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QUALITY OF LIFE OF PATIENTS WITH END-STOMA IN MEDAN: A PHENOMENOLOGICAL STUDY Fahrizal Alwi; Setiawan Setiawan; Asrizal Asrizal
Belitung Nursing Journal Vol. 4 No. 1 (2018): January - February
Publisher : Belitung Raya Foundation, Indonesia

Background: Colorectal cancer continues to be a serious problem in Indonesia. A common colorectal treatment is surgical removal of the diseased colon, followed by the creation of a colostomy through the abdominal wall to bypass the colorectal function of emptying waste products. Those who require permanent colostomy are likely to have quality of life issues impacting their physical, psychological, social, and spiritual needs. There issues impact persons’ life satisfaction, happiness, and overall quality of life. Objective: The aim of study was to describe the experiences of patients with end-stoma regarding their quality of life. Methods: The study design used descriptive phenomenology following the approach of Collaizzi. There were 12 participants who qualified using purposive sampling based on the inclusion criteria. The data were gathered in-depth interviews. Analysis and interpretation used verbatim descriptions in Bahasa Indonesia and subsequently translated into English language. Results: The research emerged seven themes, namely: (i) becoming limited in doing daily activity, (ii) having limitation during sexual and social intercourse, (iii) having various negative feelings after the existence of end-stoma, (iv) having financial difficulties, (v) attempting to survive with end-stoma, (vi) experiencing changes in fulfilling rest and sleep, physic, and complication, and (vii) having expectation which has to be achieved after having end-stoma. Conclusion: The results show that patients with end-stoma run into spiritual, social, psychological and physical disorder that affect the quality of their life. This study provides an understanding of the quality of life of patients with end-stoma and nurses are able to provide appropriate nursing care.

THE INFLUENCE OF HEALTH EDUCATION ABOUT PLASTIC CODES ON THE USE OF PLASTIC CONTAINERS IN HOUSEWIVES Yenni Farida Siregar; Nur Aliyah Rangkuti; Fahrizal Alwi
Jurnal Kesehatan Medika Saintika Vol 11, No 2 (2020): Desember 2020
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v11i2.627

The use of plastic is quite popular among the people. Most of the housewives use plastic as a container for food and drinks in their daily life. This is because plastics have superior properties such as being strong but light, not rusting, being thermoplastic, which can be bonded using heat. However, behind the advantages of plastic, there are also disadvantages of plastic, including it is not heat resistant, is toxic and can cause health problems. This study aims to analyze the effect of health education on plastic codes on the use of plastic containers among housewives. This type of research is a quantitative study with a quasi-experimental design through a one group pre-test post-test approach. The number of samples in this study were 43 people with total sampling technique. The analysis to be carried out is the paired two-sample Wilcoxon test to test the mean difference in the pre-post design, with a confidence level of 95% (α ≤ 0.05). The results showed the distribution of the use of plastic containers prior to the health education intervention (pretest), there were 38 respondents (88.4%) who did not use plastic containers according to the code and 5 respondents (11.6%) who used plastic containers according to the code. After the health education intervention there were 12 respondents (27.9%) who did not use plastic containers according to the code and 31 respondents (72.1%) who used plastic containers according to the code, this means that the use of plastic containers for respondents after being given health education has increased. . The results of the Wilcoxon test can be concluded that there is an effect of health education on the use of plastic containers for housewives (p-value = 0.000 <α = 0.05). With the results of this research, it is hoped that it will be able to increase the insight of housewives to be more careful in choosing a container to be used as a place for food and drinks to prevent health problems and be an initial step in improving the health status of families and communities.

Sosialisasi Pertolongan Pertama pada Korban Tenggelam bagi Petugas Penjaga di Kolam Renang Siharang-Karang, Kota Padangsidimpuan Febrina Angraini Simamora; Fahrizal Alwi
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol 2 No 1 (2020): Vol. 2 No. 1 April 2020
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

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

The Siharang-Karang Swimming Pool is one of the most visited pools by the people of Padangsidimpuan, especially on weekends. The large number of visitors in this swimming pool causes a very high risk of drowning victims. There are 4 pool guard officers who are on duty every day to monitor the activities in the pool, and help if there is a problem at the pool location, for example a drowning victim. Because it is necessary to carry out activities in the form of socialization of first aid to drowning victims for pool guard officers. The treatment for the drowning victim at the scene includes rescuing the victim from water, giving breath assistance, chest compressions, clearing vomit that allows obstruction of the airway, preventing heat loss and transportation of the victim to the nearest emergency facility for evaluation and monitoring. This activity provides provisions and trains pool guard officers to have good skills in providing first aid in an emergency situation of drowning victims. With this training, it is hoped that it will increase the safety rate for emergency victims because they receive proper first aid before arriving at the health service and receive further treatment.

Mask-Wearing Behavior towards COVID-19 Prevention Erni Yetti Riman; Zadrak Tombeg; Anto J Hadi; Haslinah Ahmad; Fahrizal Alwi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

COVID-19 is an infectious disease caused by a coronavirus that occurs in the digitalization era and has become a global pandemic that can attack various age groups and hinder various types of activities. This study was to analyze the relationship between the behavior of wearing masks and the prevention of COVID-19. This study was a quantitative correlation with a cross-sectional design approach. 58 were applied and selected using accidental sampling. Data were collected using a questionnaire and analyzed using the chi-square and logistic regression. The results showed that knowledge (p=0.003), attitude (p=0.and 001), duration of eating at food stalls (p=0.021), personal protective equipment (p=0.041), health checks (p=0.041), behavior using masks (p=0.003) associated with the prevention of COVID-19, and of the four variables the most related is knowledge with a value of Exp (B)=11.466, p=0.033. The conclusion was obtained that the behavior of using masks is related to the prevention of COVID-19. It is hoped that the use of masks by health workers and the public in a disciplined manner during activities in public facilities or crowded places must be followed by other actions such as maintaining distance in crowded places and diligently washing hands with antiseptic soap to reduce the rate of spread and prevent transmission of the deadly virus. Abstrak: COVID-19 merupakan penyakit menular yang disebabkan oleh virus corona yang terjadi di era digitalisasi dan telah menjadi pandemi global yang dapat menyerang berbagai kelompok umur dan menghambat berbagai jenis aktivitas. Penelitian ini untuk menganalisis hubungan antara perilaku memakai masker dengan pencegahan COVID-19. Penelitian ini bersifat kuantitatif korelasional dengan pendekatan desain cross sectional. 58 diterapkan dan dipilih menggunakan sampling aksidental. Data dikumpulkan dengan menggunakan kuesioner dan dianalisis menggunakan chi-square dan regresi logistik. Hasil penelitian menunjukkan pengetahuan (p=0.003), sikap (p=0.dan 001), lama makan di warung makan (p=0.021), alat pelindung diri (p=0.041), pemeriksaan kesehatan (p=0.041), perilaku menggunakan masker (p=0,003) berhubungan dengan pencegahan COVID-19, dan dari keempat variabel yang paling berhubungan adalah pengetahuan dengan nilai Exp (B) = 11,466, p = 0,033. Didapatkan kesimpulan bahwa perilaku penggunaan masker berhubungan dengan pencegahan COVID-19. Diharapkan penggunaan masker oleh tenaga kesehatan dan masyarakat secara disiplin saat beraktivitas di fasilitas umum atau tempat keramaian harus diikuti dengan tindakan lain seperti menjaga jarak di tempat keramaian dan rajin mencuci tangan dengan sabun antiseptik sehingga dapat mengurangi laju penyebaran dan mencegah penularan virus mematikan tersebut.

Quality of Sleep and Blood Glucose of Type 2 Diabetes Mellitus Alwi, Fahrizal; Leli Herawati; Hizrah Hanim Lubis; Mersi Ekaputri; Razyda Hayati
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 2 (2023): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i2.340

Diabetes Mellitus is a serious problem with a rapidly increasing incidence. Almost all groups of people around the world are attacked by this disease. High blood sugar levels interfere with concentration to sleep well, due to the frequent urge to urinate at night and excessive thirst. The study was to determine the relationship between the quality of sleep and blood glucose levels in patients with type 2 diabetes mellitus. The study was a descriptive correlative with a cross-sectional approach. Seventy-seven respondents were involved in this study and were selected by accidental sampling. Data were collected using The Pittsburgh Sleep Quality Index to determine the quality of sleep and blood glucose levels were measured using Nesco Multicheck. Data were analyzed using chi-square. The results showed that there was a significant relationship between the quality of sleep and blood glucose levels with a p-value of 0.001. It can be concluded that the quality of sleep is related to the patient's blood glucose levels, so it is very important for patients to keep going with good quality of quality.

Analisis Faktor-FaktorYang Berhubungan Dengan Penularan Penyakit Infeksi Dari Pasien Ke Perawat Di RS Granmed Pakam Medan Tahun 2022 Putra, Erizal Salam; Krisna, Putri; Ginting, Selamat; Sari, Nur Mala; Sembiring, Alprindo; Alwi, Fahrizal
BEST Journal (Biology Education, Sains and Technology) Vol 7, No 2 (2024): September 2024
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v7i2.10465

Infeksi nosokomial merupakan masalah besar di seluruh dunia dan terus meningkat setiap tahunnya. Meskipun petugas kesehatan melakukan berbagai upaya untuk mencegah infeksi nosokomial, namun angka kejadian infeksi nosokomial terus meningkat. Tujuan penelitian ini adalah menganalisis faktor-faktor yang berhubungan dengan penularan penyakit menular dari pasien ke perawat di RS GrandMed Lubuk Pakam. Sampel penelitian ini meliputi seluruh perawat yang diwawancarai, atau 183 perawat. Analisa pengambilan data dapat dilaksanakan secara univariat, bivariat (chi-square), dan multivariat. Hasil dari penelitian yang dilakukan menunjukkan bahwa variabel pengetahuan, sikap dan kebersihan mempunyai hubungan yang signifikan terhadap penularan penyakit menular dari pasien ke perawat di RS GrandMed Lubuk Pakam dengan nilai P 0,05. Sedangkan variabel independen dalam penelitian ini mempunyai pengaruh yang signifikan terhadap variabel dependen yaitu penularan penyakit menular dari pasien ke perawat di RS GrandMed Lubuk Pakam dengan nilai P < 0,05

HUBUNGAN JENIS KELAMIN, MASA KERJA, DAN POSISI KERJA DENGAN GANGGUAN OTOT RANGKA AKIBAT KERJA PADA PETANI DI KABUPATEN DELI SERDANG TAHUN 2022: THE RELATIONSHIP OF GENDER, LENGTH OF WORK, AND WORK POSITION WITH WORK-DUE TO SKELETAL MUSCLE DISORDERS IN FARMERS IN DELI SERDANG DISTRICT YEAR 2022 Pasaribu, Sumihar; Tanjung, Lina Febriani; Girsang, Rostiodertina; Alwi, Fahrizal
Jurnal Kedokteran Ibnu Nafis Vol. 14 No. 1 (2025): Juni 2025
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v14i1.822

Gangguan otot rangka merupakan salah satu masalah kesehatan yang sering dialami pekerja di sektor pertanian akibat postur kerja yang tidak ergonomis, masa kerja panjang, dan beban kerja fisik yang berat. Penelitian ini bertujuan untuk menganalisis hubungan antara jenis kelamin, masa kerja, dan posisi kerja terhadap gangguan muskuloskeletal pada petani di Kabupaten Deli Serdang. Penelitian menggunakan desain cross-sectional dengan 30 responden yang dipilih melalui metode consecutive sampling. Data dikumpulkan menggunakan kuesioner, penilaian Rapid Entire Body Assessment (REBA) untuk posisi kerja, dan Nordic Body Map (NBM) untuk keluhan gangguan otot rangka. Analisis bivariat menunjukkan hubungan signifikan antara jenis kelamin (p = 0,045; PR = 0,167), masa kerja (p = 0,007; PR = 13,500), dan posisi kerja (p = 0,001; PR = 22,667) terhadap gangguan otot rangka. Posisi kerja yang tidak ergonomis merupakan faktor risiko utama. Temuan ini menegaskan pentingnya intervensi ergonomis, edukasi, dan pelatihan untuk mengurangi prevalensi gangguan muskuloskeletal pada petani.

Penyuluhan Brain Gym Pada Penderita Pasca Stroke Iskemik di Desa Candirejo manik, maria hermita; Alwi, Fahrizal; Rosaulina, Meta; Marlina, Siti; Hasian, Muhammad Tsawaby; Tarigan, Beti Susanti
Jurnal Pengabdian Masyarakat Putri Hijau Vol 5 No 3 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v5i3.2483

Ischemic stroke is one of the main causes of disability in the elderly group which has an impact on decreased motor and cognitive function. The post-stroke recovery process requires non-pharmacological interventions that can be done independently at home with family support. Brain Gym or brain gymnastics is a simple method that has been proven to stimulate the integration of brain and body functions, as well as improve balance, coordination, and concentration. This community service activity aims to improve the knowledge and skills of post-ischemic stroke sufferers and their families in implementing Brain Gym as part of independent rehabilitation efforts. The implementation method includes providing education through interactive lectures, demonstrations of Brain Gym movements, and direct practice sessions guided by the implementation team. The activity was carried out in Candirejo Village, Semarang Regency, involving 25 participants consisting of stroke survivors, family members, and health cadres. The eval_uation was carried out using a pre-test and post-test which showed an increase in participants' knowledge scores by 35%. The results of the activity showed that Brain Gym counseling was effective in increasing participants' understanding and motivation to do routine exercises at home. This activity is expected to support the rehabilitation process and improve the quality of life of post-stroke sufferers in a sustainable manner.

Contribution of the Role of Health Cadres in the Prevention of Stunting in Toddlers Ahmad, Haslinah; Alwi, Fahrizal; Hadi, Anto J
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2483

Stunting in toddlers is still a serious public health problem in Indonesia. Stunting can cause various adverse effects on children's health, such as growth and development problems, impaired cognitive function, and increases risk of disease in adulthood. This study was to analyze the role of health cadres in preventing stunting in toddlers. The study was cross-sectional with a sample of 200 cadres selected by exhaustive sampling. Data were collected by questionnaire and analyzed using the Chi-square test and logistic regression. The results showed that there was a significant relationship between employment status (p=0.001), attitude (p=0.001), perception (p=0.001), marital status (p=0.047), the competence of health cadres and the role of cadres in stunting prevention (p=0.001). The variable that contributes the most to the role of cadres in stunting prevention is the competence of cadres with Exp. (B)=4.914. The study shows that the role of health cadres in preventing stunting is important for improving the nutritional status of toddlers. Therefore, it is necessary to make efforts to improve the competence of health cadres, provide a positive perception of work, and improve the attitude of health cadres towards stunting prevention through training and skills provision for health cadres.

Quality of Sleep and Blood Glucose of Type 2 Diabetes Mellitus Alwi, Fahrizal; Leli Herawati; Hizrah Hanim Lubis; Mersi Ekaputri; Razyda Hayati
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 2 (2023): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i2.340

Diabetes Mellitus is a serious problem with a rapidly increasing incidence. Almost all groups of people around the world are attacked by this disease. High blood sugar levels interfere with concentration to sleep well, due to the frequent urge to urinate at night and excessive thirst. The study was to determine the relationship between the quality of sleep and blood glucose levels in patients with type 2 diabetes mellitus. The study was a descriptive correlative with a cross-sectional approach. Seventy-seven respondents were involved in this study and were selected by accidental sampling. Data were collected using The Pittsburgh Sleep Quality Index to determine the quality of sleep and blood glucose levels were measured using Nesco Multicheck. Data were analyzed using chi-square. The results showed that there was a significant relationship between the quality of sleep and blood glucose levels with a p-value of 0.001. It can be concluded that the quality of sleep is related to the patient's blood glucose levels, so it is very important for patients to keep going with good quality of quality.

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