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The Influence of Peppermint Aromatherapy on Reducing Uremic Pruritus in Patients with Chronic Kidney Disease Undergoing Hemodialysis Sembiring, Friska; Nasution, Siti Saidah; Ariani, Yesi
Jurnal Keperawatan Soedirman Vol 16, No 1 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.1.1273

Abstract

Uremic pruritus is one of the chronic renal failure patients’ complaints, which is an uncomfortable and itchy sensation with multifactorial causes. Peppermint complementary therapy is an essential oil with the main component of menthol (50-60%), which provides a cold sensation to the skin. The instrument used in this quasi-experimental study was demographic data and the 5-D itch scale questionnaire. The total sample was 98 participants. The intervention was carried out by administering topical peppermint essential oil. The results showed that the uremic pruritus scale decreased to a mild degree of 51.0%. After being tested by Wilcoxon and Mann-Whitney statistical tests, the intervention group had a p-value of 0.000 <p = 0.05 and in the control group there was a p-value of 0.102 so there was an effect of giving peppermint aromatherapy in reducing uremic pruritus. Peppermint aromatherapy is safe to use and is easy to obtain so, therefore, it can be applied topically to improve coping strategies for patients who experience uremic pruritus.
GAMBARAN USIA DENGAN KEJADIAN PRURITUS UREMIK PADA PASIEN GAGAL GINJAL KRONIK DI RSUP HAJI ADAM MALIK MEDAN Friska Br Sembiring; Amnita Ginting
Indonesian Trust Health Journal Vol 5 No 1 (2022): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v5i1.89

Abstract

Uremic pruritus is one of the complaints that often occurs in patients with chronic kidney failure which is an uncomfortable sensation or itching and can cause disturbances during the day or night and can even occur throughout the day such as sleep disturbances, activities, depression and skin complications that can reduce quality of life of patients with chronic renal failure. This study aims to describe the age of patients with uremic pruritus experienced by patients with chronic renal failure using a descriptive quantitative design. The instruments used in this study were demographic data and a 5-D itch scale questionnaire. This research was conducted at the Haji Adam Malik General Hospital Medan within one month with a sample of 100 people. The results showed that the majority of respondents were at the age of 46-55 (30.5%) and 56-65 (30.5%) who suffered from uremic pruritus with an itching scale of 15-24 (moderate) as much as 59.2%. This study provides information on one of the factors that cause and exacerbate the incidence of uremic pruritus in patients with chronic kidney failure so that nurses can maximize nursing care for patients with uremic pruritus, especially in patients with chronic kidney failure Abstrak Pruritus uremik merupakan salah satu keluhan yang sering terjadi pada pasien gagal ginjal kronik yang merupakan sensasi tidak nyaman atau rasa gatal dan dapat menyebabkan gangguan pada siang atau malam hari bahkan dapat terjadi sepanjang hari seperti gangguan tidur, beraktifitas, depresi dan komplikasi pada kulit yang dapat menurunkan kualitas hidup pasien gagal ginjal kronik. Penelitian ini bertujuan untuk melihat gambaran usia pasien yang mengalami pruritus uremik yang dialami pasien gagal ginjal kronik dengan menggunakan design kuantitatif deskriptif. Instrumen yang digunakan dalam penelitian ini adalah data demografi dan kuesioner 5-D itch scale (skala gatal). Penelitian ini dilakukan di Rumah Sakit Umum Pusat Haji Adam Malik Medan dalam waktu satu bulan dengan jumlah sampel 100 orang. Hasil penelitian menunjukkan mayoritas karakteristik responden berada pada usia 46-55 (30.5%) dan 56-65 (30.5%) yang menderita uremik pruritus dengan hasil skala gatal 15-24 (sedang) sebanyak 59,2%. Penelitian ini memberikan informasi salah satu faktor yang menjadi penyebab dan yang memperparah kejadian pruritus uremik pada pasien gagal ginjal kronik sehingga perawat dapat lebih maksimal dalam melakukan asuhan keperawatan pada pasien yang mengalami pruritus uremik khususnya pada pasien gagal ginjal kronik.
INTERVENSI KEPERAWATAN PADA PASIEN PRURITUS UREMIK YANG MENJALANI TERAPI HEMODIALISA: A SYSTEMATIC REVIEW Friska Sembiring; Citra Anggraini; Dewi Tiansa
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.216

Abstract

Uremik pruritus merupakan salah satu keluhan paling umum terjadi pada pasien yang menjalani terapi hemodialisa dimana komplikasi nya sangat erat berhubungan dengan gangguan kualitas hidup, gangguan tidur, ansietas dan komplikasi lainnya pada daerah kulit yang dapat mencapai tingkat mortalitas yang tinggi. Penelitian tentang uremik pruritus yang melihat efek minyak esensial aromatherapy di tinjau terbitan antara tahun 2011 sampai dengan tahun 2018. Metode yang digunakan melalui pencarian database CINAHL, Science Direct, JCN, IOSR Journal, Biomed Central, Proquest, Google Scholar dengan pencarian jurnal tentang efek intervensi keperawatan terhadap pruritus uremik. Penelitian yang di telusuri ada 10 jurnal terdiri dari original research, studi review, short review dan randomize control trial dan quasi eksperimental yang meneliti tentang intervensi keperawatan seperti aromatherapy, akupressure, pemantauan status gizi terhadap pasien pruritus uremik dimana jurnal tersebut mendapatkan kesimpulan bahwa intervensi keperawatan memberikan efek positif terhadap pruritus uremik dari hasil penelitian tersebut di dapatkan bahwa penelitian aromatherapy lebih banyak memberikan hasil yang baik terhadap penurunan uremik pruritus khususnya pada pasien yang menjalani terapi hemodialisa. Intervensi keperawatan seperti complementary therapy dapat di pertimbangkan menjadi salah satu terapi non farmakologis yang dapat diberikan kepada pasien yang mengalami uremik pruritus.
PENGARUH TERAPI BERMAIN LEGO TERHADAP INTERAKSI SOSIAL ANAK AUTIS DI SDLB 017700 KISARAN NAGA KECAMATAN KISARAN TIMUR KABUPATEN ASAHAN TAHUN 2019 Dewi Tiansa Barus; Citra Anggraini; Friska Sembiring
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.226

Abstract

Social interaction is a relationship relating to individuals with individuals, individuals with groups, and groups with groups in which there is cooperation and competition. Children with autism have language and communication difficulties as well as understanding their surroundings. Researchers have the aim to determine the effect of lego play therapy on the social interactions of children with autism. In this study, researchers used a pre-experimental research design in the form of one group pretest-posttest. The sample in this study were all students suffering from autism, as many as 13 students in grades 1 - 4, with age 7 - 10 years with total sampling technique. Collecting data using observation sheets, researchers wanted to find out the extent to which play lego therapy can increase social interaction in children with autism. Where the results of the study state social interaction before being given lego play therapy is 1.15, while after being given lego play therapy is 1.77 . The results of statistical tests that have been conducted by researchers say there is an effect of lego play therapy on social interactions of children with autism can be seen the results of the p-value < 0.05. In this case the researchers suggest that teaching staff at SDLB in the future be able to implement this lego play therapy so that the social interaction of children with autism can increase even better.
Gambaran Pruritus Uremik Pasien Gagal Ginjal Kronik di Unit Hemodialisa Rumah Sakit Umum Pusat Haji Adam Malik Medan Sembiring, Friska; Nasution, Siti Saidah; Ariani, Yesi
Jurnal Perawat Indonesia Vol. 4 No. 1 (2020): May 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.248 KB) | DOI: 10.32584/jpi.v4i1.358

Abstract

Uremic pruritus is one of patient’s complaint about chronic kidney disease which is an uncomfortable and itchy sensation and can cause disturbances during the day or night and can even occur throughout the day such as sleep disturbance, activity, depression and complications in the skin that can reduce the quality of life of patients with chronic kidney failure. This study aims to look at the description of uremic pruritus experienced by patients with chronic kidney failure using descriptive quantitative design. The instruments used in this study were demographic data and a 5-D itch scale questionnaire. This research was conducted at the General Hospital of Haji Adam Malik Medan in one month with a sample of 49 people. The results of the study of the characteristics of respondents describe the majority of elderly (26.5%) who suffer from uremic pruritus, male gender (61.2%), have experienced uremic pruritus for more than 6 weeks (100%), the majority have undergone hemodialysis> 1 year (79.6%) and the majority are no longer working (73.5%) and hypertension is the majority of concomitant diseases (73.5%) with an itching scale of 15-24 (moderate) of 59.2%. This study provides some information on the factors that cause and that aggravate the incidence of uremic pruritus in patients with chronic renal failure so that nurses can get more leverage in nursing care for patients with uremic pruritus, especially in patients with chronic kidney failure.
Description of Hypertension Sufferers on Elderly in Nursing Home Resident Sembiring, Friska; Ginting, Amnita
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 1 (2024): January-June 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i1.2821

Abstract

Hypertension is one of the health problems in the world which is also referred to as the silent killer, Which is a deadly disease without any signs and symptoms beforehand as a warning of its dangers. The status of blood pressure will get higher as the function of the body's organs decreases. This type of research is quantitative descriptive. The sampling technique uses total sampling with a sample size of 30 people. The instrument used in the form of a tensimeter and blood pressure observation sheet.The results showed that the majority of respondents aged 60-74 years were 19 people (63.4%), the majority of respondents were female as many as 18 people (60%) and Blood pressure status in patients majority with hypertension grade 2 in Nursing Home Resident Medan is systolic blood pressure 140-159 mmHg, diastolic blood pressure 90-99 mmHg as many as 17 people (56.6%) It can be concluded that the majority of blood pressure status of hypertension sufferers on elderly in Panti werdha Graha Residen Senior Medan are in the category of Hypertension grade two.
Anxiety of Preschool Children Undergoing Hospitalization Ginting, Amnita; Sembiring, Friska
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 1 (2024): January-June 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i1.2823

Abstract

Hospitalization often creates traumatic and stressful events for children and families. The stressors that children can experience related to hospitalization can produce various reactions. In addition to the physiological effects of health problems, the effects of hospitalization on children include anxiety and fear, separation anxiety and loss of control. Anxiety that occurs in children cannot be ignored, if it is not treated immediately it will cause the child to reject treatment and medication. The aim of this study was to examine the anxiety of preschool aged children (3-6 years) undergoing hospitalization in the children's room at Santa Elisabeth Hospital, Medan. Descriptive research design with accidental sampling technique, the number of respondents was 73 people, the questionnaire used was SCASS anxiety for preschool children. The research results showed that the highest level of anxiety was in the severe category, 49 people (67,1%) and the lowest was in the moderate category, 24 people (32,9%). So it can be concluded that the anxiety level of preschool children undergoing hospitalasia is in the severe category because the children feel afraid of the hospital atmosphere, afraid of the treatment provided, children always cry when their parents are not nearby, cry and are afraid when they see doctors and nurses, cry seeing the syringe by the nurse. It is hoped that nurses will continue to accompany children during hospitalization to reduce anxiety in children.
HUBUNGAN PENGETAHUAN DENGAN KEPATUHAN PENCEGAHAN PENULARAN TB PARU DI RUMAH SAKIT SANTA ELISABETH MEDAN Saragih, Rosma; Simanullang, Murni; Sembiring, Friska
Jurnal Keperawatan Sriwijaya Vol. 11 No. 1 (2024): Vol 11, No 1 (2024)
Publisher : Bagian Keperawatan Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jks.v10i1.219

Abstract

Tujuan: Tuberkulosis paru adalah suatu penyakit infeksi menular yang disebabkan oleh bakteri Mycobacterium tuberculosis. Penularan penyakit ini terjadi melalui percikan dahak yang keluar saat batuk, bersin dan saat berbicara. Keluarga dan orang dilingkungan sekitar tidak dapat menghindari kontak dengan penderita Tuberkulosis memiliki risiko lebih besar untuk tertular . Penyakit ini dapat menyebabkan kesakitan, kematian dan kecacatan yang tinggi. Untuk mengantisipasi dampak yang merugikan maka diperlukan penanggulangan yang tepat. Pengetahuan dan kepatuhan sangat menentukan dalam pencegahan penularan TB Paru. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dengan kepatuhan pencegahan penularan TB Paru di Rumah Sakit Santa Elisabeth Medan. Metode: Rancangan yang digunakan dalam peneltian ini adalah Korelasional dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan total sampling dengan jumlah 96 responden. Hasil: Dari hasil analisa hubungan pengetahuan dengan kepatuhan pencegahan penularan TB Paru diperoleh p value = 0.000. Simpulan: Terdapat hubungan yang signifikan antara pengetahuan dengan kepatuhan pencegahan penularan TB Paru di Rumah Sakit Santa Elisabeth Medan.
Edukasi Jajanan Sehat pada Anak Usia Sekolah Dasar Sembiring, Friska Br; Ginting, Amnita Anda Yanti; Rupang, Ernita Rante; Tumanggor, Lili Suryani; Saragih, Ice Septriani
Jurnal Peduli Masyarakat Vol 5 No 2 (2023): Jurnal Peduli Masyarakat: Juni 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v5i2.1771

Abstract

Konsumsi jajanan merupakan hal yang sangat melekat pada anak. Anak-anak seringkali membeli makanan diluar dan tidak memperhatikan kebersihan serta kandungan yang ada pada makanan tersebut Pengabdian kepada masyarakat dengan topik edukasi jajanan sehat pada anak usia Sekolah Dasar sangatlah penting untuk dilaksanakan agar anak terhindar dari berbagai masalah kesehatan yang berasal dari jajanan tidak sehat.. Tujuan dari dilakukaknya pengabdian ini adalah memberikan edukasi kepada anak sekolah dasar terkait jajanan sehat yang layak dikonsumsi oleh anak usia sekolah dasar. Kegiatan PKM ini dilakukan dalam bentuk pendidikan kesehatan edukasi jajanan sehat pada anak usia sekolah dasar, yang diikuti oleh 30 orang Siswa SDN 044847 Kuta Male Kabupaten Karo. Materi disampaikan oleh salah satu Tim PKM. Kegiatan penyuluhan dimulai dari ijin oleh kepala sekolah, persiapan siswa, media yang digunakan dan perkenalan oleh kepala sekolah, PKM terlaksana dengan baik dan mengikuti kegiatan penyuluhan sampai tahap evaluasi. Para siswa menunjukkan bahwa kegiatan PKM ini memberikan pengetahuan yang baik bagi siswa sekolah dasar sehingga semakin paham dan mengerti jajanan sehat yang baik dikonsumsi oleh anak sekolah dasar di SDN 044847 Kuta Male.
PENGARUH SWEDISH MASSAGE DALAM MENURUNKAN TEKANAN DARAH PADA LANSIA DI MEDAN Sembiring, Friska Br; Ginting, Amnita A Yanti; Rupang, Ernita Rante
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.v7i2.297

Abstract

Hypertension is a degenerative disease which tends to have a higher risk of occurrence in the elderly due to a decrease in various body functions due to aging. This is also a result of today's lifestyle which tends to be unhealthy. One of the non-pharmacological therapies uses Swedish massage therapy, where this action is one of the nursing interventions that can effectively reduce blood pressure using fleurage, petrisage, friction, tapotement and vibration techniques. This research aimed to identify the effectiveness of Swedish massage in reducing blood pressure in elderly people with hypertension. This research uses a one-group pretest – posttest design. The sampling technique was purposive sampling with inclusion criteria. The sampling technique used in this research was using power analysis on the G-Power application with a total of 19 respondents. The instruments used in this research were blood pressure observation sheets, Swedish Massage SOP. The results of statistical tests show that there is an effect of Swedish massage therapy on reducing blood pressure after 6 meetings within 2 weeks with the Wilcoxon test results obtaining p value = 0.001. After the massage, most of the respondent blood pressure was in the grade 1 hypertension category. This therapy is easy to do and does not require a long time, so this therapy is recommended for elderly people with hypertension as a non-pharmacological therapy to lower blood pressure. Abstrak Hipertensi merupakan penyakit degeneratif yang cenderung memiliki risiko kejadian lebih tinggi pada lansia dikarenakan adanya penurunan berbagai fungsi tubuh akibat bertambahnya usia. Hal ini juga merupakan akibat dari gaya hidup masa kini yang cenderung tidak sehat. Salah satu terapi nonfarmakologi menggunakan terapi Swedish massage, dimana tindakan ini merupakan salah satu intervensi keperawatan yang dapat menurunkan tekanan darah secara efektif dengan menggunakan teknik fleurage, petrisage, friction, tapotement dan vibration. Penelitian ini bertujuan untuk mengetahui efektivitas Swedish massage dalam menurunkan tekanan darah pada lansia penderita hipertensi. Penelitian ini menggunakan one group pretest – posttest design. Teknik pengambilan sampel adalah purposive sampling dengan kriteria inklusi. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah menggunakan power analysis pada aplikasi G-Power dengan jumlah responden sebanyak 19 orang. Instrumen yang digunakan dalam penelitian ini adalah lembar observasi tekanan darah, SOP Swedish Massage. Hasil uji statistik menunjukkan bahwa ada pengaruh terapi pijat Swedia terhadap penurunan tekanan darah setelah 6 kali pertemuan dalam waktu 2 minggu dengan hasil uji Wilcoxon diperoleh nilai p = 0,001. Setelah dilakukan pijat sebagian besar tekanan darah responden berada pada kategori hipertensi derajat 1. Terapi ini mudah dilakukan dan tidak memerlukan waktu yang lama, sehingga terapi ini direkomendasikan bagi lansia penderita hipertensi sebagai terapi nonfarmakologis untuk menurunkan tekanan darah.