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GAMBARAN TINGKAT KEPATUHAN MINUM OBAT BERDASARKAN FAKTOR DEMOGRAFI PADA PASIEN RAWAT JALAN SKIZOFRENIA DI RUMAH SAKIT JIWA PROF. DR. M. ILDREM MEDAN Siregar, Syahroni; Nuralita, Nanda Sari
JURNAL IBNU SINA BIOMEDIKA Vol 2, No 2 (2018)
Publisher : UNIVERSITAS MUHAMMADIYAH SUMATERA UTARA

Latar belakang: Skizofrenia merupakan gangguan psikotik berat yang melibatkan kognitif, perilaku dan disfungsi emosional. salah satu faktor keberhasilan penatalaksanaan terapi penyakit skizofrenia adalah kepatuhan dalam minum obat. Beberapa faktor dalam kepatuhan minum obat meliputi faktor demografi(usia, jenis kelamin, pekerjaan, status pernikan, dan pendidikan).Tujuan: Untuk mengetahui gambaran tingkat kepatuhan minum obat berdasarkan faktor demografi pada pasien rawat jalan skizofrenia RSJ Prof. Dr. M. Ildrem Medan. Yang dilaksanakan sejak Agustus sampai Oktober 2016.Metode: Deskriptif kategorik dengan menggunakan desain cross sectional. Data MMAS yang diperoleh dari 50 sampel kemudian menganalisis data menggunakan SPSS.Hasil: Mayoritas pasien skizofrenia rawat jalan memiliki kepatuhan sedang dan berdasarkan analisis menunjukkan bahwa pasien terbanyak berjenis kelamin laki-laki, berdasarkan umur terbanyak kategori 26-35 tahun, berdasarkan status pernikahan pasien terbanyak yang belum menikah, berdasarkan pekerjaan terbanyak ketegori belum menikah dan berdasarkan status pendidikan terbanak katogero SMA.Kesimpulan: Mayoritas Pasien skizofrenia rawat jalan memiliki tingkat kepatuhan yang sedang. Kata kunci: Skizofrenia, Kepatuhan minum obat, MMAS, dan faktor demografi

Peningkatan Kualitas Hidup Lansia Dengan Husnul Khatimah Care (Hukho Care) Boy, Elman; Nuralita, Nanda Sari
Berdikari: Jurnal Inovasi dan Penerapan Ipteks Vol 7, No 2 (2019): August
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/bdr.7269

The elderly peopleâ€™s lifetime requires attentions, especially those related to the health in order that healthy and joyful lifestyle could be achieved. Healthy and joyful life quality for elderly people is expected to bring improvement towards life expectancy. Therefore, effort in improving the life quality of elderly people needs to be taken into account. The implementation of community service program, particularly the one addressed to the elderly people aims to: 1) perform the selection of cognitive function and elderly peopleâ€™s mood situation; and 2) follow up the selection results. The implementation method was conducted step-by-step, which was through the selection of cognitive function and elderly peopleâ€™s mood situation using Abbreviated Mental Test (AMT), whereas Workshop Husnul Khatimah Care (Hukho Care) was implemented for the selection results follow-up. AMT was used to measure the psychological condition and memory disorders; it was implemented through interview given to each of the elderly people. The Workshop Hukho Care was conducted through education as well as small and big group discussion. The result shows that 9% of the elderly people suffer from depression, 19% unstable, and 27% suffer from moderate memory disorder. Those who suffer from depression, psychologically unstable, and moderate memory disorders are entirely female. Female elderly people who are depressed, psychologically unstable and having moderate memory disorder shall require supports and attention from family, Puskesmas (Pusat Kesehatan Masyarakat/Public Health Center), and local health department.

Peningkatan Kualitas Hidup Lansia Dengan Husnul Khatimah Care (Hukho Care) Boy, Elman; Nuralita, Nanda Sari
Berdikari: Jurnal Inovasi dan Penerapan Ipteks Vol 7, No 2 (2019): August
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/bdr.7269

The elderly peopleâ€™s lifetime requires attentions, especially those related to the health in order that healthy and joyful lifestyle could be achieved. Healthy and joyful life quality for elderly people is expected to bring improvement towards life expectancy. Therefore, effort in improving the life quality of elderly people needs to be taken into account. The implementation of community service program, particularly the one addressed to the elderly people aims to: 1) perform the selection of cognitive function and elderly peopleâ€™s mood situation; and 2) follow up the selection results. The implementation method was conducted step-by-step, which was through the selection of cognitive function and elderly peopleâ€™s mood situation using Abbreviated Mental Test (AMT), whereas Workshop Husnul Khatimah Care (Hukho Care) was implemented for the selection results follow-up. AMT was used to measure the psychological condition and memory disorders; it was implemented through interview given to each of the elderly people. The Workshop Hukho Care was conducted through education as well as small and big group discussion. The result shows that 9% of the elderly people suffer from depression, 19% unstable, and 27% suffer from moderate memory disorder. Those who suffer from depression, psychologically unstable, and moderate memory disorders are entirely female. Female elderly people who are depressed, psychologically unstable and having moderate memory disorder shall require supports and attention from family, Puskesmas (Pusat Kesehatan Masyarakat/Public Health Center), and local health department.

PENGARUH KEPATUHAN PROTOKOL KESEHATAN PANDEMI COVID - 19 TERHADAP STRES DAN RELIGIUSITAS MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH SUMATERA UTARA MUHAMMAD IQBAL; DES SURYANI; NANDA SARI NURALITA; PINTA PUDIYANTI SIREGAR
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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COVID-19 is an infectious disease outbreak that has emerged since January 30, 2019 and has been called a public healthemergency by WHO. In order to avoid community transmission, it is recommended to comply with the health protocolestablished by the government. Many of the impacts of the health protocol are felt by the community, especially students,namely academic stress. The level of adherence to the health protocol itself can be related to the level of one's religiosity.To determine the effect of compliance with the COVID-19 health protocol on stress and religiosity of students at the Facultyof Medicine, University Muhammadiyah of Sumatra Utara. This study is a cross-sectional study. The number of sampleswas calculated using the Slovin formula totaling 164 people. Hypothesis test used is Chi Square test. Data were collectedbased on a questionnaire, namely DASS-42, adherence to health protocols and the Religiosity Scale. The results showedthat during the pandemic the level of good student compliance was 52.4% and those who did not comply were 47.6% with anormal stress level of 68.3% , mild stress 15.2%, moderate stress 9.8%, heavy stress 4.9% and very severe stress 1.8%.The level of religiosity of students during the pandemic with good religiosity was 51.2% and those that were lacking were48.8%. Based on the Chi Square test, it was found that the relationship between health protocol compliance with stress (p =0.001) and religiosity (p value = 0.001) but after the Kendall's tau correlation test, the value of p = 0.001 and p = 0.001 wasfound (it seems that there is a positive relationship with very strong correlation. weak. Adherence to implementing healthprotocols has a positive correlation with religiosity and student stress, but the correlation is weak. There is a positiveinfluence between compliance with the COVID-19 protocol on stress and religiosity.

HUBUNGAN ANTARA GANGGUAN ANSIETAS TERHADAP PENINGKATAN KGD SEWAKTU PADA PASIEN GANGGUAN ANSIETAS YANG BEROBAT JALAN DI RSU MADANI MEDAN RIZKI WAHYU NAFIAH; NANDA SARI NURALITA
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Anxiety disorders are the most common mental disorders and receive global attention because of their negative impacts.The increased release of the hormones cortisol and epinephrine in anxiety disorders can increase the increase ingluconeogenesis and glycogenolysis which increases the increase in blood sugar levels in the body. To determine therelationship between anxiety disorders and increased blood sugar levels random in anxiety disorders patients who seekoutpatient treatment at the RSU. Madani Medan. This study is a cross sectional study design. The sampling technique usedwas non-probability sampling. The examination was carried out using a blood sugar level check tool during easy touch.The number of samples used was 52 respondents with anxiety disorders, then an analysis test was performed using theKruskal-Wallis test. The results of the Kruskal-Wallis test showed that there was the relationship between anxiety disordersand increased blood sugar levels random in anxiety disorders patients with a value of p = 0.001 (p <0.05). Anxiety disorderswith a more severe degree have increased blood sugar levels. There is the relationship between anxiety disorders andincreased blood sugar levels random in anxiety disorders patients.

HUBUNGAN GANGGUAN ANSIETAS TERHADAP PENINGKATAN KADAR KOLESTEROL PADA PASIEN ANSIETAS YANG BEROBAT JALAN DI RSU MADANI MEDAN ELVIANI .; NANDA SARI NURALITA; ELMEIDA EFFENDY; ISRA THRISTY
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Anxiety is the most common psychiatric disorder. Overeating due to the response to anxiety disorders can cause an increasein total cholesterol and LDL levels. To determine the relationship between anxiety disorders and increased cholesterol levelsin anxiety patients who treatment at the RSU. Madani. This study use cross sectional study design. The sampling techniqueuse non-probability sampling. The examination was carried out using an easy-touch cholesterol level check tool.The number of samples used was 41 respondents with anxiety disorders, then an analysis test was performed using theKruskal-Wallis test. The Kruskal-Wallis test results showed that there is a relationship between anxiety disorders andincreased cholesterol levels in patients with anxiety disorders with a value of p = 0.001 (p <0.05). Anxiety disorders of asevere degree can raise cholesterol levels. There is a relationship between anxiety disorders and increased cholesterollevels in patients with anxiety disorders.

PERBEDAAN KADAR GULA DARAH PADA PASIEN SKIZOFRENIA YANG MENGGUNAKAN OBAT HALOPERIDOL DAN RISPERIDON DI RSJ. PROF. DR. M. ILDREM ZAHRAH SAFIRA; NANDA SARI NURALITA; DAPOT PARULIAN GULTOM; MELVIANA LUBIS
JURNAL ILMIAH MAKSITEK Vol 6 No 4 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Schizophrenia is a severe mental disorder that often occurs in the world. Current treatments for schizophrenia are typicalantipsychotics and atypical antipsychotics. Typical antipsychotics such as haloperidol, chlorpromazine, sulpirid, andthioridazine, and atypical antipsychotics such as risperidone, and atypical antipsychotics such as risperidone, clozapine,olanzapine and zipracidone. In the long term use of the drug can cause extrapyramidal symptoms, metabolic disorders suchas increased blood glucose levels. To determine differences in blood glucose levels in schizophrenic patients usinghaloperidol and risperidone at the mental hospital. Prof. Dr. M. Ildrem Medan which took from September to December 2019.This study is a non-paired numerical analytic study with a non- probability sampling technique that was carried out using ablood sugar level check tool during easy touch. The number of samples used was 46 schizophrenic patients, of which 23people took the drug haloperidol, and 23 people took the drug risperidone. Then performed an analysis with the Mann-Whitney test. The Mann-Whitney test results showed that there were significant differences between the use of haloperidoland risperidone drugs in schizophrenic patients with a P value of 0.001 (p <0.05). Risperidone drug use is higher riskcompared with haloperidol drugs. The use of risperidone has a significant difference with haloperidol on blood glucose levelswhen in schizophrenia patients.

HUBUNGAN BEBAN PERAWATAN CAREGIVER TERHADAP JENIS KELAMIN DAN USIA PADA PASIEN SKIZOFRENIA YANG BEROBAT JALAN DI RSJ. PROF. DR. M. ILDREM MEDAN BAITUL AMANAH; NANDA SARI NURALITA
JURNAL ILMIAH KOHESI Vol 6 No 1 (2022): JURNAL ILMIAH KOHESI
Publisher : LP2MTBM MAKARIOZ

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Schizophrenia is one of the most common psychotic disorders in the world. Schizophrenia patients in leading an optimaldaily life, needed the help in caring for and support from other parties called Caregiver. Caregiver as a treatment systemoutside the hospital often experiences the burden of providing optimal services in the social needs of patients. The burdenexperienced by caregiver refers to the burden of care, social, psychological, behavioral, functional, medical, physical andfinancial. This study aims to determine the correlation between caregiver care burdens on sex and age in schizophrenicpatients who are on outpatient care at RSJ Prof. Dr. M. Ildrem which was held from August to December 2016. Categoricalanalytic using cross sectional design. ZBI data obtained from 80 samples were then analyzed using the Chi-Square test. Chi-Square test results showed that there was a relationship between caregiver care burden and sex of schizophrenic patientswith a P value = 0.001 (p <0.05). And there is a relationship between caregiver care load and age of schizophrenia patientswith p value = 0.01 (p <0.05). The burden of caregiver care has a significant influence on the sex and age of schizophrenicpatients.

PERBEDAAN KADAR TOTAL KOLESTEROL TERHADAP PEMAKAIAN OBAT HALOPERIDOL DAN RISPERIDON PADA PASIEN SKIZOFRENIA DI RSUD PROF. DR. M. ILDREM ILHAM SYAHPUTRA; NANDA SARI NURALITA
JURNAL ILMIAH KOHESI Vol 6 No 1 (2022): JURNAL ILMIAH KOHESI
Publisher : LP2MTBM MAKARIOZ

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Schizophrenia is one of the most common psychotic disorders in the world. Schizophrenia treatment uses antipsychotics torelieve symptoms experienced by patients. Giving antipsychotics can cause bad side effects in schizophrenics. Side effectsobtained from the use of antipsychotics consist of extrapyramidal extracts, metabolic syndrome and also weight gain whichworsens the patient's condition. To find out the difference in total cholesterol levels on the use of the dhaloperidol andrisperidone in schizophrenic patients at Psychiatric Hospital Prof. Dr. M. Ildrem. which took from August to December 2019.Numerical analytic by using cross sectional design. Data on total cholesterol levels taken through peripheral blood wereobtained from 40 samples and then analyzed using the Mann Whitney test. Mann Whitney test results showed that there wasa significant difference between the use of haloperidol and risperidone in schizophrenic patients with a P value = 0.001(p <0.05). Risperidone drug using is higher risk compared with haloperidol drugs. The use of risperidone has a significantdifference with haloperidol on total cholesterol levels in schizophrenic patients.

Hubungan Simtom Depresi terhadap Perilaku Merokok pada Pasien Skizofrenia di Rumah Sakit Jiwa Prof. Dr. H. M. Ildrem Medan Sri Rizky Ayunita; Nanda Sari Nuralita
ANATOMICA MEDICAL JOURNAL | AMJ Vol 1, No 2 (2018)
Publisher : Universitas Muhammadiyah Sumatera Utara

Abstrak: Skizofrenia merupakan suatu deskripsi sindrom dengan variasi penyebab (belum diketahui) dan perjalanan penyakit (tak selalu bersifat kronis atau “deteriorating”) yang luas, serta sejumlah akibat yang tergantung pada perimbangan pengaruh genetik, fisik, dan sosial budaya. Gejala depresi pada pasien skizofrenia dapat dikaitkan dengan tekanan yang signifikan, dan bisa terjadi sepanjang semua fase. Termasuk fase prodromal, episode psikotik akut dan fase post-psychotic. Individu dengan gangguan skizofrenia memiliki frekuensi merokok 1,5-2 kali lebih tinggi dibanding populasi umum.Individu dengan gangguan skizofrenia rata-rata menghisap sebanyak 25 batang rokok tiap harinya. Tujuan penelitian ini adalah untuk mengetahui hubungan simtom depresi dengan perilaku merokok pada pasien skizofrenia di RSJ Prof. Dr. M. Ildrem Medan. Penelitian ini menggunakan metode analitik kategorik dengan menggunakan desain cross-sectional. Data BDI-II yang diperoleh dari 81 sampel kemudian dilakukan analisa dengan uji Chi-Square. Hasil uji Chi-Square menunjukkan bahwa terdapat hubungan simtom depresi dengan perilaku merokok dengan nilai p=0,001 (<0,05). Simpulan, pasien skizofrenia yang mengalami depresi berat lebih banyak yang merokok.Kata kunci: skizofrenia, gangguan depresi, BDI-II, perilaku merokok. Relation of Depression Symptom to Smoking Behavior in Schizophrenic Patients in Mental Hospital Prof. Dr. H. M. Ildrem Medan Abstract: Schizophrenia is a description of the syndrome with a variety of causes (not necessarily chronic or "worsening"), and additional consequences that depend on the balance of genetic, physical, and sociocultural influences. Symptoms of depression in schizophrenic patients can be associated with significant pressure, and can occur throughout all phases. Includes prodromal phase, acute psychotic episodes and post-psychotic phase. Individual with schizophrenic disorders have a smoking frequency of 1.5 to 2 times higher than the general population. Individuals with schizophrenic disorder averaged about 25 cigarettes everyday. This research aim to know the relation of symptom of depression with smoking behavior in schizophrenic patient in RSJ Dr. M. Ildrem Medan. from May until September 2017. The method is categorical analytics using cross-sectional design. The BDI-II the data generated from 81 samples was then performed with Chi-Square. Chi-Square test results show the relationship of depression symptom with smoking behavior with value p=0,001 (<0,05). Conclusion, severe depressed schizophrenic patients are more likely to smoke. Keywords: schizophrenia, depression disorder, BDI-II, smoking behavior.

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