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Ratna Dewi
Universitas Imelda Medan
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EFEKTIVITAS EDUKASI MANAJEMEN MANDIRI TERHADAP NILAI KADAR GLUKOSA DARAH PADA PASIEN DIABETES MELLITUS (DM) TIPE 2 Ratna Dewi
Jurnal Ilmiah Keperawatan IMELDA Vol. 6 No. 1 (2020): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v6i1.337

Abstract

Abstrak Diabetes mellitus menjadi salah satu dari empat penyakit tidak menular utama yang menjadi target tindak lanjut di dunia, dimana jumlah kasus dan prevalensi diabetes mellitus terus meningkat selama beberapa dekade terakhir. Penatalaksanaan DM yaitu edukasi, pengaturan diet, terapi obat, latihan jasmani dan rutin cek KGD untuk mencegah komplikasi sehingga meningkatkan kualitas hidup penderita. Pendekatan yang efektif seperti edukasi manajemen mandiri sangat dibutuhkan agar penderita DM mau rutin menjalani penatalaksanaan untuk mencegah komplikasi DM. Tujuan penelitian untuk menganalisis perbedaan kadar glukosa darah penderita DM tipe 2 sebelum dan sesudah diberikan edukasi manajemen mandiri. Jenis penelitian adalah quasi experiment dengan rancangan pretest dan posttest yang dilaksanakan di RSU Imelda Pekerja Indonesia. Sampel adalah seluruh pasien DM tipe 2 yang berobat di RSU Imelda Pekerja Indonesia sebesar 38 orang. Alat pengumpulan data menggunakan glukometer. Uji yang digunakan adalah Wilcoxon test. Hasil penelitian menunjukkan adanya perbedaan nilai kadar glukosa darah (p<0,05) sebelum dan sesudah diberikan edukasi manajemen mandiri. Kesimpulan penelitian adalah edukasi manajemen mandiri memberikan pengaruh pada pasien DM untuk melakukan penatalaksanaan penyakit DM secara mandiri yang akan menghasilkan kadar glukosa darah terkontrol. Disarankan kepada pasien DM tipe 2 menerapkan manajemen mandiri dengan bantuan keluarga saat dirumah dan pihak pelayanan kesehatan agar terkontrolnya kadar glukosa darah.
PENGARUH TERAPI NEBULIZER TERHADAP FREKUENSI NAPAS PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) Ratna Dewi; Sarmaida Siregar; Mukhtar Effendi Harahap; Christine Handayani Siburian
Jurnal Ilmiah Keperawatan IMELDA Vol. 8 No. 1 (2022): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v8i1.682

Abstract

Physiological changes due to inflammation in COPD patients significantly reduce the low level of carbon dioxide in the blood which causes shortness of breath with increased respiratory rate, so the importance of therapy that quickly dilutes secretions, clears the airway, and weakens the respiratory tract such as nebulizer therapy. This study aims to identify the effect of nebulizer therapy on respiratory rate in COPD patients. The research design used was a quasi-experimental pre and post test one sample test. The sample in this study amounted to 49 respondents by calculating the respiratory rate through the inspection method. The test used was the Wilcoxon signed rank test. The results of this study showed that there was an effect before and after nebulizer therapy on respiratory rate in COPD patients with value = 0.000. Based on the research, it can be concluded that the action of nebulizer therapy greatly affects the decrease in respiratory rate in COPD patients. It is recommended that nurses perform nebulizer therapy with the right frequency and duration for the successful effect of decreasing respiratory frequency.
PENGARUH MEDIA AUDIO VISUAL TERHADAP TINGKAT PENGETAHUAN DAN SIKAP PADA IBU HAMIL TENTANG PENCEGAHAN STUNTING DI DESA CINTA RAKYAT Sopyah Anggraini Anggraini; Sarmaida Siregar; Ratna Dewi
Jurnal Ilmiah Kebidanan Imelda Vol. 6 No. 1 (2020): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v6i1.379

Abstract

ABSTRAK Stunting atau kurang gizi kronik adalah suatu bentuk lain dari kegagalan pertumbuhan, dan kurang gizi kronik. Stunting dapat juga terjadi sebelum kelahiran dan disebabkan oleh asupan gizi yang sangat kurang saat masa kehamilan, (Unicef Indonesia, 2012). Stunting dipengaruhi oleh faktor pendapatan keluarga, pengetahuan gizi ibu, pola asuh ibu, riwayat infeksi penyakit, riwayat imunisasi, asupan protein, dan asupan ibu. Asupan ibu terutama saat hamil merupakan salah satu faktor yang berperan penting. Gizi janin bergantung sepenuhnya pada ibu, sehingga kecukupan gizi ibu sangat mempengaruhi kondisi janin yang dikandungnya. Ibu hamil yang kurang gizi atau asupan makanan kurang akan menyebabkan gangguan pertumbuhan janin dalam kandungan (Picauly, 2013). Dalam hal mengurangi angka kejadian stunting pada ibu hamil dapat dilakukan melalui promotif dan preventif. Salah satu upaya tersebut adalah melakukan pendidikan kesehatan dengan menggunakan media. Media memberikan informasi dan edukasi yang bertujuan untuk meningkatkan pengetahuan dan menumbuhkan sikap yang positif terhadap pencegahan stunting. Hal ini yang menjadi salah satu alasan utama peneliti untuk mengetahui pengaruh media audio visual terhadap pengetahuan dan sikap pada ibu hamil tentang pencegahan stunting di Desa Cinta Rakyat. Jenis penelitian adalah kuantitatif yang dilaksanakan di Desa Cinta Rakyat dan bertujuan untuk mengetahui pengaruh media audio visual terhadap pengetahuan dan sikap pada ibu hamil tentang pencegahan stunting di Desa Cinta Rakyat. Pengambilan sampel menggunakan teknik probability sampling jenis purposive sampling yang memenuhi kriteria inklusi sebanyak 42 orang. Hasil penelitian menunjukan Ibu hamil ada perbedaan yang signifikan antara pengetahuan dan sikap Ibu hamil sebelum dan sesudah intervensi menggunakan media audio visual dengan p value 0,001 (p < 0,05). Hasil dari penelitian ini diharapkan kepada Ibu hamil di Desa Cinta Rakyat dapat meningkatkan pengetahuan dan sikap serta informasi sehingga dapat pencegahan terjadinya stunting pada bayi yang dilahirkan.
SELF CARE DAN KUALITAS HIDUP PADA PASIEN DIABETES MELITUS Sarmaida Siregar; Ratna Dewi; Baharudin Yusuf Munthe
Jurnal Ilmiah Keperawatan IMELDA Vol. 8 No. 2 (2022): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v8i2.1044

Abstract

Diabetes Mellitus is a health disorder caused by increased blood sugar levels due to insulin deficiency or resistance. This disease has long been known, especially among large families (overweight) along with a high lifestyle. This study was conducted to determine the relationship between self care and the quality of life of diabetes mellitus patients at the Imelda general hospital for Indonesian workers in Medan in 2021. The sample in this study was 30 respondents. This study was taken based on univariate and bivariate data through the chi-square test. The results showed that self care was related to the quality of life of patients with diabetes mellitus (Ket: P < 0.00). It is recommended for people with diabetes mellitus to maintain their diet, activity, routinely check blood sugar levels according to the advice of health and self-care professionals in order to improve their quality of life.
PENYULUHAN TENTANG ASAM URAT KEPADA KELUARGA DI DUSUN II DESA PAKU KECAMATAN GALANG KABUPATEN DELI SERDANG Christina Magdalena Tampubolon; Rostinah Manurung; Bernita Silalahi; Sarmaida Siregar; Ratna Dewi
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 2 No. 1 (2022): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (302.311 KB) | DOI: 10.52943/ji-somba.v2i1.1143

Abstract

Asam urat adalah hasil akhir dari katabolisme (pemecahan) suatu zat yang bernama purin. Asam urat merupakan hasil buangan dari zat purin ini. Asam urat merupakan salah satu penyakit yang banyak diderita masyarakat. Walaupun pada umumnya masyarakat berpikir penyakit asam urat hanya diderita pada usia lanjut, akan tetapi apabila tidak diperhatikan pola makan yang sehat tidak menutup kemungkinan, saat remaja atau muda pun akan menderita penyakit ini. Biasanya 25 persen orang yang asam uratnya tinggi akan menjadi penyakit asam urat. Bila kadar asam urat tinggi tapi tidak ada gejala serangan sendi ini disebut stadium awal. Asam urat merupakan hasil akhir metabolisme purin didalam tubuh. Hiperurisemia dikenal juga dengan berlebihnya kadar asam usat pada darah. Secara tidak langsung faktor resiko terjadinya gout ialah Hiperurisemia, aterosklerosis, hipertensi, penyakit jantung, batu ginjal, dan gangguan tidur. Pencegahan asam urat merupakan suatu tindakan untuk mencegah kekambuhan asam urat. Salah satu pencegahannya dapat dilihat dari aspek makanan. Meningkatnya kadar asam urat pada tubuh disebabkan dengan makanan yang tinggi purin. Namun hasil survey menunjukan masih banyak keluarga yang belum mengetahui pola makan yang sehat yang dapat mencegah kekambuhan asam urat. Metode yang digunakan deskriptif observasional dengan 26 partisipan. Pemilihan sampel berdasarkan purposive sampel. Sedangkan pengambilan data melalui evaluasi instrument pertanyaan yang dilaksanakan dengan daftar check list Pengetahuan tentang Asam urat. Tim pengabdian masyarakat memberikan materi tentang Asam urat (pencegahan dan pengobatan) secara langsung kepada partisipan. Dari hasil evaluasi diperoleh peningkatan pengetahuan partisipan tentang Asam urat yang semula nilai rata-rata 33,20 menjadi 68,07. Pengetahuan merupakan domain penting dan faktor awal seseorang untuk berperilaku. Pengetahuan membentuk keyakinan peserta sehingga mengikuti pola hidup yang sehat.
PENGARUH KOMPRES HANGAT TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2022 Christina Magdalena T. Bolon; Nixson Manurung Manurung; Rostinah Manurung; Ratna Dewi; Sarmaida Siregar; Barzilai Buulolo
Jurnal Ilmiah Keperawatan IMELDA Vol. 9 No. 2 (2023): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v9i2.1242

Abstract

Hypertension is often called the "silent killer" because hypertension sufferers often never experience health problems due to the disease they suffer from. Hypertension or high blood pressure is a chronic condition characterized by increased blood pressure on the walls of the arteries. The initial symptoms of hypertension are usually asymptomatic, only characterized by an increase in blood pressure. The aim of this research is to find out whether there is an effect of giving warm compresses on reducing hypertension. This research method uses a quasi experiment by giving warm compresses to hypertension sufferers. The sample used in this research was 36 people using purposive sampling technique. Inclusion criteria were willing to become participants, sufferers suffering from grade 1 hypertension, communicative and cooperative, no other comorbidities. The instruments created were demographic sheets and observation sheets and were analyzed univariately and bivariately. With the Wilcoxon test, the p-value was 0.01 (P-value <0.05). It can be concluded that the effect of warm compresses on reducing blood pressure in patients can be used to prevent stroke and improve health in the community.
Hubungan Kualitas Tidur dengan Fatigue pada Pasien Penyakit Paru Obstruktif Kronik (PPOK) Christine Handayani Siburian; Hamonangan Damanik; Ratna Dewi; Meriani Herlina
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 1 No. 4 (2022): November 2022
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v1i4.2024

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable disease characterized by persistent respiratory symptoms and airflow limitation. The existence of sleep disorders experienced by sufferers certainly will not be able to restore and restore the body's condition properly and cannot rest his body properly. This situation results in irritability, fatigue, dizziness, anxiety, and stress which will affect the quality of life of these sufferers. This research design is quantitative which is used to examine certain populations or samples. The method used in this research is an analytic survey with a cross-sectional approach, namely a study to determine the relationship and level of relationship between two or more variables without any effort to influence these variables so that there is no variable manipulation. The number of samples is 30 people with accidental sampling technique. The research results obtained results p value = 0.004. This figure shows a very strong correlation between sleep quality and fatigue in COPD patients. It is suggested that the results of this study can be used as material for policy making in improving health services for patients with Chronic Obstructive Pulmonary Disease (COPD).
Hubungan Dukungan Keluarga dengan Tingkat Kepatuhan Melakukan Kontrol Rutin pada Penderita Diabetes Mellitus di RSU. Imelda Pekerja Indonesia Nataria Yanti Silaban; Paskah Rina Situmorang; Edisyah Putra Ritonga; Ratna Dewi
INSOLOGI: Jurnal Sains dan Teknologi Vol. 1 No. 6 (2022): Desember 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/insologi.v1i6.2579

Abstract

Diabetes Mellitus (DM) is a chronic condition where there is an increase in glucose levels in the blood because the body cannot produce or produce insulin or the body cannot use insulin effectively. In improving the compliance of DM sufferers, it is very important to find out several factors that cause non-compliance in DM sufferers. This type of research is quantitative using a cross-sectional approach to see the relationship between family support and compliance with carrying out routine control in diabetes mellitus sufferers at RSU Imelda Workers Indonesia with a sample size of 37 respondents. From the results of the analysis using the SPSS Chi-Square test system, it shows that there is a positive and significant relationship between family support and compliance with routine control at the RSU. IPI Medan with a p-value = 0.017, so it can be concluded that Ha accepts that there is a significant relationship between family support and compliance with routine control in diabetes mellitus patients. The conclusion is that there is a relationship between family support and compliance with routine control in diabetes mellitus sufferers.
Persistensi Pendampingan Keluarga Terhadap Anggota Keluarga yang Sakit Sebagai Pencegahan Penularan Mycobacterium Tuberkulosis di Serdang Bedagai Nixson Manurung; Rostinah Manurung; Christina Magdalena T; Ratna Dewi; Sarmaida Siregar
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 3 No. 4 (2023): Desember : Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v3i4.2373

Abstract

The increasing burden of TB is caused by poverty, the failure of TB activities which has been caused by inadequate political commitment and funding, the unavailability of services in the community causing reduced problem innovation and inappropriate diagnosis, reduced supply of medicines and reduced reporting of tuberculosis sufferers, lack of surveillance, minimal discourse on recording and reporting cases, treatment management and unreported movement of people. The method used was descriptive observational with 20 participants who were families of tuberculosis sufferers at the Serdang Bedagai health center. The PkM team provided the material in question: 1) Understanding family persistence, 2) The importance of family in accompanying TB sufferers, 3) How to prevent transmission, and 4) Patient compliance in taking medication. Results after carrying out the activity 1) Understanding family persistence, the majority of them were good, 18 people, 2) The importance of families accompanying TB sufferers, the majority of them were good, 19 people, 3) Ways to prevent transmission, the majority were good, 19 people, 4) Compliance with patients in taking medication, the majority were good, 19 person. The persistence of family assistance to sick family members as a means of preventing the transmission of mycobacterium tuberculosis shows improvement and skills because people have a great desire to treat and prevent the occurrence of tuberculosis in family members at home.
PENGARUH PEMBERIAN EDUKASI KESEHATAN TERHADAP TINGKAT KECEMASAN PADA PASIEN YANG MENJALANI HEMODIALISA DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN Rostinah Manurung; Nixson Manurung; Christina Magdalena T. Bolon; Ratna Dewi; Sarmaida Siregar
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i1.1615

Abstract

Hemodialysis is a therapy for Chronic Kidney Failure (CKD) patients to replace kidney function using an artificial kidney in the form of a dialysis machine. Hemodialysis patients will experience lifelong dependence, this will result in imbalanced changes in their lives, these changes will give rise to physical and psychological problems, one of which is anxiety. Health education is a planned effort to influence other people to carry out what is expected. The aim of this research was to determine the effect of providing health education using leaflets on the anxiety level of hemodialysis patients at the Imelda Workers Indonesia General Hospital, Medan. The method used is correlative descriptive. The number of samples in this study was 38 respondents using a purpose sampling technique. The results of the research using the Wilcoxon statistical test resulted in a p-value of 0.00 with a significance of p < (0.05) p-value of 0.00 < 0.05. The conclusion obtained was that providing health education using leaflet media influenced the anxiety level of Chronic Kidney Failure (CKD) patients undergoing hemodialysis at the Imelda Workers Indonesia General Hospital, Medan
Co-Authors Baharudin Yusuf Munthe Barzilai Buulolo Bernita Silalahi Christina Magdalena T Christina Magdalena T. Bolon Christina Magdalena T. Bolon Christina Magdalena Tampubolon Christine Handayani Siburian Damanik, Hamonangan Edisyah Putra Ritonga Herlina, Meriani Mukhtar Effendi Harahap Nataria Yanti Silaban Nixson Manurung Nixson Manurung Manurung Paskah Rina Situmorang Rostinah Manurung Rostinah Manurung Sarmaida Siregar Sarmaida Siregar Sopyah Anggraini Anggraini