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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

Abstract

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

Abstract

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

Abstract

                    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

Abstract

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

Abstract

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
Pelatihan Kesiapsiagaan Bencana Berbasis Komunitas di Desa Marbun Toruan: Meningkatkan Ketahanan Lokal Melalui Simulasi dan Edukasi Ismayadi; Tanjung, Dudut; Tarigan, Mula
JURNAL ABDIMAS MADUMA Vol. 4 No. 1 (2025): April, 2025
Publisher : English Lecturers and Teachers Association (ELTA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/jam.v4i1.403

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Pengabdian pada masyarakat ini mengkaji pelaksanaan program pelatihan kesiapsiagaan bencana berbasis komunitas di Desa Marbun Toruan, dengan fokus pada peningkatan ketahanan lokal melalui latihan simulasi dan sesi edukasi. Program ini, yang melibatkan 60 warga setempat, terdiri dari fase pra-penilaian, intervensi edukasi, latihan simulasi, dan pasca-penilaian. Temuan menunjukkan bahwa peserta mengalami peningkatan signifikan dalam pengetahuan, sikap kesiapsiagaan, dan keterampilan praktis. Hasil utama meliputi peningkatan daya ingat pengetahuan, partisipasi aktif dalam latihan, dan kesadaran yang lebih tinggi tentang peran dan tanggapan kesiapsiagaan bencana. Hasil ini menunjukkan bahwa pelatihan bencana berbasis komunitas dapat secara signifikan meningkatkan kesiapan lokal, dengan implikasi untuk mengembangkan strategi intervensi yang disesuaikan di komunitas berisiko tinggi serupa Kata Kunci : Kesiapsiagaan bencana; ketahanan komunitas; pelatihan simulasi;manajemen darurat; mitigasi bencana
EXPERIENCES OF COVID-19 CONFIRMED PATIENT DURING TREATMENT IN A COVID-19 ISOLATION ROOM: SYSTEMATIC REVIEW Siregar, Rafika Nur; Tarigan, Mula; Jenny Marlindawani
Jurnal Mal el Hayat Vol. 2 No. 1 (2024): Jurnal Mal el Hayat : Januari
Publisher : STIKes Malahayati Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Isolation is an unpleasant experience. Changes in the environment, physical isolation from loved ones and boredom cause negative effects that can deteriorate the health of confirmed COVID-19 patients. Explorasi of the experiences of COVID-19 confirmed patient from several research articles aims to help identify the quality of life of patient with confirmed COVID-19. Methods: PRISMA is used for evaluation of research results. SPIDER to formulate research question with the database used by PubMed, CINAHL, Proquest, and Google Scholar. JBI is used to extract analyze data. Results: 6 qualitative studies included in the review. The experiences of 108 COVID-19 confirmed patients with 32 findings resulted in 7 categories based on similarities in meaning and three themes that were synthesized from categories, namely the physiological response of patients with confirmed COVID-19, the psychological response of patients with confirmed COVID-19, and treatment in health fasilities. Conclusion: patients with a confirmed COVID-19 experience various responses while undergoing treatment in the COVID-19 isolation room. In response to this response, patients with confirmed COVID-19 apply different coping mechanisms. In this condition, social support is an important factor in supporting the recovery of patients with confirmed COVID-19. Providing services in the COVID-19 isolation ward needs to rely on and understand the natural condicions of patients with confirmed COVID-19 by developing appropriate intervention strategies.
Asuhan Keperawatan Pada Ny.D dengan Diagnosis PS Resection + Susp. Pneumonia + Efusi pleura PI Dextra-Alkalosis respiratorik Sianipar, Helpvina; Tarigan, Mula
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 12 (2025): Januari
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14553888

Abstract

Background: Pneumonia, pleural effusion, and respiratory alkalosis are complex conditions that are often found in patients after surgical resection (PS Resection). These conditions can compromise respiratory function and increase the risk of serious complications, such as respiratory failure and death. Evidence-based maintenance approaches, including non-pharmacologic pursed-lipbreathing (PLB) therapy, have been shown to be effective in managing respiratory distress. Objectives: This study aimed to apply the application of PLB therapy in patients with these conditions. Methods: This study is a case study on a 23-year-old female patient at Adam Malik General Hospital. The patient had a history of PS Resection, susp. pneumonia, dextra pleural effusion, and respiratory alkalosis. OTB intervention was performed four times a day for three consecutive days. Data were collected through measurement of oxygen saturation and level of breathlessness before and after the intervention. Results: The results showed that OTB therapy was effective in increasing oxygen saturation and decreasing the patient's shortness of breath level. The patient's breathlessness level decreased from scale 7 (severe) to scale 1 (mild) within three days. The intervention worked by improving gas exchange and increasing respiratory ventilation efficiency. In addition, PLB provides additional benefits in the form of relaxation and increased activity tolerance. Conclusion: The conclusion of this study is that PLB therapy is a non-pharmacological method that is simple, effective, and can be applied to patients with complex respiratory disorders. This therapy can also teach patients and families to support home care. Further studies with larger samples and longer observation periods are needed to confirm these findings.
Family Experience in Supporting Diabetes Self-Management Practice: A Qualitative Study Tarigan, Mula; Sairomaito Harahap; Siti Zahara Nasution; Evi Karota Bukit; Dharma Lindarto; Dewi Frintiana Silaban
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.23251

Abstract

Family participation plays a vital role in the success of diabetes self-management (DSM). In Indonesia, family-centered care is culturally embedded, yet limited research has explored how families experience and interpret their roles in supporting self-management among patients with type 2 diabetes mellitus (T2DM). This study aimed to explore family experiences in supporting diabetes self-management practices among patients with T2DM in Medan, Indonesia. A descriptive phenomenological approach was employed. Twelve family members who cared for T2DM patients at Chairuddin Panusunan Lubis Hospital were recruited using purposive sampling. Data were collected through in-depth interviews and field notes from February to May 2025. Colaizzi’s seven-step analysis method guided data analysis to extract significant statements and formulate themes. Credibility was ensured through member checking, dependability via team discussion, and confirmability through audit trails. Five interrelated themes emerged: (1) controlling diet, (2) arranging physical training (3) administering medications, (4) emotional support, and (5) utilization of health care facilities. These themes reflected how families act as emotional motivators, behavioral supervisors, and coordinators of care to strengthen patients’ adherence and self-efficacy. Family involvement was not limited to instrumental assistance but extended to emotional reinforcement and facilitation of healthcare access. Family engagement forms the backbone of effective DSM, integrating physical, emotional, and social support. Strengthening family-based interventions is essential to enhance adherence, glycemic control, and quality of life among patients with T2DM. Keyword: Family Experience, Diabetes Self-Management, Family Support, Qualitative Study, Indonesia