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Pengalaman hidup pasien kanker payudara di Kota Medan: Studi fenomenologi Tarigan, Mula; Pasaribu, Maria Sarmaida
TROPHICO: Tropical Public Health J. Vol. 3 No. 1 (2023): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v3i1.11558

Abstract

(Background) Breast cancer can cause death due to the rapid spread of cells and delayed treatment. Patients with breast cancer must adapt to the changes that occur in their daily lives. (Objective) The purpose of this tudy was to explore the lived experience of breast cancer patients in Medan. (Methods) This was a qualitative research with a descriptive phenomenological approach. The number of participants in this study were six people using purposive sampling. Data was collected using in-depth interview techniques and analyzed using the Colaizzi method. (Results) The results of this study found five themes, namely descriptions of breast cancer, emotional responses, effects of chemotherapy, social support, and spirituality. (Conclusion) Participants experienced biological and emotional changes in their lives after diagnosed breast cancer. However, they still have the ability to do positive things from within themselves and remain enthusiastic to follow the treatment program.
Gambaran Pengetahuan Tentang Perilaku Perawatan Diri pada Pasien Gagal Jantung Marbun, Agnes Putri S; Tarigan, Mula; Sitohang, Nur Asnah
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): 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.v6i2.11158

Abstract

This study aims to determine the description of knowledge about self-care behavior in heart failure patients. The research method used is quantitative research with a descriptive approach. Sampling was taken using a purposive sampling technique with a total sample of 50 people with heart failure who were hospitalized. Data collection used the Dutch Heart Failure Knowledge Scale instrument. Data were analyzed using univariate analysis tests with presentation of tables in the form of frequency distributions and percentages. The results showed that knowledge about self-care behavior in hospitalized heart failure patients tended to vary, with an average knowledge score of 4.44 and a standard deviation of 1.554. In conclusion, although there are variations in patient knowledge, nurses have an important role in improving patient knowledge and care, both during hospital treatment and after the patient goes home. This is important to help patients optimize their function in carrying out daily activities. Keywords: Heart Failure, Knowledge, Self-Care Behavior.
Efektifitas Enpowerment Education terhadap pengetahuan Melakukan Vaksinasi HPV pada Remaja Putri Imelda, Fatwa; Karota, Evi; Tarigan, Mula
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15780

Abstract

ABSTRACT Cervical cancer is one of the leading causes of death in developing countries such as Indonesia. One of the government prevention programs is HPV vaccination. HPV vaccination in adolescents has not been widely practiced by adolescents in Indonesia. Many factors influence the acceptance of HPV vaccination in adolescents. Efforts to increase HPV vaccination behavior in schools through Empowerment Education, can be an alternative intervention that can be done. Objective of the study: To analyze the effectiveness of Enpowerment Education on knowledge of HPV vaccination among adolescent girls. Research method: The research design was Quasi Experimental Design using Pre Post Design With A Comparison Group conducted from December 2023 to June 2024. Quantitative instruments using the knowledge questionnaire to do HPV vaccination have gone through validity and reliability tests with an Alpha Cronbach value> 0.6 Quantitative data analysis with the Wilcoxon Signed Test (paired) and the Mann Whitney Test (unpaired). Results: There is a difference in knowledge (P=0.000) to vaccinate Pre test and Post test in the Intervention group. There is a difference in knowledge (p=0.000) to do HPV vaccination (p=0.675) in the Post Test Group of Control and Intervention Groups Conclusion: Enpowerment Education has an effect on increasing knowledge of HPV vaccination. Enpowerment education can be used to improve the knowledge female students that can be used in schools. Keywords: Enpowerment Education, Knowledge, HPV  ABSTRAK Latar belakang: Kanker serviks menjadi salah satu penyebab kematian terbanyak di negara berkembang seperti Indonesia. Salah satu pencegahan program pemerintah adalah vaksinasi HPV. Vaksinasi HPV pada remaja belum banyak dilakukan oleh remaja di Indonesia. Banyak faktor yang mempengaruhi penerimaan untuk vaksinasi HPV pada remaja. Upaya peningkatan perilaku vaksinasi HPV di Sekolah melalui Empowerment Education, dapat menjadi suatu alternatif intervensi yang dapat dilakukan. Tujuan penelitian: Menganalisis Efektifitas Enpowerment Education terhadap pengetahuan melakukan vaksinasi HPV pada remaja putri. Metode penelitian: Desain penelitian adalah Quasi Experimental Design menggunakan Pre Post Design With A Comparison Group yang dilakukan dari Desember 2023 hingga Juni 2024 Instrumen kuantitatif menggunakan kuesioner pengetahuan melakukan vaksinasi HPV telah melalui uji validitas dan reliabilitas dengan nilai Alpha Cronbach >0.6 Analisis data dengan kuantitatif dengan uji Wilcoxon Signed Test  (berpasangan) dan uji Mann Whitney Test (tidak berpasangan). Hasil : Terdapat perbedaan pengetahuan ( P=0.000) melakukan vaksinasi  Pre test dan Post test pada kelompok Intervensi. Terdapat perbedaan pengetahuan (p=0.000 melakukan vaksinasi HPV pada kelompok Post Test Kelompok Kontrol dan Intervensi Kesimpulan : Enpowerment Education berpengaruh terhadap  pengetahuan melakukan vaksinasi HPV. Enpowerment education dapat digunakan untuk meningkatkan pengetahuan remaja putri di lingkungan sekolah. Kata Kunci: Enpowerment, Education, Pengetahuan, Vaksinasi, HPV
Gambaran efikasi diri dan perawatan diri pada pasien gagal jantung Manurung, Romatua Juliana; Tarigan, Mula; Sitohang, Nur Asnah
Holistik Jurnal Kesehatan Vol. 18 No. 7 (2024): Volume 18 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i7.414

Abstract

Background: Heart failure is one of the cardiovascular diseases which is a major health problem in western countries which is increasing in line with population growth and increasing life expectancy. Self-efficacy is an individual's belief in his ability to react to certain situations. Self-care is a decision taken by the patient himself or with his family, so that he is able to overcome his illness and maintain his functional abilities and achieve well-being. Purpose: To determine the description of self-efficacy and self-care behavior in heart failure patients. Method: Quantitative descriptive study, conducted at the Heart Polyclinic of the Regional General Hospital. Dr. Pirngadi Medan. The sampling technique used purposive sampling and the Slovin formula, the number of samples used was 84 respondents. The independent variables are self-efficacy and self-care, while the dependent variable is heart failure patients.  Data collection techniques using questionnaires. Self-efficacy using the Cardiac Self-Efficacy Scale questionnaire or (CSE scale). Self-care was obtained through the self care of heart failure index (SCHF) questionnaire which has been modified into Indonesian. The New York Heart Association (NYHA) functional classification was categorized as class I to IV. Univariate data analysis was used in the form of frequency distribution. Results: This study shows that the majority of respondents have less self-efficacy 54 (64.4%). Most respondents had poor self-care 48 (57.2%). New York Heart Association (NYHA) classification is mostly in the NYHA level II category 55 (65.4%). Conclusion: High self-efficacy in heart failure patients can increase motivation to do physical activity, resulting in reduced barriers to physical activity and encouraging patients to do more physical activity. Self-care needs to be practiced to cope with the disease, maintain functional ability, and achieve well-being. Suggestion: Hoped that heart failure patients' self-awareness will increase self-efficacy to improve self-care, and family support is expected to help patients carry out self-care. Increasing the self-efficacy of heart failure patients, it will help patients carry out self-care.    Keywords: Heart Failure; Self Care; Self Efficacy.    Pendahuluan: Gagal jantung merupakan salah satu dari penyakit kardiovaskuler yang menjadi masalah kesehatan utama di negara-negara barat yang meningkat sejalan dengan pertambahan populasi dan meningkatnya usia harapan hidup. Efikasi diri merupakan keyakinan individu terhadap kemampuannya dalam bereaksi terhadap situasi tertentu. Perawatan diri merupakan suatu keputusan yang diambil oleh pasien sendiri atau bersama keluarganya, sehingga mampu mengatasi penyakitnya dan mempertahankan kemampuan fungsionalnya serta mencapai kesejahteraan. Tujuan: Untuk mengetahui gambaran efikasi diri dan perilaku perawatan diri pada pasien gagal jantung. Metode: Penelitian deskriptif kuantitatif, dilakukan di Poliklinik Jantung Rumah Sakit Umum Daerah. Dr. Pirngadi Medan. Teknik pengambilan sampel menggunakan purposive sampling dan rumus slovin, jumlah sampel yang digunakan sebanyak 84 responden. Variabel independen adalah efikasi diri dan perawatan diri, sedangkan variabel dependen pasien gagal jantung. Teknik pengumpulan data menggunakan kuesioner. Efikasi diri menggunakan kuesioner Cardiac Self-Efficacy Scale atau (CSE scale). Perawatan diri didapatkan melalui kuesioner self care of heart failure index (SCHF) yang telah dimodifikasi kedalam Bahasa Indonesia. Klasifikasi fungsional New York Heart Association (NYHA) dikategorikan kelas I sampai IV. Analisis data yang digunakan univariate dalam bentuk distribusi frekuensi. Hasil: Penelitian ini menunjukan bahwa mayoritas responden memiliki efikasi diri yang kurang 54 (64.4%). Sebagian besar responden memiliki perawatan diri yang kurang 48 (57.2%). Klasifikasi New York Heart Association (NYHA) sebagian besar masuk dalam kategori NYHA tingkat II 55 (65.4%). Simpulan: Efikasi diri yang tinggi pada pasien gagal jantung dapat meningkatkan motivasi melakukan aktivitas fisik, sehingga mengurangi hambatan aktivitas fisik dan mendorong pasien untuk melakukan aktivitas fisik yang lebih banyak. Perawatan diri perlu dilakukan untuk mengatasi penyakit, mempertahankan kemampuan fungsional, dan mencapai kesejahteraan. Saran: Diharapkan kesadaran diri pasien gagal jantung untuk meningkatkan efikasi diri guna meningkatkan perawatan diri, dan diharapkan dukungan keluarga untuk membantu pasien dalam melaksanakan perawatan diri. Dengan meningkatkan efikasi diri pasien gagal jantung, akan membantu pasien dalam melaksanakan perawatan diri.   Kata Kunci: Efikasi Diri; Gagal Jantung; Perawatan Diri.
Pengalaman Pasien Hemodialisis yang Sudah Sembuh dari COVID-19 Hariesty Talenta Narwastu Telaumbanua; Siti Zahara Nasution; Mula Tarigan
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.102 KB) | DOI: 10.31539/jks.v6i1.4667

Abstract

This study aims to explore the experiences of Hemodialysis patients who have recovered from COVID-19 in Medan City. The research method used is a qualitative design with a phenomenological approach. The results of the study revealed six themes, namely 1). Coping Process, 2). Physical State, 3). Health Behavior, 4). Family Role and Support, 5). The Role of Nurses and Medical Actions, 6). Environmental Response to the Condition of Patients Experiencing COVID-19. In conclusion, the experience of Hemodialysis patients who have recovered from COVID-19 shows that while they are being treated in the isolation room, they experience various coping and handling processes that must be by health protocols and continue to undergo hemodialysis. Keywords: COVID-19, Hemodialysis, Patient Experience
Pengalaman Nurse Manager Menjalankan Strategi Pencegahan dan Pengendalian Infeksi Covid-19: Studi Fenomenologi Suasanta, Herita; Syam, Bustami; Tarigan, Mula
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45504

Abstract

This study aims to explore the experience of nurse managers implementing strategies for preventing and controlling COVID-19 infection in hemodialysis units. The research uses qualitative methods with a descriptive phenomenological approach. Based on the results of the research analysis, 5 themes were found, namely: (1) Adapting to the COVID-19 PPI, (2) Managing the COVID-19 PPI, (3) Having obstacles in implementing the COVID-19 PPI, (4) Striving to increase the compliance of nurses, patients and visitors, (5) Have hopes for maximum implementation of PPI COVID-19. In conclusion, nurse managers, through leadership, preparedness and continuing to innovate, become a strategy for managing resources accompanied by motivation to form a solid nursing team in carrying out prevention and control of COVID-19 infections. Keywords: nurse manager, PPI Covid-19, hemodialysis unit
Perspektif Keluarga tentang Praktik Manajemen Diri Diabetes Sebuah Studi Kualitatif Harahap, Sairomaito; Tarigan, Mula; Nasution, Siti Zahara; Tanjung, Muhammad Sukri
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46877

Abstract

Diabetes Mellitus (DM) is one of the global health problems that continues to increase in number from year to year. Diabetes self-management practice which is an important component in diabetes management, always involving the family in its implementation. This study aimed to explore family perspectives on diabetes delf-management practices. The research design used was a qualitative-descriptive phenomenology. Participants in this study were family members who cared for patients. A total participants of 10 people were recruited by purposive sampling at the Prof.dr. Chairuddin P Lubis Hospital Medan, North Sumatra, from March to Mei 2025. Data was collected through in-depth interviews with a semi-structured questions and analyzed using Colaizzi method. This study found 4 themes and 10 theme clusters related to diabetes self-management practices as follows: diet patterns (non-adherence to healthy diet, food preparation by the patient, and the patient sets his own dietary portions), physical exercise (not regularly doing physical exercise, independent physical exercise, reasons of not doing physical exercise), medications (non-adherence to medication and medication management by patients), and spirituality (patients routinely carry out religious activities and non-religious spiritual needs). According to the family's perspective, diabetic patients have not optimally implemented diabetes self-management practices in diet, medication, and exercise. Health workers are expected to provide support to patients and families so that diabetes self-management practices can run more optimally. Keywords: Type 2 diabetes, self-management practice, family, perspective, phenomenology
The Effectiveness of the Phase II Cardiac Rehabilitation Program on the Functional Capacity of the Heart and Quality of Life of Post-CABG Patients Maraksa, Deddy Wandra; Sitohang, Nur Asnah; Tarigan, Mula
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6600

Abstract

The Coronary Artery Bypass Graft (CABG) procedure is a form of surgical intervention carried out to treat coronary heart disease (CHD). Cardiac rehabilitation programs are training and education programs that aim to improve patients' heart health, especially after surgery. One of the goals of cardiac rehabilitation is to return patients to achieve optimal conditions, increase the functional capacity of the heart, and improve the quality of life. The purpose of the study was to test the effectiveness of the phase II cardiac rehabilitation program on increasing cardiac functional capacity and quality of life of post-CABG patients at H. Adam Malik Hospital Medan. The research design is a quasi-experimental one group pre-test and post-test design. The sampling technique is purposive sampling. The number of samples was 33 respondents. Data analysis was conducted using dependent t tests for heart rate (HR), systolic blood pressure, and diastole blood pressure. Data on respiratory rate (RR), METs, oxygen saturation (SpO2), and quality of life variables were used to test the wilcoxon. The results of the data analysis showed that there was no effect of the phase II cardiac rehabilitation program on HR and RR (p>0.05 value) because the majority of respondents took beta-blocker drugs. However, the results of statistical tests showed that there was an effect of the phase II cardiac rehabilitation program on systole and diastole blood pressure, METs, SpO2, and the quality of life of the respondents (p value <0.05). This study proves that the phase II cardiac rehabilitation program is effective in improving the functional capacity of the heart and the quality of life of post-CABG patients.
Hubungan Aktivitas Perawatan Diri Diabetes dengan Kontrol Glikemik Pasien Diabetes Mellitus Tipe 2 di Wilayah Kerja Puskesmas Padang Bulan Medan Hutahaean, Moris Samsul Lamhot; Tarigan, Mula; Karota, Evi; Tanjung, Muhammad Sukri
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.48040

Abstract

Type 2 diabetes mellitus (T2DM) is a group of metabolic diseases that occur when the body cannot effectively use the insulin it produces, resulting in hyperglycemia. T2DM mostly affects adults and is usually caused by age, overweight and inactivity. To manage diabetes appropriately or achieve adequate glycemic control, patients must perform diabetes self-care activities by organizing a proper diet, doing physical exercise, monitoring blood sugar levels, complying with prescribed medications, performing foot care, and quitting smoking. The purpose of this study was to determine the relationship of diabetes self-care activities with glycemic control in type 2 diabetes patients in the Padang Bulan Medan Health Center. This research method is quantitative non-experimental with correlation design. The majority of respondents carried out insufficient self-care activities (47.1%) with 79.3% uncontrolled glycemic control. The relationship between diabetes self-care activities and glycemic control was significant with p = 0.000 (<0.001) with a value of r = 0.643. Health center workers are expected to provide diabetes self-care education. Improving the implementation of diabetes self-care activities is aimed at preventing further complications and improving the quality of life of patients. Keywords: Diabetes. T2DM, diabetes self-care activities, glycemic control
Statistika Deskriptif Tarigan, Mula; Frintiana Silaban, Dewi
JINTAN: Jurnal Ilmu Keperawatan Vol. 4 No. 2 (2024): Edisi Juli 2024
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jintan.v4i2.859

Abstract

Pemahaman tentang statistika diperlukan oleh perawat sebagai dasar untuk melakukan asuhan keperawatan berdasarkan praktik berbasis bukti dan untuk tujuan penelitian. Artikel ini bertujuan untuk membahas jenis-jenis statistika deskriptif. Statistika deskriptif terdiri dari tiga bagian utama: ukuran frekuensi, ukuran pemusatan, dan ukuran variasi atau dispersi. Statistika deskriptif adalah metode untuk meringkas data mentah menjadi data terorganisir dengan cara yang valid dan bermakna. Pada artikel ini, penjelasan masing-masing jenis statistika deskriptif disajikan secara ringkas diikuti dengan contoh nyata dari berbagai hasil penelitian sehingga lebih mudah dipahami. Artikel ini dapat digunakan sebagai dasar pemahaman statistika bagi perawat dan mahasiswa keperawatan.