tidak melakukan diskriminasi terhadap ODHA dan peningkatan pemahaman terkait cara penularan dan pencegahan penyakit HIV/AIDS.
EDUKASI KESEHATAN TENTANG SADARI PADA SUAMI DAN ISTRI Wirawan, Alfonsius Ade; Fernandez, Gratsia Victoria; Kambey, Stefan Andrew Glorious Pelealu
Jurnal Abdi Insani Vol 11 No 3 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i3.1812

Abstract

Early detection of breast cancer is one of the efforts made to identify as early as possible the signs and symptoms of breast cancer. One way to detect breast cancer early is Breast Self-Examination (BSE). Unfortunately, BSE behavior by wives is low. This can be due to lack of knowledge, limited resources and lack of support from husbands in BSE behavior. Therefore, it is necessary to educate wives and husbands. The purpose of this community service activity is to increase knowledge and support from  husbands and wives about BSE behavior through education. So that BSE behavior is formed in wives. Education is carried out in three different places. The media used in this activity are: (1) Book; (2) Leaflet; (3) Video; (4) Power point; and (5) Teaching Aids. The counseling was attended by 60 people consisting of husbands and wives. This activity was conducted in the aula Perum Pemda (Posyandu) Puskesmas Ranomut, in the Puskesmas Tuminting, and in the Lingkungan 5 Kelurahan Tuminting. The entire activity was attended by 60 respondents. During the activity, respondents seemed enthusiastic about the topic presented. The results of the evaluation of the respondents' pre-test scores were that the average value of respondents' knowledge was at point 4.58. However, after education was carried out, the average value of respondents' post-test knowledge was at point 6.20. This shows that there was an increase in the average value of respondents' knowledge by 1.62. From the results of the evaluation of the pre-post test questionnaire, a significant increase in respondents' knowledge about BSE was also obtained (p value <0.05).  BSE education is important in early detection of breast cancer. Optimal use of media can improve respondents' understanding of BSE
Optimalisasi Stroke Primary Prevention melalui Edukasi Kesehatan dan Pelatihan Senam Anti-Stroke sebagai Upaya Meningkatkan Kesadaran dan Kesehatan Masyarakat Fernandez, Gratsia Victoria; Renteng, Septriani; Wirawan, Alfonsius Ade
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23213

Abstract

ABSTRAK Upaya pencegahan timbulnya penyakit stroke harus dimulai dengan meningkatkan kesadaran masyarakat dan melakukan perubahan pola hidup kearah yang lebih sehat. Untuk meningkatkan kesadaran dan kesehatan masyarakat terkait pencegahan primer penyakit stroke, khususnya pada masyarakat yang menderita penyakit kronis. Kegiatan pengabdian masyarakat ini dilaksanakan di Puskesmas Teling Atas pada tanggal Jumat 22 Agustus dan 29 Agustus 2025, dengan jumlah peserta sebanyak 54 anggota prolanis. Kegiatan ini dilakukan melalui tahap persiapan, pelaksanaan dan evaluasi. Hasil evaluasi kegiatan menunjukkan bahwa terjadi peningkatan nilai rata-rata pengetahuan peserta, yang ditunjukkan dari perubahan nilai rata-rata dari pengetahuan peserta sebelum dan sesudah pelatihan. Selain itu, nilai signifikansi analisa rerata pengetahuan peserta sebelum dan setelah pelatihan menunjukkan nilai p 0,000 (p value 0,05), hal ini juga menjelaskan bahwa peningkatan pengetahuan peserta karena pelatihan berpengaruh secara signifikan. Kegiatan pengabdian masyarakat yang dilaksanakan di Puskesmas Teling Atas Kota Manado dapat terlaksana dengan baik serta bermanfaat bagi peserta dalam meningkatkan pengetahuan dan perilaku dalam melakukan pencegahan primer penyakit stroke. Kata Kunci: Stroke, Pencegahan, Primer, Edukasi, Senam.  ABSTRACT Efforts to prevent the onset of stroke had to begin with increasing public awareness and promoting lifestyle changes toward healthier habits. This community service activity aimed to improve public awareness and health related to primary prevention of stroke, particularly among individuals suffering from chronic diseases. This community service activity was carried out at Puskesmas Teling Atas in Manado City on Friday, August 22 and August 29, 2025, with a total of 54 Prolanis members as participants. The activity was conducted through three stages: preparation, implementation, and evaluation. The evaluation results showed an increase in the participants’ mean knowledge scores, as indicated by the difference between the average knowledge scores before and after the training. In addition, the significance value of the analysis comparing participants’ knowledge before and after the training showed a p value of 0.000 (p 0.05), indicating that the increase in participants’ knowledge due to the training was statistically significant. The community service activity conducted at Puskesmas Teling Atas, Manado City, was successfully implemented and provided benefits to participants in improving their knowledge and behavior regarding primary prevention of stroke. Keywords: Stroke, Prevention, Primary, Education, Exercise.
Asuhan Keperawatan Medikal Bedah pada Tn. dengan ADHF dan Penerapan Foot Elevation 30 Derajat untuk Menurunkan Foot Edema di Ruangan CVBC Lt. 3 RSUP Prof R.D Kandou Manado Kaani, Jimri Novrian; Muhamad Nurmansyah; Fernandez, Gratsia Victoria
Mapalus Nursing Science Journal Vol. 3 No. 2 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i2.59998

Abstract

Background. Acute Decompensated Heart Failure (ADHF) is acute heart failure which is defined as a rapid onset of symptoms or signs due to abnormal heart function. Heart failure is known in several terms, namely left, right, and combined or congestive heart failure, in this case patients with right heart failure are characterized by the presence of peripheral edema, ascites and increased jugular veins, in patients who experience heart disease edema caused by pump failure, edema that occurs in patients can cause discomfort, difficulty walking, The best way to reduce edema is to take advantage of the nature of the fluid that always goes to a lower place due to the influence of gravity and one of the exercises that can be given to patients with heart failure is the provision of a higher leg position of 30˚ for 3x a day, done for approximately 15-30 minutes. Objective. Describing the results of practice in the form of nursing care in ADHF patients with the provision of 30 degree elevation in reducing edema. Results : after giving foot elevation 30 degrees for 5 days the results obtained that the level of edema in the legs from the initial 4/4 dropped to 0/2 degrees, so with these results it can be concluded that giving foot elevation 30 degrees is effective in reducing the degree of edema. Conclusion : the intervention given by EBPN, namely foot elevation of 30 degrees in reducing the degree of edema, has significant results where the patient's edema drops to grade 0. Keywords: ADHF ;Edema:Foot elevation
Hubungan Dukungan Suami dengan Perilaku Sadari Pada Ibu di Kecamatan Kumelembuai Sumakul, Virgie Beverly; Natalia, Adriani; Fernandez, Gratsia Victoria
Mapalus Nursing Science Journal Vol. 3 No. 1 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

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Abstract

Background: The increasing incidence of breast cancer in Indonesia has become the cancer with the highest incidence in women. Self-Breast Examination (BSE) behavior is one of the primary prevention efforts that can be done, therefore to support BSE behavior, the involvement or support of the husband as a family is needed. Aim: To determine whether there is a relationship between husband's support and BSE behavior in mothers in Kumelembuai District. Method: The research design used in this study was a correlative design using a cross-sectional study approach. The sampling technique used in this study was Non Probability Sampling with Purposive Sampling sampling. Results: The results of the Spearman rho statistical test showed a moderate significance value of p value 0.000 <0.05, so Ha was accepted, thus there was a positive correlation between husband's support and mother's SADARI behavior. Conclusion: There is a significant relationship between husband's support and SADARI behavior. Keywords: Breast Cancer, Husband’s Support, Self-Breast Examination Behavior
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN BODY IMAGE PASIEN KANKER YANG MENJALANI KEMOTERAPI DI RSUP. PROF. DR. R.D. KANDOU MANADO Wirawan, Alfonsius Ade; Fernandez, Gratsia Victoria; Kambey, Stefan Andrew Glorious Pelealu
JURNAL KEPERAWATAN Vol. 14 No. 01 (2026): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/j-kp.v14i01.66195

Abstract

Background: One of the cancer treatments is chemotherapy. However, this therapy has side effects on patients. One of the side effects is body image problems. Patients undergoing chemotherapy are mostly reported to experience negative body image. This can have a negative impact on patients such as psychosocial problems, disruption of daily activities, even affecting well-being and non-fulfillment of patient treatment. Objective: To determine factors related to the body image of cancer patients undergoing chemotherapy. Methods: This study used a quantitative cross-sectional research design. The subjects were 124 cancer patients undergoing chemotherapy. The instruments used were demographic questionnaires, RSE, ZSAS, and BIS. Results: Age and self-esteem are factors that have a statistical relationship with the body image of cancer patients undergoing chemotherapy. The P value of age is 0.048 with an Exp(B) value of 0.682. Meanwhile, the P value of self-esteem is 0.006 with an Exp(B) value of 3.108. Conclusion: Age and self-esteem are significantly related to the body image of cancer patients undergoing chemotherapy. Self-esteem are the most dominant factors influencing body image. Therefore, surgical interventions focused on psychosocial support and self-esteem enhancement, especially in young patients, are necessary to help maintain a positive body image during chemotherapy
Co-Authors Ahmad, Musfirah Dina Mariana Ika Yuni Widyawati imbang, deslia Kaani, Jimri Novrian Kambey, Stefan Andrew Glorious Pelealu Lampus, Nancy Sicilia Muhamad Nurmansyah Natalia, Adriani Renteng, Septriani Rina Margaretha Kundre, Rina Margaretha S.Pd. M Kes I Ketut Sudiana . Sirait, Imelda Sumakul, Virgie Beverly Wawan Nurmawan Wirawan, Alfonsius Ade