Nansy Delia Pangandaheng
Politeknik Negeri Nusa Utara

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KARAKTERISTIK PENDERITA DAN FAKTOR RISIKO TERJADINYA ULKUS KAKI DIABETIK Yeanneke Liesbeth Tinungki; Nansy Delia Pangandaheng
Jurnal Ilmiah Sesebanua Vol 3 No 1 (2019): Jurnal Imiah Sesebanua
Publisher : Pusat Penelitian dan Pengabdian Pada Masyarakat, POLITEKNIK NEGERI NUSA UTARA

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Abstract

Ulkus kaki diabetik sampai saat ini menjadi masalah kesehatan utama diseluruh dunia, karena kasus yang semakin meningkat, ulkus bersifat kronis dan sulit sembuh, mengalami infeksi dan iskemia tungkai dengan risiko amputasi bahkan mengancam jiwa, membutuhkan sumber daya kesehatan yang besar, sehingga memberi beban sosio-ekonomi bagi pasien, masyarakat, dan negara. Tujuan penelitian yaitu untuk mengetahui karakteristik penderita ulkus kaki diabetik dan faktor risiko terjadinya Ulkus Kaki Diabetik di Wilayah Kerja Puskesmas Manganitu Kecamatan Manganitu Kabupaten Kepulauan Sangihe Propinsi Sulawesi Utara. Metode penelitian yang digunakan ialah metode kualitatif dengan lima orang partisipan. Penelitian ini telah berlangsung selama kurang lebih 3 bulan yakni pada bulan Februari s/d bulan Mei 2019. Metode pengumpulan data menggunakan wawancara mendalam. Hasil penelitian menunjukkan bahwa informan berdasarkan jenis kelamin terdiri dari 4 orang perempuan dan 1 orang laki-laki, sesuai usia semua informan termasuk kategori lanjut usia berkisar antara 55 tahun – 66 tahun. Informan 2 orang merupakan pensiunan, 2 orang masih aktif di pelayanan gereja dan di sekolah, sedangkan 1 orang hanya tinggal di rumah.Informan 3 orang memiliki penghasilan yang berkisar dari 2.000.000 s/d 5.500.000 per bulan sedangkan 1 orang informan memiliki penghasilan 1.000.000 per bulan sedangkan 1 orang informan Ny. C.M memiliki penghasilan yang jauh dari Upah Minimum Rata-rata. Kesimpulan penelitian ini yaitu pasien ulkus DM sebagian besar yaitu berjenis kelamin perempuan dengan kategori umur lansia muda, dan tidak cukup memenuhi kebutuhan hidup. Dan faktor risiko terjadinya ulkus kaki diabetik adalah gatal pada bagian telapak kaki, membentuk eksudat terjadilah luka dan infeksi sebagai akibat dari glukosa darah yang tinggi dan tidak terkontrol. Ulcer among foot of diabetic have become a major health problem throughout the world, due to increasing cases, chronic ulcers and difficult to heal, infection and limb ischemia with the risk of amputation and even life-threatening, requiring large health resources, thus placing a socio-burden economics for patients, society and the country. The purpose of the study was to obtain an in-depth understanding of the life experience of diabetic foot ulcer sufferers in the Manganitu Health Center Work Area, Manganitu District, Sangihe Islands Regency, North Sulawesi Province. The research method used qualitative method. This research has been going on for approximately 3 months, from February to May 2019. The results showed that the informants by sex, consisted of 4 women and 1 man, according to the age of all informants including the elderly category ranging from 55 year- 66 years. 2 informants were retirees, 2 people were active in church and school services, while 1 person only stay at home. 3 informants have income ranging from 2,000,000 to 5,500,000 per month while 1 informant has an income of 1,000,000 per month while 1 informant Ny. C.M has an income that is far from the Average Minimum Wage. The conclusion of this reaseach most of the informant that it the woman with of age is elderly, not enough to fullfill of life needs. And risk factor of occurrence diabetic foot ulcer is itching on the soles of the feet forming pus resulting in sores and infectios as a result of high and uncontrolled high blood glucose.
PERAWATAN PASIEN DENGAN ULKUS KAKI DIABETIK DI WILAYAH KERJA PUSKESMAS MANGANITU KABUPATEN KEPULAUAN SANGIHE SULAWESI UTARA: STUDI KUALITATIF Yeanneke Liesbeth Tinungki; Nansy Delia Pangandaheng
Jurnal Ilmiah Sesebanua Vol 3 No 2 (2019): Jurnal Imiah Sesebanua
Publisher : Pusat Penelitian dan Pengabdian Pada Masyarakat, POLITEKNIK NEGERI NUSA UTARA

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Abstract

Ulkus Diabetikum adalah kondisi medis yang ditandai dengan luka cekung yang lama, tidak menyembuh, dengan pembengkakan, berbatas tegas. Di Puskesmas Manganitu jumlah penderita Ulkus Diabetikum semakin bertambah. Ada yang pulang paksa dengan tidak tuntas perawatan luka menyebabkan semakin tinggi derajat ulkus semakin besar risiko amputasi. Tujuan penelitian adalah mengetahui perawatan ulkus kaki diabetik pada pasien. Metode penelitian yang digunakan ialah metode kualitatif dengan 5 orang partisipan yang diwawancara. Partisipan tersebut adalah pasien dengan ulkus kaki diabetik di Puskesmas Manganitu. Penelitian telah berlangsung selama 3 bulan yakni pada bulan Februari s/d bulan Mei 2019. Hasil penelitian ditemukan dua tema besar yakni perasaan tentang pengalaman selama merawat luka ulkus dan makna hidup setelah mendapatkan penyakit diabetes. Kesimpulan penelitian ini adalah sebagian besar partisipan menyatakan puas melakukan perawatan luka di fasilitas pelayanan kesehatan. Dan makna hidup setelah mendapatkan penyakit diabetes adalah partisipan lebih giat mengontrol kesehatan dengan mengontrol asupan makanan, mengontrol kadar glukosa darah, dan rajin meminum obat. Diabetic ulcers are medical conditions that are characterized by long concave sores, not healing, with swelling, well-defined borders. In Manganitu Health Center the number of patients with Diabetic Ulcer was increasing. Some were forced home with incomplete wound care causes the higher the degree of ulcer the greater the risk of amputation. The purpose of the study was to understanding of the care process of diabetic foot ulcer patients in the Manganitu Health Center Work Area Manganitu District, Sangihe Islands Regency, North Sulawesi Province. The research method used qualitative method with five partisipants. The research has been going on for 3 months, from February to May 2019. The results of the recearch showed the two theme were experience of treat ulcer wounds and mean of life after have of diabetes desease. Conclusion of this research is most of the partisipant stated statisfied do care ulcer in aminities cervise of health. And meaning of live partisipants more enterprising control of health with control of suplay food, control of glucose of blood and enterprising suplay of medicine.
GAMBARAN KEJADIAN DEPRESI PADA LANSIA DI KAMPUNG BENGKETANG KALURAE DAN LENGANENG Gitalia Putri Medea; Nansy Delia Pangandaheng
Jurnal Ilmiah Sesebanua Vol 6 No 1 (2022): Jurnal IlmiahSesebanua
Publisher : Pusat Penelitian dan Pengabdian Pada Masyarakat, POLITEKNIK NEGERI NUSA UTARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54484/jis.v6i1.495

Abstract

Depresi menjadi salah satu penyebab paling signifikan dari penderitaan emosional di usia lanjut dan mungkin juga menjadi faktor penyebab morbiditas dari banyak gangguan medis (Casey, 2017). Sekarang ini semua orang di dunia sedang berjuang menghadapi pandemi COVID-19. Penularan cepat wabah pandemi COVID-19, angka kematian yang lebih tinggi, isolasi diri, jarak sosial, dan karantina dapat memperburuk risiko masalah kesehatan mental (Mukhtar, 2020). Kabupaten Kepulauan Sangihe yang merupakan salah satu kabupaten dari provinsi Sulawesi Utara pun terpapar dengan penularan virus corona. Beberapa kampung yang termasuk dalam wilayah kerja Puskesmas Enemawira yaitu Bengketang, Kalurae dan Lenganeng. Berdasarkan hal tersebut maka merupakan hal yang penting untuk melakukan penelitian tentang “Gambaran Kejadian Depresi Pada Lansia di Kampung Bengketang, Kalurae dan Lenganeng”. Metode dalam penelitian ini yaitu metode deskriptif untuk mengetahui gambaran kejadian depresi pada lansia di kampung Bengketang, Kalurae dan Lenganeng menggunakan Kuesioner karakteristik Responden yang meliputi data sosio demografi, dan Kuesioner Geriatric Depression Scale. Ditemukan lansia paling banyak berusia 60-74 tahun dengan frekuensi 42 responden (84 persen), jenis kelamin perempuan sebanyak 30 responden (60 persen), pendidikan rendah 27 responden (54 persen) dan pekerjaan Ibu Rumah Tangga 13 responden (26 persen). Sebagian besar lansia yaitu 70 persen tidak depresi, 28 persen berada di kategori kemungkinan depresi dan 2 persen depresi. Bagi tenaga kesehatan dapat memberikan penyuluhan kesehatan pada lansia untuk mencegah terjadinya depresi lebih lanjut. Depression is one of the most significant causes of emotional distress in old age and may also be a contributing factor to the morbidity of many medical disorders (Casey, 2017). Right now everyone in the world is struggling with the COVID-19 pandemic. The rapid transmission of the COVID-19 pandemic outbreak, higher mortality rates, self-isolation, social distancing, and quarantine can exacerbate the risk of mental health problems (Mukhtar, 2020). The Sangihe Islands Regency, which is one of the regencies in the province of North Sulawesi, was also exposed to the transmission of the corona virus. Some of the villages included in the work area of ​​the Enemawira Health Center are Bengketang, Kalurae and Lenganeng. Based on this, it is important to conduct research on “Description of Depression in the Elderly in Bengketang, Kalurae and Lenganeng Villages”. The method in this study is a descriptive method to describe the incidence of depression in the elderly in the villages of Bengketang, Kalurae, and Lenganeng by using the Respondents Characteristics Questionnaire which includes socio-demographic data, and the Geriatric Depression Scale Questionnaire. It was found that the most elderly were aged 60-74 years with a frequency of 42 respondents (84 percent), female sex as many as 30 respondents (60 percent), low education 27 respondents (54 percent) and housewife occupation 13 respondents (26 percent). Most of the elderly, namely 70 percent are not depressed, 28 percent are in the category of possible depression and 2 percent are depressed. Health workers can provide health education to the elderly to prevent futher depression.
PENGALAMAN KELUARGA MENGHADAPI STIGMA MASYARAKAT PADA PENDERITA GANGGUAN JIWA Nansy Delia Pangandaheng; Gitalia Medea; Jelita Hinonaung; Astri Mahihody
Jurnal Ilmiah Sesebanua Vol 7 No 1 (2023): Jurnal Ilmiah Sesebanua
Publisher : Pusat Penelitian dan Pengabdian Pada Masyarakat, POLITEKNIK NEGERI NUSA UTARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54484/jis.v7i1.554

Abstract

Stigma merupakan bentuk prasangka untuk menolak individu ataupun kelompok karena berbeda dengan yang lain. Seseorang yang mengalami sakit kejiwaan selalu mendapatkan perlakuan buruk dari lingkungan disekitar tempat tinggalnya. Keluarga yang merawatnya juga mendapatkan dampaknya jika memiliki anggota keluarga yang gangguan jiwa. Tujuan dari penelitian ini yaitu mengetahui bagaimana pengalaman keluarga dalam menghadapi stigma masyarakat terhadap orang dengan gangguan jiwa (ODGJ). Metode penelitian yang digunakan yaitu kualitatif dengan teknik wawancara pada enam keluarga yang berbeda tempat tinggal dan memiliki anggota keluarga yang mengalami gangguan jiwa di wilayah kerja Puskesmas Tahuna Timur. Analisia data ini menggunakan tujuh langkah Collaizi. Hasil yang didapat yaitu stigma yang buruk akan memberikan dampak kepada ODGJ dan keluarga. Dimana keluarga ikut mendapatkan dampak dari diskriminasi pada keluarga dan anggota keluarga yang sakit jiwa. Berdasarkan wawancara maka penulis menemukan 3 tema utama yaitu persepsi negatif, diskriminasi dari lingkungan sekitar dan kurangnya pengetahuan tentang gangguan jiwa. Stigma is a prejudice to refuse someone or groups because they are different from others. Someone who has a mental illness always bad treated with stigma by around society. And will also impact on the family caring for the patient as well. The Aim of this STUDY wants to know about family experiences facing society's negative community response or stigma to someone with mental disorders. The research method is qualitative where interviewing six (6) different family patients with mental disorders in East District Tahuna Health Center. This data analysis used seven steps of collaizi and the results obtained that the bad stigma will have an impact on the patient and their family. Family members also get the impact of discrimination against mentally ill of patients too. Based on the interview method this research finds three (3) basic themes there are negative responses, discrimination by around society, and less of knowledge about mental disorders.
FAMILY EFFORTS IN LOOKING FOR MENTAL HEALTH SERVICES IN REMOTE AREA OF SANGIHE ISLANDS DISTRICT Nansy Delia Pangandaheng
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 02 (2021): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v10i2.1332

Abstract

Background: The problem of mental health services is inseparable from the reach of health services at hospitals or community health center including development in remote. The implementation of health services in remote areas, including the Sangihe Islands district, go through obstacles due to the difficulty of the terrain by frequently. The people have difficulty accessing health services due to the lack of transportation facilities and dependence on the season. The purpose: Elucidate the efforts of families in seeking mental health treatment in remote areas. The methods: This study uses a qualitative method of phenomenological approach, with purposive sampling technique. The informants in this study were seven families who cared for clients with mental disorders. The data analysis process was carried out using the Collaizi method which consists of seven stages. The validity of research data using triangulation methods with interviews, observation and triangulation among members of the researcher to avoid researcher subjectivity. In addition, researchers conducted member cheking, namely by validating data from informant interviews. Result: Four themes were found in this qualitative research, namely behavioral changes, sources of information on the availability of mental health services, treatment seeking behavior, barriers to looking for mental health services. Conclusion: Six families have taken clients to a neurologist, pastor, and psychiatric hospital, but there is a family who never received medical or traditional treatment because the client refused to be treated.
FAMILY EFFORTS IN LOOKING FOR MENTAL HEALTH SERVICES IN REMOTE AREA OF SANGIHE ISLANDS DISTRICT Nansy Delia Pangandaheng
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 02 (2021): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v10i2.1332

Abstract

Background: The problem of mental health services is inseparable from the reach of health services at hospitals or community health center including development in remote. The implementation of health services in remote areas, including the Sangihe Islands district, go through obstacles due to the difficulty of the terrain by frequently. The people have difficulty accessing health services due to the lack of transportation facilities and dependence on the season. The purpose: Elucidate the efforts of families in seeking mental health treatment in remote areas. The methods: This study uses a qualitative method of phenomenological approach, with purposive sampling technique. The informants in this study were seven families who cared for clients with mental disorders. The data analysis process was carried out using the Collaizi method which consists of seven stages. The validity of research data using triangulation methods with interviews, observation and triangulation among members of the researcher to avoid researcher subjectivity. In addition, researchers conducted member cheking, namely by validating data from informant interviews. Result: Four themes were found in this qualitative research, namely behavioral changes, sources of information on the availability of mental health services, treatment seeking behavior, barriers to looking for mental health services. Conclusion: Six families have taken clients to a neurologist, pastor, and psychiatric hospital, but there is a family who never received medical or traditional treatment because the client refused to be treated.