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Kajian Literatur: Implementasi Advanced Care Directives Di Asia Claudia Adreina Refo; Dinda Kartianty Harefa; Widya Lestari Ralendesang; Yenni Ferawati Sitanggang; Kinanthi Lebdawicaksaputri
Malahayati Nursing Journal Vol 4, No 6 (2022): Volume 4 Nomor 6 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1815.888 KB) | DOI: 10.33024/mnj.v4i6.6490

Abstract

ABSTRACT Advance Care Directives (ACD) is a plan made by individuals regarding future care services. ACD can guide care, improve the quality of communication and patient life and reduce unwanted care in the hospital. The purpose of this literature review is to see an overview of how nurses implement ACD in Asian countries. This literature review uses the method of thematic analysis: a simplified approach which is described simply. Data search use three databases such as PMC, EBSCO, and ScienceDirect with the use of Boolean operators AND and OR. Using PRISMA flow diagrams for the article selection process. The article/data analysis carried out using the Critical Appraisal Checklist tools developed by the Joanna Briggs Institute (JBI). The implementation of ACD in Asia has been carried out in countries such as China, Hong Kong, Taiwan, Japan, Singapore and Korea. In the article analysis, ACD implementation can be described in three themes: the implementation of ACD by nurses, the benefits of ACD that are felt by patients, families and nurses and factors that influence nurse implementation. ACD was seen to be crucial for patients in facilitate their wish and needs. Even though physician was the one who initiate the ACD implementation, nurses still play their role as an educator, advocate and also facilitator in the process of ACD implementation. Keyword: Advance Care Directives, Advance Care Planning, Nurses, Asia, Implementation  ABSTRAK Advance Care Directives (ACD) adalah sebuah rencana berisi tentang pelayanan perawatan dimasa depan yang dibuat oleh individu. ACD bertujuan untuk meningkatkan kualitas komunikasi dan hidup pasien serta mengurangi perawatan yang tidak diinginkan di rumah sakit, serta menjadi petunjuk dalam menjalankan perawatan. Studi literatur ini bertujuan untuk menggambarkan tentang pelaksanaan ACD di negara-negara Asia.  Kajian literatur ini menggunakan metode thematic analysis: a simplified approach. Tiga database digunakan dalam pencarian artikel antara lain; PMC, EBSCO, dan ScienceDirect. Penulis menggunakan Boolean operator AND and OR dalam pencarian. Diagram prisma digunakan untuk menjelaskan proses pencarian artikel yang selanjutnya analisis artikel/data dilakukan menggunakan Critical Appraisal Checklist tools yang dikembangkan oleh Joanna Briggs Institute (JBI). Pelaksanaan ACD di Asia dilakukan di beberapa negara seperti Cina, Hong Kong, Taiwan, Jepang, Singapura, dan Korea. Dalam analisis artikel ditemukan bahwa pelaksanaan ACD Implementasi tersebut digambarkan dalam bentuk inisiasi pelaksanaan ACD, manfaat ACD yang dirasakan oleh pasien, keluarga serta perawat dan faktor yang mempengaruhi pelaksanaan ACD. ACD dinilai sangat penting untuk memfasilitasi keinginan dan harapan pasien. Meskipun pelaksanaan ACD di inisiasi oleh dokter, perawat tetap berperan sebagai edukator, advokat dan fasilitator selama proses pelaksanaan ACD. Kata Kunci: Advance Care Directives, Advance Care Planning, Nurses, Asia, Implementation
Waspadai dan Cegah Pneumonia dan Diare di Masa Pandemi Covid-19 Deborah Siregar; Martina Pakpahan; Peggy Sara Tahulending; Evanny Indah Manurung; Yenni Ferawati Sitanggang; Marisa Junianti Manik
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 7 No 3 (2022): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v7i3.2752

Abstract

The leading causes of death in children vary according to age. Children under five years are vulnerable to infectious diseases such as malaria, pneumonia, diarrhea, HIV, and tuberculosis. Pneumonia is a contagious infectious disease and the most significant cause of death in children under five. Diarrhea is the second leading cause of death in children under five. Diarrhea is the leading cause of malnutrition in children under five. Indonesia is included in the top ten countries with the highest number of deaths in children under five years in 2019. This activity aims to increase knowledge of the community, especially mothers, about pneumonia and diarrhea. The method used was a virtual seminar. The webinar was held on May 7, 2021, using a zoom meeting with 87 participants. The majority of participants had never had pneumonia (98.8%). And the number of participants who had experienced diarrhea was 64 participants (80%). The results showed an increase in knowledge after attending the virtual seminar. The average (mean) knowledge score increased by 1.97. The majority of participants gave excellent marks on activities related to the topic/theme of the event, speakers, audiovisual quality, and question and answer sessions.
Perception of nurses about palliative care: Experience from a private hospital in west Indonesia Yenni Ferawati Sitanggang; Feni Vitriani Laoli; Fritania Lawolo; Gloria Narwasti Kiha; Gracia Manihuruk
Malahayati International Journal of Nursing and Health Science Vol 5, No 1 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v5i1.5857

Abstract

Background: Palliative care is a method for patients and their families facing life-threatening conditions to improve their quality of life. Nurses have a critical role on the palliative care team, and as such, they must have an accurate perception of palliative care.Purpose: To identify nurses’ perceptions about palliative care: from a private hospital in west IndonesiaMethod: This research is a descriptive research conducted with a cross sectional design. Participants were recruited using a purposive sampling technique from a private hospital in West Indonesia, with a population of 238 nurses from all wards. All nurses who had worked for at least two years and agreed to participate in the study were included. Slovin's algorithm was used to determine the sample size, which resulted in 149 nurses. However, only 105 nurses answered the questionnaire and completed it.Results: The results indicated that the majority of nurses were female in their early twenties. The study demonstrated that nurses had an exceptional grasp of the definition and philosophy of palliative care, albeit certain concerns remained unanswered.Conclusion: In conclusion, providing palliative care training will improve nurses’ knowledge as well as their practice in palliative care. 
Menggalakkan Program Pemberantasan Sarang Nyamuk (PSN) 3M Plus Deborah Siregar; Ni Gusti Ayu Eka Sulistiyaningtyas; Yenni Ferawati Sitanggang; Peggy Sara Tahulending
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 3 (2022): Volume 5 No 3 Maret 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i3.5130

Abstract

ABSTRAK Demam Berdarah Dengue masih menjadi salah satu masalah kesehatan masyarakat di Indonesia. Demam Berdarah Dengue merupakan penyakit endemik yang muncul sepanjang tahun terutama pada musim hujan di berbagai daerah tropis dan subtropis termasuk di Indonesia Penyakit ini berhubungan dengan keadaan lingkungan dan perilaku masyarakat. Tidak ada pengobatan khusus untuk DBD. Pencegahan dan pengendalian dengue bergantung pada tindakan pengendalian vektor yang efektif. Strategi pencegahan dan pengendalian demam berdarah membutuhkan keterlibatan masyarakat. Oleh karena itu penting dilakukan pendidikan kesehatan kepada masyarakat mengenai pencegahan Demam Berdarah Dengue dengan Menggalakkan Program Pemberantasan Sarang Nyamuk 3M Plus. Metode yang dilakukan adalah webinar yang bertujuan untuk meningkatkan pengetahuan masyarakat Indonesia mengenai pencegahan dan penanggulangan penyakit Demam Berdarah Dengue. Kegiatan ini dilakukan bulan September 2020 dan jumlah peserta webinar adalah 152 peserta. Hasil yang didapatkan dari kegiatan ini adalah jumlah peserta yang pernah mengalami DBD sebanyak 27 orang dan yang tidak pernah mengalami DBD sebanyak 125 orang. Peserta juga diminta untuk mengikuti pretest dan postest saat webinar. Hasil pengetahuan peserta sebelum webinar adalah 6.8 dan sesudah webinar adalah 7.4. Jadi dapat disimpulkan bahwa pengetahuan peserta meningkat setelah mengikuti webinar. Saran dari peserta webinar adalah agar kegiatan pendidikan kesehatan melalui webinar dapat dilakukan secara berkelanjutan. Kata kunci:Demam Berdarah Dengue, PSN 3M Plus, Webinar DBD.            ABSTRACTDengue Hemorrhagic Fever is still a public health problem in Indonesia. Dengue Hemorrhagic Fever is an endemic disease that appears throughout the year, especially during the rainy season in various tropical and subtropical regions, including Indonesia. Dengue Hemorrhagic Fever is related to environmental conditions and community behavior. There is no specific treatment for dengue. Dengue prevention and control depends on effective vector control measures. Dengue fever prevention and control strategies require community engagement. Therefore, it is important to provide health education to the public regarding the prevention of Dengue Hemorrhagic Fever by promoting the 3M Plus Campaign. The method used was a virtual seminar that aimed to increase the knowledge of the community regarding the prevention and control of Dengue Hemorrhagic Fever. This seminar was done in September 2020 with 152 participants. The results obtained were 27 participants who had experienced Dengue Hemorrhagic Fever and 125 people who had never experienced Dengue Hemorrhagic Fever. Participants were also asked to take a pretest and posttest during the virtual seminar. The result of participants' knowledge before the virtual seminar were 6.8 and after the virtual seminar was 7.4. So, it can be concluded that participants' knowledge increased after attending the virtual seminar.  Keywords: Dengue Hemorrhagic Fever, 3M Plus Campaign, Virtual Seminar DHF
Webinar Konsep Perawatan Paliatif Kepada Mahasiswa Keperawatan Di Indonesia Yenni Ferawati Sitanggang; Juniarta Juniarta; Ni Gusti Ayu Eka; Ineke Patrisia; Dwi Yulianto Nugroho
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 2 April 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i2.3830

Abstract

ABSTRAK Asuhan perawatan paliatif merupakan asuhan keperawatan yang diberikan pada pasien yang membutuhkan asuhan paliatif dengan tujuan meningkatkan kualitas hidup pasien dan keluarganya. Semakin meningkatnya kejadian penyakit kronis dan mengancam jiwa, membuat kebutuhan akan asuhan paliatif meningkat. Saat ini masih banyak institusi keperawatan yang belum memiliki mata kuliah perawatan paliatif baik dalam akademik maupun jenjang profesi. Oleh karena itu, webinar pengabdian kepada masyarakat ini dilakukan untuk menjawab permasalahan yang ada. Tujuan dari pengabdian kepada masyarakat ini untuk memberikan pengetahuan kepada mahasiswa keperawatan tentang perawatan paliatif sekaligus mempersiapkan mereka dalam menghadapi pasien yang membutuhkan asuhan paliatif dimasa mendatang. Kegiatan pengabdian kepada masyarakat ini diberikan dengan metode ceramah menggunakan power point melalui ruang zoom secara daring kepada mahasiswa keperawatan diIndonesia. Sebanyak 202 mahasiswa keperawatan dari berbagai provinsi mengikuti webinar ini. Hasil kegiatan ini menunjukkan terjadi peningkatan pengetahuan yang signifikan dengan peningkatan rata-rata skor pre-test ke post-test sebesar 44.48. Oleh karena itu, kegiatan pengabdian kepada masyarakat ini terbukti bermanfaat dalam peningkatan pengetahuan mahasiswa keperawatan di Indonesia. Kata Kunci: Webinar, perawatan paliatif, mahasiswa keperawatan  ABSTRACT Palliative care is nursing care provided to patients who need palliative care aimed to improve the quality of life of the patients and their families. The increasing incidence of chronic and life-threatening diseases lead to the increasing need of palliative care. However, there are still many nursing institutions that do not have palliative care courses yet in both academic and professional levels. Therefore, this community service webinar was conducted to answer these existing problems. The purpose of this community service was to provide information for nursing students about palliative care and to equip them for dealing with patients who need palliative care in the future. This community service activity was an online event using Zoom Meeting for nursing students in Indonesia. A total of 202 nursing students from various provinces participated in this webinar. This event was evaluated by pre-post quiz of palliative care knowledge. The results of the evaluation revealed that the students’ knowledge have increased (Mean 44.48). It is noted that this community service activity has proved to be essential event to provide more information regarding palliative care for nursing students. Keyword: Webinar, palliative care, nursing students
Edukasi Kesehatan Osteoporosis Dan Pemeriksaan Kepadatan Tulang Di Posbindu Soka Indah RW 05 Kelurahan Bencongan Yenni Ferawati Sitanggang; Riama Marlyn Sihombing; Marini Purwani
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 5 Oktober 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i5.4195

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ABSTRAK Osteoporosis adalah keadaan dimana menurunnya kepadatan tulang yang menyebabkan pasien mengalami kejadian fraktur. Osteoporosis seringkali dikaitkan dengan kejadian yang umum terjadi pada lanjut usia, akan tetapi menurut osteoporosis dapat juga mengenai usia muda. Wanita dikatakan memiliki faktor resiko paling tinggi terjadinya osteoporosis dibandingkan pria. Hal ini bisa disebabkan karena wanita memiliki ukuran tubuh yang lebih kecil dari pria, kurangnya paparan matahari dan kurangnya konsumsi makanan yang mengandung kalsium. Di posbindu Soka Indah RW 05 Bencongan Indah memiliki 40 lansia dengan usia antara 46 sampai dengan >60 tahun. Data yang didapatkan dari kader posbindu ada satu lansia wanita yang sudah terdiagnosa osteoporosis, dan dua lansia usia antara 50-60 tahun yang mengeluh kakinya sakit. Edukasi tentang osteoporosis belum pernah dilakukan di posbindu bencongan RW 05. Sebagai upaya untuk meningkatkan pengetahuan lansia tentang osteoporosis maka edukasi Kesehatan serta pemeriksaan kepadatan tulang pada seluruh lansia di Posbindu Bencongan RW 05 dilakukan. Hasil yang didapatkan dari kegiatan ini adalah terjadinya peningkatan pemahaman lansia terkait osteoporosis dengan rata-rata nilai 10 poin meningkat dari pre-test. Selanjutnya hasil kepadatan tulang didapatkan hasil sebanyak tiga lansia memiliki kepadatan tulang yang normal, 11 orang mengalami osteopenia dan 14 orang lainnya terskrining osteoporosis. Kata kunci:  Edukasi, Kepadatan tulang, Osteoporosis  ABSTRACT Osteoporosis is a condition where bone density is decreased which can be caused the fracture. Osteoporosis is often associated with an incident that generally occurs in elderly people, but based on health ministry, osteoporosis can also occur in young people. Women are told to have a high risk of osteoporosis compared to men. This is because we have a small body size than men, minimum sun exposure, insufficient intake of foods that contain calcium. In Posbindu Soka Indah Bencongan has 40 elderly people with 46 – above 60 years old range. Data taken from cadres, there was one of them who was diagnosed with osteoporosis, and two of the elders in their 50-60 years old were complaining of sore legs. Health education about osteoporosis has never been given in the posbindu bencongan. Therefore, as an effort in order to increase the elderly’s knowledge in osteoporosis, health education and also bone density assessment in posbindu were done. The result showed there was an increased point in the post=test result of 10 points which means the elderly’s knowledge was an increase. Furthermore, the bone density result was three people had a normal bone density, while 11 people had low bone density and 14 people were screened to have osteoporosis.  Keywords: Bone density, Education, osteoporosis
Manajemen Stres Dan Ansietas Warga Di Kelurahan Bencongan Indah Tangerang Maria Veronika Ayu Florensa; Veronica Paula; Yenni Sitanggang; Shinta Yuliana Hasibuan; Mega Tri Anggraini; Adventina Situngkir
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 2 (2019): Peran Perguruan Tinggi dan Dunia Usaha dalam Mempersiapkan Masyarakat Menghadapi Era I
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.643 KB) | DOI: 10.37695/pkmcsr.v2i0.303

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Mental health is a condition which person can develop physically, mentally, spiritually and social, and also able to contribute to his community. Individuals cannot be free from stress. If the stress not managed properly it can continue to become anxiety and other mental health problems. The 2018 Riskesdas data showed an increase in the number of psychosis sufferers from 1.7% to 7% per mile, increasing number also happened in depression suffers from 6 to 9% per mile. The number of depressed patients in Banten province reaches 8.7%. The high number of people with mental disorders from time to time requires action to promote and prevent mental disorders. The aims of this community service is to help people to understand the signs and symptoms of stress and anxiety and be able to practice the stress and anxiety management. The results of the activity were measured by comparing the score of the pre-test and post-test of the patient's knowledge before and after the administration of the material. As a result, there is an increase in people's knowledge regarding health, mental health, signs of symptoms of stress and anxiety. People are also able to practice the actions to manage stress and anxiety. This activity is expected to be carried out sustainably with the help of community cadres.
Edukasi Kesehatan Perilaku Hidup Bersih Dan Sehat Untuk Anak Sekolah Minggu HKBP PPGS Veronica Paula; Yenni Ferawati Sitanggang; Deborah Siregar; Evanny Indah; Dina Valentina
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 2 (2019): Peran Perguruan Tinggi dan Dunia Usaha dalam Mempersiapkan Masyarakat Menghadapi Era I
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (70.723 KB) | DOI: 10.37695/pkmcsr.v2i0.322

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Clean and healthy life behavior (PHBS) is all health behavior that is done on awareness so that family members or family can help themselves in the field of health and play on active role in health activities in the community. Clean and healthy life behavior has 12 indicators; childbirth assisted by health personnel, exclusive ASI, weighing children every month, using clean water, washing hands with water and soap, using healthy latrines, eradicating larvae at home once a week, eating fruit and vegetables each day, do physical activity every day and do not smoke in the house. School-age children as the next generation of the nation should be given health education to provide good habits that improve the health of children and their families. Two things that was focused from those indicators were health education about a helathy teeth and mouth as well as hand hygiene. The result revealed that from 29 Sunday school children, there were 17 children (58.62%) had a healthy and clean tooth, four children (13.79%) undergone a tooth filling, six children were recommended to come to a dental clinic for futher treatment of their cavity and two children (6.89%) had their tooth extraction. From the result, it can be seen that more than half children have a healthy and good tooth.
Deteksi Dini Kesehatan Dan Edukasi Ergonomi Pada Karyawan Elling Custom Made Bra Ineke Patrisia; Yenni Sitanggang; Lia Kartika; Elfrida Silalahi; Eva Ernawati Simanjuntak
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 2 (2019): Peran Perguruan Tinggi dan Dunia Usaha dalam Mempersiapkan Masyarakat Menghadapi Era I
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.148 KB) | DOI: 10.37695/pkmcsr.v2i0.344

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Salah satu cara yang bisa ditempuh agar para pekerja yang berkecimpung di dalam kegiatan yang ada di industri kecil tetap dalam kondisi yang sehat, aman, nyaman, efektif dan efisien serta produktivitasnya tinggi maka diperlukan kaidah-kaidah ergonomi yang berbasis kearifan lokal di dalam melakukan kegiatan atau aktivitas di tempat kerja. Elling Custom Made Bra merupakan suatu kelompok karyawan di area Tangerang Selatan yang bekerja dalam pembuatan bra yang selama bekerja (menjahit) duduk dari pukul 7.30 s/d 12.00 istirahat 1 jam dan pukul 13.00 s/d 15.30. Mengingat hal tersebut, kaidah ergonomi perlu diperhatikan. Sebab seandainya hal ini tidak dilakukan maka akan menimbulkan berbagai macam gangguan, kelainan dan penyakit yang terkait dengan sistem otot dan rangka. Dengan demikian kualitas kesehatan pekerja akan terancam yang pada akhirnya produktivitas kerja akan menurun. Tim PkM melakukan pemberian edukasi terkait penyakit diabetes, hipertensi dan ergonomi serta pemeriksaan darah. Hasil dari kegiatan ini adalah terdapat peningkatan pengetahuan setelah mendapatkan edukasi yaitu dengan nilai rerata 70,79 dan para karyawan mengetahui hasil pemeriksaan darahnya. Peserta mampu mendemostrasikan kembali cara mengambil barang dan duduk yang sesuai dengan ergonomi.
Edukasi Kesehatan Dan Deteksi Dini Hipertensi, Kolesterol, Asam Urat Dan Diabetes Melitus Di Gereja HKBP PPGS Deborah Siregar; Yenni Ferawati Sitanggang; Veronica Paula
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 2 (2019): Peran Perguruan Tinggi dan Dunia Usaha dalam Mempersiapkan Masyarakat Menghadapi Era I
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.79 KB) | DOI: 10.37695/pkmcsr.v2i0.346

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Penyakit tidak menular (PTM) merupakan penyakit kronis yang tidak ditularkan dari orang ke orang lainnya. World Health organization (WHO) menunjukkan bahwa dari 56.4 juta kematian yang terjadi ditahun 2015, sebanyak 39.5 juta (70%) kematian disebabkan oleh penyakit tidak menular (PTM). HKBP Pos Parmingguan Gading serpong memiliki 120 jemaat yang terdiri dari anak-anak, remaja, dewasa dan lansia yang memiliki kebudayaan sumatera yang memiliki kebiasaan mengkonsumsi makanan yang berlemak dan asin. Beberapa jemaat mengaku memiliki tekanan darah yang tinggi dan gula darah yang tinggi serta jarang mengontrolkan dirinya ke tenaga kesehatan dan merasa tidak perlu jika tidak ada keluhan. Disamping itu, dua jemaat meninggal dunia akibat stroke yang diderita dalam tahun yang sama akibat hipertensi yang tidak terkontrol. Jemaat gereja HKBP PPGS belum pernah mendapatkan edukasi kesehatan terait topik sebelumnya. Tujuan dari PkM ini adalah memberikan edukasi kesehatan dan melakukan skrining dini terkait hipertensi, kolesterol dan diabetes melllitus. Metode yang digunakan adalah pemeriksaan kesehatan serta penyuluhan kesehatan. Hasil yang didapatkan dari kegiatan ini adalah tercatat nya sebanyak 31 jemaat yang memiliki tekanan darah tinggi dalam kategori pre hipertensi sampai hipertensi tahap 2. Sebanyak 14 jemaat memiliki kolesterol diatas 200mg/dl, dan 6 orang mengalami gula darah yang tinggi (gula darah setelah makan >180mg/dl)