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All Journal Idea Nursing Journal Jurnal Berita Ilmu Keperawatan Belitung Nursing Journal Jurnal Keperawatan Silampari Jurnal Kesehatan Jurnal Respirasi (JR) Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research BERNAS: Jurnal Pengabdian Kepada Masyarakat Caring : Indonesian Journal of Nursing Science Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Jurnal Keperawatan Florence Nightingale JINTAN : Jurnal Ilmu Keperawatan Jurnal Ilmiah Kesehatan (JIKA) TROPHICO: Tropical Public Health Journal Journal of Health Technology Assessment in Midwifery Jurnal Keperawatan Madani: Multidisciplinary Scientific Journal Jurnal Abdimas Maduma Holistik Jurnal Kesehatan Jurnal Kesehatan
Mula Tarigan
Universitas Sumatera Utara
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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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

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.
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
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
Co-Authors Abkar Raden Alisarjuni Padang Ardianto Bustami Syam Cahaya Gultom Daniel Suranta Ginting Darunee Jongudomkarn Dewi Elizadiani Suza Dewi Frintiana Silaban Dewi Frintiana Silaban dharma Lindarto, dharma Dudut Tanjung Evi Karota Bukit 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 Imelda, Fatwa Imelda, Fatwa Ismayadi Jenny Marlindawani Jenny Marlindawani Purba Karota, Evi Lidya Eryunika Lina Rizki Linda Jurwita Manurung, Romatua Juliana Maraksa, Deddy Wandra 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 Novita Sari Nur Asnah Sitohang, Nur Asnah Orita Satria Pasaribu, Indah Septiani Pasaribu, Maria Sarmaida R.Kintoko Rochadi Rafika Nur Siregar Retno Mawarti Rina Amelia Rina Amelia Rina Amelia Rosina Br. Tarigan Rosina Tarigan Roymond Hamonangan Simamora Sairomaito Harahap Setiawan Setiawan, Setiawan Sianipar, Helpvina Sirait, Syah Fara Dillasani Siti Zahara Nasution, Siti Zahara Sori Muda Sarumpaet Tina Rahayu Silitonga Windi Afrilia Sinaga Yannis, Nafi