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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

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(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

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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.
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

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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

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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
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

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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.
EFEKTIFITAS MAGGOT TERAPI PADA TAHAP DEBRIDEMENT PADA LUKA KAKI DIABETES : SISTEMATIK REVIEW Harahap, Sairomaito; Sirait, Syah Fara Dillasani; Tarigan, Mula
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.27922

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Luka diabetes merupakan salah satu yang menjadi masalah di indonesia. Bagi penderita diabetes melitus sangat memberikan dampak negatif dan jumlahnya semakin meningkat. Oleh karena itu salah satu kegiatan yang dapat diakui dalam menjaga stabilitas pada pasien diabetes mellitus. Sistematik review ini bertujuan untuk mengetahui efektivitas pemberian terapi maggot/larva pada tahap debridement terhadap penyembuhan luka kaki diabetes mellitus. Database yang digunakan untuk mencari yaitu melalui Google Scholar, Proquest, Sciencedirect, antara tahun 2019 sampai dengan tahun 2024 menggunakan PICO dengan kriteria inklusi yaitu studi terkait DFU untuk menentukan kata kunci yang digunakan.
Pengaruh Terapi Massage terhadap Nyeri pada Pasien Low Back Pain Hasibuan, Desi Lianti Sari; Flora, Many; Tarigan, Mula
MAHESA : Malahayati Health Student Journal Vol 3, No 7 (2023): Volume 3 Nomor 7 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.913 KB) | DOI: 10.33024/mahesa.v3i7.10504

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ABSTRACT Low Back Pain is a common problem caused because the lumbar region bears most of the weight. Pain and disability is one of the problems that can be caused by LBP which has an impact on life. Non-pharmacological interventions, such as massage, acupuncture, spinal manipulation, tai chi, and yoga, are recommended as first treatment preference for LBP. This systematic review aims to determine the benefits of massage therapy in reducing pain in low back pain patients. The method used in this study is a systematic review using narrative descriptive analysis. Search for research articles using databases from Science Direct, PubMed, and ProQuest, with a publication period of 2018-2023 (last 5 years). The six articles found in this systematic review show that all types of massage therapy interventions have an effect on pain in low back pain patients. Massage affects the muscular and skeletal systems in the superficial and deep layers to encourage healing and reduce pain. Conclusion: Massage therapy can be used to reduce pain in low back pain patients. Future researchers can use other complementary therapy interventions as a comparison to find out which complementary therapy interventions are more effective in reducing pain in low back pain patients.Keywords: Massage, Pain, Low Back Pain  ABSTRAK Low back pain adalah masalah umum yang disebabkan karena region lumbar menanggung sebagian besar berat badan. Nyeri dan disabilitas adalah salah satu masalah yang dapat ditimbulkan oleh low back pain yang berdampak pada kehidupan. Intervensi non farmakologis, seperti massage, akupuntur, manipulasi spinal, tai chi, dan yoga, direkomendasikan sebagai preferensi pengobatan pertama untuk low back pain. Systematic review ini bertujuan untuk mengetahui manfaat terapi massage dalam mengurangi nyeri pada pasien low back pain. Metode yang digunakan dalam penelitian ini adalah systematic review dengan menggunakan analisis deksriptif narasi. Pencarian artikel penelitian menggunakan database dari Science Direct, PubMed, dan ProQuest, dengan rentang waktu terbit 2018-2023. Keenam artikel yang ditemukan dalam systematic review ini menunjukkan bahwa semua jenis intervensi terapi massage memiliki pengaruh terhadap nyeri pada pasien low back pain. Massage mempengaruhi sistem otot dan kerangka di lapisan superfisial dan dalam untuk mendorong penyembuhan dan mengurangi rasa sakit Terapi massage dapat digunakan untuk mengurangi nyeri pada pasien low back pain. Peneliti selanjutnya dapat menggunakan intervensi terapi komplementer lain sebagai pembanding untuk mengetahui intervensi terapi komplementer yang lebih efektif digunakan dalam mengurangi nyeri pasien low back pain. Kata Kunci: Massage, Nyeri, Low Back Pain
Pengaruh Mindfulness terhadap Peningkatan Kualitas Hidup Pasien Hemodialisis: Sistematik Literatur Review Pasaribu, Indah Septiani; Tarigan, Mula
MAHESA : Malahayati Health Student Journal Vol 3, No 6 (2023): Volume 3 Nomor 6 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.294 KB) | DOI: 10.33024/mahesa.v3i6.10494

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                    ABSTRAK Mindfulness merupakan salah satu bentuk pelatihan regulasi emosi. Regulasi emosi merupakan proses yang dapat mempengaruhi saat individu dapat mengalami dan mengekspresikan emosi tertentu. Pengaturan emosi yang dimaksud bukanlah melarang individu untuk merasakan emosinya, tetapi mengatur intensitas dan ekspresi emosinya agar tidak merugikan diri sendiri atau orang lain. Agar kesejahteraan psikologis individu meningkat. Metode yang digunakan penulis adalah dengan menggunakan telaah beberapa literature yang berfokus pada mindfulness dan asuhan keperawatan. Tiga basis data dimasukkan dalam penelitian ini, yaitu Proquest, Sciencedirect, dan Google Scholar, yang terdiri dari 6 referensi berupa artikel jurnal bereputasi (3 internasional dan 3 nasional) yang berfokus pada mindfulness dan asuhan keperawatan. Studi literatur ini bertujuan untuk mengetahui manfaat mindfulness untuk meningkatkan kualitas hidup pada pasien hemodialisis. Dari hasil studi literatur ini ditemukan bahwa penerapan mindfulness dapat meningkatkan kualitas hidup pasien hemodialisis. Pelatihan mindfulness dapat memfasilitasi pengaturan emosi dan dianggap sebagai faktor pengaruh mendasar dalam pencapaian kesehatan mental dan kesejahteraan yang positif. Kemudian mindfulness dapat membantu pasien memulihkan dan menjaga keutuhan tubuh, pikiran dan jiwa yang dapat memberikan energi dan kekuatan internal sehingga potensi penyembuhan dapat terwujud. Temuan manajemen stres yang dikaitkan dengan peningkatan kualitas hidup, sangat signifikan. Selanjutnya, penelitian ini sebaiknya diterapkan di berbagai setting dengan penilaian tindak lanjut agar lebih efektif dan dapat diterapkan dalam pengukuran yang optimal. Kata Kunci: Hemodialisis, Kualitas Hidup Pasien, Mindfulness  ABSTRACT Mindfulness is a form of emotional regulation training. Emotion regulation is a process that can affect when individuals can experience and express certain emotions. The regulation of emotions in question is not to prohibit individuals from feeling their emotions, but to regulate the intensity and expression of their emotions so as not to harm themselves or others, so that the individual's psychological well-being will increase. The method used by the author is to use a review of several literatures hat focus on mindfulness and nursing care. Three data bases were included in this study, namely Proquest, Sciencedirect, and Google Scholar, consisting of 6 references in the form of reputable journal articles (3 international and 3 national) focusing on mindfulnessity and nursing care.This literature study aims to determine the benefits of mindfulness to improve the quality of life in hemodialysis patients. From the results of this literature study, it was found that the application of mindfulness can improve the quality of life of hemodialysis patients. Mindfulness training can facilitate emotional regulation and is considered a fundamental influencing factor in the attainment of positive mental health and well-being. Then mindfulness can help patients recover and maintain the integrity of the body, mind and spirit which can provide energy and internal strength so that healing potential can be realized.  The findings of stress management which is associated with an increase in quality of life, is very significant. Furthermore, this research should be applied in various settings with follow-up assessments to be more effective and can be applied in optimal measurement. Keywords: Hemodialysis, Mindfulness, Quality of Life
Adherence to Oral Antidiabetic Drugs among Outpatients with Type 2 Diabetes Mellitus Tarigan, Mula; Windi Afrilia Sinaga
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.20275

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Type 2 diabetes mellitus (T2DM) patients are often required to adhere to oral antidiabetic drugs (OADs) prescribed by healthcare professionals for maintaining optimal blood glucose levels. Therefore, this study aims to assess adherence to OADs among outpatients with T2DM. A descriptive cross-sectional design was used, involving 32 participants selected through convenience sampling at Adam Malik General Hospital in Medan, North Sumatra, Indonesia. Data collection was conducted in July 2024, and descriptive statistics were used to analyze adherence levels and sociodemographic characteristics. The results showed that the majority of participants were under 60 years of age (68.8%), male (65.6%), had completed high school education (59.4%), were employed (71.9%), and had a monthly household income below the regional minimum wage (65.6%). In addition, more than 50% had been living with diabetes for five years or longer (53.1%), were covered by national health insurance (90.6%), resided in urban areas (62.5%), and had no diabetes-related complications (81.3%). The mean adherence score to OADs was 6.66 (SD ±1.20), with moderate adherence being the most common (56.3%), followed by high (28.1%) and low levels (15.6%). The results also showed that only a limited number of T2DM patients exhibit optimal adherence to their treatment regimens. This shows the need for healthcare providers and relevant stakeholders to develop targeted interventions and support systems aimed at enhancing medication adherence among diabetic patients.
Akupresur Dapat Mengurangi Mual dan Muntah pada Pasien Kanker Payudara: Tinjauan Literatur Sistematis Tarigan, Mula; Yannis, Nafi; Gultom, Cahaya
Jurnal Keperawatan Florence Nightingale Vol 7 No 1 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i1.161

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Nausea and vomiting is a complaint that often occurs in cancer patients undergoing chemotherapy. Even though he had received antiemetic therapy before giving chemotherapy, this complaint still appeared and even dominated the other complaints. So complementary therapies are needed to accompany the medical therapy provided to achieve holistic care in patient care. One complementary therapy that is very effective in reducing nausea and vomiting is acupressure. This study aims to conclude the importance of acupressure intervention in reducing complaints of nausea and vomiting in breast cancer patients. Searching for articles in this systematic literature review used the PRISMA method, which focuses on acupressure interventions in reducing nausea and vomiting. The search strategy used Boolean Search with keywords acupressure AND breast cancer OR breast cancer AND nausea and vomiting. The author selected the articles collected according to the determination of keywords in the inclusion and exclusion criteria. Six databases were searched from Proquest, ScienceDirect, CINAHL, Pubmed, Google Scholar, and SpringerLink sites from 2019-2023, and all articles were evaluated according to relevance and research quality. 15 articles have been analyzed according to characteristics, interventions, nausea and vomiting instruments used, and research objectives from 7 articles of international and 8 national reputations. This systematic literature review study significantly resulted in the conclusion that complementary acupressure therapy can reduce complaints of nausea and vomiting in breast cancer patients. Acupressure intervention can be used as evidence-based practice in improving holistic patient care
Co-Authors Abkar Raden Alisarjuni Padang Ardianto Bungaria, Sri Bustami Syam Cahaya Gultom Dani Syahfitri Daniel Suranta Ginting Darunee Jongudomkarn Deddy Wandra Maraksa Dewi Elizadiani Suza Dewi Frintiana Silaban Dewi Frintiana Silaban Dharma Lindarto Dudut Tanjung Elnika Saragih Evi Karota Evi Karota Bukit Fatwa Imelda Fatwa Imelda Flora, Many Ginting, Daniel Suranta Gultom, Cahaya Haloho, Elsa Dora Harahap, Sairomaito Hariesty Talenta Narwastu Telaumbanua Hasibuan, Desi Lianti Sari Hasnida Herita Suasanta Ika Ariyanti Ikhsanuddin Imelda, Fatwa Ismayadi Jenny Marlindawani Karota, Evi Lidya Eryunika Lilis Nuriyanti Tambun Lina Rizki Linda Jurwita Manurung, Romatua Juliana Marbun, Agnes Putri S Minta Ito Melinda Harahap Monika Blesinki Moris Samsul Lamhot Hutahaean Muhammad Sukri Tanjung Nafi Yannis Nasution, Siti Saidah Nena Riski Hariyati Nilvarangkul, Kessarawan Normi Hotriani Purba Novita Sari Nur Asnah Sitohang Nur Asnah Sitohang, Nur Asnah Orita Satria Pasaribu, Indah Septiani Pasaribu, Maria Sarmaida Purba, Jenny Marlindawani R.Kintoko Rochadi Rafika Nur Siregar Retno Mawarti Rika Endah Nurhidayah Rina Amelia Rina Amelia Rina Amelia Rosina Br. Tarigan Rosina Tarigan Roymond Hamonangan Simamora Sairomaito Harahap Sari, Farida Linda Sartika Hutahaean Setiawan Setiawan, Setiawan Silitonga, Hanna Yudit Lamro Sirait, Syah Fara Dillasani Siti Khadijah Nasution Siti Zahara Nasution Siti Zahara Nasution, Siti Zahara Sori Muda Sarumpaet Tania Cristine Br Barus Tina Rahayu Silitonga Windi Afrilia Sinaga Yannis, Nafi