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The Effect of Cognitive Behavioral Therapy on Self-Management and Self-Care Behaviors of Type 2 Diabetes Mellitus Patients Purba, Jenny Marlindawani; Empraninta, Hanna Ester
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.2021.16.1.1569

Abstract

Diabetes mellitus (DM) is the condition of metabolism affected by chronic hyperglycemia (the increase of glucose levels in the blood) caused by insulin secretion defect. One of the non-pharmacological therapies used to decrease the type 2 DM is cognitive behavioral therapy. The objective of the research was to identify the effect of Cognitive Behavior Therapy (CBT) on self management and self-care behaviors of type 2 DM patients. The research used a quasi-experimental method with a two-group pretest-posttest design. The samples were 70 respondents with 35 of them were in the intervention group and the other 35 were in the control group, taken by using a consecutive sampling technique. The data were gathered using the Diabetes Self-Management Questionnaires (DSMQ) and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaires. The gathered data were analyzed by using paired t-test, and independent t-test. The results of the study showed that there were significantly differences of mean scores of self management and self care behaviors between intervention and control groups (t=13.24; p=0.00) and(t=14.63,p=0.00), respectively. It is recommended that cognitive behavior therapy can be used as one of the non-pharmacological therapiesto change self-care behaviors in type 2 DM patients.
Relationship between Knowledge and Attitude about Prevention of Diabetes Mellitus Complications in Diabetes Mellitus Patients Henrianto Karolus Siregar; Khairunnisa Batubara; Hanna Ester Empraninta; Fatima Ura Pabanne
South East Asia Nursing Research Vol 3, No 4 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.4.2021.153-159

Abstract

Diabetes mellitus is a chronic disorder characterized by hyperglycemia characterized by defects in insulin secretion, insulin action or both. Attitudes of patients regarding complications of diabetes mellitus need to be approached to patients who have diabetes mellitus. The number of people with Diabetes Mellitus in the world from year to year has increased, this is related to the increasing population, increasing life expectancy, urbanization which changes traditional lifestyles to modern lifestyles, obesity increases and physical activity decreases. Knowledge of patients with diabetes mellitus can be interpreted as the result of knowing from patients about their disease, understanding the disease, and understanding prevention, treatment and complications. This study aims to identify the relationship between knowledge and attitudes of patients with diabetes mellitus about complications of diabetes mellitus. This study is descriptive with 105 samples and data collection techniques using Convinience Sampling. Collecting data using a questionnaire that has been validated and reliability using the Cronbach alpha test. The results showed that the knowledge of diabetes mellitus patients about complications of diabetes mellitus was categorized as good as many as 83 respondents (79.0%). It can be used as a guideline for carrying out nursing care for patients with diabetes mellitus in order to realize the desired nursing goals and evaluations such as health workers are expected to further increase their role in providing health education about the prevention of complications of diabetes mellitus.
Pengaruh penggunaan posisi orthopnea terhadap penurunan sesak nafas pada pasien TB paru Empraninta, Hanna Ester; Supardi, Supardi; Mahdalena, Piyanti Saurina
Jurnal Prima Medika Sains Vol. 5 No. 1 (2023): Juni
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i1.3783

Abstract

TB paru dapat menyebabkan kerusakan atau fibrosis pada saluran pernapasan dan jaringan paru-paru, yang ditandai dengan kesulitan bernafas dan batuk. Studi ini bermaksud untuk menelaah lebih lanjut tentang efektifitas posisi orthopnea terhadap penurunan sesak nafas pada pasien TB paru. Studi ini merupakan penelitian kuantitatif dengan metode quasy experiment dengan rancangan two group pretest posttest design yang bertujuan mengukur penurunan sesak nafas pada pasien TB paru sebelum dan sesudah intervensi. Penelitian ini dilakukan di Rumah Sakit Pringadi Medan, pada bulan Agustus 2022. Subyek penelitian ini adalah 50 orang penderita penyakit TB yang dibagi menjadi dua kelompok yaitu kelompok yang diberikan intervensi sebanyak 25 orang dan kelompok kontrol sebanyak 25 orang. Subjek penelitian direkrut dengan menggunakan teknik purposive sampling. Pengumpulan data dilakukan dengan tahap pretest dan postest dengan menggunakan stopwatch untuk mengukur frekuensi pernapasan sebelum dan sesudah diberikan intervensi orthopnea. Analisis data menggunakan uji T-Dependent untuk mengetahui perbedaan rerata frekuensi pernapasan sebelum dan sesudah melakukan posisi orthopnea, serta mengetahui perbedaan rerata frekuensi pernapasan antara kelompok intervensi dengan kelompok kontrol. Hasil penelitian menyimpulkan bahwa terdapat perbedaan frekuensi pernapasan pada kelompok intervensi sebelum dan sesudah diberikan posisi orthopnea (p <0,001). Tidak terdapat perbedaan frekuensi pernasapan pada kelompok kontrol sebelum dan sesudah diberikan posisi orthopnea (p= 0,057). Nilai rerata skor frekuensi pernapasan dan pada kelompok intervensi melalui pemberian posisi orthopnea menurun secara signifikan dibandingkan dengan kelompok kontrol. Kepatuhan responden ketika diberikan intervensi juga membantu optimalisasi penurunan gejala sesak nafas.
Efektivitas Pemberian Air Rebusan Daun Sirsak (Anonna Muricata) terhadap Penurunan Kadar Asam Urat pada Lansia di Kelurahan Rambung Timur Kecamatan Binjai Selatan 2025 Hanna Ester Empraninta; Piyanti Saurina Mahdalena Sagala; Sembiring Ananta Sherina
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i2.5862

Abstract

Gout is a disease that is often found in the world. Usually gout occurs due to the deposition of monosidium urate crystals in the tissue or due to supersaturation of uric acid in the extracellular fluid. Some factors that cause gout include excessive purine intake. An unhealthy diet and high-protein foods with high purine levels. One of the non-pharmacological actions in reducing uric acid levels is the provision of soursop leaf decoction (Annona Muricata L) intervention. To determine the effectiveness of soursop leaf decoction on reducing uric acid levels in the elderly by administering soursop leaf decoction in Rambung Village, South Binjai District, Binjai City. This study uses a One-group pretest-posttest design research design approach. The sample of this study was 8 respondents. The sampling technique uses total sampling. The collection of research data uses demographic data, a consent sheet to become a respondent (Informed Consent). Data collection is carried out through observations by researchers of respondents and conducting observations. Research with Parametric Test Paired Sample T-test obtained a p Value of (0.000) <α (0.05), so there is a significant effectiveness of giving soursop leaf decoction to reduce uric acid levels in the elderly, and can be used as an alternative to reduce uric acid levels.
The Effect of Foot Exercise on Foot Sensitivity in Type II Diabetes Mellitus Patients in Environment IV of Dataran Tinggi Village, Binjai in 2024 Empraninta, Hanna Ester; Br Bangun, Chusnul Adinta
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 02 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

Indonesia is a country with a fairly high incidence rate. Data found that type 2 DM sufferers in Indonesia reached 1.5% or around 4.1 million people from the total population, then one of the complications that arises from diabetes mellitus sufferers is decreased sensitivity in the feet, this phenomenon if left unchecked will become diabetic ulcers. Objective: To determine foot sensitivity before and after implementing diabetes foot exercises. Knowing the differences before and after the implementation of diabetes mellitus foot exercises on foot sensitivity in diabetes mellitus sufferers. This type of research is descriptive research. This implementation was carried out for 7 days with 3 meetings. The respondents used in this study were diabetes mellitus sufferers who experienced decreased sensitivity in their feet, which was characterized by frequent tingling sensations and decreased stimulation. After applying diabetic foot exercises, it showed an increase in foot sensitivity in diabetes mellitus sufferers. Applying diabetic foot exercises can increase foot sensitivity in people with diabetes mellitus.
The Effect Of Combination Of Ginger And Honey Combination On Asthma Patients With Ineffectiveness Of Breath Pattern In Pujidadi Binjai Village In 2023 Empraninta, Hanna Ester
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 01 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

Asthma is a chronic disease that attacks the respiratory tract with marked shortness of breath due to narrowing of the airways. One of the non-pharmacological measures to reduce asthma is the administration of a combination of ginger and honey boiled water. The aim of the study was to identify the effect of consuming a combination of ginger and honey boiled water on asthma sufferers. This study uses a quasi-experimental research design approach with two groups pretest posttest. The sample of this study were 30 asthma patient respondents who were undergoing treatment which were divided into two groups, 15 intervention groups and 15 control groups. The sampling technique uses the Slovin formula. Research data collection used demographic data, informed consent sheets, Asthma Control Test (ACT) questionnaires, which were combined using a modified combination of ginger and honey boiled water. Data were analyzed using descriptive statistics, paired t test and independent t test. The results showed that there was an effect of consuming a combination of ginger and honey boiled water on ineffective breathing patterns, post-test intervention group (t = -23,503, p=0,001) and post-test control group (t = -5,281; p=0,001) and there was a significant difference significantly to the ineffectiveness of breathing patterns between the post-test of the intervention group and the post-test of the control group after the intervention was carried out by consuming a combination of ginger and honey boiled water for ineffective breathing patterns, the intervention group and the control group after filling out the Asthma Control Test (ACT) questionnaire obtained a value (t = 4,707, p=0,001). The results of this study can recommend consuming a combination of ginger and honey boiled water as a non-pharmacological measure to help reduce the ineffective breathing pattern of asthma sufferers.
PENGABDIAN KEPADA MASYARAKAT PENINGKATAN PENGETAHUAN MASYARAKAT TENTANG PENYAKIT HIPERTENSI PADA LANSIA DI KELURAHAN DATARAN TINGGI BINJAI Hanna Ester Empraninta; Sari Handayani; Layudza Syahrani
Pengabdian Deli Sumatera Vol 2 No 2 (2023): Artikel Riset Pengabdian vol. 2 no. 2 Juli 2023
Publisher : LLPM Universitas Deli Sumatera

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Abstract

Hipertensi merupakan penyakit yang timbul akibat adanya interaksi berbagai faktor resiko yang dimiliki seseorang. Faktor pemicu hipertensi dibedakan menjadi yang tidak dapat dikontrol seperti riwayat keluarga, jenis kelamin, dan umur. Faktor yang dapat dikontrol seperti obesitas, kurangnya aktivitas fisik, perilaku merokok, pola konsumsi makanan yang mengandung natrium dan lemak jenuh. Akademi Keperawatan Kesdam I/BB Binjai kembali melakukan pengabdian kepada masyarakat di Kelurahan Dataran Tinggi Binjai yang memang merupakan daerah binaan khususnya masalah kesehatan . Program Pengabdian kepada Masyarakat kali ini bertujuan untuk melakukan Peningkatan Pengetahuan Tentang Penyakit Hipertensi pada masyarakat Kelurahan Dataran Tinggi Binjai, dengan mengadakan penyuluhan tentang Hipertensi dengan harapan pengetahuan para kader meningkat tentang Hipertensi. Kami juga menempelkan poster di mading posyandu dan pemberian booklet yang berisikan pencegahan Hipertensi. Persiapan tim dilaksanakan dalam aspek akademik dan logistik. Untuk aspek logistik, masing-masing anggota mendapatkan penugasan persiapan. Untuk aspek akademik, Kelompok penyuluhan. Kelompok penyuluhan bertanggung jawab menyusun dan menyampaikan materi penyuluhan dan leafleat yang berisi sosialisasi tentang penyebab serta potensi serta Hipertensi yang akan terjadi dan panduan pencegahan. Terjadi peningkatan pengetahuan masyarakat tentang penyakit hipertensi dan komplikasinya serta masyarakat dimotivasi untuk mendapatkan akses pengobatan dan pengetahuan tentang hipertensi. Keywords: Pengetahuan, Hipertensi, Lansia