Claim Missing Document
Check
Articles

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

Abstract

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.
Pengalaman Nurse Manager Menjalankan Strategi Pencegahan dan Pengendalian Infeksi Covid-19: Studi Fenomenologi Herita Suasanta; Bustami Syam; Mula Tarigan
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
Hubungan Aktivitas Perawatan Diri Diabetes dengan Kontrol Glikemik Pasien Diabetes Mellitus Tipe 2 di Wilayah Kerja Puskesmas Padang Bulan Medan Moris Samsul Lamhot Hutahaean; Mula Tarigan; Evi Karota; Muhammad Sukri Tanjung
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
Emotional intelligence and education-related stress among baccalaureate nursing students in Indonesia: A cross-sectional study Tarigan, Mula; Silitonga, Hanna Yudit Lamro; Purba, Jenny Marlindawani; Nurhidayah, Rika Endah; Nilvarangkul, Kessarawan
Belitung Nursing Journal Vol. 11 No. 6 (2025): November - December
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4053

Abstract

Background: Nursing students frequently encounter education-related stress (ES) arising from demanding academic workloads, clinical responsibilities, and personal adjustments during their training. Persistent stress can negatively impact learning outcomes, clinical performance, and psychological well-being. Emotional intelligence (EI), which involves the ability to perceive, understand, and manage emotions in oneself and others, is recognized as a protective factor that helps individuals regulate stress and adapt to challenges. However, research exploring the relationship between EI and ES among nursing students in Indonesia remains limited. Objective: This study examined the association between EI and ES among baccalaureate nursing students at a public university in Indonesia. Methods: A cross-sectional correlational design was conducted from September to November 2024 with 225 participants selected through stratified random sampling. Data were collected using the Indonesian version of the Trait Emotional Intelligence Questionnaire–Short Form and the Indonesian-translated Arabic Higher Education Stress Inventory. Descriptive statistics summarized the levels of EI and ES, while Spearman’s correlation, Mann–Whitney U, and Kruskal–Wallis tests were used to assess associations between variables. Results: Most students demonstrated moderate levels of EI (73.8%) and ES (64%). The median (IQR) scores were 138.00 (29) for EI and 37.00 (8) for ES. A significant negative correlation was found between EI and ES (rₛ = -0.445, p <0.01), indicating that students with higher EI experienced lower stress levels. Among demographic variables, only gender was significantly associated with ES (p = 0.05), with men reporting higher mean ranks than women. Conclusion: The findings highlight the importance of emotional intelligence in mitigating education-related stress among nursing students. Incorporating EI development into nursing curricula through emotional regulation training, reflective practices, and social–emotional learning strategies can build resilience, improve coping skills, and boost students’ academic and clinical performance. Further long-term studies are recommended to investigate the causal relationships and effectiveness of EI-based interventions.
Hubungan pengetahuan dengan sikap tentang proteksi radiasi perawat kamar operasi dan kateterisasi jantung Bungaria, Sri; Tarigan, Mula; Sitohang, Nur Asnah
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2240

Abstract

Background: Nurses working in operating rooms and cardiac catheterization units may be exposed to radiation exceeding threshold levels, which can have serious health impacts. Knowledge of radiation protection forms the basis for attitudes and implementation of radiation safety practices to anticipate the hazards and impacts of radiation. Purpose:To analyze the relationship between knowledge and attitudes regarding radiation protection among operating room and cardiac catheterization nurses. Method: This study used a quantitative approach with a correlational design. A sample of 43 operating room and cardiac catheterization nurses at Royal Prima General Hospital (RSU) in Medan City was selected using a total sampling technique, and data collection used the Health Professional Knowledge of Radiation Protection (HPKRP) questionnaire and an attitude questionnaire regarding radiation protection. Data analysis was performed using the Spearman Rank test to analyze the relationship between knowledge and attitudes regarding radiation protection. Results: Knowledge regarding radiation protection was categorized as sufficient (69.8%), with attitudes categorized as good (97.7%). There was a positive relationship between knowledge and attitudes (p = 0.001) with an r value of 0.474, indicating that knowledge is significantly related to nurses' attitudes regarding radiation protection. Conclusion: Operating room and cardiac catheterization nurses require structured and ongoing educational interventions to improve occupational safety, reduce the risk of radiation exposure, and improve the quality of healthcare. Suggestion: Operating room and cardiac catheterization nurses require structured and ongoing educational interventions to improve occupational safety, reduce the risk of radiation exposure, and improve the quality of healthcare.   Keywords: Attitudes; Cardiac Catheterization; Knowledge; Operating Room Nurses; Radiation Protection.   Pendahuluan: Perawat yang bekerja di unit kamar operasi dan kateterisasi jantung dapat terpapar radiasi melebihi ambang batas dengan dampak yang serius terhadap kesehatannya. Pengetahuan tentang perlindungan radiasi menjadi dasar bersikap dan melaksanakan praktik keselamatan radiasi untuk mengantisipasi bahaya dan dampak radiasi. Tujuan: Untuk menganalisis hubungan antara pengetahuan dan sikap tentang proteksi radiasi perawat kamar operasi dan kateterisasi jantung Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain korelasional. Sampel sebanyak 43 perawat kamar operasi dan kateterisasi jantung di Rumah Sakit Umum (RSU) Royal Prima di Kota Medan. Sampel dipilih dengan teknik total sampling dan pengumpulan data menggunakan kuesioner Healthcare Professional Knowledge of Radiation Protection (HPKRP) serta kuesioner sikap tentang perlindungan radiasi. Analisis data dilakukan menggunakan uji Spearman Rank untuk menganalisis hubungan pengetahuan dengan sikap tentang proteksi radiasi. Hasil:Tingkat pengetahuan tentang perlindungan radiasi pada kategori cukup (69.8%) dengan kategori sikap pada ketegori baik (97.7%). Terdapat hubungan hubungan positif antara pengetahuan dengan sikap (p= 0.001) dengan nilai r= 0.474 yang bermakna pengetahuan berhubungan secara signifikan dengan sikap perawat dalam perlindungan radiasi. Simpulan: Perawat kamar operasi dan kateterisasi jantung memerlukan intervensi pendidikan yang terstruktur dan berkelanjutan untuk meningkatkan keselamatan kerja, menurunkan risiko paparan radiasi, dan meningkatkan kualitas pelayanan kesehatan. Saran: Perawat kamar operasi dan kateterisasi jantung memerlukan intervensi pendidikan yang terstruktur dan berkelanjutan untuk meningkatkan keselamatan kerja, menurunkan risiko paparan radiasi, dan meningkatkan kualitas pelayanan kesehatan.   Kata Kunci: Kateterisasi Jantung; Pengetahuan; Perawat Kamar Operasi; Proteksi Radiasi; Sikap.
Efektivitas Manajemen Tekanan Cuff ETT terhadap Aspirasi Sekret dan VAP pada Pasien Ventilasi Mekanik di ICU RS Murni Teguh Medan Sartika Hutahaean; Nur Asnah Sitohang; Mula Tarigan
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57806

Abstract

Ventilasi mekanik merupakan sistem bantuan napas untuk mempertahankan pertukaran gas pada pasien dengan gangguan pernapasan berat, yang memerlukan pengendalian jalan napas buatan secara terstandar dalam keperawatan kritis. Pengelolaan tekanan cuff Endotracheal Tube (ETT) oleh perawat ICU penting untuk menjaga airway seal, karena tekanan yang tidak optimal dapat menyebabkan kebocoran mikro, aspirasi sekret, dan meningkatkan risiko Ventilator-Associated Pneumonia (VAP). Oleh karena itu, pemantauan tekanan cuff menggunakan manometer perlu dievaluasi efektivitasnya dalam praktik klinik. Penelitian ini bertujuan mengetahui efektivitas manajemen tekanan cuff ETT terhadap aspirasi sekret dan VAP pada pasien ventilasi mekanik. Desain penelitian menggunakan quasi-experimental dengan post-test only with control group design. Sampel sebanyak 82 pasien diambil dengan teknik consecutive sampling dan dibagi menjadi kelompok intervensi dan kontrol (masing-masing 41 pasien). Pengumpulan data menggunakan lembar observasi aspirasi sekret dan Clinical Pulmonary Infection Score (CPIS). Hasil penelitian didapatkan bahwa ada perbedaan pengaruh manajemen tekanan cuff ETT terhadap aspirasi sekret pada kelompok intervensi dan kelompok kontrol dengan nilai p<0,001 (p<0,05) serta ada perbedaan pengaruh manajemen tekanan cuff ETT terhadap angka kejadian VAP pada kelompok intervensi dan kelompok kontrol dengan nilai p<0,001 (p<0,05). Manajemen tekanan cuff ETT yang terkontrol secara rutin efektif dalam mencegah aspirasi sekret dan menurunkan risiko VAP.
Efektivitas Inspiratory Muscle Training (IMT) Terhadap Weaning ventilator pada Pasien ICU Di RS Murni Teguh Medan Normi Hotriani Purba; Nur Asnah Sitohang; Mula Tarigan
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57932

Abstract

Weaning ventilator merupakan proses pelepasan ventilasi mekanik secara bertahap hingga pasien mampu mempertahankan pernapasan spontan secara adekuat tanpa bantuan alat selama minimal 48 jam setelah ekstubasi. Proses ini berperan penting dalam menentukan luaran klinis pasien ICU, namun masih menjadi tantangan karena tingginya angka kegagalan, reintubasi, serta komplikasi seperti ventilator-associated pneumonia yang berkaitan dengan kelemahan otot pernapasan. Intervensi seperti Inspiratory Muscle Training (IMT) diperlukan untuk meningkatkan kekuatan otot inspirasi dan mendukung keberhasilan weaning ventilator. Penelitian ini bertujuan untuk mengetahui efektivitas IMT terhadap keberhasilan weaning ventilator pada pasien ICU. Desain penelitian menggunakan kuasi eksperimen dengan rancangan pre test–post test control group design. Teknik pengambilan sampel menggunakan consecutive sampling dengan jumlah sampel 78 pasien ventilasi mekanik yang dibagi menjadi dua kelompok, yaitu 39 kelompok intervensi yang diberikan IMT dan 39 kelompok kontrol dengan perawatan standar. Instrumen pengumpulan data menggunakan lembar observasi fisiologis (HR, RR, TD, SpO₂, suhu, dan RSBI), dengan analisis data menggunakan uji t dependen atau Wilcoxon serta t independen atau Mann–Whitney sesuai distribusi data. Hasil penelitian didapatkan bahwa ada perbedaan rerata parameter fisiologis (TD, HR, RR, suhu, SpO₂, dan RSBI) sebelum dan sesudah intervensi pada kelompok intervensi dengan nilai p < 0,05, yang menunjukkan adanya pengaruh signifikan IMT. Pada kelompok kontrol juga terjadi perubahan rerata parameter fisiologis, namun tidak signifikan dan tidak sebesar kelompok intervensi. Selain itu, terdapat perbedaan bermakna antara kelompok intervensi dan kontrol (p < 0,05), yang menunjukkan bahwa IMT lebih efektif dalam meningkatkan kondisi fisiologis dan keberhasilan weaning ventilator pada pasien ICU. IMT disarankan sebagai intervensi pendukung dalam praktik keperawatan ICU untuk meningkatkan parameter fisiologis dan keberhasilan weaning ventilator pada pasien kritis.
Efektivitas Terapi Musik dalam Menurunkan Mual Muntah Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi di Rumah Sakit Umum Haji Medan Tania Cristine Br Barus; Mula Tarigan; Farida Linda Sari Siregar
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58235

Abstract

Mual muntah akibat kemoterapi atau chemotherapy induced nausea and vomiting (CINV) merupakan salah satu efek samping yang paling sering dialami pasien kanker payudara dan dapat memengaruhi kualitas hidup pasien selama menjalani terapi. Walaupun terapi antiemetik telah diberikan, sebagian pasien masih mengalami mual muntah sehingga diperlukan intervensi nonfarmakologis sebagai terapi pendamping. Salah satu intervensi yang dapat digunakan adalah terapi musik. Penelitian ini bertujuan untuk menganalisis efektivitas terapi musik dalam menurunkan mual muntah pada pasien kanker payudara yang menjalani kemoterapi di Rumah Sakit Umum Haji Medan. Penelitian ini menggunakan desain quasi experiment dengan pendekatan pretest-posttest nonequivalent control group. Sampel penelitian sebanyak 60 responden yang dibagi menjadi kelompok intervensi sebanyak 30 responden dan kelompok kontrol sebanyak 30 responden menggunakan teknik total sampling. Kelompok intervensi diberikan terapi musik selama 25 menit sebanyak dua kali, yaitu sebelum dan saat kemoterapi berlangsung, sedangkan kelompok kontrol hanya mendapatkan terapi antiemetik standar. Instrumen penelitian menggunakan Rhodes Index Nausea Vomiting and Retching (RINVR). Analisis data menggunakan uji Wilcoxon dan Mann Whitney. Hasil penelitian menunjukkan terdapat penurunan mual muntah yang signifikan pada kelompok intervensi setelah diberikan terapi musik dengan nilai p-value <0,05. Hasil uji Mann Whitney juga menunjukkan terdapat perbedaan signifikan antara kelompok kontrol dan kelompok intervensi pada hasil posttest dengan nilai p-value <0,05. Terapi musik efektif dalam menurunkan mual muntah pada pasien kanker payudara yang menjalani kemoterapi dan dapat digunakan sebagai intervensi keperawatan nonfarmakologis.
Family Experience in Supporting Diabetes Self-Management Practice: A Qualitative Study Mula Tarigan; 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