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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Best Journal (Biology Education, Sains and Technology) Jurnal Kebidanan dan Keperawatan Aisyiyah Jurnal Pengmas Kestra (JPK)
Kardina Hayati
Institut Kesehatan Medistra Lubuk Pakam
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Nursing Public Health Other

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The Effect of Insulin Injection Time on Blood Glucose Levels 2 Hours After Meals in Type II Diabetes Mellitus Patients at Grandmed Hospital Lubuk Pakam Pitriani an; Kardina Hayati; Elsa Sumitra Tamba; Abdi Lestari Sitepu
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2661

Abstract

Increased blood sugar levels in the body are one of the characteristics of type II diabetes mellitus. Controlling blood sugar levels can be done by checking blood glucose levels. This study aims to analyze blood glucose levels two hours after eating with insulin injection 11-20 minutes before eating and blood glucose levels two hours after eating with insulin injection 0-10 minutes after eating. This study uses a quantitative method with a Cross-Sectional design. Data were collected using a total sampling technique, with a sample size of 18 respondents. The results of the statistical test showed a probability of 0.001, which is smaller than the significance level (? = 0.05). This shows a significant difference between blood glucose levels two hours after eating in patients who received insulin injections 11-20 minutes before eating (Pretest) and those who received insulin injections 0-10 minutes after eating (Posttest). Thus, it can be concluded that the time of insulin injection affects blood glucose levels two hours after eating in patients with type II diabetes mellitus at Grandmed Hospital Lubuk Pakam.
Efectivity of The Combination of Lateral and Semi fowler Positions Against Hemodynamics of Heart Failure Congestive in GrandMed Hospital Lubuk pakam Pitriani Pitriani; Pratiwi Christa Simarmata; Samuel Ginting; Syatriawati Syatriawati; Kardina Hayati
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/nsrbff34

Abstract

Congestive Heart Failure (CHF) remains a major health problem worldwide, with high prevalence and significant mortality rates. This condition is characterized by the heart’s inability to pump blood adequately to meet tissue demands, leading to hemodynamic disturbances such as impaired respiration and reduced oxygen saturation. One of the simple nursing interventions that is believed to improve these conditions is body positioning. The combination of lateral and semi-fowler positions is expected to enhance venous return, optimize lung expansion, and support ventilation in CHF patients. This study aimed to evaluate the effectiveness of combining lateral and semi-fowler positions in improving hemodynamic status, specifically respiratory pattern and oxygen saturation, among patients with congestive heart failure at GrandMed Hospital, Lubuk Pakam.A pre-experimental design with a one-group pretest-posttest approach was employed. A total of 23 respondents were selected using purposive sampling based on inclusion criteria. Respiratory rate and oxygen saturation were measured before and after the intervention. Data were analyzed using the Wilcoxon Test with a significance level of α = 0.05.Prior to the intervention, most patients experienced tachypnea (78%) and low oxygen saturation (52.2%). Following the intervention, improvements were observed, with 60.9% of patients achieving normal respiratory patterns and 56.5% showing adequate oxygen saturation, while only 8.7% remained in the low category. Statistical analysis revealed significant differences in respiratory rate (mean difference = 0.391; Z = -3.873; p = 0.001) and oxygen saturation (mean difference = 0.783; Z = -3.873; p = 0.001).The combination of lateral and semi-fowler positions proved effective in reducing tachypnea and enhancing oxygenation in patients with congestive heart failure. This intervention may serve as a simple, practical, and applicable nursing measure to support hemodynamic stability in CHF patients.
Co-Authors Abdi Lestari Sitepu Abdy Lestari Sitepu Ade Muliani Anita Gandaria Purba Anita Sri Gandaria Purba Anuhgera, Diah Evawanna Arfah May Syara Arphyta Wahyuni Bunga Br Saragih Dewi Agustina Dian Anggriyanti Elsa Sumitra Tamba Fazar Witama Grace Elizabeth Simanullang Hana Setiani Mutiara Hani Amaliah Majidah Hariati Hariati Karokaro, Tati Murni Kuat Sitepu Lasma Roma Ito Hasian Latifatul Robbaniyah Mila Gustia Nikmah Jalilah Ritonga Nurhamidah Pohan Pitriani an Pratiwi Christa Simarmata Pratiwi Christa Simarmata Rahmad Gurusinga Ramdanil Arifin Raynald Ignasius Ginting Riris Sitorus Samuel Ginting Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sarmana . Selamat Tuahta Sipayung Sirait, Reni Aprinawaty Syatriawati Syatriawati Tahan Adrianus Manalu Tati Devi Widya . Widya Widya