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HUBUNGAN PENGETAHUAN TENTANG ULKUS DIABETIKUM DENGAN TINDAKAN PENCEGAHAN PADA PENDERITA DIABETES MELITUS Marbun, Agnes Silvina; Aryani, Novita; Sinurat, Lasma Rina Efrina
JURNAL HEALTH REPRODUCTIVE Vol 6 No 2 (2021): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jrh.v6i2.2551

Abstract

Diabetes Mellitus is a long-term disease characterized by abnormal blood glucose levels. DM can cause several complications, one of which is Diabetic neuropathy which contributes to the occurrence of wounds, causing dry skin, anhidrosis; which makes it easier for the skin to become damaged and wounds that are difficult to heal and can cause infections that contribute to gangrene. To overcome this problem, people with diabetes mellitus must have knowledge about diabetic wounds which include early detection and prevention of diabetic foot wounds. This type of research is analytic with a cross sectional study design with the aim of knowing the relationship between knowledge about diabetic wounds and wound prevention measures in patients with diabetes mellitus at Puskesmas Kenangan. The population in this study were all DM patients who were treated at the Puskesmas Kenangan who had not experienced gangrene complications as many as 25 people with a sample of 25 people, the sample was taken by total sampling. The results of the study. Knowledge of the majority of diabetic wounds was less as many as 15 people (60%) and the majority of wound prevention measures were bad as many as 19 people (76%). The conclusion is that there is a relationship between the knowledge of people with diabetes mellitus about diabetic wounds and wound prevention measures, indicated by the P value = 0.000 (p <0.05), meaning that there is a relationship between the respondent's knowledge and wound prevention measures. To add insight and knowledge about diabetic wounds and how to prevent injuries, it is recommended for DM patients to take part in counseling about diabetic wounds held both at the puskesmas and other health facilities. It is recommended for nurses to provide health education to DM patients in order to increase knowledge about diabetic wounds by attaching posters of wound prevention measures.
INDEKS MASSA TUBUH DAN KADAR KOLESTEROL DENGAN TEKANAN DARAH DI PUSKESMAS DARUSSALAM Sinurat, Lasma Rina Efrina; Marbun, Agnes Silvina; Syapitri, Henny
Jurnal Online Keperawatan Indonesia Vol 6 No 2 (2023): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v6i2.4665

Abstract

Hypertension is still one of the highest causes of death in the world. Factors that cause an increase in blood pressure include high blood cholesterol levels. The aim of this study was to determine the relationship between body mass index and total cholesterol levels with blood pressure (BP) in hypertensive patients at the Darussalam Community Health Center. This type of research uses observational analytics with a cross sectional approach. The research population was 90 people and the sample was 47 people using accidental sampling. Data collection tools use medical record data and observation sheets. The results of research on the characteristics of respondents showed that the majority of respondents' BMI was stage 1 obesity (36.2%), cholesterol levels (53.2%), and the majority of patients' systolic BP were stage I hypertension (48.9%), while the majority of patients' diastolic BP was normal. (36.2%). In the Sperm Rank test, a relationship was found between BMI and BP where the p value was 0.001 and the R value was 0.451, meaning there was a moderate correlation where the better the BMI, the more controlled the BP of hypertensive patients. Apart from that, there is also a relationship between total cholesterol levels and BP where the p value is 0.001 and the R value is 0.472, meaning that there is a moderate correlation where the better the cholesterol levels, the more controlled the BP of hypertensive patients. Thus, it is hoped that respondents will control their body weight and total cholesterol levels to avoid an increase in blood pressure in hypertensive patients.
PROFILE OF ULCUS DECUBITUS PATIENTS WHICH ARE ON BED REST AT HOSPITAL IN THE CITY OF MEDAN Syapitri, Henny; Sinurat, Lasma Rina Efrina; Marbun, Agnes Silvina
Jurnal Ilmiah Keperawatan Vol 7 No 2 (2024): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v7i2.5214

Abstract

A study shows pressure ulcers are a secondary affliction that is experienced by many hospitalized patients, especially the patients with chronic diseases and patients who are very weak. However, the most frequently reported risk factors are older age, stay longer in the ICU, cardiovascular disease history, diabetes and stroke. This study aims to identify the profile of ulcers decubitus sufferers at Adam Malik General Hospital Medan and Hermina General Hospital Medan. The research method uses a quantitative descriptive approach. Data was collected using observation sheets and medical records. Sampling was done by chance with a total of 104 samples. Analysis of the data used is univariate analysis. Based on the results of the study, it wasfound that the average age of decubitus patiens was 55 years. The majority of decubitus patients are female is 55.8%. The patient’s average weight is 77 kg, average height is 161 cm, and the average body mass index is 24.8 (overweight). Based on the ulcer grade the majority is grade 2 with a percentage of 57, the average length of patient stay is 7 days. The diagnoses that led to 104 patients on bed rest varied widely. Most diagnoses were stroke (neurological disease) with a total of 48.1%.
HIPNOSIS LIMA JARI DI KLINIK LMT SIREGAR TAHUN 2021 Silvina Marbun, Agnes; Sijabat, Flora; Sinurat, Lasma Rina Efrina
Jurnal Abdimas Mutiara Vol. 2 No. 1 (2021): JURNAL ABDIMAS MUTIARA
Publisher : Universitas Sari Mutiara Indonesia

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Abstract

Kecemasan umumnya muncul pada ibu yang sedang dalam tahap menanti kelahiran karena dibenak mereka dihinggapi oleh rasa khawatir akan kelahirannya, seperti khawatir pendarahan, bayi cacat, serta khawatir terjadi komplikasi. Terapi hipnotis lima jari juga merupakan salah satu cara untuk mengatasi kecemasan pada ibu hamil dan dapat mempengaruhi pernafasan, denyut jantung, denyut nadi, tekanan darah, mengurangi ketengangan otot dan kordinasi tubuh, memperkuat ingatan, meningkatkan produktivitas suhu tubuh dan mengatur hormon-hormon yang berkaitan dengan stress. Tingkat kecemasan ibu pre partum di peroleh dengan nilai 21-34 yaitu berada diantara kecemasan sedang sampai berat, sedangkan sesudah diberikan terapi hipnotis lima jari tingkat kecemadan ibu pre partum diperoleh dengan nilai 7-20 yaitu berada diantara tidak ada kecemasan dan kecemasan ringan. Pengaruh terapi hipnotis lima jari terhadap kecemasan ibu pre partum diperoleh hasil p.value = 0,001 (p.value < 0,005).
DETEKSI DINI KANKER MAMMAE PADA WANITA USIA SUBUR MELALUI PEMERIKSAAN SADARI Sinurat, Lasma Rina Efrina; Sipayung, Rosetty Rita; Ningsih, Siska Dwi
Jurnal Abdimas Mutiara Vol. 2 No. 2 (2021): JURNAL ABDIMAS MUTIARA
Publisher : Universitas Sari Mutiara Indonesia

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Abstract

Upaya deteksi dini kanker mammae adalah cara untuk mengidentifikasi secara dini adanya kanker mammae, sehingga diharapkan dapat diterapi dengan teknik yang dampak fisiknya kecil dan punya peluang lebih besar untuk sembuh. Upaya ini sangat penting, sebab apabila kanker payudara dapat dideteksi pada stadium dini dan diterapi secara tepat maka tingkat kesembuhan yang cukup tinggi. Tujuan pengabdian masyarakat ini adalah untuk menambah pengetahuan wanita usia subur tentang cara deteksi dini kanker mammae melalui pemeriksaan SADARI. Adapun metode pengabdian masyarakat ini dengan bentuk ceramah dan tanya jawab serta melakukan demonstrasi menggunakan boneka/manikin dan menonton video pemeriksaan SADARI. Hasil dari pengabdian masyarakat ini adalah pengetahuan dan sikap wanita usia subur bertambah baik dan kearah positif dan juga dapat mendeteksi kelainan-kelainan payudara (mammae) secara dini dan melakukan upaya pemeriksaan lebih lanjut jika menemukan tanda-tanda kanker mammae. Diharapkan petugas kesehatan dalam hal ini perawat agar dapat membuat program baru khususnya dalam upaya deteksi dini kanker mammae selain SADARI. Mempromosikan SADARI dengan memanfaatkan media yang lebih menarik seperti membuat poster, memasang iklan di televisi maupun di radio dan menayangkan film/video akan meningkatkan pengetahuan yang lebih baik bagi wanita usia subur.
HUBUNGAN LAMA PENGGUNAAN KONTRASEPSI SUNTIK DENGAN TEKANAN DARAH PADA WANITA USIA SUBUR DI KLINIK PRATAMA WIPA Sinurat, Lasma Rina Efrina; Parapat, Friska Margareth
Jurnal Ilmiah Keperawatan Vol 3 No 1 (2020): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v3i1.2110

Abstract

Hormonal contraception is a method of contraception that has high effectiveness and is the most frequently used. Contraceptives, especially hormonal contraception, besides being able to cause changes in body weight are also dense causing an increase in blood pressure. Changes in high blood pressure can occur in 5% of hormonal contraceptive use, this is because many women of childbearing age use injectable contraceptives for a long time. The purpose of this study was to determine the relationship between the length of use of injectable contraceptives and blood pressure at the Wipa Clinic Pratama Medan. The research design used correlation analytic with cross sectional approach. The population of this study were all women of childbearing age who used injectable contraception. The sample of this study was 75 people, with a sampling technique that was simple random sampling. Collecting data with a questionnaire sheet. This study uses Chi square statistical test with CI = 95% and 0.05. The results of the study were the majority of injectable contraceptive use was 2 years (65.3%) and the majority of maternal blood pressure was high (130/80mmHg) (52%) based on the results of the chi-square statistical test with p value = 0.006. There is a long-standing relationship between the use of injectable contraceptives and blood pressure at the Wipa Pratama Clinic. It is recommended for women of childbearing age to increase knowledge about contraception used and often do counseling with health workers.
EFFECT OF NOSTRIL BREATHING ON BLOOD PRESSURE IN HYPERTENSION PATIENTS Syapitri, Henny; Siregar, Laura Mariati; Sinurat, Lasma Rina Efrina
Jurnal Ilmiah Keperawatan Vol 6 No 2 (2023): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v6i2.4319

Abstract

Hypertension other resulted number death which tall also impact on expensive treatment and care that must be borne by the sufferer. It should be noted that hypertension has an impact on decline quality of human life. If you have high blood pressure however no quick done treatment and control in a manner regular then what happens is that it will have an impact in even serious cases death. Nostril breathing technique is breathing by closing one hole nose in a manner alternate. Nostrils breathing tehnique own benefit that is can strengthen whole system respiratory, overcome stress, lower pressure blood. The purpose of this study was to identify the effect of nostril breathing on blood pressure. This type of research is a quasy experiment using the pre and posttest method without a control group design. The sample in this study was 20 people using a purposive sampling technique. The aspect to be measured in this study is blood pressure. The data obtained from the measurement results twice, namely blood pressure before and after the intervention was given. Statistical analysis used in this study is to use paired t-test. The results showed that the average blood pressure analysis before the nostril breathing intervention was given was (mean : 150.50) , and the average value after the intervention was given (mean : 139.00). The results of the analysis of the effect of nostril breathing on blood pressure using the paired t-test obtained a value of p = 0.000 (p <0.05 ) . Data analysis showed that there were significant differences between blood pressure before and after the intervention.
Pelatihan Bantuan Hidup Dasar Bagi Masyarakat Pesisir Pantai Belawan Galvani Simanjutak; Siska Evi Martina; Sinurat, Lasma Rina Efrina
Jurnal Abdimas Mutiara Vol. 3 No. 2 (2022): JURNAL ABDIMAS MUTIARA (IN PRESS)
Publisher : Universitas Sari Mutiara Indonesia

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Abstract

Pengabdian kepada masyarakat ini bertujuan untuk memberikan pelatihan Bantuan Hidup Dasar (BHD) bagi masyarakat pesisir pantai, khususnya nelayan, di pantai belawan. Pelatihan ini dilatarbelakangi oleh tingginya risiko kecelakaan di laut, termasuk tenggelam, yang sering disebabkan oleh kurangnya pengetahuan dan keterampilan dalam melakukan pertolongan pertama. Melalui pendekatan ceramah, tanya jawab, dan simulasi praktis, kegiatan ini diharapkan dapat meningkatkan pemahaman dan keterampilan masyarakat dalam menghadapi situasi darurat. Tingginya risiko kecelakaan laut di wilayah Belawan menuntut peningkatan kapasitas masyarakat, khususnya nelayan, dalam memberikan pertolongan pertama. Penelitian ini bertujuan untuk mengukur efektivitas pelatihan BHD dalam meningkatkan pengetahuan dan keterampilan nelayan dalam menghadapi situasi darurat. Metode yang digunakan adalah pelatihan langsung, demonstrasi, dan simulasi. Hasil penelitian menunjukkan peningkatan signifikan pada kemampuan peserta dalam melakukan RJP dan membuka jalan napas. Diharapkan pelatihan ini dapat mengurangi angka kematian akibat kecelakaan laut dan meningkatkan keselamatan nelayan.
Pendidikan Kesehatan Hipertensi Di Wilayah Kerja Upt Puskesmas Lalang Kecamatan Medan Beras Batu Bara Sinurat, Lasma Rina Efrina; Siska Evi Martina; Rumondang Gultom
Jurnal Abdimas Mutiara Vol. 3 No. 2 (2022): JURNAL ABDIMAS MUTIARA (IN PRESS)
Publisher : Universitas Sari Mutiara Indonesia

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Abstract

Hipertensi, atau tekanan darah tinggi, merupakan kondisi medis kronis yang ditandai oleh peningkatan tekanan darah secara terus-menerus di atas ambang normal. Hipertensi sering disebut sebagai "silent killer" karena sering kali tidak menunjukkan gejala yang jelas namun dapat menyebabkan komplikasi serius, seperti penyakit jantung, stroke, dan gagal ginjal. Faktor risiko hipertensi meliputi gaya hidup tidak sehat, seperti konsumsi makanan tinggi garam, kurangnya aktivitas fisik, obesitas, konsumsi alkohol, dan merokok, serta faktor genetik dan usia. Diagnosis hipertensi dilakukan dengan pengukuran tekanan darah menggunakan alat sphygmomanometer, dengan kategori tekanan darah ≥140/90 mmHg sebagai indikator hipertensi. Penatalaksanaan hipertensi melibatkan perubahan gaya hidup sehat, seperti pola makan seimbang, peningkatan aktivitas fisik, manajemen stres, dan jika diperlukan, pengobatan dengan antihipertensi. Pencegahan hipertensi sangat penting untuk mengurangi beban penyakit ini secara global, terutama melalui pendekatan promotif dan preventif yang melibatkan edukasi masyarakat dan kebijakan kesehatan publik.
Pemberian Edukasi Bantuan Hidup Dasar Terhadap Pengetahuan Masyarakat Galvani Volta Simanjutak; Siska Evi Martina; Sinurat, Lasma Rina Efrina
Jurnal Abdimas Mutiara Vol. 4 No. 1 (2023): JURNAL ABDIMAS MUTIARA (IN PRESS)
Publisher : Universitas Sari Mutiara Indonesia

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Abstract

Bantuan Hidup Dasar (BHD) merupakan salah satu upaya yang dilakukan oleh seseorang apabila menemukan korban yang membutuhkannya seperti pasien dengan henti jantung atau cardiac arrest. Secara global kejadian henti jantung diluar rumah sakit atau Out of Hospital Cardiac Arrest (OHCA) rata-rata di antara orang dewasa sebesar 55 OHCA per 100.000 orang/tahun. Henti jantung akan berakhir dengan kematian jika pertolongan tidak cepat diberikan, karena tenaga medis tidak selalu ada di tempat kejadian, orang atau masyarakat awam yang terlatih diwajibkan untuk melakukan BHD. Banyak masyarakat yang tidak mengetahui cara memberikan pertolongan untuk henti jantung, oleh karena itu penting adanya upaya untuk meningkatkan pengetahuan masyarakat mengenai bantuan hidup dasar. Tujuan dari penelitian ini adalah untuk mengetahui gambaran pemberian edukasi Bantuan Hidup Dasar (BHD) terhadap peningkatan pengetahuan masyarakat di Desa Buntuna Kecamatan Baolan Kabupaten Tolitoli. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan deskriptif, yang dilakukan pada 30 responden dengan menggunakan kuesioner yang dibagikan pada masyarakat. Penelitian ini menggunakan analisis univariat dengan rumus mean.Hasil penelitian didapatkan bahwa pengetahuan masyarakat sebelum diberikan edukasi mayoritas berpengetahuan kurang yaitu 20 orang (66,7%) dengan rata-rata kualitas pengetahuan (57%), setelah diberikan edukasi pengetahuan masyarakat meningkat menjadi pengetahuan baik yaitu 28 orang (93,3%) dengan rata-rata kualitas pengetahuan (92,1%).kesimpulan yang dapat ditarik adalah hasil penelitian ini mengambarkan bahwa pemberian edukasi dapat meningkatkan pengetahuan. Puskesmas diharapkan dapat melakukan program khusus untuk kegiatan penyuluhan atau pelatihan Bantuan Hidup Dasar (BHD), dan masyarakat diharapkan bisa terus meningkatkan pengetahuan tentang bantuan hidup dasar dengan rutin ikut edukasi atau pelatihan yang ada.