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Adherence in Pulmonary Tuberculosis Patients Based on Kingâs Interacting Systems Theory Sukartini, Tintin; Sitorus, Ratna; Waluyo, Agung; Darmawan, Ede Surya
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Indonesia is one of largest contributor countries to pulmonary TB cases in the world. One of the factors that cause it is no adherence in the treatment. It is necessary to develop a model in order to improving compliance in patient. For an initial step, it is necessary to explore patientâs adherence that based on Kingâs interacting systems theory. The objective of this study was to explore the patients experience that cause them obedient the treatment based on Kingâs interacting systems theory. Method: This research was a qualitative research with descriptive explorative approach. The samples were selected through purposive sampling method. Participants in this study were 8 patients who met the inclusion criteria. In this study, participants were pulmonary TB patients who have undergone treatment for 5-6 months. Results: There were 12 themes in patients compliance based on Kingâs interacting systems theory; (1) true perception of pulmonary tuberculosis, (2) self-awareness, (3) optimal growth and development, (4) positive self-image, (5) a healthy environment, (6) discipline to take medication, (7) effective coping, (8) open communication with the patients health workers and family, (9) to perform its role optimally, (10) balancing stress during illness, (11) knowing the health care bureaucracy and (12) able to take decisions. Discussion: The 12 themes describe that adherent patients have interaction systems that were personal systems, interpersonal systems and social systems. Keywords: Compliance, pulmonary tuberculosis, Kingâs interacting systems theory.

Pengaruh Edukasi Kesehatan dengan Self Instructional Module Terhadap Pengetahuan Tentang Diabetes Melitus Oktorina, Rola; Sitorus, Ratna; Sukmarini, Lestari
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Number of diabetes mellitus cases have been increasing every year. Diabetes mellitus patient needs to get information about diabetes mellitus at least after the diagnose were given. Nurse as an educator could give education for diabetes mellitus patient, so that there will be an upgrade of knowledge diabetes mellitus patient. Verbal education need an additional tool such as a modul, in purpose patient can re-evaluate the material that they already get. The purpose of this research is to test the impact of education using self instructional module to level of knowledge about diabetes mellitus to diabetes mellitus patient type 2. This research using quasi experimental with one group pretest postest design with 29 person samples in total with diabetes mellitus type 2 diagnosis. Data collection using questionaire. Statistic analysis using wilcoxon. Research result shows that there are differences of knowledge before and after education by self instructional module (p= 0,000; α=0,05) before and after education by self instructional module. Hopefully this research can be use as health education media in an attempt to upgrade the knowledge of diabetes mellitus patient type 2.Pasien diabetes melitus perlu mendapatkan informasi tentang diabetes melitus minimal setelah ditegakan diagnosa. Perawat sebagai edukator bisa memberikan edukasi terhadap pasien diabetes melitus agar terjadinya peningkatan pengetahuan pasien diabetes. Penyampaian edukasi melalui lisan perlu ditambahkan dengan modul, agar pasien dapat meninjau kembali materi yang telah diterima. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi dengan menggunakan self instructional module terhadap tingkat pengetahuan tentang diabetes melitus pada pasien diabetes melitus tipe 2. Penelitian ini menggunakan desain quasi experimental dengan one group pretest postest dengan jumlah sampel 29 orang dengan diagnosa diabetes melitus tipe 2, pengumpulan data menggunakan kuesioner. Analisis statistik menggunakan wilcoxon test. Hasil penelitian menunjukkan bahwa terdapat perbedaan pengetahuan (p< 0,001; α<0,05) sebelum dan sesudah edukasi dengan self instructional module. Penelitian ini diharapkan dapat digunakan sebagai media edukasi kesehatan dalam upaya peningkatan pengetahuan pada pasien diabetes melitus tipe 2.

PERUBAHAN TINGKAT FATIGUE MELALUI LATIHAN PROGRESSIVE MUSCLE RELAXATION (PMR) PADA PASIEN GAGAL GINJAL KRONIS YANG MENJALANI HEMODIALISA Herlina, Santi; Sitorus, Ratna; masfuri, Masfuri
Jurnal Keperawatan Widya Gantari Indonesia Vol 2, No 1 (2015): Jurnal Keperawatan Widya Gantari Indonesia
Publisher : Fakultas Ilmu Kesehatan

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Fatigue merupakan keluhan utama pasien yang menjalani hemodialisa jangka panjang, yang memiliki nilai yang tinggi, sehingga akan mempengaruhi kualitas hidup pasien. Tujuan dari penelitian ini adalah mengetahui pengaruh PMR terhadap tingkat fatigue pada pasien gagal ginjal kronis yang menjalani hemodialisa. Penelitian ini menggunakan desain quasi experiment pendekatan pretest-posttest control group. Jumlah responden dalam penelitian adalah 32 pasien dibagi 2 kelompok yaitu 16 kelompok intervensi dan 16 kelompok kontrol. Hasil penelitian menyimpulkan bahwa terdapat perbedaan yang signifikan terhadap tingkat fatigue pada kelompok intervensi antara sebelum dan sesudah dilakukan PMR dengan nilai p = 0,000. Disarankan latihan PMR dapat digunakan sebagai intervensi keperawatan mandiri dalam menurunkan fatigue pada pasien gagal ginjal kronis yang menjalani hemodialisa

PERUBAHAN TINGKAT FATIGUE MELALUI LATIHAN PROGRESSIVE MUSCLE RELAXATION (PMR) PADA PASIEN GAGAL GINJAL KRONIS YANG MENJALANI HEMODIALISA Herlina, Santi; Sitorus, Ratna; masfuri, Masfuri
Jurnal Keperawatan Widya Gantari Indonesia Vol 2, No 1 (2015): Jurnal Keperawatan Widya Gantari Indonesia
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v2i1.846

Fatigue merupakan keluhan utama pasien yang menjalani hemodialisa jangka panjang, yang memiliki nilai yang tinggi, sehingga akan mempengaruhi kualitas hidup pasien. Tujuan dari penelitian ini adalah mengetahui pengaruh PMR terhadap tingkat fatigue pada pasien gagal ginjal kronis yang menjalani hemodialisa. Penelitian ini menggunakan desain quasi experiment pendekatan pretest-posttest control group. Jumlah responden dalam penelitian adalah 32 pasien dibagi 2 kelompok yaitu 16 kelompok intervensi dan 16 kelompok kontrol. Hasil penelitian menyimpulkan bahwa terdapat perbedaan yang signifikan terhadap tingkat fatigue pada kelompok intervensi antara sebelum dan sesudah dilakukan PMR dengan nilai p = 0,000. Disarankan latihan PMR dapat digunakan sebagai intervensi keperawatan mandiri dalam menurunkan fatigue pada pasien gagal ginjal kronis yang menjalani hemodialisa

EFEKTIVITAS MOBILISASI DINI TERSTRUKTUR TERHADAP PENCEGAHAN DEPRESI DAN SPASTISITAS OTOT PADA PASIEN STROKE ISKEMIK DI RUMAH SAKIT PANTI WALUYO SOLO Ikaningtyas, Nurlia; Sitorus, Ratna; Sukmarini, Lestari
Jurnal Kesehatan Vol 2 No 2 (2015)
Publisher : STIKES Bethesda Yakkum

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Latar belakang : Stroke merupakan penyakit serebrovaskuler utama di Amerika Serikat dan dunia. Pasien stroke mengalami berbagai komplikasi diantaranya depresi dan spastisitas otot. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas mobilisasi dini terstruktur terhadap pencegahan depresi dan spastisitas otot pada pasien stroke iskemik di Rumah Sakit Panti Waluyo Solo. Metode Penelitian: Metode penelitian ini menggunakan desain penelitian quasy experimental post test non equivalent control group. Jumlah sampel pada penelitian ini adalah 29 responden didapatkan dengan menggunakan consecutive sampling, dibagi menjadi kelompok intervensi sebanyak 14 responden yang diberikan mobilisasi dini terstruktur dan kelompok kontrol sebanyak 15 responden yang diberikan mobilisasi dini standar rumah sakit. Evaluasi penelitian ini dilakukan pada hari ke delapan dengan menggunakan Zung Depression Scaledan Asworth Scalepada kedua kelompok tersebut. Hasil: Hasil penelitian menunjukkan ada perbedaan kejadian depresi antara kelompok intervensi dan kontrol (p value= 0,002) dan tidak ada perbedaan yang signifikan tentang kejadian spastisitas antara kelompok intervensi dan kontrol (p value= 1,00) setelah diberikan mobilisasi dini terstruktur. Kesimpulan: Ada perbedaan kejadian depresi antara kelompok intervensi dan kelompok kontol dan tidak ada pebedaan yang signifikan kejadian spasitas antara kelompok intervensi dan kontrol Saran: Penelitian ini merekomendasikan perlunya penelitian lebih lanjut mengenai mobilisasi dini terstruktur dengan menambah waktu pengukuran spastisitas otot dan memperhatikan variable confounding letak dan luas lesi. Kata kunci :depresi; mobilisasi dini terstruktur; stroke iskemik; spastisitas otot.

Aplikasi Evidence Based Nursing Hand-Held Fan Therapy pada Pasien Kanker Paru Noviantari, Komang; Sitorus, Ratna; Aryani, Denissa Faradita; Komalawati, Dedeh; Dasat, Mariam
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): 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.v5i2.7816

This study aims to prove the application of evidence-based nursing hand-held fan therapy for dyspnea in lung cancer patients. The method used was pre-experimental, with a sample size of 10 lung cancer patients. The results of the study showed that there was a significant effect of the application of hand-held fan therapy on dyspnea, respiratory rate, and SpO2 in lung cancer patients (p<0.05). In conclusion, hand-held fan therapy can reduce shortness of breath, reduce respiratory rate, and increase oxygen saturation in lung cancer patients. Keywords: Dyspnea, Hand-Held Fan Therapy, Nursing Intervention, Lung Cancer

Application of aromatherapy to treat PONV in patients post neurosurgery Kurnia, Anna; Sitorus, Ratna; Kariasa, I Made; Mulyatsih, Enny
South East Asia Nursing Research Vol 6, No 2 (2024)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.6.2.2024.94-101

Postoperative nausea and vomiting (PONV) stands as one of the most prevalent complications within the initial 24 hours following surgery, potentially extending the Length of Stay (LOS) and incurring elevated financial burdens for patients in hospital settings. Aromatherapy emerges as a non-pharmacological approach for alleviating PONV symptoms. This case study aims to evaluate PONV severity and manage symptoms in neurosurgical patients utilizing a nursing process approach. Employing a case study design integrated with a nursing process approach, this study was conducted. The inclusion criteria were respondents aged 18 or older, American Society of Anesthesiologist (ASA) I or II classification, undergoing neurosurgery under general anaesthesia, willing to participate, conscious (GCS: 14-15), with a healthy sense of smell, and PONV scores of 1 or 2. Exclusion criteria comprised discharged or deceased patients, absence of PONV, respiratory issues like asthma/COPD, odor allergies, and severe post-surgical complications. Dropout criteria included sudden emergencies or alternative interventions during PONV assessments. Results showed 4 patients with PONV 1 scores and 6 with PONV 2 scores before aromatherapy. After aromatherapy, 6 patients had PONV 0 scores, 2 had PONV 1 scores, and 2 had PONV 2 scores. Findings underscore alterations in PONV scores pre- and post-aromatherapy administration, highlighting the potential of this evidence-based nursing intervention to enhance patient comfort and mitigate postoperative complications in neurosurgical settings.

Combination of Diabetes Self-Management Education and Support Through Telehealth and Hypnotherapy Optimizes Self-Care Behaviors and Lowering HbA1c Levels in Patients with Type 2 Diabetes Mellitus: Combination of Diabetes Self-Management Education and Support Subiyanto, Paulus; Saifulaman, Muhammed; Sitorus, Ratna
Journal of Tropical Life Science Vol. 15 No. 1 (2025)
Publisher : Journal of Tropical Life Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jtls.15.01.03

This study aims to explore the effectiveness of the combination of Diabetes Self-Management Education and Support (DSMES) through telehealth and hypnotherapy in optimizing self-care behavior and reducing hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes mellitus (T2DM). The study used a quasi-experimental approach and comparative study with a pretest-posttest design and a 3-month cohort design. This study was conducted after obtaining a letter of ethical eligibility involving 40 T2DM patients divided into two groups. The control group received conventional medical services face-to-face. The intervention group received a DSMES program of seven self-care behaviors via telehealth with additional hypnotherapy sessions. The respondents in this study are women (60%) with an average age of 55.3 (31–65) years, who are highly educated (80%). A significant increase in DSM scores before and after the intervention occurred in the intervention group, (49.35–81.20) or (+31.85), and in the control group, (55.70–55.52) or (−0.18). The decrease in A1c in the intervention group (8.9%–7.37%) was (−1.53) and in the control group (8.12%–8.10%) was (−0.02). There were significant differences in DSM attainment and HbA1c levels in both types of interventions (p = 0.000; p = 0.030 with alpha 5%). DSMES, through telehealth combined with hypnotherapy, can provide a synergistic effect with medical treatment commonly given to patients with T2DM during and after the COVID-19 pandemic. This approach not only improves healthcare accessibility but also addresses the psychological barriers associated with lifestyle change.

PENGARUH SENYAWA FITOKIMIA DALAM REBUSAN DAUN KELOR (MORINGA OLEIFRA) DAN SELEDRI (APIUM GRAVEOLENS) TERHADAP PENURUNAN TEKANAN DARAH Hasanah, Nur; Ismaya, Nurwulan Adi; Satria, Beny Maulana; Aulia, Gina; Sitorus, Ratna
Edu Masda Journal Vol 9, No 1 (2025): EDU MASDA JOURNAL
Publisher : STIKes Kharisma Persada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52118/edumasda.v9i1.264

ABSTRACTBackground: Hypertension is a condition characterized by elevated blood pressure, which can lead to persistent damage in target organs, such as stroke and cardiovascular disease. Purpose: This study aimed to evaluate the effect of moringa and celery leaf decoction on reducing blood pressure in individuals with hypertension. Methods: A pre-experimental one-group pretest-posttest design was employed, involving 40 respondents diagnosed with hypertension. The independent variable was the administration of moringa and celery leaf decoction, while the dependent variable was blood pressure levels. Data were analyzed using the Wilcoxon signed-rank test. Results: The results demonstrated that consuming moringa and celery leaf decoction effectively reduced blood pressure. The Wilcoxon test showed a significant reduction in blood pressure, with a p-value of 0.05. Conclusion: The study concluded that moringa and celery leaf decoction have a significant effect in lowering blood pressure among hypertensive patients in Buaran, Serpong sub-district, South Tangerang City. This finding highlights the potential of herbal medicine as an alternative non-pharmacological treatment for hypertension. ABSTRAKLatar Belakang: Hipertensi adalah masalah kesehatan global yang berkontribusi besar terhadap morbiditas dan mortalitas, menyebabkan penyakit jantung, stroke, dan gagal ginjal. Meskipun sering tanpa gejala, hipertensi dapat merusak organ secara bertahap, menjadikannya salah satu penyebab utama kematian. Oleh karena itu, penelitian hipertensi sangat penting untuk menemukan solusi pengobatan yang efektif. Salah satu alternatif yang menjanjikan adalah daun kelor (Moringa oleifera), yang terbukti memiliki sifat antihipertensi dan dapat menjadi pilihan pengobatan alami untuk membantu mengelola kondisi ini.. Tujuan: Penelitian ini bertujuan untuk mengevaluasi efek air rebusan daun kelor dan seledri dalam menurunkan tekanan darah pada penderita hipertensi. Metode: Penelitian ini menggunakan desain pra-eksperimen dengan pendekatan pretest-posttest satu kelompok, melibatkan 40 responden yang didiagnosis hipertensi. Variabel independen adalah pemberian rebusan daun kelor dan seledri, sedangkan variabel dependen adalah tingkat tekanan darah. Data dianalisis menggunakan uji Wilcoxon. Hasil: Hasil penelitian menunjukkan bahwa konsumsi rebusan daun kelor dan seledri efektif menurunkan tekanan darah. Uji Wilcoxon menunjukkan penurunan tekanan darah yang signifikan dengan nilai p = 0,05. Kesimpulan: Rebusan daun kelor dan seledri memiliki efek signifikan dalam menurunkan tekanan darah pada penderita hipertensi di Kelurahan Buaran, Kecamatan Serpong, Kota Tangerang Selatan, sehingga rebusan daun kelor dan seledri berpotensi sebagai minuma herbal sebagai alternatif non-farmakologis untuk hipertensi.

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