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PENGARUH EDUKASI PEMBATASAN CAIRAN TERHADAP PENCAPIAN DRY WEIGHT PADA PASIEN HEMODIALISIS Ramadhani; Silaen, Harsudianto; Tarihoran, Yusrial; Hasibuan, Muhammad Taufik Daniel
Jurnal Keperawatan Priority Vol. 3 No. 2 (2020)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v3i2.975

Fluid status in patients with renal failure can determine fluid adequacy and subsequent fluid therapy. Dry weight is weight without excess fluid formed after the dialysis action or the lowest weight that is safe to reach the patient after dialysis. The purpose of this study was to determine the effect education about fluid restriction on dry weight pre intra and post hemodialysis ignition at Murni Teguh Memorial Hospital. Progressive and irreversible impairment of renal function in which the body's ability to fail to maintain metabolism and fluid and electrolyte balance, causing uremia (retention of urea and other nitrogenous waste in the blood) which can cause chronic kidney failure. The design of this research is quasi-experiment without control pre and post-test design. Sampling in this study were patients undergoing regular hemodialysis, totaling 58 people, using purposive sampling technique. The results of the study obtained the effect of education about fluid restriction on dry weight ignition in regular hemodialysis patients at Murni Teguh Memorial Hospital Medan obtained p-value 0.007<0.05. It is recommended that nurses increase the frequency of health education about the fluid needs of hemodialysis patients and problems that arise during hemodialysis, and improve their skills in determining the right dry weight.

KEBERHASILAN UREA REDUCTION RATIO (URR) PADA PASIEN HEMODIALISIS DI PUSKEMAS PADANG BULAN Silaen, Harsudianto; Tarihoran, Yusrial
Jurnal Abdimas Mutiara Vol. 2 No. 1 (2021): JURNAL ABDIMAS MUTIARA
Publisher : Universitas Sari Mutiara Indonesia

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Terapi alternatif lain pengganti ginjal tetapi penderita gagal ginjal lebih banyak yang memiliki hemodialysis. Pengontrolan pada pasien hemodialysis yang sesuai dengan kebutuhan pasien dapat di nilai dari adekuasi hemodialysis yang dicapai pasien hemodialysis. Metode pelaksanaan pengabdian masyarakat ini sudah melakukan assement awal di Puskemas Padang Bulan terkait adanya pasien hemodialisis, setelah adanya pasien hemodialisis yang berkunjungan terkait rujukan dan pemeriksaan kesehatan laiinya.Tim pengabdian masyarakat memberikan edukasi dari depan dan pasien mendengarkan, setelah dilakukan edukasi, maka ada kesempatan untuk bertanya seputar hemodialisis. Diakhir sesi kami mendokumentasikan hasil pengabdian berupa foto penyuluhan dan daftar hadir yang diisi oleh pasien yang ada di Puskemas Padang Bulan. Hasil pengabdian masyarakat dilakukan edukasi sebanyak 2x (dua kali) di dalam hari yang sama. Pada pukul 09.00 WIB dan 10.00 WIB dengan jumlah pasien sebanyak 22 orang (pasien hemodialisis sebanyak 14 dan pasien umum sebanyak 18 orang) dilakukan pada 17 Februari 2021 di Puskesmas Padang Bulan. Kesimpulan pengetahuan yang baik tentang kondisi pasien hemodialisis akan menimbulkan reaksi yang baik kepada pasien hemodialisis terutama dalam menjaga kadar urea dalam tubuh yang dapat meningkat karena berat badan meningkat dan tekanan darah yang meningkat.

EDUKASI PEMBATASAN CAIRAN TERHADAP PENCAPIAN DRY WEIGHT PADA PASIEN HEMODIALISIS DI PUSKEMAS PADANG BULAN Silaen, Harsudianto; Tarihoran, Yusrial; Simatupang, Lenny Lusia
Jurnal Abdimas Mutiara Vol. 1 No. 2 (2020): JURNAL ABDIMAS MUTIARA
Publisher : Universitas Sari Mutiara Indonesia

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Proses edukasi diharapkan dapat memberikan manfaat bagi pasien antara lain membantu pasien untuk mengenali permasalahan kesehatan yang dihadapi dan membatu mengatasi masalah kesehatan pasien serta mendorong pasien untuk mencari dan memilih cara pemecahan masalah yang paling sesuai dengan penyakit pasien terutama dalam penentuan kebutuhan cairan sehingga dapat mempertahankan berat badan selama hemodialisis. Tahap awal kami melakukan pembukaan kegiatan pengabdian masyarakat, dimana sesi edukasi kami lakukan sebanyak 2 kali dalam waktu yang berbeda (Pukul 09.00 dan 11.00 WIB) 12 Agustus 2020 dan memberikan kuesioner (pre) sebanyak 5 pertanyaan. Tahap kedua kami memberikan leaflet yang diberikan oleh anggota pengabdian masyarakat sementara ketua pengabdian masyarakat memberikan edukasi dari depan. Setelah dilakukan edukasi tentang pembatasan cairan kami melakukan evaluasi. Pada tahap ketiga kami melakukan evaluasi berupa sesi tanya jawab dan pemberian kuesioner diakhir pertemuan. Pada tahap ke empat kami menilai hasil edukasi. Hasil pengabdian masyarakat yang telah diperoleh berdasarkan jenis kelami perempuan sebanyak 7 orang (38,8%) dan laki-laki sebanyak 11 orang (61,2%), berdasarkan pengetahuan (pre edukasi) baik tidak ada, cukup sebanyak 6 orang (33,3%) dan kurang sebanyak 12 orang (66,7%), berdasarkan pengetahuan (post edukasi) baik sebanyak 3 orang (16,7%), cukup sebanyak 12 orang (66,6%) dan kurang sebanyak 3 orang (16,7%). Manfaat dari edukasi akan dapat meningkatkan wawasan pasien hemodialisis tentang pembatasan asupan cairan dan hasil akhirnya maka akan tercapai berat badan kering (dry weight). Pengabdian masyarakat dilakukan difasilitas kesehatan yang bersifat preventi, promotif dan rehabilitatif untuk mendukung program layanan fasilitas kesehatan.

EDUKASI PEMBATASAN CAIRAN TERHADAP PENCAPIAN DRY WEIGHT PADA PASIEN HEMODIALISIS DI PUSKEMAS PADANG BULAN Silaen, Harsudianto; Tarihoran, Yusrial; Simatupang, Lenny Lusia
Jurnal Abdimas Mutiara Vol. 2 No. 2 (2021): JURNAL ABDIMAS MUTIARA
Publisher : Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Proses edukasi diharapkan dapat memberikan manfaat bagi pasien antara lain membantu pasien untuk mengenali permasalahan kesehatan yang dihadapi dan membatu mengatasi masalah kesehatan pasien serta mendorong pasien untuk mencari dan memilih cara pemecahan masalah yang paling sesuai dengan penyakit pasien terutama dalam penentuan kebutuhan cairan sehingga dapat mempertahankan berat badan selama hemodialisis. Tahap awal kami melakukan pembukaan kegiatan pengabdian masyarakat, dimana sesi edukasi kami lakukan sebanyak 2 kali dalam waktu yang berbeda (Pukul 09.00 dan 11.00 WIB) 12 Agustus 2020 dan memberikan kuesioner (pre) sebanyak 5 pertanyaan. Tahap kedua kami memberikan leaflet yang diberikan oleh anggota pengabdian masyarakat sementara ketua pengabdian masyarakat memberikan edukasi dari depan. Setelah dilakukan edukasi tentang pembatasan cairan kami melakukan evaluasi. Pada tahap ketiga kami melakukan evaluasi berupa sesi tanya jawab dan pemberian kuesioner diakhir pertemuan. Pada tahap ke empat kami menilai hasil edukasi. Hasil pengabdian masyarakat yang telah diperoleh berdasarkan jenis kelami perempuan sebanyak 7 orang (38,8%) dan laki-laki sebanyak 11 orang (61,2%), berdasarkan pengetahuan (pre edukasi) baik tidak ada, cukup sebanyak 6 orang (33,3%) dan kurang sebanyak 12 orang (66,7%), berdasarkan pengetahuan (post edukasi) baik sebanyak 3 orang (16,7%), cukup sebanyak 12 orang (66,6%) dan kurang sebanyak 3 orang (16,7%). Manfaat dari edukasi akan dapat meningkatkan wawasan pasien hemodialisis tentang pembatasan asupan cairan dan hasil akhirnya maka akan tercapai berat badan kering (dry weight). Pengabdian masyarakat dilakukan difasilitas kesehatan yang bersifat preventi, promotif dan rehabilitatif untuk mendukung program layanan fasilitas kesehatan.

Empowerment of Posyandu Cadres in the Implementation of Atraumatic Care Approach: Swaddle and Sponge Bath to Optimize Neonatal Adaptation in Pangururan Tambunan, Dior Manta; Silaen, Harsudianto; Simanullang, Rostime Hermayerni; Buaton, Kristina; Lumbantobing, Dikki Samuel
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.5248

Neonates experience transition from the intrauterine to the extrauterine environment which can cause stress and have long-term consequences on the development of the infant’s brain. One of the neglected and traumatic neonatal care is bathing. Objective: The objective of this community service is to increase the knowledge level of posyandu cadres and the communities about the application of the atraumatic care approach: swaddle and sponge bath to optimize neonatal adaptation. Method: The implementation method is with pre- and post-tests, cadre briefings, health education and demonstration of the swaddle bath method at the Sait Nihuta Village Hall, Pangururan District. This activity was attended by 6 posyandu cadres, 25 community members which are mothers with infants aged 0-5 months, pregnant women, and mothers planning to have their first/next child). Results: It was found that the pre-test knowledge level of posyandu cadres was low in 3 people (50%) and the post-test knowledge level of posyandu cadres was good for 4 people (66.7%). While the pretest knowledge level of community was low in 14 people (56%) and the posttest knowledge level of community was good in 15 people (60%). Conclusions: It can be concluded that there is a significant increase in knowledge level on posyandu cadres and the community about the implementation of the atraumatic care approach: swaddle and sponge bath to optimize neonatal adaptation. Reccomendation: It is expected that the program will continue through cadres who have been provided with education through materials and demonstrations that have been given to the community.

HUBUNGAN ASUPAN NUTRISI TERHADAP PENGONTROLAN KADAR HEMOGLOBIN PASIEN HEMODIALISIS DI MURNI TEGUH MEMORIAL HOSPITAL MEDAN Pasaribu, Petrus P.; Silaen, Harsudianto
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

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Anemia is often found in patients with chronic kidney disease, especially in patients with advanced chronic kidney disease undergoing hemodialysis therapy. Anemia is influenced by factors such as age, gender, and duration of hemodialysis, as well as nutritional factors. Insufficient nutritional intake is often experienced by patients with chronic kidney disease undergoing dialysis therapy. The purpose of this study was to determine the relationship between nutritional intake and hemoglobin level control in hemodialysis patients at Murni Teguh Memorial Hospital Medan. This study used a quantitative research method with a cross-sectional design and used a sampling technique, namely purposive sampling. The test used in this study was the Chi-Square test. The results of the study showed that there was a relationship between nutritional intake and hemoglobin level control in hemodialysis patients with a p value = 0.005 or p <0.05. The conclusion of the study is that there is a significant relationship between nutritional intake and hemoglobin level control in hemodialysis patients. It is expected that patients are able to know the types of food and the amount of food needed by their bodies every day so that with sufficient nutritional intake, the patient's hemoglobin level is also expected to be within normal limits.

PENGARUH PENDIDIKAN KESEHATAN TERHADAP PERAWATAN KAKI PENCEGAHAN ULKUS DIABETIK DI WILAYAH KERJA PUSKESMAS SENTOSA BARU KOTA MEDAN Andriyani, Syafitri; Silaen, Harsudianto
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

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Foot care is an action carried out by individuals both in conditions of normal blood sugar levels and elevated blood sugar levels which is carried out regularly to maintain personal hygiene, especially the feet. Diabetic ulcers can cause disability or death if prevention is not carried out in patients with type 2 DM. In patients with diabetes mellitus, sufferers often experience disorders or wounds on the feet consisting of thickening of the skin and nail tissue, minor wounds or serious injuries such as gangrene (wounds). which is rotting or expanding). And one of the preventive efforts for type 2 DM patients is to provide health education about foot care to reduce the occurrence of complications from diabetic foot ulcers using leaflets. The aim of the research is to determine the effect of health education on foot care to prevent diabetic ulcers in the working area of the New Seontosa Health Center in Medan City. This research uses a pre-experimental design and uses pretest and posttest design methods. Sampling used proportional sampling with a total sample of 65 respondents. The research instrument used was a diabetic foot care questionnaire to prevent ulcers. The data analysis used was the Wilcoxon test. The results of the research show that there is an influence of health education on foot care to prevent diabetic ulcers in the work area of the Sentosa Baru Health Center, Medan. The Wilcoxon statistical test shows a p - value <0.05. So it can be concluded that there is an influence of health education on foot care to prevent diabetic ulcers in the work area of the Sentosa Baru Health Center, Medan.

Optimalisasi adaptasi neonatus dengan penerapan atraumatic care approach: swaddle dan sponge bath di Pangururan Tambunan, Dior Manta; Silaen, Harsudianto; Simanullang, Rostime Hermayerni; Buaton, Kristina; Lumbantobing, Dikki Samuel
JOURNAL OF Public Health Concerns Vol. 4 No. 4 (2024): JOURNAL OF Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i4.450

Background: Neonates experience a transition from the intrauterine to the extrauterine environment which can cause stress and have long-term consequences on the development of the baby's brain. One of the neglected and traumatic neonatal care is during the process of bathing the baby. Purpose: To improve the knowledge of posyandu cadres and the community about the application of the Atraumatic Care Approach: Swaddle and Sponge Bath in an effort to optimize adaptation in neonates. Method: Implementation of community service with pre-test and post-test, provision of cadres, health education and demonstration of the swaddle bath method at the Sait Nihuta Village Hall, Pangururan District. This activity was attended by 6 posyandu cadres, 25 community members consisting of mothers with children aged 0-5 months, pregnant women, and mothers who were planning to have their first/next child. By providing education in the form of material presentation, demonstration and simulation of the Atraumatic Care Approach: Swaddle and Sponge Bath care approach actions for participants. Results: Of the 6 posyandu cadres, there was an increase in knowledge about the Atraumatic Care Approach: Swaddle and Sponge Bath care approach of posyandu cadres from before (pre-test) PKM activities in the less category of 3 people (50.0%) to the majority in the good category of 4 people (66.7%) after (post-test) PKM activities. And for participants from the community, a total of 25 people also experienced an increase in knowledge about the Atraumatic Care Approach: Swaddle and Sponge Bath care approach from before (pre-test) PKM activities in the less category of 14 people (56.0%) to the good category of 15 people (60.0%) after (post-test) PKM activities. Conclusion: Educational activities through PKM can significantly increase knowledge of the Atraumatic Care Approach: Swaddle and Sponge Bath care approach in posyandu cadres and the community. The atraumatic care approach can minimize traumatic experiences during bathing in neonates. Suggestion: It is hoped that this program can continue through cadres who have received education through materials and demonstrations delivered to the community. Keywords: Atraumatic Care Approach; Neonates; Posyandu Cadres; Sponge Bath; Swaddle Bath Pendahuluan: Neonatus mengalami perpindahan dari lingkungan intrauterin ke ekstrauterin yang dapat menyebabkan stres dan mengakibatkan konsekuensi jangka panjang pada perkembangan otak bayi. Salah satu perawatan neonatus yang terabaikan dan traumatik adalah pada waktu proses memandikan bayi. Tujuan: Untuk meningkatkan pengetahuan kader posyandu dan masyarakat tentang penerapan pendekatan perawatan Atraumatic Care Approach: Swaddle dan Sponge Bath dalam upaya mengoptimalkan adaptasi pada neonatus. Metode: Pelaksanaan pengabdian kepada masyarakat dengan pre-test dan post-test, pembekalan kader, edukasi kesehatan dan demonstrasi metode swaddle bath di balai Desa Sait Nihuta Kecamatan Pangururan. Kegiatan ini diikuti 6 orang kader posyandu, 25 orang masyarakat yang terdiri dari ibu yang mempunyai anak 0-5 bulan, ibu hamil, dan ibu yang merencanakan untuk mempunyai anak pertama/selanjutnya. Dengan memberikan edukasi berupa pemaparan materi, demonstrasi dan simulasi tindakan pendekatan perawatan penerapan Atraumatic Care Approach: Swaddle dan Sponge Bath pada peserta. Hasil: Dari sejumlah 6 orang kader posyandu terdapat peningkatan pengetahuan tentang pendekatan perawatan Atraumatic Care Approach: Swaddle dan Sponge Bath kader posyandu dari sebelum (pre-test) kegiatan PKM dalam kategori kurang sebanyak 3 orang (50.0%) menjadi sebagian besar dalam kategori baik sebanyak 4 orang (66.7%) setelah (post-test) kegiatan PKM. Dan untuk peserta dari masyarakat sejumlah 25 orang juga mendapatkan peningkatan pengetahuan tentang pendekatan perawatan Atraumatic Care Approach: Swaddle dan Sponge Bath dari sebelum (pre-test) kegiatan PKM dalam kategori kurang sebanyak 14 orang (56.0%) menjadi dalam kategori baik sebanyak 15 orang (60.0%) setelah (post-test) kegiatan PKM. Simpulan: Kegiatan edukasi melalui PKM dapat meningkatkan pengetahuan pendekatan perawatan Atraumatic Care Approach: Swaddle dan Sponge Bath yang signifikan pada kader posyandu dan masyarakat. Pendekatan perawatan atraumatik (Atraumatic Care Approach) dapat meminimalkan pengalaman traumatik selama dimandikan pada neonatus. Saran: Diharapkan program ini dapat berlanjut melalui kader yang telah menerima edukasi melalui materi dan demonstrasi yang disampaikan kepada masyarakat.

Pengaruh Edukasi Pengawas Minum Obat (PMO) Anti Hipertensi Terhadap Kepatuhan Minum Obat Hipertensi Pada Pasien Di Posbindu Kelurahan Galang Kota Tarigan, Teguh Karya Darma; Silaen, Harsudianto
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 1 (2025): Juni 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i1.10980

Background: Hypertension is a condition in which blood vessels with diastolic blood pressure are ≥90 mmHg and systolic blood pressure ≥140 mmHg. Medication Supervisors for hypertension are one of the main ways to prevent this hypertension from developing into increasingly severe complications. Objective: To analyze the effect of education on anti-hypertension medication supervisors (PMO) on compliance with taking hypertension medication in patients at the Galang City Post Bindu in 2024. Method: This type of research is a quantitative research type using a quasi-experimental research design with a research design of one group pre-test and one group post-test design. The sampling technique used total sampling with a total of 53 respondents. Data analysis used the Wilcoxon sign rank test. Results: The results of this study indicate that there is a significant influence of education of drug supervisors on compliance with taking hypertension medication with a p-value of 0.000 0.05 and a p-value of 0.002 0.05. Conclusion: There is a significant influence between education of drug supervisors (PMO) for antihypertension on compliance with taking hypertension medication in patients at the Posbindu, Galang City. It is recommended that further research be carried out by adding other variables such as education of hypertension families, eating patterns that can affect hypertension conditions

Pengaruh Terapi Bermain Flashcard terhadap Kemampuan Emosional Anak Usia 5-6 Tahun Zebua, Albertus Famatisaro; Silaen, Harsudianto
JURNAL KESEHATAN POLTEKKES KEMENKES RI PANGKALPINANG Vol 13, No 1 (2025): JKP JUNI 2025
Publisher : Poltekkes Kemenkes Pangkalpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32922/jkp.v13i1.1134

Latar belakang: Perkembangan sosial emosional merupakan aspek penting dalam proses adaptasi anak terhadap lingkungan rumah, sekolah, dan masyarakat. Anak usia prasekolah (5–6 tahun) berada pada tahap perkembangan yang pesat, sehingga membutuhkan stimulasi yang tepat, salah satunya melalui terapi bermain flashcard sebagai media untuk meningkatkan kemampuan emosional.Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh terapi bermain flashcard terhadap kemampuan emosional anak usia 5–6 tahun.Metode: Penelitian menggunakan metode kuantitatif dengan desain pre-eksperimental jenis one group pre-test-post-test design. Sampel sebanyak 28 anak dipilih secara purposive sampling dengan kriteria inklusi, yaitu anak usia 5–6 tahun yang tidak memiliki gangguan perkembangan berat dan mendapatkan persetujuan dari orang tua, serta kriteria eksklusi berupa anak yang sedang menjalani terapi psikologis lain atau tidak menyelesaikan seluruh sesi terapi. Instrumen yang digunakan berupa kuesioner pre-test dan post-test yang telah diuji validitas dengan korelasi Pearson dan reliabilitas menggunakan Cronbach’s Alpha, dengan hasil >0,7.Hasil: Data dianalisis menggunakan uji Wilcoxon Signed Rank Test dan menunjukkan nilai Z sebesar -4,589 dengan signifikansi 0,000 (<0,05), yang berarti terdapat pengaruh signifikan antara terapi bermain flashcard terhadap kemampuan emosional anak.Kesimpulan: Dengan demikian, terapi bermain flashcard terbukti efektif dalam meningkatkan kemampuan emosional anak usia dini dan direkomendasikan untuk diterapkan secara berkelanjutan dalam pembelajaran maupun terapi anak. Kata kunci: Terapi Bermain Flashcard; Kemampuan Emosional; Anak Prasekolah; Perkembangan Sosial Emosional.

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