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Development of Non-Medical Rehabilitation Program to Overcome Weaknesses in Hemodialized Patients in Medan City Hospital Silaen, Harsudianto; Roby Purba, Jhon; Taufik Daniel Hasibuan, Muhammad
Jurnal KESANS : Kesehatan dan Sains Vol 2 No 1 (2022): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v2i1.101

Abstract

Introduction: The problems that occur show that 71.0% to 92.2% of patients experience weakness and that weakness is the most important condition to be observed in patients with chronic kidney failure and it is necessary to have a program to prevent weakness before and after hemodialysis. Objective: The aim of research in research is to develop a non-medical rehabilitation program to overcome weaknesses in hemodialysis patients at Medan City Hospital and facilitate health facilities in the establishment of New Service Programs. Method: The data analysis method used is Action Research. Quantitative data analysis by testing the validity of the instrument was carried out using the Content Validity Index (CVI) with a value of 0.88, while qualitative data analysis used content analysis, namely colaizzi.  Result and Discussion: The results of this study were obtained, namely standard operating procedures for the Non-Medical Rehabilitation Program to Overcome Weaknesses in Hemodialysis Patients at Medan City Hospital. After the non-medical rehabilitation program was carried out according to the stages of this study, the 16 hemodialysis patient participants said that the weakness had decreased. Conclusion: Knowledge of human resources (nurses and therapists/physiotherapy) increases 100% with recommendations for standard operating procedures to be carried out in hospitals. This research is intended to be carried out in several hospitals that have hemodialysis and medical rehabilitation services at the level of applied research
EFEKTIFITAS DIAPHRAGMATIC BREATHING TERHADAP DERAJAT DISPNEA PADA PENDERITA TB PARU MDR DI RUMAH SAKIT AMINAH KOTA TANGERANG Gustina, Putri; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 1 No 1 (2023): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v1i1.129

Abstract

Pulmonary Tuberculosis (TB) Disease which damages the respiratory tract, and causes in respiratory problems that usually lead to ventilation dysfunction. The aim of this study is to analyze the effectiveness of diaphragmatic breathing on the degree of dyspnea in patients with Pulmonary TB in the Jasmine Room at Aminah Hospital, Tangerang City. The research design is Quasi-experimental in one group with pre and post-test using total sampling technique. The number of respondents were 33 patients with Pulmonary TB who were hospitalized. participated in this study using this technique. Sampling Total Sampling. Researchers instrument for the diaphragmatic breathing program that can be done is by practicing regularly for 2 weeks, where in 1 week you can do 3 times diaphragmatic breathing exercises. Meanwhile, to measure the degree of dyspnea using the Modified Medical Research Council (mMRC) scale, then a Checklist. Statistical test uses a Wilcoxon test. Based on the research results obtained with a p value of 0.000 <0.05, which means that there is an effect of the effectiveness of diaphragmatic breathing on the degree of dyspnea in MDR pulmonary TB patients at Tangerang City Hospital in 2021, the degree of dyspnea in MDR pulmonary TB patients after using diaphragmatic breathing is 17.00. This shows that the Degree of Dyspnea after the Use of Respiratory Muscles 33 patients experienced a decrease in the Degree of Dyspnea by 17 times from the Degree of Dyspnea prior to the Use of Diaphragmatic Breathing. Abstrak Penyakit Tuberkulosis Paru (TB) yang merusak saluran pernapasan, dan mengakibatkan gangguan pernafasan yang biasanya dapat menyebabkan disfungsi ventilasi. Penelitian ini bertujuan untuk menganalisis Efektifitas Diaphragmatic Breathing Terhadap Derajat Dispnea Pada Penderita TB Paru Di Ruang Melati Rumah Sakit Aminah Kota Tangerang Tahun. Desain penelitian Kuasi Eksperimen pada one group with pre and post-test dengan menggunakan teknik pengambilan sampel Total Sampling. Jumlah responden adalah 33 orang pasien Penderita TB Paru yang di rawat inap. Instrumen penelitian untuk Program pelaksanakan Diaphragmatic breathing yang dapat dilakukan yakni dengan latihan secara rutin selama 2 minggu, dimana dalam 1 minggu dapat dilakukan latihan selama 3 kali latihan diaphragmatic breathing. Sedangkan untuk mengukur derajat Dispnea menggunakan Modified Medical Research Council (mMRC) scale, kemudian lembar ceklis. Uji statistik Uji Wilcoxon. Berdasarkan hasil penelitian didapatkan p value 0,000 < 0,05 yang berarti sehingga ada Pengaruh Efektifitas Diaphragmatic Breathing Terhadap Derajat Dispnea Pada Penderita Tb Paru MDR di Rumah Sakit Kota Tangerang Tahun 2021, Derajat Dispnea Pada Pasien Tb Paru MDR sesudah Penggunaan Diaphragmatic Breathing adalah 17,00. Hal ini menunjukan bahwa Derajat Dispenea setelah Penggunaan Otot Pernafasan 33 pasien mengalami penurunan Derajat Dispnea sebesar 17 kali dari Derajat Dispenea sebelum dilakukan Penggunaan Diaphragmatic Breathing.
PEMBERIAN TEKNIK PERNAPASAN PURSED LIPS TERHADAP DERAJAT DISPNEA PADA PASIEN TUBERKULOSIS PARU RAWAT JALAN Marchiana, Diana Padwa; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 1 No 3 (2023): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v1i3.178

Abstract

Pursed Lip Breathing (PLB) is a breathing exercise by inhaling air through the nose and expelling air using the lips being pressed together or protruding with a longer exhalation time. Dyspnea is a common and often burdensome symptom that affects up to 50% of patients treated in acute and tertiary hospitals. Mycobacterium tuberculosis is a germ found in pulmonary TB that has special properties, namely, it is resistant to acids in staining, so it is also called acid-fast bacilli (BTA). The purpose of this study was to identify the effect of giving the Pursed Lips Breathing Technique on the Degree of Dyspnea in Outpatient Pulmonary TB Patients at Tangerang City Hospital in 2021. Using a random sampling technique. Researchers collected data using research instruments, to measure the degree of dyspnea which was measured using the mMRC scale while the pursed lips breathing program was carried out with routine exercises for 2 weeks, where in 1 week you could practice 3 pursed lips breathing exercises. Based on the results of the Wilcoxon test, a pvalue of 0.000 <0.05 was obtained, which means that pursed lips breathing technique affects the degree of dyspnea in pulmonary tuberculosis patients. This study also showed that the Degree of Dyspnea after Pursed Lip Breathing Exercise Therapy patients experienced a decrease in the Degree of Dyspnea on average by 25 times the Degree of Dyspnea before the Pursed Lip Breathing Exercise Therapy was carried out with an average decrease of 27.50. Abstrak Pursed Lip Breathing (PLB) adalah latihan pernapasan dengan menghirup udara melalui hidung dan mengeluarkan udara dengan cara bibir lebih dirapatkan atau dimonyongkan dengan waktu ekshalasi lebih di perpanjang. Dispnea adalah gejala umum dan sering melemahkan sehinngga mempengaruhi hingga 50% pasien yang dirawat di rumah sakit akut dan tersier, Mycobacterium tuberculosis merupakan kuman yang terdapat pada TB paru memiliki sifat khusus yaitu tahan terhadap asam pada pewarnaan sehingga disebut pula basil tahan asam (BTA). Tujuan penelitian ini adalah mengidentifikasi Pengaruh Pemberian Teknik Pernapasan Pursed Lips Terhadap Derajat Dispnea Pada Pasien TB Paru Rawat Jalan Di Rumah Sakit Kota Tangerang Tahun 2021. Menggunakan teknik pengambilan sampel Random Sampling. Peneliti melakukan pengumpulan data dengan menggunakan instrumen penelitian, untuk mengukur derajat dispnea diukur menggunakan mMRC scale sedangkan program pelaksanakan pursed lips breathing dilakukan dengan latihan secara rutin selama 2 minggu, dimana dalam 1 minggu dapat dilakukan latihan selama 3 kali latihan pursed lips breathing,. Berdasarkan hasil uji wilcoxon didapatkan nilai p value 0,000 < 0,05 yang berarti ada pengaruh pemberian teknik pernapasan pursed lips terhadap derajat dispnea pada pasien TB Paru. Hal penelitian ini juga menunjukan bahwa Derajat Dispnea setelah Terapi Pursed Lip Breathing Exercise pasien mengalami penurunan Derajat Dispnea rata- rata sebesar 25 kali dari Derajat Dispnea sebelum dilakukan Terapi Pursed Lip Breathing Exercise dengan rata rata penurunan sebesar 27,50.
PENGARUH PERNAFASAN BUTEYKO TERHADAP TINGKAT DISPNEA PADA PENYAKIT ASMA DI PELAYANAN RAWAT JALAN RUMAH SAKIT AMINAH KOTA TANGERANG Fitriani, Ririn; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 1 No 3 (2023): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v1i3.179

Abstract

Asthma is a chronic disease with an increasing incidence from year to year. The definition of asthma itself has changed over time as knowledge and understanding of the pathology, photophysiology, immunology, and genetics of asthma have developed. The Buteyko breathing technique is a method of regulating breathing. This technique is based on breathing exercises that aim to reduce airway contractions. This study aims to identify the effect of Buteyko breathing techniques on the degree of asthma dyspnea in outpatient care at Tangerang City In 2021, there were 23 89 outpatient asthma patients who participated in this study. by using the Total Sanpling technique. Researchers collected data using instruments to measure the degree of dyspnea of asthma patients measured using mMRC scale, then the Buteyko Breathing Exercise checklist was carried out three times a day (morning, afternoon and evening) for 3 weeks. The Buteyko Breathing Exercise is done before eating, then during the breathing exercise it is used to breathe using the nose. Buteyko practice. Statistical test using the Wilcoxon-test test. Based on the results of the study, the Wilcoxon test results obtained p value 0.000 <0.05, which means that there is an effect of Buteyko Breathing Techniques on the Degree of Asthma Dyspnea in Outpatient Hospital of Tangerang City in 2021. Based on the results of the study, it can be concluded that there is an effect of Buteyko Breathing Techniques on the Degree of Asthma Dyspnea in Outpatient Care. Abstrak Asma merupakan penyakit kronis dengan angka kejadian yang terus meningkat dari tahun ke tahun. Definisi asma sendiri telah mengalami perubahan dari waktu ke waktu seiring berkembangnya pengetahuan dan pemahaman mengenai patologi, potofisiologi, immunologi, dan genetik asma. Teknik pernapasan Buteyko merupakan sebuah metode untuk mengatur pernapasan. Teknik ini didasari oleh latihan pernapasan yang bertujuan untuk mengurangi kontraksi jalan nafas Penelitian ini bertujuan mengidentifikasi Pengaruh Tehnik Pernafasan Buteyko Terhadap Derajat Dispnea Asma Di Rawat Jalan Rumah Kota Tangerang Tahun 2021, terdapat 23 89 pasien asma yang di rawat jalan berpartisipasi dalam penelitian ini dengan menggunakan teknik Total Sanpling. Peneliti melakukan pengumpulan data dengan menggunakan instrument Untuk mengukur derajat Dyspnea pasien Asma diukur menggunakan mMRC Scale, kemudian lembar ceklist Latihan Pernapasan Buteyko dilaksanakan tiga kali sehari (pagi, siang dan malam) selama 3 minggu. Latihan Pernapasan Buteyko dilakukan sebelum makan, kemudian selama latihan pernapasan yang digunakan yaitu bernapas menggunakan hidung. Latihan Buteyko. Uji statistik menggunakan Uji wilcoxon-test. Berdasarkan hasil penelitian didapatkan Hasil uji wilcoxon diperoleh p value 0,000 < 0,05 yang berarti ada Pengaruh Tehnik Pernafasan Buteyko Terhadap Derajat Dispnea Asma di Rawat Jalan Rumah Sakit Kota Tangerang Tahun 2021. Berdasarkan hasil penelitian dapat disimpulkan bahwa ada Pengaruh Tehnik Pernafasan Buteyko Terhadap Derajat Dispnea Asma di Rawat Jalan.
TINGKAT KEPUASAN PENDAMPING PASIEN TERHADAP RESPONSE TIME BERDASARKAN KARAKTERISTIK SUKU DI INSTALASI GAWAT DARURAT MURNI TEGUH MEMORIAL HOSPITAL Nainggolan, Berkah Ridho; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 1 No 3 (2023): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v1i3.180

Abstract

Emergency nursing services that exceed response times can have an impact on patient companions feeling less satisfied. As a result of the dissatisfaction felt by the patient's accompanying family and patient, sometimes they show a temperament in responding to the services provided by the emergency department. The research aims to determine the level of satisfaction of the patient's companion on the response time based on ethnic characteristics. This research method is quantitative research with a comparative descriptive design. The study was conducted at the Murni Teguh Memorial Hospital with total population was 1,028 patients and the samples obtained were 92 people. Sampling technique is by accidental sampling. The data used are primary data and secondary data. The analysis was carried out univariately presented in the frequency distribution table and cross table. This study shows that the satisfaction level of patient companions to the response time of emergency patients at the Murni Teguh Memorial Hospital Emergency Department, mostly in the Satisfied category (53.3%). Service response time for emergency department patients is mostly <5 minutes (52.2%). Characteristics of the patient's companion tribe, most of them were ethnic Chinese (30,4%). Patient companion satisfaction with response time based on ethnic characteristics, most of the respondents were satisfied with the response time <5 minutes, namely 43.5%. The Batak tribe is the most satisfied tribe, while the most dissatisfied are the Chinese. It is concluded that patient assistants were satisfied with the services in the emergency department, although some were dissatisfied with the response time from the Chinese ethnic group. It is recommended that nurses provide understanding to emergency patient assistants about the actions given to emergency patients so that patient companions are satisfied with the services provided. Abstrak Pelayanan keperawatan gawat darurat yang melebihi waktu tanggap (response times) dapat berdampak terhadap pendamping pasien merasa kurang puas. Akibat ketidakpuasan yang dirasakan keluarga pendamping pasien dan pasien, kadang menunjukkan sifat temperamen dalam menanggapi pelayanan yang diberikan instalasi gawat darurat. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pendamping pasien terhadap response time berdasarkan karakteristik suku. Metode penelitian ini adalah penelitian kuantitatif dengan desain deskriptif komparatif. Penelitian dilakukan di Instalasi Gawat Darurat Murni Teguh Memorial Hospital. Jumlah populasi sebanyak 1.028 pasien dan sampel diperoleh sebanyak 92 orang. Penarikan sampel secara accidental sampling. Data yang digunakan data primer dan data sekunder. Analisis dilakukan secara univariat yang disajikan dalam tabel distribusi frekuensi dan tabel silang. Penelitian ini menunjukkan hasil bahwa tingkat kepuasan pendamping pasien terhadap respon time pasien gawat darurat di Instalasi Gawat Darurat Murni Teguh Memorial Hospital, sebagian besar dalam kategori Puas (53,3%). Response time pelayanan pada pasien gawat darurat sebagian besar <5 menit (52,2%). Karakteristik suku pendamping pasien, sebagian besar adalah suku Tionghoa (30,4%). Kepuasan pendamping pasien terhadap respon time berdasarkan karakteristik suku, sebagian besar responden puas dalam response time <5 menit yaitu 43,5%. Suku Batak merupakan suku yang paling banyak merasa puas, sedangkan yang merasa tidak puas paling banyak adalah suku Tionghoa. Maka dapat disimpulkan bahwa pendamping pasien merasa puas terhadap pelayanan di instalasi gawat darurat walaupun ada sebagian yang tidak puas terhadap response time yang berasal dari suku Tionghoa. Disarankan perawat untuk memberikan pemahaman kepada pendamping pasien gawat darurat tentang tindakan yang diberikan pada pasien gawat darurat sehingga pendamping pasien merasa puas terhadap pelayanan yang diberikan.
PENGARUH TERAPI MUSIK KLASIK TERHADAP PENINGKATAN KUALITAS TIDUR PADA PASIEN KANKER DI MURNI TEGUH MEMORIAL HOSPITAL Perangin-angin, Yulyanti S.; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 2 No 1 (2024): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v2i1.218

Abstract

Penyakit kanker saat ini merupakan akar kematian ternama di dunia. Penyakit kanker dapat ditandai dengan adanya sel abnormal yang bertumbuh tapa tertanggulangi juga mempunyai kekuatan untuk menyerang bahkan berganti antar sel dan jaringan tubuh, proses ini biasa dinamakan metastasis. Proses metastasis in pemicu utama kematian dikarenakan kanker, pertumbuhan selnya akan terus menginvasi sel-sel normal yang berada disekitarya. Hal ini menjadi penyebab permasalahan pada bagian tubuh dimana bermulanya pertumbuhan sel ini. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi musik klasik terhadap peningkatan kualitas tidur pasien kanker di Murni Teguh Memorial Hospital. Jenis penelitian ini menggunakan tipe penelitian kuantitatif yaitu Eksperimental, Metode penelitian Pre-Eksperimental Design di Muri Teguh Memorial Hospital pada bulan Mei samapi dengan Agustus 2021. Hasil penelitian ini menggunakan analisis Bivariat dua komponen menggunakan uji Paired Sampel T Test dengan menggunakan batas kemaknaan (a) 5 %. Penolakan terhadap HO apabila signifikansi < 0,05 yang berarti ada pengaruh atau ada perbedaan yang bermakna, sedangkan gagal menolak HO apabila signifikasi > 0,5 yang berarti tidak ada pengaruh atau tidak ada perbedaan yang bermakna. Kesimpulan: adanya pengaruh terapi musik klasik terhadap peningkatan kualitas tidur pada pasien kanker di Murni Teguh Memorial Hospital dari hasil uji Paired Sampel T Test pada tabel diatas menunjukkan nilai signifikan 2-tailed sebesar 0,000 yang dimana signifikansi < 0,05.
PENGARUH SELF-HEALING TERHADAP PENURUNAN NYERI PADA PASIEN POST OP LAPARATOMY DI RUANGAN GEDUNG B LANTAI 2 RUMAH SAKIT MURNI TEGUH Siburian, Rapma Sartika; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 2 No 1 (2024): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v2i1.220

Abstract

Laparatomi adalah tindakan dengan memotong pada dinding abdomen seperti caesarean section sampai membuka selaput perut. Komplikasi pada pasien post op laparatomy adalah nyeri hebat, perdarahan, bahkan kematian. Untuk itu pasien post laparatomy memerlukan perawatan yang maksimal untuk mempercepat pengembalian fungsi tubuh. Tujuan penelitian ini adalah untuk mengetahui pengaruh Self-Healing Terhadap Penurunan Nyeri Pada Pasien Post Op Laparatomy Di Ruangan Gedung B Lantai 2 Rumah Sakit Murni Teguh. Metode penelitian ini menggunakan quasi experiment dengan pendekatan intervensi dan grup terkontrol. Populasi sebanyak 365 orang dan sampel sebanyak 52 orang. Analisis dilakukan secara univariat dan bivariat dengan uji Wilcoxon. Self-Healing berpengaruh terhadap penurunan nyeri post laparatomy dengan nilai sign. (2-tailed) 0.000<0.005. Kesimpulannya adalah ada pengaruh Self-Healing Terhadap Penurunan Nyeri Pada Pasien Post Op Laparatomy Di Ruangan Gedung B Lantai 2 Rumah Sakit Murni Teguh.
Pengaruh Progressive Muscle Relaxation Terhadap Penurunan Kecemasan Pasien Kanker Yang Akan Menjalani Kemoterapi Di Ruang Oncology Murni Teguh Memorial Hospital Lumban Toruan, Lestary; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 2 No 2 (2024): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v2i2.246

Abstract

One of the therapies for cancer is chemotherapy and is an effective method of choice, especially for advanced stages. However, chemotherapy often causes side effects including nausea and vomiting, fluid-electrolyte balance disorders and stomatitis, which makes patients anxious. Progressive muscle relaxation technique is thought to reduce anxiety in patients undergoing chemotherapy. This study aims to determine the effect of progressive muscle relaxation on reducing anxiety in cancer patients undergoing chemotherapy. This research is quasi-experimental research using a one group pretest and posttest design and the sample is 31 people. The data used are primary data and secondary data. The analysis was carried out univariate and bivariate using a paired sample t-test with a 95% confidence level (0.05). The results of this study indicate that the majority of cancer patients who will undergo chemotherapy before being given progressive muscle relaxation (pretest) treatment experience moderate anxiety (54.8%), and after being treated with progressive muscle relaxation (posttest) the majority experience mild anxiety (61.3%). There is an effect of progressive muscle relaxation on the anxiety of cancer patients who will undergo chemotherapy in the Oncology unit Murni Teguh Memorial Hospital, or there is a difference in the anxiety of patients before and after being given progressive muscle relaxation, with a value of t-count (11,728) > t-table (2,040). and p value = 0.000 <0.05. Progressive muscle relaxation is effective for reducing anxiety in cancer patients who will undergo chemotherapy. It is recommended that Murni Teguh Memorial Hospital make policies and SOPs regarding progressive muscle relaxation treatment so that it can be practiced routinely for patients who will undergo chemotherapy. Abstrak Salah satu terapi untuk penyakit kanker adalah kemoterapi dan menjadi metode pilihan yang efektif terutama untuk stadium lanjut. Akan tetapi, kemoterapi sering menimbulkan efek samping diantaranya mual muntah, gangguan keseimbangan cairan elektrolit dan stomatitis, yang membuat pasien menjadi cemas. Teknik progressive muscle relaxation diduga dapat menurunkan kecemasan pasien yang akan menjalani kemoterapi. Untuk mengetahui pengaruh progressive muscle relaxation terhadap penurunan kecemasan pasien kanker yang akan menjalani kemoterapi. Penelitian ini adalah penelitian kuasi eksperimen menggunakan desain one group pretest and posttest design dan sampel diperoleh 31 orang. Data yang digunakan data primer dan data sekunder. Analisis dilakukan secara univariat dan bivariat menggunakan uji dua sampel berpasangan (paired sample t-test) dengan tingkat kepercayaan 95% (0,05). Hasil penelitian ini menunjukkan bahwa kecemasan pasien kanker yang akan menjalani kemoterapi sebelum diberi perlakuan progressive muscle relaxation (pretest) mayoritas mengalami cemas sedang (54,8%), dan setelah diberi perlakuan progressive muscle relaxation (posttest) mayoritas mengalami cemas ringan (61,3%). Terdapat pengaruh progressive muscle relaxation terhadap kecemasan pasien kanker yang akan menjalani kemoterapi di Ruang Oncology Murni Teguh Memorial Hospital, atau ada perbedaan rasa cemas pasien sebelum dan setelah diberi progressive muscle relaxation, dengan nilai t-hitung (11,728) > t-tabel (2,040) dan nilai p=0,000 <0,05. Progressive muscle relaxation efektif untuk menurunkan kecemasan pasien kanker yang akan menjalani kemoterapi. Disarankan pihak Murni Teguh Memorial Hospital untuk membuat kebijakan dan SOP tentang perlakuan progressive muscle relaxation agar dapat dipraktekkan secara rutin kepada pasien yang akan menjalani kemoterapi.
Pengaruh Pemberian Edukasi Terhadap Tingkat Kepatuhan Diet Pasien Diabetes Melitus Di Murni Teguh Memorial Hospital Medan Hasibuan, Siti Suharni; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 2 No 2 (2024): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v2i2.254

Abstract

Diabetic Melitus (DM) is a metabolicdisorder disease that occurs due to the pancreas not producing enough insulin or the body cannot use the insulin it produces effectively, resulting in an increase in blood glucose concentration known as hyperglicemia, to instructions or instructions given in any form of therapy found either diet, exercise, medication or keeping an appointment with a doctor. Education can be provided using several media including flip charts, leaflets, booklets and video. The aim is to find out the effect of providing education on the level of dietary compliance of DM patients in Indonesia Murni Teguh Memorial Hospital. This study used a pre-experimental design and using the Pretest-Posttest Design Sampling method using purposive sampling with a total sample of 15 respondents. The research instrument used was a DM Diet Compliance Questionnaire analysys of the data used is the Wilcoxon Test. The results showed that there was an effect of providing education on the score of dietary adherences in DM patient at Murni Teguh Memorial Hospital and used Wilcoxon statistical test showed p-value <0,05. It is concluded that there is an effect of providing education on the level of dietary compliance DM patients at Murni Teguh Memorial Hospital. Abstrak Diabetes mellitus (DM) adalah penyakit gangguan metabolik yang terjadi akibat pankreas tidak memproduksi cukup insulin atau tubuh tidak dapat menggunakan insulin yang diproduksinya secara efektif sehingga mengakibatkan terjadinya peningkatan konsentrasi glukosa dalam darah yang dikenal dengan istilah hiperglikemi. Kepatuhan adalah tingkat perilaku pasien yang tertuju terhadap instruksi atau petunjuk yang diberikan dalam bentuk terapi apapun yang ditemukan, baik diet, latihan, pengobatan atau menepati janji pertemuan dengan dokter. Edukasi dapat diberikan dengan menggunakan beberapa media meliputi flip chart, leaflet, booklet dan video. Yang bertujuan untuk mengetahui adanya pengaruh pemberian edukais terhadap tingkat kepatuhan diet pasien DM di Murni Teguh Memorial Hospital. Penelitian ini menggunakan rangcangan pre eksperimental dan menggunakan metode Pretest-Posttest Design. Pengambilan sampel menggunakan purposive sampling dengan jumla sampel sebanyak 15 responden. Instrumen penelitian yang digunakan berupa kuesioner Kepatuhan Diet DM. Analisa data yang digunakan adalah Uji Wilcoxon. Hasil penelitian menunjukkan ada pengaruh pemberian edukasi terhadap tingkat kepatuhan diet pasien DM di MURNI Teguh Memorial Hospital. Uji statistik Wilcoxon menunjukkan p-value <0,05. Maka dapat disimpulkan bahwa ada pengaruh pemberian edukasi terhadap tingkat kepatuhan diet pasien DM di Murni Teguh Memorial Hospital.
Pengaruh Tehnik Relaksasi Genggam Jari Terhadap Penurunan Nyeri Pasien Post Operasi Bedah Digestif Di Rumah Sakit Murni Teguh Ciledug Sari, Afita; Silaen, Harsudianto
Indonesian Trust Nursing Journal Vol 2 No 3 (2024): Indonesian Trust Nursing Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/itnj.v2i3.272

Abstract

Pain is a protective mechanism for the body that arises when tissue is damaged and causes the individual to react to relieve pain. Surgery or surgery performed by a doctor using invasive methods of opening or exposing body parts for treatment. Laparotomy is one of the most important surgical procedures where an incision is made in the mucous membrane of the abdominal wall to protect the problematic part of the abdominal organs. Finger grip relaxation is a relaxation technique that is very simple and easy for anyone to do with the fingers and the flow of energy in our bodies. The purpose of this study was to determine theeffect of finger grip relaxation on pain reduction in post-digestive surgery patients. This type of research is pre-experimental one group pre-posttest without control group research design. The population in this study were all post-operative digestive surgery patients at Murni Teguh Hospital in Ciledug. The samples in this study were 20 respondents. The results of the Wilcoxon Signed Rank Test have a significance value (p value = 0.000) where this means that p value <0.05. It is concluded that there is an effect of finger grip relaxation on changes in pain levels in post-digestive surgery patients and it is more effective in reducing pain in post-digestive surgery patients.