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HUBUNGAN KUALITAS TIDUR DENGAN 5 INDIKATOR SINDROMA METABOLIK PADA PERAWAT DI RUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN simon simon; Ida Yustina; Fazidah Aguslina Siregar
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2021)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2.5076

ABSTRACTHigh death rate caused by non-transmitted diseases in the world is begun with metabolic syndrome in human beings such the increase in IMT (Body Mass Index) to be obesity, the increase in blood pressure to be hypertension, the increase in blood glucose to be diabetes mellitus, and abnormality of triglycerides, and HDL cholesterol. Many factors which trigger the indicator abnormality, and of them is bad sleep quality. The research used cross sectional design by analyzing the correlation between sleep quality and 5 metabolic syndrome indicator in female nurses in the operation room of Adam Malik Medan hospital. Sleep quality was measured by using questionnaire of Pittsburg Sleep Quality Index (PSQI), body height and weight were measured to get IMT value, blood pressure was measured by using tensimeter, blood glucose and blood lipid were measured by getting the respondent’s vena blood samples. The data were processed and analysis with independent t-test.The result with independent t-test showed that there was significant difference in IMT (sig=0,003), systolic blood pressure (sig=0,028), and fasting blood glucose content (sig=0,00). However, there was no significant difference in trigliyceride content (sig=0,519), HDL cholesterol content (sig=0,300),). The conclusion was that sleep quality was correlated with three metabolic syndrome indicators: IMT, blood pressure, and blood glucose content, but there was no correlation with trigliyceride and HDL cholesterol.Keywords: Sleep Quality, Metabolic Syndrome , T-Test,

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KECEMASAN PASIEN HEMODIALISIS DI RSUD Dr. PIRNGADI MEDAN Siti Arafah Julianty Hrp; Ida Yustina; Dedy Ardinata
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAK Proses hemodialisis di rumah sakit dapat menimbulkan stres psikologis (kecemasan) dan fisik yang mengganggu sistem neurologi seperti kelemahan, fatigue, kecemasan, penurunan konsentrasi. Penelitian ini bertujuan untuk menganalisis faktor-faktor (usia, jenis kelamin, tingkat pendidikan, pengalaman pengobatan, lama terapi, jenis pembiayaan, dukungan keluarga) yang berhubungan dengan tingkat kecemasan pasien hemodialisis di RSUD Dr. Pirngadi Medan. Jenis penelitian ini adalah deskriptif “cross sectional” dan pengambilan sampel dengan teknik purposive sampling dengan 62 pasien gagal ginjal yang menjalani hemodialisis di RSUD Dr. Pirngadi Medan. Data dianalisa menggunakan uji korelasi Spearman. Instrumen yang digunakan kuesioner data demografi, kuesioner faktor-faktor, kuesioner dukungan keluarga, instrumen Spielberger et al. (1983) State Trait Anxiety Inventory (STAI) Form A-State. Berdasarkan hasil uji statistik diketahui bahwa faktor-faktor yang berhubungan dengan tingkat kecemasan pasien hemodialisis yaitu faktor usia (p = 0.049), pengalaman pengobatan (p = 0,008), lama terapi (p = 0,021) dan dukungan keluarga (p = 0,021). Faktor jenis kelamin, tingkat pendidikan, jenis pembiayaan tidak berhubungan dengan tingkat kecemasan pasien dengan hemodialisis. Diharapkan kepada pihak rumah sakit meningkatkan pelayanan keperawatan khususnya di ruangan hemodialisis, melalui pemberian asuhan keperawatan secara holistik bio- psiko-sosial pada pasien gagal ginjal sehingga dapat mengurangi kecemasan, meningkatkan angka harapan hidup pasien gagal ginjal yang menjalani hemodialisis.Kata kunci: kecemasan, hemodilisis, gagal ginjal. ABSTRACT Hemodialysis process in hospital can cause psychological and physical stresses (anxiety) which disturbs the neurological systems, such as weakness, fatigue, anxiety, and decrease in concentration. The research objective is to analyze the factors (age, sex, educational level, curing experience, length of therapy, kinds of cost, and family support) related to the level of anxiety of patients suffering from hemodialysis in RSUD dr. Pirngadi, Medan. The research is a descriptive cross sectional and the sample is taken by purposive sampling technique with 62 patients with kidney failures undergoing hemodialysis. Data are analyzed by using Spearman’s correlation. The instrument is questionnaires on data of demography, factors, and family support, and the instrument of Spielberger et al (1983) State Trait Anxiety Inventory (STAI) form A- State.Based on the statistical test, it is found that the factors related to the level of anxiety of patients suffering from hemodialysis are age (p = 0.049), curing experience (p = 0.008), length of therapy (p = 0.021), and family support (p = 0.021). Factors of sex, educational level, kinds of cost are not directly related to the patients’ anxiety. It is expected that the hospital improve the nursing services, especially in the hemodialysis wards by providing the holistic bio-psycho-social nursing care to the patients with kidney failures so that it can decrease the anxiety, figure of life expectancy of patients with kidney failures undergoing hemodialysis.Keywords: anxiety, hemodialysis, kidney failure.

HUBUNGAN KARAKTERISTIK NYERI DENGAN KECEMASAN PADA PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI DI RSUD Dr. PIRNGADI MEDAN Doortua Butar-Butar; Ida Yustina; Ikhsanuddin A.Harahap
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRACTBreast cancer is a disease of malignant neoplasm derived from cells parenchym. Breast cancer and treatment of physical and psychological impact on sufferers of pain and anxiety. This study aimed to analysis the relationship characteristics of pain (pain intensity, pain interference, quality of pain, duration of pain, and pain location) with anxiety in breast cancer patients undergoing chemotherapy in Dr. Pirngadi Medan. This study design was cross-sectional. Samples numbered 52 breast cancer patients undergoing chemotherapy, which is taken by consecutive sampling technique. Results of the study there is a significant correlation between the stage of the cancer with anxiety (r = 0.69; p.value = 0,000), there is a significant relationship between cycles of chemotherapy with anxiety (r = -0.71; p.value = 0,000), there is a significant correlation between the intensity of pain with anxiety (r = 0.95; p.value = 0,000), there is a significant correlation between pain interference with anxiety (r = 0.92; p.value = 0,000), there is a significant relationship between quality of pain with anxiety (r = 0.76; p.value = 0,000), there is a significant relationship between duration of pain with anxiety (r = 0.447; p.value = 0,001), there is a significant correlation between the location of pain with anxiety (r = 0.675; p.value = 0.000). Intensity of pain is a sub variable most dominant characteristic of pain associated with anxiety. necessary to develop the standard format assessment of pain and anxiety that can adopt valid questionnaires from the evidence base and to develop management SOP nonpharmacological pain and anxiety that can be used as guidelines for nurses in dealing with pain and anxiety.Keywords: Patients Suffering from Breast Cancer;Chemotherapy; Pain.ABSTRAKKanker payudara merupakan suatu penyakit neoplasma ganas yang berasal dari sel parenchym. Kanker payudara dan penanganannya memberikan dampak fisik dan psikis terhadap penderitanya berupa nyeri dan kecemasan. Penelitian ini bertujuan mengidentifikasi hubungan karakteristik nyeri (intensitas nyeri, interfernsi nyeri, kualitas nyeri, durasi nyeri, dan lokasi nyeri) dengan kecemasan pada pasien kanker payudara yang menjalani kemoterapi di RSUD Dr. Pirngadi Medan. Desain penelitian ini adalah cross sectional. Sampel berjumlah 52 orang pasien kanker payudara yang menjalani kemoterapi, yang diambil dengan teknik consecutive sampling. Hasil penelitian terdapat hubungan yang signifikan antara stadium kanker dengan kecemasan (r = 0,69; p.value = 0,000), terdapat hubungan yang signifikan antara siklus kemoterapi dengan kecemasan (r = -0,71; p.value = 0,000), terdapat hubungan yang signifikan antara intensitas nyeri dengan kecemasan (r = 0,95; p.value = 0,000), terdapat hubungan yang signifikan antara interferensi nyeri dengan kecemasan (r = 0,92; p.value = 0,000), terdapat hubungan yang signifikan antara kualitas nyeri dengan kecemasan (r = 0,76; p.value = 0,000), terdapat hubungan yang signifikan antara durasi nyeri dengan kecemasan (r = 0,447; p.value = 0,001), terdapat hubungan yang signifikan antara lokasi nyeri dengan kecemasan (r = 0,675; p.value = 0,000). Intensitas nyeri merupakan sub variabel karakteristik nyeri yang paling dominan berhubungan dengan kecemasan. Perlu dikembangkan format pengkajian yang standar untuk mengkaji nyeri dan kecemasan yang dapat mengadopsi kuesioner yang valid dari evidence base, dan mengembangkan SOP manajemen nyeri dan kecemasan non-farmakologis yang dapat digunakan sebagai pedoman untuk perawat dalam menangani nyeri dan kecemasan.Kata Kunci: Pasien kanker payudara, Kemoterapi, Karakteristik nyeri.

Effect of Reinforcing Factors (Role of Parents and Role of Teachers) in Prevention of Dental Caries in Children Masyitah Masyitah; Ida Yustina; Etti Sudaryati
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 1 (2020): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i1.120

The aims on the study is to find out reinforcing factors in prevention of dental caries in children. This type of research is an observational analytic study with a cross sectional approach. The result of this study it can be concluded that there is an influence of the reinforcing factors which include: there is an influence of the role of parents on the prevention of dental caries in children with a value of p = 0.001 and there is an influence of the role of the teacher on the prevention of dental caries in children in elementary school Pantai Labu District with a value of p = 0.001. The dominant factor influencing the prevention of dental caries in children in elementary school in Pantai Labu District is the role of parents with a value of p = 0.001 (Exp B 8.825).

Effect of Predisposing Factors (Education, Economic Level, Knowledge and Attitude) on Defecation Behavior in Bener Meriah Regency Syarifah; Ida Yustina; Namora Lumongga Lubis
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 1 (2020): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i1.122

This study discusses about factors affecting predisposing factors (education, economic level, knowledge and attitude) on defecation behavior in Bener Meriah Regency. This research was conducted in Bener Meriah Regency which consists of 10 districts with the following considerations: (1) Indiscriminate defecation (BABS) behavior of 36.7 percent, this is far from the minimum service standard target (SPM) of 100 percent the community does not defecate carelessly; (2) Achievement of clean and healthy living behavior is only 24.7 percent, (3) Achievement of total community-based sanitation is only 3.0 percent of the target of 100 percent; (4) The research location is easy to reach by researchers. The result shows that The education of the head of the family has an influence on the behavior of open defecation. The economic level of the head of the family influences the behavior of open defecation. The attitude of the head of the family has an influence on the behavior of open defecation

The Relationship of Maternal Health Conditions on the Utilization of Maternity Waiting Homes for Maternity Motherhood Zufrizal; Ida Yustina; Asfriyati
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 1 (2020): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i1.129

Maternity Waiting Homes is a regional government program that aims to reduce maternal mortality. But in reality, there are still many people who do not utilize this facility. The purpose of this study is to determine the relationship of maternal health conditions on the utilization of maternity waiting homes for maternity motherhood. This research is an explanatory survey research with cross sectional design. The study was conducted in Langkat Regency, North Sumatra. The results showed that there was a relationship between maternal health conditions and the utilization of the maternity waiting house for maternity motherhood in Langkat Regency (p = 0.027).

Factors that Influence the Implementation of Early Initiation of Breastfeeding in RSUP Haji Adam Malik Medan Ali Imron; Ida Yustina; Etti Sudaryati
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 1 (2020): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i1.151

Early Initiation of Breastfeeding (EIB) is placing the baby in the mother's stomach immediately after birth in a position of skin contact with the mother in an hour after birth, if there is no medical indication. RSUP Haji Adam Malik Medan was one of the government hospitals, education, national referrals, and plenary status had implementing EIB. Achievement of EIB in this hospital decreased from (27.71%) in 2016 to (23.08%) in 2017. The purpose of this study was to explore the implementation of EIB in RSUP Haji Adam Malik Medan. This was a qualitative research with a phenomenological approach through in-depth interviews. The informants were 6 people, consisting of 2 midwives and 1 structural official in medical services, 2 patients and 1 gynecologist. Implementation of EIB in the hospital wasn’t going well, the factors that influence EIB were communication, disposition and management’s function. The successful implementation of EIB can reduce maternal and infant mortality rates, suggested to RSUP Haji Adam Malik Medan forms a special team to monitoring and evaluates the implementation of EIB, set and carry out sanctions for implementation of EIB, and increases the competence and motivation of health workers.

Faktor yang Mempengaruhi Pemanfaatan RSUD dr. Djasamen Saragih Pematangsiantar Ribka Sagala; Juanita Juanita; Rahayu Lubis; Ida Yustina; Destanul Aulia
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Pemanfaatan RSUD dr. Djasamen Saragih mengalami penurunan dari tahun ke tahaun terlebih lagi sejak diberlakukannya sistem rujuk berjenjang bagi pasien BPJS. Berdasarkan hasil survey pendahuluan yang telah dilakukan di RSUD dr. Djasamen Saragih Kota Pematangsiantar sampai saat ini banyak pasien yang tidak paham dan masih belum mengetahui sistem dan prosedur sehingga harus bolak balik ke rumah sakit. Penelitian ini dilakukan untuk mengeksplorasi pemanfaatan rumah sakit pasca penerapan sistem rujukan berjenjang di RSUD dr. Djasamen Saragih Pematangsiantar. Jenis penelitian menggunakan metode penelitian kualitatif. Lokasi yang dijadikan obyek penelitian adalah RSUD dr. Djasamen Saragih Pematangsiantar yang dilaksanakan pada September 2020 sampai dengan Desember 2020. Metode pengumpulan data yang digunakan adalah dengan wawancara mendalam dan teknik dokumentasi. Hasil penelitian menunjukkan bahwa dalam pemanfaatan RSUD dr. Djasmen Saragih Kota Pematangsiantar saat ini belum berjalan secara optimal, dimana terlihat dari jumlah pasien yang sampai saat ini terus mengalami penurunan jika dibandingkan dengan tahun-tahun sebelumnya. Selain karena kebijakan sistem rujukan berjenjang, adanya brand image yang kurang baik, tenaga dokter dan prasarana yang belum memadai membuat kurangnya permanfaatan rumah sakit ini. Maka, disarankan kepada pihak manajemen RSUD dr. Djasmen Saragih Kota Pematangsiantar melakukan koordinasi yang lebih baik lagi dengan berbagai instansi terkait

Nilai agama dan persepsi tentang praktik pemberian air susu ibu dua tahun: studi kualitatif di Aceh Ervina Ervina; Ida Yustina; Etti Sudaryati
Berita Kedokteran Masyarakat (BKM) Vol 35, No 3 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Factors that Influence the Implementation of Early Initiation of Breastfeeding in RSUP Haji Adam Malik Medan Ali Imron; Ida Yustina; Etti Sudaryati
Berita Kedokteran Masyarakat (BKM) Vol 36, No 6 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Early Initiation of Breastfeeding (EIB) is placing the baby in the mother's stomach immediately after birth in a position of skin contact with the mother in an hour after birth, if there is no medical indication. RSUP Haji Adam Malik Medan was one of the government hospitals, education, national referrals, and plenary status had implementing EIB. Achievement of EIB in this hospital decreased from (27.71%) in 2016 to (23.08%) in 2017. The purpose of this study was to explore the implementation of EIB in RSUP Haji Adam Malik Medan. This was a qualitative research with a phenomenological approach through in-depth interviews. The informants were 6 people, consisting of 2 midwives and 1 structural official in medical services, 2 patients and 1 gynecologist. Implementation of EIB in the hospital wasn’t going well, the factors that influence EIB were communication, disposition and management’s function. The successful implementation of EIB can reduce maternal and infant mortality rates, suggested to RSUP Haji Adam Malik Medan forms a special team to monitoring and evaluates the implementation of EIB, set and carry out sanctions for implementation of EIB, and increases the competence and motivation of health workers.

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