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All Journal Jurnal Keperawatan Khatulistiwa Nursing Journal Mapalus Nursing Science Journal (MNSJ): Jurnal Ilmu Keperawatan Mapalus
Toar, Juwita Moreen
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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FAKTOR YANG MEMPENGARUHI LITERASI KESEHATAN PADA PENDERITA DIABETES MELITUS TIPE 2 DI KOTA MANADO Toar, Juwita Moreen
JURNAL KEPERAWATAN Vol 8, No 2 (2020): E-JOURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jkp.v8i2.32327

Abstract

Literasi kesehatan memiliki peranan penting dalam pemberdayaan masyarakat Literasi kesehatan yang tinggi akan memampukan seseorang menggunakan informasi kesehatan yang tepat dalam meningkatkan atau mempertahankan kesehatannya khususnya pada penyakit Diabetes Melitus (DM). Berbagai studi juga menyatakan bahwa literasi kesehatan berhubungan erat dengan status kesehatan seseorang. Melihat dampak literasi kesehatan yang cukup besar maka perlu diketahui faktor-faktor apa saja yang berhubungan dengannya. Tujuan Penelitian ini bertujuan untuk mengetahui tingkat literasi kesehatan pasien Diabetes Mellitus tipe 2 dan faktor-faktor yang berhubungan dengan tingkat literasi kesehatan tersebut. Metode Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Subjek penelitian (N = 52) adalah peserta prolanis penderita Diabetes Mellitus tipe 2 yang berusia  ≥45  tahun. Pengumpulan data dilakukan melalui kuesioner dan lembar observasi. Teknik pengambilan sampel dilakukan secara purposive sampling. Analisis yang digunakan yaitu analisis chi-square. Hasil Hasil penelitian dengan menggunakan analisis chi-square menunjukkan bahwa ada hubungan antara usia dengan tingkat literasi kesehatan (p< 0,05) sedangkan factor lainnya seperti jenis kelamin, etnis, bahasa, tingkat pendidikan, status pekerjaan, penghasilan, akses pelayanan kesehatan serta akses informasi kesehatan tidak memiliki hubungan dengan literasi kesehatan. Kesimpulan Faktor yang berhubungan dengan tingkat literasi kesehatan seseorang adalah usia.Kata kunci : literasi kesehatan, diabetes mellitus, akses pelayanan kesehatan AbstractHealth literacy has an important role in community empowerment. High health literacy will enable a person to use appropriate health information in improving or maintaining their health, especially in Diabetes Mellitus (DM). Various studies have also stated that health literacy is closely related to a person's health status. Seeing the large impact of health literacy, it is necessary to know what factors are related to it. Aim The aim of this study was to determine the level of literasi kesehatanof patients with Diabetes Mellitus type 2 and the factors related to the level of health literacy. Method This research is a quantitative study with a cross sectional design. The research subjects (N = 52) were prolanis participants with type 2 Diabetes Mellitus who were ≥45 years old. Data collection was carried out through questionnaires and observation sheets. The sampling technique was carried out by purposive sampling. The analysis used is the chi-square analysis. Results The results of the study using the chi-square analysis showed that there was a relationship between age and the level of health literacy (p <0.05), while other factors such as gender, ethnicity, language, education level, employment status, income, access to health services and access health information has no relationship with health literacy. Conclusion A factor related to a person's health literacy is age.Keywords : health literacy, diabetes mellitus, health services access
e-DSMES DALAM MENINGKATKAN MANAJEMEN PERAWATAN DIRI PENDERITA DIABETES MELITUS DI MASA PANDEMI COVID-19 Toar, Juwita Moreen; Rooroh, Victor Giovannie Xaverison; Pontoh, Fransisca Joanet
JURNAL KEPERAWATAN Vol. 12 No. 2 (2024): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/j-kp.v12i2.57891

Abstract

Abstract Background: The COVID-19 pandemic has impacted access to healthcare services and accelerated the adoption of technology in managing chronic diseases such as diabetes mellitus. Diabetes Self-Management Education and Support (DSMES) utilizing technology has become increasingly important in the context of social restrictions and changes in healthcare access, providing knowledge and support to individuals with diabetes to manage their condition independently. Self-care capabilities can optimize metabolic control, prevent complications, and improve the quality of life for diabetes patients. Education for diabetes patients during the COVID-19 pandemic is essential so that an effective educational model intervention strategy is needed.Objective: This study aims to determine the effect of electronic Diabetes Self-Management Education and Support (e-DSMES) on the self-care abilities of individuals with type 2 diabetes mellitus during the COVID-19 pandemic. Methods: The research design used was a pre-experimental design with a one-group pre-post test and the sampling technique is simple random sampling. A total of 20 individuals with type 2 diabetes mellitus enrolled in Prolanis at the Wenang Community Health Center in Manado participated in the e-DSMES program for 4 weeks. Data were collected using the Diabetes Self-Management Questionnaire (DSMQ) to measure respondents' self-care abilities. Results: Data analysis using a paired t-test showed a significant difference in the average self-care management scores before and after the implementation of e-DSMES (p < 0.05 and CI does not include zero).Conclusion: The implementation of e-DSMES can be an effective strategy in improving health outcomes for individuals with diabetes during the pandemic and other social restriction situations. Keywords: diabetes education program; telehealth; diabetes; selfcare management; covid 19      
Kesejahteraan Psikologis sebagai Prediktor Kontrol Glikemik pada Diabetes Melitus Tipe 2 Sjawal, Gloria Elisabet; Toar, Juwita Moreen; Renteng, Septriani
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.346

Abstract

Background: Good glycemic control is essential in preventing complications and reducing mortality among individuals with diabetes. The achievement of optimal glycemic control is influenced not only by medical factors but also by psychological aspects. Objective: This study aims to examine the relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus. Method: This study employed a cross-sectional design and was conducted at Imanuel Clinic, Manado. A total of 87 patients with type 2 diabetes mellitus were selected using purposive sampling. The inclusion criteria were: patients aged 30 years and above, diagnosed with type 2 diabetes mellitus for more than one year, and having undergone HbA1c testing within the past three months. Data were collected using a research instrument consisting of the Ryff’s Scale of Psychological Well-Being (SPWB) questionnaire, as adapted by previous researchers. Result: Spearman’s rho correlation test revealed a significant relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus, with a strong negative correlation (r = –0.753) and a p-value of 0.038 (p<0.05). Conclusion: There is a significant relationship between psychological well-being and glycemic control in patients with type 2 diabetes mellitus, indicating that higher psychological well-being is associated with better glycemic outcomes.
Analisis Asuhan Keperawatan pada Pasien dengan Kanker Serviks Stadium IV A di Ruang Irina D Atas RSUP Prof. DR. R. D. Kandou Manado Karepowan, Stevany; Meo, Maria Lupita Nena; Toar, Juwita Moreen; Kundre, Rina
Mapalus Nursing Science Journal Vol. 3 No. 1 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i1.55223

Abstract

Background: Cervical cancer is one of the most frequently diagnosed causes of cervical cancer and the main cause of death in women. Based on data from the International Agency for Research on Cancer (IARC) GLOBOCAN, there were 396,914 new cancer cases and 234,511 deaths due to cancer in 2020. The complaint that emerged was pain. A non-pharmacological combination therapy that is effective in treating pain is lavender aromatherapy guided imagery therapy. Method: The case study used is descriptive, with data collection techniques through interviews, physical examination and observation. The lavender aromatherapy guided imagery therapy intervention was provided once a day for 10-15 minutes and carried out for 3 days. Pain scale measurement uses the Numeric Rating Scale (NRS). Results: the application of lavender aromatherapy guided imagery therapy to reduce pain resulted in a decrease in the pain scale before the intervention was obtained on a scale of 4 and after the intervention the pain was reduced on a scale of 2. Conclusion: Based on the results of the evaluation carried out, it was found that lavender aromatherapy guided imagery therapy was able to reduce pain in patients cervical cancer
Analisis Asuhan Keperawatan pada Pasien dengan Stroke Iskemik dan Intervensi Range of Motion (ROM) Pasif di Ruangan Edelweis 1 RS. Prof. Dr. R. D. Kandou Manado Wenas, Missheyla Jhulietha; Toar, Juwita Moreen; Fitriani, Fitriani
Mapalus Nursing Science Journal Vol. 2 No. 3 (2024): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i3.60111

Abstract

Background: Chronic kidney disease (CKD) that reaches its final stages often requires hemodialysis therapy to replace lost kidney function. Although hemodialysis is effective in the management of this condition, CKD patients who undergo the procedure often experience musculoskeletal complications, including impaired blood circulation in the lower extremities. This can cause swelling (edema). One non-pharmacological approach that can help improve blood circulation and reduce swelling is physical therapy, especially ankle pump exercises and leg elevation. Objective: To explain nursing care for patients undergoing hemodialysis with the application of Ankle Pump Exercise therapy combined with 300 Leg Elevation in the Melati Hemodialysis Room, Kandou Manado Hospital. Method: Case study with nursing care approach that includes assessment, data analysis, nursing planning, then applied to patients with implementation and evaluation that focuses on providing nursing care with nursing process and additional intervention based on journal of application of ankle pump exercise therapy combination of 300 leg elevation. Results: Assessment of edema on the first day of edema degree IV duration of more than 2 minutes, assessment of edema on the fourth day of edema degree IV duration of 1 minute 45 seconds, and assessment of edema on the eighth day of edema degree III duration of 57 seconds. Conclusion: Provision of nursing care to Mrs. J with the application of ankle pump exercise therapy intervention and 30 degree leg elevation has proven to be beneficial in reducing edema in patients. Keywords: Chronic Kidney Disease (CKD), edema, ankle pump exercise, leg elevation.
Analisis Penerapan Terapi Ankle Pump Exercise Kombinasi Elevasi Kaki 30o Pada Ny.J dengan Penyakit Ginjal Kronik (Pgk) yang Menjalani Hemodialisis di Ruangan Hemodialisa Melati RSUP. Kandou Manado Pangandaheng, Velisia; Larira, Dina Mariana; Toar, Juwita Moreen
Mapalus Nursing Science Journal Vol. 2 No. 3 (2024): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i3.60218

Abstract

Background. Stroke is a neurological change caused by disturbances in blood circulation to parts of the brain. Hemiparesis is a complication that may be experienced, so passive range of motion exercises are needed. The prevalence of stroke cases in Indonesia is high, with the North Sulawesi region ranking third. Objective. Analysing the results of providing passive ROM intervention for muscle strength in patients with ischaemic stroke in the Edelweis 1 hospital room. Prof. Dr R.D. Kandou, Manado. Method. This scientific work uses a case study method on the patient Mr AW, who has a diagnosis of ischaemic stroke. Results. The nursing intervention provided was energy management by providing passive ROM for 4 days of patient care, showing an increase in muscle strength in the left extremities from 4/4 to 5/5 and the right from 1/1 to 4/3. Discussion. ROM exercises are performed on patients with impaired physical mobility. Passive ROM is provided by helping to move the affected extremity. ROM exercises are given to patients twice a day for 15-20 minutes, carried out at a pre-determined and consistent time. Conclusion. Providing passive ROM (range of motion) exercises can increase muscle strength in stroke patients or those who experience decreased muscle strength. Keywords: Ischaemic stroke; Muscle strength; Passive range of motion (ROM).
Hubungan Manajemen Perawatan Diri dengan Kualitas Hidup pada Pasien Hipertensi di Puskesmas Tuminting Manado Manansang, Novan Kristorio; Pondaag, Ferlan Ansye; Toar, Juwita Moreen
Mapalus Nursing Science Journal Vol. 3 No. 2 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i2.63300

Abstract

Abstract Background: Hypertension is a chronic disease that significantly contributes to global morbidity and mortality. Optimal hypertension management requires active patient involvement through self-care management, which is believed to contribute to improved quality of life. Objective: To determine the relationship between self-care management and the quality of life of hypertensive patients at the Tuminting Public Health Center in Manado. Methods: A total of 74 respondents were selected using purposive sampling. The instruments used included the Hypertension Self-Management Behavior Questionnaire (HSMBQ) to assess self-care management and the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire to assess quality of life. Data were analyzed using univariate analysis for frequency distribution and bivariate analysis with Spearman’s correlation test. Results: The majority of respondents (83.8%) had a moderate level of self-care management, and 81.1% had a poor quality of life. Bivariate analysis showed a significant relationship between self-care management and quality of life (p = 0.000; r = 0.402). Conclusion: There is a significant relationship between self-care management and quality of life among hypertensive patients at the Tuminting Public Health Center in Manado. These findings highlight the importance of enhancing self-care education through practical programs at primary healthcare centers, such as self-monitoring training, healthy lifestyle counseling, as well as involving family support and utilizing simple technologies to improve adherence and quality of life in patients with chronic diseases. Keywords: chronic disease; Hypertension; quality of life; self-care management    
Co-Authors Fitriani Fitriani Karepowan, Stevany Larira, Dina Mariana Manansang, Novan Kristorio Meo, Maria Lupita Nena Pangandaheng, Velisia Pondaag, Ferlan Ansye Pontoh, Fransisca Joanet Renteng, Septriani Rina Kundre Rooroh, Victor Giovannie Xaverison Sjawal, Gloria Elisabet Wenas, Missheyla Jhulietha