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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) JURNAL KAJIAN KESEHATAN MASYARAKAT Jurnal Health Reproductive Jurnal Pengmas Kestra (JPK)
Hayati, Kardina
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The Effect of Insulin Injection Time on Blood Glucose Levels 2 Hours After Meals in Type II Diabetes Mellitus Patients at Grandmed Hospital Lubuk Pakam an, Pitriani; Hayati, Kardina; Tamba, Elsa Sumitra; Sitepu, Abdi Lestari
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2661

Abstract

Increased blood sugar levels in the body are one of the characteristics of type II diabetes mellitus. Controlling blood sugar levels can be done by checking blood glucose levels. This study aims to analyze blood glucose levels two hours after eating with insulin injection 11-20 minutes before eating and blood glucose levels two hours after eating with insulin injection 0-10 minutes after eating. This study uses a quantitative method with a Cross-Sectional design. Data were collected using a total sampling technique, with a sample size of 18 respondents. The results of the statistical test showed a probability of 0.001, which is smaller than the significance level (? = 0.05). This shows a significant difference between blood glucose levels two hours after eating in patients who received insulin injections 11-20 minutes before eating (Pretest) and those who received insulin injections 0-10 minutes after eating (Posttest). Thus, it can be concluded that the time of insulin injection affects blood glucose levels two hours after eating in patients with type II diabetes mellitus at Grandmed Hospital Lubuk Pakam.
Counseling on Insulin Injection Timing Management for Type II Diabetes Mellitus Patients at Grandmed Hospital Lubuk Pakam Pitriani, Pitriani; Hayati, Kardina; Sitepu, Abdi Lestari
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/31fkt087

Abstract

Type II Diabetes Mellitus (DM) is a chronic condition whose prevalence continues to rise in Indonesia. Although insulin therapy is commonly administered to patients, their knowledgeparticularly regarding the appropriate timing of insulin injection remains relatively low. This limited understanding may contribute to unstable blood glucose levels, highlighting the need for personalized management strategies, especially in the scheduling of insulin administration. This community engagement program was implemented through health education and counseling methods aimed at promoting a more proactive and preventive approach in the management of Type II DM. The educational strategy adopted was both informative and interactive, designed to enhance the comprehension of 18 outpatient participants diagnosed with Type II DM. The findings demonstrated that participants showed strong enthusiasm throughout the intervention, driven by a recognized need to better understand insulin injection timing and postprandial glucose control. Moreover, there was a measurable improvement in knowledge, with an average increase of 27.7 points from pre-test to post-test assessments. This outcome affirms the effectiveness of the health education activity in achieving the intended objectives of the program. Participants also expressed interest in the continuation of similar educational efforts in the future. Additionally, the distribution of educational materials in the form of leaflets containing guidance on insulin injection schedules, meal timing, and adherence to effective insulin therapy protocols served as a practical tool for application at home. In conclusion, this educational initiative successfully enhanced patient health literacy and provided effective guidance to support diabetes self-management. Furthermore, the activity contributed to improving the overall quality of life for patients by supporting better glycemic control and preventing long-term complications.
Efectivity of The Combination of Lateral and Semi fowler Positions Against Hemodynamics of Heart Failure Congestive in GrandMed Hospital Lubuk pakam Pitriani, Pitriani; Simarmata, Pratiwi Christa; Ginting, Samuel; Syatriawati, Syatriawati; Hayati, Kardina
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/nsrbff34

Abstract

Congestive Heart Failure (CHF) remains a major health problem worldwide, with high prevalence and significant mortality rates. This condition is characterized by the heart’s inability to pump blood adequately to meet tissue demands, leading to hemodynamic disturbances such as impaired respiration and reduced oxygen saturation. One of the simple nursing interventions that is believed to improve these conditions is body positioning. The combination of lateral and semi-fowler positions is expected to enhance venous return, optimize lung expansion, and support ventilation in CHF patients. This study aimed to evaluate the effectiveness of combining lateral and semi-fowler positions in improving hemodynamic status, specifically respiratory pattern and oxygen saturation, among patients with congestive heart failure at GrandMed Hospital, Lubuk Pakam.A pre-experimental design with a one-group pretest-posttest approach was employed. A total of 23 respondents were selected using purposive sampling based on inclusion criteria. Respiratory rate and oxygen saturation were measured before and after the intervention. Data were analyzed using the Wilcoxon Test with a significance level of α = 0.05.Prior to the intervention, most patients experienced tachypnea (78%) and low oxygen saturation (52.2%). Following the intervention, improvements were observed, with 60.9% of patients achieving normal respiratory patterns and 56.5% showing adequate oxygen saturation, while only 8.7% remained in the low category. Statistical analysis revealed significant differences in respiratory rate (mean difference = 0.391; Z = -3.873; p = 0.001) and oxygen saturation (mean difference = 0.783; Z = -3.873; p = 0.001).The combination of lateral and semi-fowler positions proved effective in reducing tachypnea and enhancing oxygenation in patients with congestive heart failure. This intervention may serve as a simple, practical, and applicable nursing measure to support hemodynamic stability in CHF patients.
PENGARUH LATIHAN BRIDGING DAN TIGHTROPE WALKER TERHADAP KESEIMBANGAN DINAMIS PADA ANAK USIA PRASEKOLAH (3-6 TAHUN) Siregar, Wilda Wahyuni; Rahmawati, Siti; Octavariny, Raisha; Hayati, Kardina; Ginting, Luci Riani; Aritonang, Juneris
Jurnal Reproductive Health Vol 7 No 2 (2022): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jrh.v7i2.3753

Abstract

The results of the Basic Health Research (Riskesdas) in 2013 showed that the percentage of children with gross motor development disorders in Indonesia was 12.4%. The child's ability to move (motor) is closely related to one aspect of motion, namely dynamic balance. Dynamic balance is the ability to maintain balance when the body is moving. Any disturbance in balance will affect the child's ability to carry out activities. Balance is the integration of the visual, somatosensory and musculoskeletal systems that will adapt to the environment. This system develops during childhood. Until 10 years, control of dynamic balance in children is not as excellent as in adults. This study was to determine the effect of giving bridging and tightrope walker exercises for dynamic balance in preschoolers. This study is a quasi-experimental with a pre-test & post-test one group design. The sample in this study was 11 children of preschool age at Posyandu Regensi Pratama Depok. The treatments were bridging and tightrope walker exercises. The bridging exercise should be done with holding for 5 seconds, gradually increasing to 10 seconds for 3 sets of 10 repetitions with a rest time between sets of 10 seconds. Meanwhile the tightrope walker exercise is done for 10 repetitions. Training sessions were conducted 2 times a week for 6 weeks. The measuring instrument used is PBS (Pediatric Balance Scale). The research data obtained p value = 0.003 which means that bridging and tightrope walker exercises can increase the level of dynamic balance in preschooler children (p <0.05). The results of this study can be used as a reference to make exercise programs for dynamic balance in preschooler children.
Co-Authors A.A. Ketut Agung Cahyawan W Alfrisa, Bagus an, Pitriani ani, pitri ani Aritonang, Juneris Elisa Afifah Febriana, Sanya Felix Kasim Ginting, Luci Riani Ginting, Samuel Isni Hijriana Karokaro, Tati Murni kesumawardani, Nadya Ulfa Lismawati, Lismawati Novia, Reni Octavariny, Raisha Parinduri, Anggi Isnani Pitriani, Pitriani Pratiwi Christa Simarmata Sari Desi Esta Ulina Sitepu Sipayung, Selamat Tuahta Siregar, Wilda Wahyuni Sitepu, Abdi Lestari Sitepu, Sari Desi Esta Ulina Siti Rahmawati Syatria Wati Syatriawati Syatriawati Tamba, Elsa Sumitra Yessy Arisman Zainuri, Siti