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HUBUNGAN STRES, DEPRESI DAN DUKUNGAN SOSIAL DENGAN KEPATUHAN PEMBATASAN ASUPAN NUTRISI DAN CAIRAN PADA PASIEN GAGAL GINJAL KRONIK Minta Ito Melinda Harahap; Sori Muda Sarumpaet; Mula Tarigan
Idea Nursing Journal Vol 6, No 3 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (670.117 KB) | DOI: 10.52199/inj.v6i3.6794

Abstract

ABSTRAKHemodialisis merupakan salah satu terapi pengganti ginjal (TPG) yang paling umum dijalani oleh pasien gagal ginjal kronik (GGK).Hemodialisa akan cenderung berdampak pada emosi, kognitif dan perilaku adaptasi seperti munculnya stres, depresi dan dukungan sosial. Tujuan penelitian ini adalah mengidentifikasi dan menjelaskan hubungan stress, depresi, dan dukungan social dengan kepatuhan pembatasan nutrisi dan cairan pada pasien gagal ginjal kronik. Desain penelitian adalah cross sectional dengan jumlah sampel 96 responden, populasi yang didapat dengan purposive sampling. Metode pengumpulan data dengan cara pengisian kuesioner. Hasil penelitian inimenunjukkan bahwa sebagian besar responden berusia 46-55 tahun berjumlah 42 responden (43,8%) dan rata-rata lamanya responden menjalani hemodialisa 12 bulan berjumlah 67 responden (69,8%). Analisis hasil penelitian menggunakan uji spearman (bivariat). Pada analisa korelasi didapatkan adanya hubungan yang bermakna antara stres, depresi, dukungan social dengan kepatuhan pembatasan nutrisi pada pasien gagal ginjal kronik (p=-0,231, p=- 0,355, p=-0,113) dan ada hubungan yang bermakna antara stres, depresi, dukungan social dengan kepatuhan pembatasan cairan pada pasien gagal ginjal kronik (p=-0,226, p=-0,238, -0,317). Perawat di ruangan hemodialisaharus mampu meningkatkan pemahaman dan kompetensinya dalam memberikan asuhan keperawatan terkait kepatuhan pembatasan nutrisi dan cairan pasien khususnya pasien gagal ginjal kronik dengan hemodialisaKata kunci:Stress, Dukungan Sosial, Gagal Ginjal KronikABSTRACTHemodialysis which is one of renal replacement therapy (TPG) is most commonly endured by patients with chronic renal failure (CRF). Haemodialysis would be likely to have an impact on the emotional, cognitive and behavioral adaptations such as the emergence of stress, depression and social support. The purpose of this study is to identify and explain the relationship of stress, depression, and social support with nutrients and fluid restriction compliance in patients with chronic renal failure. The study design was Cross-sectional with sample of 96 respondents, obtained by purposive sampling. The data was collected with questionnaire. The results showed that the majority of respondents aged 46-55 years amounted to 42 respondents (43.8%) and the average length of undergoing hemodialysis respondent 12 months of which 67 respondents (69.8%). Analysis used the Spearman test (bivariate). In the correlation analysis found a significant relationship between stress, depression, social support and nutritional restriction compliance in patients with chronic renal failure (p = -0.231, p = -0.355, p = -0.113), and there is a significant correlation between stress, depression, social support to compliance with fluid restriction in patients with chronic renal failure (p = -0.226, p = -0.238, -0.317). Nurses in the room hemodialysis should be able to increase the understanding and competence in providing nursing care related to compliance with the adherence of nutritions and fluids restrictions on cronic kidney disease patientsKeywords: Stress, Social Support, Cronic Kidney Disease
Pengalaman Perawat yang Tidak Merawat Pasien COVID-19 di Rumah Sakit Kota Medan Tina Rahayu Silitonga; Mula Tarigan
Jurnal Berita Ilmu Keperawatan Vol. 15, No. 1, 2022
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i1.17108

Abstract

Coronavirus disease 2019 (COVID-19) is a new variant of disease which has never been identified in human beings and is a communicable respiratory tract disease, it is very harmful to people, especially to nurses since not all healthcare workers in a hospital are equipped with Personal Protective Equipment (PPE) due to its limited availability in Indonesia. The objective of the research is to explore the experience of nurses who do not take care of patients COVID-19 patients in a hospital during COVID-19 pandemic. The research employs qualitative method with descriptive phenomenological approach. The participants are 10 nurses who do not take care of COVID-19 patients at USU hospital, selected by nursing purposive sampling technique. The data are collected through in-depth interviews. All interviews are firstly recorded and then transcribed. They are analyzed by using Colaizzi test approach. The result of the thematic analysis finals six themes: that the nurses have psychological impact, have COVID-19 pandemic impact, encounter obstacles during the pandemic, carry out coping mechanism, develop strategies in handling COVID-19, and receive social support. It is concluded that nurses experience psychological impact in the beginning of the pandemic such as excessive anxiety and stress so that they need social support from families, colleagues, or neighbors. The nurses knowledge of COVID-19 is still poor, so that it is necessary to provide more profound seminars and training.
PENINGKATAN KAPASITAS ANGGOTA MASYARAKAT YANG MENGALAMI KOMORBIDITAS DIABETES MELITUS UNTUK PENCEGAHAN PENULARAN COVID-19 Mula Tarigan; Rosina Br. Tarigan; Setiawan Setiawan; Roymond H. Simamora
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol 2 No 2 (2021)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (628.045 KB) | DOI: 10.31949/jb.v2i2.926

Abstract

Orang-orang dengan kondisi medis yang sudah ada sebelumnya seperti diabetes tampaknya lebih rentan untuk menjadi sakit parah dengan virus Covid-19. Agar penderita diabetes ini dapat terhindar dari penularan Covid-19, maka diperlukan suatu upaya peningkatan kapasitas mereka agar dapat mengetahui cara pencegahan penularan Covid-19 dan melaksanakan upaya pencegahan tersebut. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan penderita DM untuk mencegah terjadinya penularan Covid-19 di desa Mekar Sari, Kecamatan Deli Tua, Kabupaten Deli Serdang, Sumatera Utara. Peserta yang menjadi partisipan dalam kegiatan ini terdiri dari anggota masyarakat yang mengalami DM sebanyak 15 orang. Pelaksanaan kegiatan diawali dengan melakukan pre-test tentang pengetahuan awal peserta tentang penyakit dan cara pencegahannya. Setelah itu, diberikan penyuluhan secara langsung dengan menggunakan media leaflet. Selain leaflet, hand sanitizer dan suplemen vitamin C dan D diberikan juga kepada setiap peserta pengabdian kepada masyarakat pada saat penyuluhan. Setelah dilakukan penyuluhan dengan menggunakan contoh yang nyata, pengetahuan peserta meningkat dari rerata skor pengetahuan 5,47 menjadi 9,80. Peningkatan pengetahuan tentang pencegahan penularan Covid-19 meningkat secara signifikan. Hal ini terlihat dari uji statistika Wilcoxon antara nilai post-test dan post-test didapat nilai p=0,001. Tim pengabdian kepada masyarakat dari berharap agar setelah kegiatan ini selesai, anggota masyarakat yang mengalami penyakit diabetes melitus dapat dan secara konsisten menerapkan hal-hal yang telah mereka pahami pada saat penyuluhan kesehatan, sehingga dapat terhindar dari penularan penyakit Covid-19.
The Determination of Visual Inspection in Women of Childbearing Age Fatwa Imelda; Mula Tarigan; Lidya Eryunika
Caring: Indonesian Journal of Nursing Science Vol. 3 No. 1 (2021): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v3i1.5942

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Cervical cancer is the most common disease affecting women around the world. Early detection of cervical cancer is needed by using Visual Inspection with Acetic Acid (VIA). This method is relatively easy to do, and the examination costs are also quite affordable, making it more beneficial for women. This study was to determine the determinants of the VIA Test results. It is quantitative research with a descriptive approach presented in the form of a frequency distribution table. There are 100 samples of women of childbearing age acquired by purposive sampling at Patumbak District, Deli Serdang. From the samples, some respondents receive positive IVA test result as follows: 14% aged 36-35 years old, 14% Protestant, 19% married, 9% high school graduates, 10% housewife, 15% with minimum monthly income, 12% with 3-5 children, 17% has multigravida parity, 14% married at the age of 17-25 years old, 12% first-time mother at the age of 17-25 years old, and 14% with 5+ years using IUD contraception. The study was based on the negative VIA test result but with detected pre-cancerous lesions. Further research with different variables is necessary to acquire more information regarding cervicitis incidence causes, thus, reducing cervical cancer numbers.
Latihan Berjalan dengan Kontrol Pernapasan pada Penderita Penyakit Paru Obstruktif Kronik (PPOK): Studi Fenomenologi Orita Satria; Dewi Elizadiani Suza; Mula Tarigan
Journal of Telenursing (JOTING) Vol 4 No 1 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i1.3621

Abstract

This study aims to explore the experience of walking exercise with breathing control in COPD patients. The method used is qualitative with a descriptive phenomenological approach. Participants in this study amounted to 15 people with COPD. Data obtained from in-depth interviews, then analyzed using the Colaizzi method. The results showed that five themes were identified, namely: 1) the implementation of walking exercises with breathing control; 2) increased physical activity and quality of life; 3) increase oxygen demand and reduce shortness of breath; 4) reduce anxiety and improve sleep quality; and 5) family support. In conclusion, walking and breathing exercises are good exercise choices for COPD because they can meet oxygen needs, reduce shortness of breath, reduce anxiety and stress in COPD. Keywords: Breathing Control, Walking Exercise, COPD
Latihan Fisik terhadap Penurunan Cancer Related Fatigue pada Pasien Kanker Payudara Linda Jurwita; Dewi Elizadiani Suza; Mula Tarigan
Journal of Telenursing (JOTING) Vol 3 No 2 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i2.2934

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This study aims to identify and evaluate the effect of a physical exercise intervention on reducing cancer-related fatigue in breast cancer patients. The method used is Systematic Reviews using EBSCO, PubMed and ProQuest databases. The articles were selected using the PRISMA (Preferred Items for Systematic Reviews and Meta-Analyses) diagram, which found ten articles that matched the inclusion criteria. The results showed that physical exercise had a significant effect on reducing fatigue and could improve the quality of life of breast cancer patients. In conclusion, physical exercise intervention can help relieve symptoms and reduce cancer-related fatigue in breast cancer patients. Keywords: Cancer Related Fatigue, Breast Cancer, Physical Exercise
Terapi Komplementari terhadap Penurunan Nyeri pada Pasien Kanker Novita Sari; Dewi Elizadiani Suza; Mula Tarigan
Journal of Telenursing (JOTING) Vol 3 No 2 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i2.2936

Abstract

This study aims to identify and evaluate the effect of intervention in reducing pain in cancer patients. The method used is a systematic review through the EBSCO, PubMed and ProQuest databases. The articles selected the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagram method. The results showed that complementary interventions such as Aromatherapy Massage, Reflexology, Acupuncture, Hypnotherapy, Acupressure, Healing Touch and Massage showed significant results in reducing pain in cancer patients. In conclusion, complementary interventions can help reduce pain in cancer patients. Keywords: Cancer Pain, Complementary Therapy
Effect of Walking Exercise with Breathing Control on the Degree of Shortness of Breath, Anxiety, and Depression in COPD: A Systematic Review Orita Satria; Dewi Elizadiani Suza; Mula Tarigan
Jurnal Respirasi Vol. 8 No. 3 (2022): September 2022
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (401.325 KB) | DOI: 10.20473/jr.v8-I.3.2022.185-197

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is a high disease burden and negatively impacts the bio-psycho-social well-being of patients, such as anxiety, depression, and shortness of breath. Anxiety and depression can increase morbidity and worsen the condition and health status of the patient. This systematic review aimed to analyze the effect of walking exercises with breathing control on the degree of shortness of breath, anxiety, and depression in COPD patients. Methods: The data sources were taken from EBSCO, PubMed, and ProQuest using related keywords. Articles were selected using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) diagram method. Results: Ten articles in this systematic review obtained three intervention categories: 1) intervention combined walking exercises with breathing control can be performed 30 minutes per session 2-3 times a week; 2) walking exercise intervention is performed thrice a week for 30-45 minutes per session; 3) breathing control exercise intervention is performed 10-30 minutes with a duration of 2 times a day in the morning and night or can be performed three times a week. Those three intervention categories significantly reduced the degree of shortness of breath, anxiety, and depression in COPD patients. Conclusion: Findings from this systematic review suggest that walking exercise intervention in COPD patients can help reduce the degree of shortness of breath, anxiety, and depression.
Integrated antenatal care reduce childbirth anxiety among primigravida women Nena Riski Hariyati; Abkar Raden; Retno Mawarti; Mula Tarigan
Journal of Health Technology Assessment in Midwifery Vol 2, No 1 (2019): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (407.228 KB) | DOI: 10.31101/jhtam.719

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Pregnant women’s anxiety, if not well-treated, may influence both the physical and psychological conditions of mother and fetus. This study aimed to analyze the correlation between integrated antenatal services and anxiety on facing facing childbirth among primigravida women. This was an observational analytic study used Cross Sectional design. The sample in this study was 55 primigravida women in their third trimester, whom were selected by using a total sampling technique. The study was conducted in a Public Health Centre within Yogyakarta Province. The analysis employed bivariate analysis technique with Chi-Square. The results showed that non-integrated antenatal care had correlation with anxiety about facing labor with p=0.033 and OR=5.417, which explained that non integrated antenatal care significantly increases anxiety among primigravida women. Therefore there is a need tailored services which could improve the quality of Integrated Antenatal Care to reduce pregnant women’s anxiety on facing childbirth.
Hambatan Pengelolaan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe 2 Alisarjuni Padang; Mula Tarigan; Rina Amelia
Journal of Telenursing (JOTING) Vol 4 No 2 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i2.3233

Abstract

This study explores various barriers to managing Blood Sugar Levels (KGD) in type 2 DM patients. The method used is a systematic review by browsing articles in the ScienceDirect, Ebsco, PubMed, CINAHL and PMC databases selected based on the PRISMA diagram. The results showed that some barriers to blood sugar management were related to limited costs, poor medication adherence, common knowledge and management of type 2 diabetes, patient psychosocial factors and patient activity factors. In conclusion, the type of obstacle that is most often found related to the management of diabetes mellitus is the lack of knowledge about DM and its management, both patients and health workers. Keywords: Type 2 DM, Management Barriers, Knowledge Improvement