Nurmansyah, Muhamad
Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Universitas Sam Ratulangi

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KOMUNIKASI TERAPEUTIK DAN TINGKAT KEPUASAN PASIEN GAGAL GINJAL KRONIK DI RUANG HEMODIALIS larira, dina mariana; Nurmansyah, Muhamad; Pondaag, Ferlan A.
E-Jurnal Medika Udayana Vol 13 No 9 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i09.P11

Abstract

Therapeutic communication is an interaction conducted by nurses with patients based on mutual trust which aimed to improving the emotional and physical problems of the patient. The complexity of problems experienced by chronic kidney failure patients due to hemodialysis therapy certainly requires support from nurses to assist patients in coping with it, thus requiring solutions to address these problems by providing support both emotionally and spiritually to patients through communication and building a therapeutic relationship with patients. This study aims to determine the relationship between therapeutic communication and the level of satisfaction of chronic kidney failure patients in the hemodialysis room of RSUP Prof. Dr. R. D. Kandou Manado. The study used descriptive analytical methods with a cross-sectional design. The sample used consisted of 145 respondents using accidental sampling. From the chi-square test analysis, a p-value of < 0.001 was obtained, meaning that there is a relationship between nurse's therapeutic communication and the level of satisfaction of chronic kidney failure patients at RSUP Prof. Dr. R.D. Kandou Manado.
Bemain Puzzle dalam Upaya Peningkatan Perilaku Cuci Tangan Pada Anak Usia Sekolah Renteng, Septriani; sari, andi buana; Nurmansyah, Muhamad; Ganika, Lenny; Mariana, Dina
JURNAL PENGABDIAN KEPADA MASYARAKAT SISTHANA Vol. 4 No. 2 (2022): Desember : Jurnal Pengabdian Kepada Masyarakat Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/pkmsisthana.v4i2.160

Abstract

Anak merupakan salah satu kelompok berisiko untuk terpaparnya berbagai penyakit diantaranya diare, ISPA, dan covid 19. Perilaku cuci tangan merupakan salah satu upaya yang dapat dilakukan untuk mencegah terjadinya sakit pada anak. Kemampuan anak dalam melakukan cuci tangan berkaitan dengan tingkat pengetahuan anak tentang teknik cuci tangan dan manfaatnya. Oleh karena itu perlu dilakukan kegiatan pendidikan kesehatan tentang cuci tangan kepada anak usia sekolah dengan menggunakan metode yang menarik bagi anak seperti bermain puzzle. Hasil kegiatan pengabdian masyarakat yang dilakukan menujukkan hasil adanya peningkatan pengetahuan dan kemampuan perilaku anak dalam melakukan cuci tangan.
Hubungan Riwayat Konsumsi Minuman Beralkohol Dengan Kejadian Gout Arthritis Di Rumah Sakit Daerah Langowan Seko, Rivaldo V; Malara, Reginus T; Nurmansyah, Muhamad
Mapalus Nursing Science Journal Vol. 1 No. 1 (2023): 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

Abstract

Abstract Background : Gout arthritis is an arrthritis due to hoarding crystal uric acid which can be affected by various factors, on of them is consumption od alcoholic drinks. Aim : Determine the relationship between alcoholic beverage consumption and gout arthritisl. Methods: Observational with Case control design. The samples of this study is 162 patients case and 162 patients control using purposive sampling. The research is using patients’ medical records from 2016-2020. Data analysis is using chi-square method. Result: According to statistical test it is there is a relation between historic alcoholic beverage consumption with the occurences of gout arthritis concluded that Odds Ratio : 8,56 with p value =0,000. Discussion: Factors that influence the occurrence of gout arthritis in the hospital is a history of high consumption of alcoholic beverages because its contain purines. Conclusion: there were 139 patients (85,8%) diagnosed with gout arthritis who had a history of consuming alcoholic beverages, while 67 patients in the control group were not diagnosed with gout arthritis. patients with a history of consuming alcoholic beverages are at risk of 8.56 times to experience gout arthritis compared to patiens who do not have a history of consuming alcoholic beverages at Budi Setia Langowan Hospital. Suggestion fortim medic. Can provide education to society about the impact or consequences that consume alcoholic beverages Keywords: Adults, Alcoholic Beverage Consumption, Gout Arthritis
Hubungan tingkat kecemasan dengan kualitas hidup pada perawat yang merawat pasien Covid-19 di RSUP. Prof. Dr. R. D. Kandou Manado. Assa, Nathalia Petronela; Katuuk, Mario Essau; Nurmansyah, Muhamad
Mapalus Nursing Science Journal Vol. 2 No. 1 (2024): 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.v1i3.49982

Abstract

Abstrak Latar belakang: Tenaga medis dalam hal ini perawat merasakan berbagai dampak yang disebabkan oleh pandemi covid-19 salah satunya yaitu kecemasan. Kondisi paska pandemi membutuhkan peranan tenaga medis diantaranya adalah perawat dengan tanggung jawab baru yaitu pengendalian dan pengontrolan infeksi. Tujuan: Tujuan dari penelitian ini adalah mengetahui hubungan antara tingkat kecemasan dan kualitas hidup pada perawat yang merawat pasien Covid-19 di Rsup Prof. Dr. R. D. Kandou Manado. Metode: Penelitian ini merupakan rancangan analitik menggunakan pendekatan Cross sectional. Hasil: Dari hasil analisis menggunakan uji korelasi gamma (G), didapatkan nilai P-Value = 0,143 (p<0,05). Pembahasan: Tingkat kecemasan dan kualitas hidup pada individu dipengaruhi oleh berbagai faktor yang akan mempengaruhi masing-masing variabel. Kesimpulan: Pada penelitian ini tidak ditemukan adanya hubungan antara tingkat kecemasan dengan kualitas hidup pada perawat yang merawat pasien Covid-19 di RSUP Prof. Dr. R. D. Kandou Manado Kata kunci: Covid-19, Tingkat Kecemasan, Kualitas Hidup, Perawat. Abstract Background: The Covid-19 epidemic has had a significant impact on all facets of human life. Anxiety is one of the effects the Covid-19 epidemic has on medical professionals, in this case nurses. Following a pandemic, medical professionals, especially nurses, must take on new roles involving infection control and management. Objective: The aim of this study is to determine the relationship between nurses' levels of anxiety and quality of life while providing care to Covid-19 patients at Prof. Dr. R. D. Kandou Manado Hospital. Method: A cross-sectional design was used for this study's analytical design. Results: The analysis using the gamma correlation test (G) produced a P-Value of 0.143 (p<0.05), showing that there is no correlation between anxiety and quality of life. Discussion: Individuals' levels of anxiety and quality of life are influenced by several of various factors that will affect each variable. Kesimpulan: In this study, there is no correlation between nurses providing care to Covid-19 patients at Prof. Dr. R.D. Kandou Manado's anxiety levels and quality of life. Keywords: Anxiety levels, Covid-19, Nurse, Quality of life
Hubungan Dukungan Keluarga dengan Kepatuhan Pengobatan Hipertensi di Wilayah Kerja Puskesmas Tombulu Najoan, Christania; Nurmansyah, Muhamad; Masi, Gresty
Mapalus Nursing Science Journal Vol. 2 No. 1 (2024): 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.v1i3.50937

Abstract

Background: Uncontrolled hypertension can result in sudden death. Some of the causes are the lack of medication adherence to check-ups at health care facilities, and irregular consumption of anti-hypertensives. Objective: To determine the relationship between family support and adherence to hypertension treatment in the working area of the Tombulu Health Center. Method: This study used a cross-sectional study design. The population included 153 hypertensive patients. Results: This study showed that out of 155 respondents, most of them were in the category of high-level family support with medication adherence, 82 respondents (68.9%) used the Kolmogorov-Smirnov test showing a p-value of 0.023 α 0.05, which means that there is a relationship between family support and treatment adherence. Conclusion: There is a relationship between family support and medication adherence in respondents who experience hypertension at the Tombulu Health Center, that is, the average respondent has high family support and moderate medication adherence.
PENGARUH GUIDED IMAGERY TERHADAP TEKANAN DARAH PADA MASYARAKAT DENGAN HIPERTENSI Mantiri, Sintha; Wantania, Frans Erwin Nicolaas; Nurmansyah, Muhamad
JURNAL KEPERAWATAN Vol. 12 No. 1 (2024): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/j-kp.v12i1.48715

Abstract

Background: Hypertension is a chronic disease that cannot be cured but must be controlled through various therapeutic efforts both pharmacological therapy and nonpharmacological therapy. One of the nonpharmacological therapies that can provide a relaxing effect on the body to be able to control blood pressure is guided imagery therapy. Objective: This study aims to identify the effect of Guided Imagery therapy on changes in blood pressure in people with hypertension. Methods: This study is a type of quantitative research that uses pre experimental research methods with One group pre-test and post-test design, namely measuring blood pressure using a tensimeter before being given an intervention and after being given an intervention. The sample size was 21 people with hypertension who were taken using non probability sampling technique using consecutive sampling. Results: After the intervention there was a decrease in mean systolic blood pressure by 20 mmHg and diastolic blood pressure by 10 mmHg. The results of the Wilcoxon Signed Rank test analysis in this study showed that there was a difference in systole blood pressure before guided imagery intervention and after intervention with a P value (0.000), and a difference in diastole blood pressure before guided imagery intervention and after intervention with a P value (0.000). Conclusion: Based on the results of the research conducted, it was found that there was an effect of guided imagery on blood pressure in people with hypertension in Kali village, Pineleng sub-district, so it is hoped that people can do guided imagery independently and routinely as an effort to control blood pressure Keywords: guided imagery; hypertension; blood pressure  
HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP DENGAN TINDAKAN PENCEGAHAN INFEKSI SALURAN PERNAPASAN AKUT PADA LANSIA DI KECAMATAN WANEA KOTA MANADO Sambeka, Meira; Kairupan, Carla F; Nurmansyah, Muhamad
JURNAL KEPERAWATAN Vol. 12 No. 2 (2024): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/j-kp.v12i2.57748

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Background: Acute respiratory infections are the leading cause of infectious diseases and the most important cause of death in the world, most deaths occur in the elderly so that this disease requires preventive measures to avoid disease. Objective: of knowing the relationship between knowledge level and attitude with preventive measures for acute respiratory infections in the elderly in Wanea District, Manado City. Method: uses a type of quantitative research with a correlation analytic research method using a cross sectional study approach, with a sample size of 100 respondents.  Results: of the study using the Kolmogorov-Smirnov test with the result of p=0.992 for the relationship between the level of knowledge and the prevention of acute respiratory infections and using the fisher test with the result of p=0.061 for the relationship between attitudes and the prevention of acute respiratory infections. Conclusion: there is no significant relationship between the level of knowledge and the prevention of acute respiratory infections and there is no significant relationship between attitudes and the prevention of acute respiratory infections. Keywords: Acute Respiratory Tract Infection; Attitude; Elderly; Knowledge Level; Preventive Measures for Acute Respiratory Tract Infection.
EFEKTIVITAS SELF-INSTRUCTIONAL MODULE (SIM) DALAM PENINGKATAN PENGETAHUAN PASIEN DIABETES MELLITUS TIPE II Baeda, Abd. Gani; Kedua, Rizqi Wahyu Susanti; Yulianti, Sri; Nurmansyah, Muhamad
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 18 No 1 (2023): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v18i1.1569

Abstract

Latar Belakang: Rendahnya pengetahuan penderita diabates mellitus berdampak pada rendahnya self care management dan kemungkinan terjadinya peningkatan komplikasi penyakit. Salah satu media untuk meningkatkan pengetahuan pasien diabetes mellitus adalah dengan memberikan informasi melalui self instructional module (SIM). Tujuan penelitian ini adalah untuk mengetahui efektivitas self instructional module (SIM) terhadap peningkatan pengetahuan pasien diabates melitus. Metode: Penelitian ini menggunakan desain quasi-experimental dengan rancangan pretest-postest group design dengan jumlah sampel 15 orang yang ditentukan secara purposive sampling. Hasil: Analisis data menunjukkan self instructional module (SIM) efektif dalam meningkatkan pengetahuan pasien diabates mellitus dengan nilai p 0,04 (p<0,05). Sebagian besar responden mengalami peningkatan pengetahuan tentang pengobatan dan komplikasi setelah pemberian modul Kesimpulan: SIM efektif dalam meningkatkan pengetahuan pasien diabates melitus.
Gambaran Perubahan Posisi Lateral 30° Pada Pasien Dengan Tirah Baring Lama Di Ruangan Intensive Care Unit Dengan Diagnosa Gagal Napas On Ventilator Et Causa Electrolytes Imbalance Di RSUP. Prof. Dr. R. D. Kandou Manado: Studi Kasus Markus, Vergio; Nurmansyah, Muhamad; Paat, Toar Calvin Christo; Mulyadi, Mulyadi
Mapalus Nursing Science Journal Vol. 2 No. 2 (2024): Mapalus Nursing Science Journal (MNSJ)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i2.54966

Abstract

Latar belakang: Perawatan di unit ICU menyebabkan beberapa faktor yang membatasi mobilitas, seperti penggunaan perangkat invasif, pemeliharaan posisi paksa untuk tujuan terapeutik, dan sedasi untuk membuat ventilasi mekanis lebih berkelanjutan. Pasien yang diintubasi bisa tetap dalam posisi supine selama 12 – 16 jam, yang bisa menyebabkan risiko terjadinnya pressure injury (Team et al, 2020). Prevalensi pressure injury di antara pasien yang dirawat adalah 5% hingga 15%, dengan persentase yang lebih tinggi di beberapa lingkungan perawatan jangka panjang dan ICU (Mervis & Phillips, 2019) dimana mobilisasi pada pasien sakit kritis di ICU bertujuan untuk mengurangi tekanan, meningkatkan kenyamanan pasien. Tujuan: Penelitian ini bertujuan untuk menjelaskan tentang gambaran perubahan posisi lateral 30° pada pasien dengan tirah baring lama di Intensive Care Unit dengan diagnosa Gagal Napas on Ventilator et causa Electrolytes Imbalance. Metode: Metode penelitian yang digunakan adalah metode studi kasus pada pasien dengan gagal napas on ventilator ec elctrolytes imbalance di ruangan ICU. Teknik pengumpulan data adalah dengan observasi, pemeriksaan fisik, wawancara dan artikel penelitian. Hasil: Studi kasus pada tahap pengkajian menunjukan pasien memiliki ruam kemerahan disekitar bagian sacrum pasien. Diagnosa Keperawatan fokus pada intervensi adalah diagnose Risiko Luka Tekan yang mengacu pada buku SDKI. Intervensi yang dilakukan pada pasien adalah perubahan posisi lateral berbasis EBN. Kesimpulan: Intervensi perubahan posisi lateral 30° setiap 2 jam yang dilakukan selama empat hari didapati kemerahan dibagian punggung pasien hilang ditandai dengan perubahan skor skala braden (dari 12 naik menjadi 16), dan tidak ada kemerahan atau luka yang terlokalisasi, diikuti dengan pemberian intervensi tambahan seperti assessment risiko dengan perawatan kulit menggunakan olive oil.
ANALISA ASUHAN KEPERAWATAN PADA PASIEN DENGAN SYOK SEPSIS DAN INTERVENSI SUCTION PADA PERUBAHAN SATURASI OKSIGEN DI INTENSIVE CARE UNIT RSUP PROF. DR. R. D. KANDOU MANADO Sumendap, Deisy; Mulyadi, Mulyadi; Malara, Reginus; Nurmansyah, Muhamad
Mapalus Nursing Science Journal Vol. 2 No. 2 (2024): Mapalus Nursing Science Journal (MNSJ)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i2.54969

Abstract

Latar Belakang : Syok sepsis menjadi salah satu penyebab kematian di ruangan intensive care unit. Hampir 80% pasien yang berada di ICU mengalami gagal nafas dan tidak mampu melakukan ventilasi spontan salah satunya pada syok sepsis sehingga dilakukan intubasi dan pemasangan ventilator mekanik, beberapa permasalahan yang terjadi seperti pada pasien sering mengalami penumpukan sekret yang berlebih, sehingga membutuhkan tindakan suction. Tindakan suction (penghisapan lendir) terhadap pasien yang terpasang ventilator dapat menggunakan close dan open suction. Tujuan : Menganalisis intervensi suction pada perubahan saturasi oksigen pada pasien dengan syok sepsis. Metode : Menggunakan metode studi kasus pada pasien dengan diagnosa syok sepsis, gagal napas on ventilator. Intervensi berupa tindakan close dan open suction dan di observasi selama lima hari. Hasil : Setelah dilakukan Intervensi suction selama lima hari dengan bantuan hiperoksigenasi 1-2 menit pre suction, lalu suction selama <10 detik, dapat terjadi peningkatan setelah 5-10 menit.  Kesimpulan : Tindakan suction dapat mengurangi sekret yang berlebih sehingga dapat meningkatkan saturasi oksigen. Tindakan suction diberikan hiperoksigenasi 1-2 menit dapat direkomendasikan sebagai tindakan untuk pencegahan hipoksia. Kata Kunci : Asuhan Keperawatan, Saturasi Oksigen, Suction, Syok Sepsis Background : Shock sepsis became one of the causes of death in the intensive room care unit. Nearly 80% of patients who are in ICU have breathing failure and are unable to perform spontaneous ventilation of one of the shock sepsis so that the observation and mounting ventilator, some problems occurring as in patients often experience a disposition of excessive secretions, requiring suction action. Suction action (susceptone) to patients installed ventilator can use close and open suction. Purpose : To analyze the suction intervention on oxygen saturation changes in patients with septic shock. Method : This research uses case study methods in patients with diagnosis shock sepsis, failure to breath on ventilator. Intervention is the close of action and open suction and in observations for five days. Results : After the suction intervention for five days with the help of hyperogsiationgen 1-2 minutes Pre suction, then suction during <10 seconds, there could be an increase after 5-10 minutes. Conclusion : Suction action can reduce excessive secretions so as to improve oxygen saturation. Suction action is given 1-2 minute hyperoxygenation can be recommended as an action for hypoculating prevention. Keywords: nursing care, oxygen saturation, suction, shock sepsis