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HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MENJALANI DIET PADA PASIEN DIABETES MELITUS DI WILAYAH KERJA PUSKESMAS BINJAI ESTATE Leli Herawati
Jurnal Ilmiah Keperawatan IMELDA Vol. 7 No. 2 (2021): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v7i2.606

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by a deficiency in the production and utilization of the pancreatic hormone insulin. Family has an influence on the attitude and acceptance of health education for Diabetes Mellitus patients. Because this disease has a big challenge to achieve success in its management, because it must be carried out for life so that saturation and non-compliance often occur. Family support is needed to improve dietary adherence to DM patients. The purpose of this study was to determine the Relationship between Family Support and Compliance with Diets in Diabetes Mellitus Patients in the Binjai Estate Health Center Work Area in 2020. This type of research is a qualitative non-experiment with a correlation design carried out by Melitus in the Work Area of the Binjai Estate Health Center January - July 2020. The population in this study were all people with diabetes mellitus in the working area of the Binjai Estate Health Center, totaling 125 people. The sample in this study were patients with diabetes mellitus who live in the working area of the Binjai Estate Community Health Center and who were willing if the researcher asked for their data, 25 respondents. The results of the study were 13 respondents (52%) had good family support by having 12 respondents (48%) adhering to the diabetes mellitus diet obediently, 1 respondent (4%) having adherence to the diabetes mellitus diet with disobedience, respondents who had support 9 respondents (36%) had sufficient family compliance with 4 respondents (16%) adhering to the diet, while 5 respondents (20%) had obedient dietary adherence (20%), and 3 respondents had less family support (12 %), who have adherence to diet and not adhere to as many as 3 respondents (12%). Based on the results of the chi-squer test, there is a relationship between family support and adherence to diet in diabetes mellitus patients (p = 0.003 <0.05) with the correlation between variables being 0.003, which means that Ho is rejected Ha accepted. Suggestion: It is hoped that the family will provide support in the form of motivation, support, and guidance in the form of morale and material so that the patient is more able to follow the diabetes mellitus diet in maintaining blood sugar levels.

HUBUNGAN TINGKAT PENGETAHUAN PASIEN HIPERTENSI DENGAN UPAYA PENGENDALIAN HIPERTENSI DI UPTD PUSKESMAS PEMBANTU BERNGAM BINJAI Leli Herawati
Jurnal Maternitas Kebidanan Vol. 5 No. 1 (2020): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v5i1.912

WHO (World Health Organization) noted that in 2013 at least 839 million cases of hypertension occurred worldwide. In Indonesia there was an increase in the prevalence of hypertension. Overall the prevalence of hypertension in Indonesia in 2013 was 26.5% 1. And in North Sumatra, the prevalence of hypertension in 2013 was 24.7%. People with hypertension are increasing every year almost all over the world and cause global public health problems that contribute to the burden of heart disease, stroke, kidney failure, disability and premature death. This type of research is an analytical quantitative study with cross-sectional design, with a total sample of 56 people with hypertension and the sampling technique used is simple random sampling. Data analysis using chi square test. The results of the study were 45-54 years old (35.7%), female gender (53.6%), high school education (42.9%) and the work of farmers / fishermen / laborers 37.5%). Good level of knowledge (67.9%), adequate hypertension control efforts (64.3%) Chi square test results showed variables related to hypertension control efforts were education, occupation, knowledge of hypertensive patients (p <0.05). It is recommended for the puskesmas to improve health implementation programs, especially early detection of hypertension so that prevention programs can be done quickly to avoid more severe hypertension. It is hoped that the community will participate in the Healthy Living Movement (GERMAS) program, which focuses on three activities, namely: doing 30 minutes of exercise a day, eating fruits and vegetables; and check health regularly.

PENINGKATAN KESEHATAN PENDERITA DIABETES MELITUS di MASA PANDEMI COVID-19 DENGAN PROGRAM PROLANIS Wirda Faswita; Leny Suarni; Sri Wahyuni; Leli Herawati
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2022): Edisi Januari 2022
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v2i1.172

Coronavirus Disease 2019 (COVID-19) merupakan penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) yang merupakan coronavirus jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia. Penyakit Diabetes Mellitus (DM) merukan salah satu faktor komorbiditas dalam kejadian COVID-19 dimana jumlah penderita diabetes melitus yang semakin meningkat setiap tahunnya. salah satu program yang ada dalam PROLANIS yaitu Latihan fisik yang juga merupakan salah satu pilar dalam mengontrol kadar gula darah pada pendeirta diabetes mellitus yang merupakan. Kegiatan aktivitas fisik yang untuk penderita DM dalam pengontrolan Kadar Glukosa Darah (KGD) yaitu olahraga tingkat sedang seperti aerobik, latihan berjalan cepat, latihan sepeda, latihan lari, dan renang. Senam prolanis dilaksanakan pada kegiatan posyandu lansia sebanyak seminggu sekali dengan jumlah latihan selama 60 menit dengan dipandu oleh instruktur senam

Penyuluhan Manfaat Daun Seledri Terhadap Penurunan Tekanan Darah di Desa Sei Limbat Kabupaten Langkat Irma Handayani; Sri Wahyuni; Leli Herawati; Ilham Syahputra Siregar; Tri Wahyudi
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2022): Edisi Juli 2022
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v2i2.293

Hipertensi merupakan salah satu penyakit tidak menular (PTM) bagian kardiovaskuler penyebab utama kematian, dan cukup sulit untuk dikendalikan. Dewasa ini prevalensi penyakit cukup tinggi pada masyarakat baik secara global maupun nasional. Salah satu pengobatan secara non farmakologis yang dapat menurunkan tekanan darah tinggi adalah seledri. senyawa apiin merupakan senyawa yang banyak terkandung di daun seledri bersifat diuretic dan memiliki hipotesa mampu melebarkan pembuluh darah. Msyarakat telah banyak menggunakan daun seledri sehari-hari dan ada beberapa penelitian tentang efek farmakologinya menunjukkan seledri dapat membantu menurunkan tekanan darah tinggi. Kegiatan ini dilakukan untuk memberikan informasi kepada masyarakat khususnya penderita hiperetensi tentang manfat daun seledri dapat membantu mengontrol tekanan darah dalam ambang batas normal pada penderita hipertensi.. kegiatan penyuluhan ini menggunakan media leaflet yang terdiri dari pembukaan, pelaksanaan, dan penutup. Hasil pengabdian menunjukkan dari tahap evaluasi bahwa peserta berperan aktif dalam kegiatan, dan ditemukan 83,3 % (20 orang) peserta mengetahui tentang manfaat daun seledri yang berkontribusi dalam penurunan tekanan darah sehingga dapat berdampak untuk mengontrol tekanan darah pada penderita tekanan dsarah tinggi

Quality of Sleep and Blood Glucose of Type 2 Diabetes Mellitus Alwi, Fahrizal; Leli Herawati; Hizrah Hanim Lubis; Mersi Ekaputri; Razyda Hayati
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 2 (2023): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i2.340

Diabetes Mellitus is a serious problem with a rapidly increasing incidence. Almost all groups of people around the world are attacked by this disease. High blood sugar levels interfere with concentration to sleep well, due to the frequent urge to urinate at night and excessive thirst. The study was to determine the relationship between the quality of sleep and blood glucose levels in patients with type 2 diabetes mellitus. The study was a descriptive correlative with a cross-sectional approach. Seventy-seven respondents were involved in this study and were selected by accidental sampling. Data were collected using The Pittsburgh Sleep Quality Index to determine the quality of sleep and blood glucose levels were measured using Nesco Multicheck. Data were analyzed using chi-square. The results showed that there was a significant relationship between the quality of sleep and blood glucose levels with a p-value of 0.001. It can be concluded that the quality of sleep is related to the patient's blood glucose levels, so it is very important for patients to keep going with good quality of quality.

EDUKASI KESEHATAN TENTANG SELF CARE PADA PENDERITA DIABETES MELLITUS DI PUSKESMAS TANAH TINGGI BINJAI Faswita, Wirda; Herawati, Leli; Elfira, Eqlima
Reswara: Jurnal Pengabdian Kepada Masyarakat Vol 3, No 2 (2022)
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/rjpkm.v3i2.1921

Diabetes Melitus adalah penyakit gangguan metabolik yang disebabkan oleh peningkatan kadar gula darah karena kerusakan insulin, gangguan aktivitas insulin atau kekurangan sekresi insulin di dalam tubuh. Kasus Diabetes Melitus (DM) mengalami peningkatan setiap tahunnya dan merupakan termasuk ke dalam penyakit tidak menular (PTM). Hasil data selama tahun 2021 yang didapatkan dari Puskesmas daerah Tanah Tinggi Binjai ditemukan sebesar 820 kasus DM yang menimbulkan beberapa komplikasi jika mengalami peningkatan kadar gula darah yang tidak terkontrol. Akibat dari peningkatan kadar gula darah tersebut, penderita mengalami ulkus/gangrene, gangguan penglihatan, gagal ginjal, stroke dan bahkan menyebabkan kematian. Salah satu upaya dalam kegiatan pengabdian ini, pengabdi melakukan edukasi kesehatan berupa perawatan diri pada penderita Diabetes Melitus di Puskesmas daerah Tanah Tinggi Binjai. Metode yang dilakukan berupa ceramah dan sesi diskusi tanya jawab menggunakan poster dan leaflet. Kegiatan perawatan diri (self care) ini meliputi pengaturan pola makan, aktivitas fisik (olahraga) dan pemantauan kadar gula darah penderita secara berkala. Kegiatan ini diikuti 23 orang penderita Diabetes Melitus yang sedang melakukan rawat jalan

Quality of Sleep and Blood Glucose of Type 2 Diabetes Mellitus Alwi, Fahrizal; Leli Herawati; Hizrah Hanim Lubis; Mersi Ekaputri; Razyda Hayati
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 2 (2023): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i2.340

Diabetes Mellitus is a serious problem with a rapidly increasing incidence. Almost all groups of people around the world are attacked by this disease. High blood sugar levels interfere with concentration to sleep well, due to the frequent urge to urinate at night and excessive thirst. The study was to determine the relationship between the quality of sleep and blood glucose levels in patients with type 2 diabetes mellitus. The study was a descriptive correlative with a cross-sectional approach. Seventy-seven respondents were involved in this study and were selected by accidental sampling. Data were collected using The Pittsburgh Sleep Quality Index to determine the quality of sleep and blood glucose levels were measured using Nesco Multicheck. Data were analyzed using chi-square. The results showed that there was a significant relationship between the quality of sleep and blood glucose levels with a p-value of 0.001. It can be concluded that the quality of sleep is related to the patient's blood glucose levels, so it is very important for patients to keep going with good quality of quality.

Foot Care in Preventing Diabetic Ulcers in Diabetes Mellitus Patients at Tanah Tinggi Health Center Faswita, Wirda; Herawati, Leli
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Foot care is an action that aims to prevent diabetic ulcers including washing and drying the feet, checking the condition of the feet every day, taking care of nails, being careful when exercising, and protecting the feet with shoes and socks (Ariyanti, 2012). This action is carried out on the elderly who suffer from Diabetes Mellitus and have the potential to experience health problems. The purpose of this activity is to carry out early detection and prevent the occurrence of Diabetic Ulcers. The activity was carried out on June 17, 2021, UPTD Tanah Tinggi Public Health Center, Binjai City. The implementation of these activities gives positive results for the elderly. People who check themselves can find out the condition of their feet and add information in the prevention of diabetic ulcers with the result that participants enthusiastically ask about foot care and are able to explain how to prevent diabetic ulcers.

PENGARUH BRISK WALKING EXERCISE TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI PUSKESMAS TANAH TINGGI KOTA BINJAI TAHUN 2023 Herawati, Leli; Wahyuni, Sri
Jurnal Ilmiah Keperawatan IMELDA Vol. 9 No. 2 (2023): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v9i2.1506

Hypertension is defined as persistent blood pressure where the systolic pressure is ? 140 mmHg and the diastolic pressure is ? 90 mmHg. Hypertension not only reduces the quality of life, but can threaten the sufferer's life. The aim of the study was to determine the effect of brisk walking exercise on blood pressure in hypertension sufferers at the Tanah Tinggi Health Center. The type of research used was a quasi experiment with a non-equivalent control group design pretest posttest method. The total population was 346 samples taken using purposive sampling technique, a sample of 34 respondents per group. The researcher's independent variabl in the study provided brisk walking exercise intervention. The researcher's dependent variable is blood pressure. The research was carried out using treatment and control to obtain respondent data. Statistical testing of research data uses the Independent T-Test. The research results obtained before the brisk walking exercise were carried out in the control and treatment groups all had hypertension. Statistical test results using the Independent T- test where systole p value = 0.000 and diastole p value = 0.000 with a value = 0.05. So that the p value is 0.000 <0.05, then Ho is rejected and Ha is accepted, which means there is an effect of brisk walking exercise on reducing blood pressure. The conclusion was that after the brisk walking exercise was carried out, the blood pressure of the respondents decreased.

SELF-CARE MANAGEMENT AND QUALITY OF LIFE IN HEMODIALYSIS PATIENTS Herawati, Leli; Wahyuni, Sri; Ananda, Ichfad; Hasibuan, Nur Suci
Jurnal Penelitian Keperawatan Medik Vol 8 No 1 (2025): 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.v8i1.2747

Hemodialysis is a procedure that removes solutes and excess fluids from the blood. Its main goal is to relieve symptoms by controlling uremia, fluid overload, and electrolyte imbalances in patients with chronic kidney disease. Hemodialysis also requires patients to make significant lifestyle adjustments. This study aims to examine the relationship between self-care management and the quality of life among hemodialysis patients. This quantitative study used a cross-sectional design with a total sampling technique involving 23 respondents. Data were collected using a Self-Care Management Questionnaire and the KDQOL (Kidney Disease Quality of Life) instrument. The data were analyzed using the Gamma test. The findings showed a significant relationship between self-care management and quality of life among hemodialysis patients at the Hemodialysis Unit of Sinar Husni Hospital, Medan, in 2025. The chi-square test result showed a p-value of 0.000 (<0.05), indicating a significant association. There is a significant relationship between self-care management and the quality of life of hemodialysis patients at Sinar Husni Hospital, Medan.

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