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All Journal Jurnal Kesehatan Masyarakat Science and Technology Indonesia Jurnal Ilmiah Universitas Batanghari Jambi Jambura Journal of Health Sciences and Research Journal Health & Science : Gorontalo Journal Health and Science Community Jambura Health and Sport Journal Jambura Nursing Journal Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal PREPOTIF : Jurnal Kesehatan Masyarakat Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research BEMAS: Jurnal Bermasyarakat International Journal of Health, Economics, and Social Sciences (IJHESS) Ahmar Metastasis Health Journal (AMHJ) Jurnal Kolaboratif Sains Proceedings of the International Conference on Nursing and Health Sciences Jurnal Keperawatan Medical and Health Journal Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Medika: Medika International Journal of Education, Vocational and Social Science Multidisciplinary Indonesian Center Journal JHE (Journal of Health Education) Jurnal Kesehatan Masyarakat
Nasrun Pakaya
Universitas Negeri Gorontalo
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HUBUNGAN KEPUASAN PELAYANAN KESEHATAN DENGAN MINAT KUNJUNGAN ULANG PASIEN PASCA STROKE DI KLINIK KINESIA SENTRA REHABILITASI KOTA GORONTALO Pinoi, Ersavira S.; Pakaya, Nasrun; Hunawa, Rachmawaty D.
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 14 No. 2 (2025): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v14i2.11927

Abstract

Pelayanan kesehatan yang komprehensif ditunjukkan dengan banyaknya pasien yang memiliki tingkat kepuasan tinggi terhadap pelayanan kesehatan. Proses pemulihan pada pasien stroke memerlukan waktu yang lama, sehingga diperlukan pengendalian faktor resiko dengan melakukan kunjungan ulang untuk kontrol secara rutin. Penelitian ini bertujuan untuk mengetahui hubungan kepuasan pelayanan kesehatan dengan minat kunjungan ulang pasien pasca stroke di Klinik Kinesia Sentra Rehabilitasi Kota Gorontalo. Metode penelitian ini menggunakan desain analitik korelasi dengan pendekatan cross sectional. Populasi penelitian ini merupakan pasien pasca stroke yang berobat di Klinik Kinesia Sentra Rehabilitasi Kota Gorontalo. Jumlah sampel pada penelitian ini berjumlah 115 responden dengan menggunakan teknik total sampling. Hasil penelitian didapatkan kepuasan pelayanan kesehatan dalam kategori puas sebanyak 66 responden (57,4%), kategori cukup puas sebanyak 49 responden (42,6%). Berdasarkan minat kunjungan ulang di dapatkan minat kunjungan baik sebanyak 74 responden (64,3%), minat kunjungan cukup baik sebanyak 36 responden (31,3%), dan minat kunjungan kurang baik sebanyak 5 responden (4,3%). Berdasarkan uji rank spearmen dengan hasil p-value = 0.000 (p-value < 0,05) didapatkan hubungan kepuasan pelayanan kesehatan dengan minat kunjungan ulang pasien pasca stroke di Klinik Kinesia Sentra Rehabilitasi Kota Gorontalo. Dari total 115 responden, 66 responden (57,4%) memiliki tingkat kepuasan puas dengan minat kunjungan baik sebanyak 59 responden (51,3%). Kesimpulan kualitas pelayanan kesehatan berperan dalam mendukung minat berkunjung pasien untuk rutin melakukan kontrol ulang.
Cholesterol-Lowering Effects of Turmeric Effervescent Dosage in Preventing Atherosclerosis Pomalango, Zulkifli B.; Paneo, Mohamad Aprianto; Pakaya, Nasrun; Aman, La Ode; Hutuba, Ariani H.
Science and Technology Indonesia Vol. 10 No. 2 (2025): April
Publisher : Research Center of Inorganic Materials and Coordination Complexes, FMIPA Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26554/sti.2025.10.2.482-492

Abstract

This study aims to evaluate the cholesterol-lowering effects of turmeric (Curcuma domestica) in an effervescent powder drink formulation to prevent atherosclerosis. The effervescent preparation was produced using standard effervescent techniques, with organoleptic tests revealing an orange color, the characteristic aroma of turmeric, and a slightly sweet taste. The formulation’s pH was approximately 5.9, with a flowability test result of 14 seconds, a powder angle of repose of 30°, and a dissolution time of  4 minutes and 20 seconds. Curcumin shows potential as an anticholesterol as a preventive measure of atherosclerosis disease  through molecular docking testing using autodock-vina. Qualitative test on turmeric effervescent with Sprektrofotometer UV-VIS, Scanning Electon Microscopy (SEM) and Fourier Transform Infrared Spectroscopy (FTIR). Cholesterol testing was conducted on mice induced with cholesterol using margarine over a one-week period, resulting in increased cholesterol levels of maximum 290 mg/dL. Following administration of the converted turmeric dosage, cholesterol levels significantly maximum decreased in the first week to  165 mg/dL. By the second week, further reductions were observed, with cholesterol levels maximum dropping to 143 mg/dL. These results suggest that turmeric effervescent formulation exhibits promising cholesterol-lowering properties and may contribute to the prevention of atherosclerosis
EFEKTIVITAS TERAPI PURSED LIPS BREATHING DAN POSISI SEMI FOWLER TERHADAP PENURUNAN SESAK NAPAS PASIEN TUBERCULOSIS: LITERATURE REVIEW Nasrun Pakaya; Muhammad Rizaldi Kaharu
Jambura Journal of Health Sciences and Research Vol 5, No 4 (2023): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v5i4.21020

Abstract

Tuberkulosis salah satu penyakit menular penyebab dari bakteri Mycobacterium tuberkulosis dan menyerang organ paru-paru. Pasien dengan TB Paru memerlukan Tindakan penanganan selain terapi farmakologis yaitu dengan Pursed Lips Breathing dan memberikan posisi Semi Fowler. Tujuan penelitian ini adalah untuk mengetahui efektivitas terapi pursed lips breathing dan posisi semi fowler terhadap penurunan sesak napas pasien tuberkulosis. Studi penelitian menggunakan PICOT dengan pencarian pada Google Scholar sebanyak 830 artikel, Science Direct 1579 artikel, dan PUBMED 173 artikel yang ketiganya dari tahun 2019 – 2022 dengan menggunakan kata kunci Tuberculosis, Pursed lip breathing dan Semi fowler sehingga menghasilkan 10 jurnal yang di review. Hasil Menunjukkan hubungan antara terapi inhalasi sederhana dengan pursed lips breathing dan posisi semi fowler dalam menurunkan sesak nafas pada pasien tuberkulosis.. Disimpulkan bahwa memberikan posisi semi fowler berpengaruh pada penurunan gejala sesak yang dialami pasien tuberculosis. Selain itu penelitian menunjukan terapi pursed lips breathing berpengaruh pada pasien Tuberculosis  dalam menurunkan sesak nafas.
APPLICATION OF EARLY ENTERAL AND PARENTERAL NUTRITION TO CRITICALLY PATIENTS Nasrun Pakaya; Fatra Lapagulu; Ibrahim Suleman; Jerwati Yunus
Jambura Journal of Health Sciences and Research Vol 4, No 3 (2022): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i3.14032

Abstract

Pemberian  nutrisi pada pasien dengan perawatan kritis umumnya diberi nutrisi secara Enteral dan Nutrisi Parenteral total (TPN). Nutrisi sangat diperlukan dimana dalam beberapa kasus pemberian makanan enteral tidak memungkinkan dan energi target tidak terpenuhi dengan pemberian makanan enteral, sehingga perlu dialihkan ke nutrisi parenteral terutama pada keadaan ketidakstabilan hemodinamik yang parah, obstruksi usus, perdarahan saluran cerna bagian atas, muntah parah atau diare. Kebaruan dalam penelitian ini karena meneliti penerapan early enteral and parenteral nutrition terhadap pasien kritis. Tujuan penelitian ini untuk mengetahui penerapan nutrisi dini secara enteral dan parenteral pada pasien kritis. Metode pencarian artikel menggunakan PICOT  (Population/Problem, Intervention, Comparison and Outcome) untuk mempermudah pencarian framework di database, google scholar dibatasi rentang 10 tahun terakhir yakni 2010 -2020 dan didapatkan 11 jurnal yang bersumber dari Jurnal Internasional. Hasil penelitian ditemukan sebanyak 7 jurnal menjelaskan bahwa ada pengaruh pemberian nutrisi enteral dan parenteral terhadap protein dan kalori pada pasien kritis, sebanyak 2 arikel jurnal membahas pengaruh  pemberian nutrisi enteral dan parenteral terhadap makronutrien pasien kritis, sebanyak 1 artikel jurnal yang menjelaskan bahwa ada pengaruh pemberian nutrisi enteral dan parenteral terhadap Glukosa, Lipid, Asam Amino pasien kritis, sebanyak 1 arikel jurnal membahas pengaruh  pemberian nutrisi enteral dan parenteral terhadap indeks masa tubuh pasien kritis dan sebanyak 1 arikel jurnal membahas pengaruh  pemberian nutrisi enteral dan parenteral terhadap lama hari rawat pasien kritis. Kesimpulan penelitian ini yaitu pemberian nutrisi dini secara enteral dan parenteral dapat dikombinasikan untuk meningkatkan nutrisi pada pasien kritis.Kata Kunci: Enteral Dini; Parenteral Dini; Pasien Kritis.AbstractNutrition for critical care patients is generally given enteral nutrition and total parenteral nutrition (TPN). Nutrition is urgently needed where in some cases enteral feeding is not possible and energy targets are not met by enteral feeding, so it is necessary to switch to parenteral nutrition, especially in conditions of severe hemodynamic instability, intestinal obstruction, upper gastrointestinal bleeding, severe vomiting or diarrhea. The novelty of this study is that it examines the application of early enteral and parenteral nutrition to critically ill patients. The purpose of this study was to determine the application of early enteral and parenteral nutrition in critically ill patients. The article search method uses PICOT (Population/Problem, Intervention, Comparison and Outcome) to facilitate the search for frameworks in the database, Google Scholar is limited to the last 10 years, namely 2010-2020 and obtained 11 journals sourced from International Journals. The results of the study found 7 journals explaining that there was an effect of giving enteral and parenteral nutrition on protein and calories in critical patients, 2 people discussed the effect of nutrition and parenteral on critical macronutrients, 1 journal article explained that there was an effect of giving enteral and parenteral nutrition on Glucose, Lipids, Amino Acids in critically ill patients, 1 journal article discusses the effect of nutrition and parenteral administration on critical body mass index and 1 journal article discusses the effect of nutrition and parenteral administration on length of stay for critically ill patients. The conclusion of this study is that early enteral and parenteral nutrition can be combined to improve nutrition in critically ill patients.
THE RELATIONSHIP BETWEEN BLOOD GLUCOSE LEVELS AND VISUAL ACUITY IN DIABETES MELLITUS PATIENTS IN TOTO KABILA REGIONAL HOSPITAL Novita Angraeni; Nasrun Pakaya; Sitti Fatimah Meylandari Arsad
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 2 (2025): Vol. 2 No. 2 Edisi April 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i2.556

Abstract

Diabetes Mellitus (DM) is a chronic disease caused by a lack of insulin production by the pancreas or the insulin produced cannot be used effectively by the body . This causes the formation of microaneurysms in the retinal blood vessels which make the blood vessels fragile and easily ruptured, causing visual impairment in the form of decreased visual acuity. The general objective of this study was to determine the relationship between blood glucose levels and visual acuity in patients with diabetes mellitus at Toto Kabila Hospital. This research uses a quantitative research type with a research design. descriptive analytical using cross sectional approach method . The population in this study were DM patients who visited the Eye Polyclinic at Toto Kabila Hospital and the sample in this study used the technique accidental sampling with a total of 87 samples. The instrument in this study used an observation sheet. The data analysis technique used the chi-square test . obtained value pvalue = 0.00 0 which means there is a relationship between blood glucose levels and visual acuity in diabetes mellitus patients at Toto Kabila Regional Hospital .
RELATIONSHIP BETWEEN NURSING SERVICE QUALITY AND PATIENT SATISFACTION IN EMERGENCY INSTALLATION dr. HASRI AINUN HABIBIE HOSPITAL GORONTALO PROVINCE Meiti Yolanda; Nasrun Pakaya; Siti Hajar Salawali
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 2 (2025): Vol. 2 No. 2 Edisi April 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i2.557

Abstract

Nursing Service Quality and Patient Satisfaction have a close relationship in determining patient response to service . Patient satisfaction and dissatisfaction responses depend on the service provided by the nurse. This research uses a descriptive design with a quantitative approach . cross-sectional. in the emergency installation of dr. Hasri Ainun Habibie Hospital, the number of respondents was 60 with the sampling technique in this study using Accidental sampling. . Quality of Nursing Services in the Emergency Installation of Dr. Hasri Ainun Habibie Hospital, Gorontalo Province Most of them provide maximum services with the Good category as many as 29 respondents (48.3%). and Patient Satisfaction in the Emergency Installation of Dr. Hasri Ainun Habibie Hospital, Gorontalo Province Most of them were also satisfied with 36 respondents (60.0%), but most of them were still dissatisfied with 24 respondents (40.0%). The results of the Chi-square statistical test obtained a significant value or p-value (0.000) lower than the significant standard of 0.05 or (p <α), then Ho was rejected and H1 was accepted, which means there is a relationship between the quality of nursing services and patient satisfaction in the emergency installation of Dr. Hasri Ainun Habibie Hospital, Gorontalo Province.
EFEKTIVITAS WOUND CLEANSING REBUSAN DAUN BIDARA TERHADAP PENYEMBUHAN LUKA DIABETES Pakaya, Nasrun; Maharani, Adinda; Abdulkadir, Widy Susanti; Langoni, Anggriyani
Jambura Health and Sport Journal Vol 7, No 2 (2025): Agustus
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jhsj.v7i2.32349

Abstract

Diabetes melitus (DM) merupakan penyakit kronis dengan adanya gangguan pada metabolik dengan terjadinya hiperglikemia dimana pankreas tidak dapat untuk melakukan sekresi insulin secara alami, adanya gangguan kerja insulin, ataupun keduanya. Kerusakan jangka panjang serta kegagalan yang dapat terjadi ialah pada organ mata, ginjal, saraf, jantung, serta pembuluh darah jika mengalami hiperglikemia kronis. Penelitian ini bertujuan untuk mengetahui pengaruh Pemberian Wound Cleansing Rebusan Daun Bidara Terhadap Penyembuhan Luka Diabetes Melitus. Metode Penelitian dilakukan dengan eksperimen semu menggunakan daun bidara di Ruangan Bedah RSUD Toto Kabila dengan jumlah sampel 20 responden intervensi dan 20 responden kontrol (tanpa intervensi). Hasil penelitian menunjukkan penyembuhan luka DM dengan wound cleansing menggunakan daun bidara berpengaruh pada indikator tipe eksudat dimana jumlah eksudat dipengaruhi oleh kandungan alkaloid, tannin, dan christinin yang bermanfaat sebagai antibakteri dan antiseptic alami. Sehingga dapat membantu menurunkan infeksi penyebab eksudat. Wound cleansing menggunakan daun bidara (ziziphus spina-christi l.) efektif untuk mempercepat penyembuhan luka DM dibuktikan dengan penurunan skor indikator BWAT yaitu tepi luka, tipe jaringan nekrotik, jumlah jaringan nekrotik, tipe eksudat, jumlah eksudat, warna kulit sekitar luka, edema perifer dan pengerasan jaringan tepi.
Personal Agency Enhancing Model in Prevention of Diabetic Foot Ulcer Nasrun Pakaya; K Kusnanto; Hari Basuki Notobroto; Rika Subarniati Triyoga
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1533.993 KB) | DOI: 10.30604/jika.v6iS1.762

Abstract

Diabetes mellitus (DM) is an increase in blood sugar levels which can cause complications.. Uncontrolled diabetes can cause various complain in patients. Objective: Analyzing the characteristics of respondents with psychosocial, the characteristics of respondents with the personal agency, and psychosocial with the personal agency for the prevention of diabetic foot ulcer. Method: The design used was a cross-sectional study with simple random sampling using psychosocial instruments and the personal agency for diabetic foot ulcer prevention with a total of 329 respondents from the age of 30 to 75. The data were analyzed using SEM-PLS software. Results: 221 patients had no history of diabetes, and most of them had good knowledge, 4 respondents experienced severe stress, mostly with high perceived control (52.3%), low self-efficacy (53.2%), and low personal agency (51.1%).There is no relationship between the characteristics of the respondent and the personal agency.There is no relationshipbetween the psychosocial with the personal agency.There is a relationship between psychosocial with the personal agency for preventing diabetic foot ulcer. Conclusion: The variables of knowledge and stress have a large direct contribution to the improvement of the personal agency for diabetic foot ulcer prevention.
Identification of Work Stress Levels on New Nurses Pakaya, Nasrun; Dulahu, Wirda Y
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3319

Abstract

Reality Shock is a phenomenon that appears in new nurses as a result of a reaction to self-expectations when in a new work situation, which requires time to adapt well to the work environment, to deal with conflicts that will occur in the work environment. When entering a new work environment, nurses are faced with various problems including a lack of confidence in providing nursing care, an inability to think critically, and a lack of clinical ability. Job stress will reduce the performance of nurses, if this happens over a long period it will cause nurses to experience turnover intention. Based on the above, the researchers identified the level of work stress on new nurses which is the basis of research to minimize stress levels and improve the performance of new nurses. The method in this study is a survey in the form of a questionnaire to new nurses who work in 4 government agencies in Gorontalo Province. The number of respondents in this study was 98 respondents which was taken by the total sampling method. The results showed that most of the new nurses experienced work stress in the heavy category, namely 67 respondents (68.4%) while the nurses with mild work stress category were 31 people (31.6%). Based on this research, it can be concluded that new nurses are vulnerable to work stress, so it is hoped that a new nurse coaching program is needed to minimize the incidence of work stress.
Motivation Study with Prevention of Diabetic Foot Injuries in Gorontalo Province Pakaya, Nasrun; Y Dulahu, Wirdha; Aswad, Ahmad
Journal of Health Education Vol. 9 No. 1 (2024)
Publisher : Universitas Negeri Semarang

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

Abstract

Background: The World Health Organization (WHO) survey results show that the number of people with diabetes mellitus in Indonesia is ranked the 4th largest globally. Diabetic ulcers are one of the complications that are often found in people with diabetes. Patients with Type II DM need high motivation in carrying out their therapy because the therapy undergone causes boredom, especially when there has been a complication in the form of diabetic ulcers. The purpose of this study is to determine the relationship between intrinsic and extrinsic motivation and actions to prevent diabetic foot injuries, which includes the use of drugs, diet, physical activity, and monitoring of diabetic patients in Gorontalo Province.Methods: This study used a cross-sectional design with a sample of 287 respondents. Data collection instrument in the form of a questionnaire with bivariate analysis using the Chi-Square statistical testResults: The Chi-Square statistical test showed a relationship between motivation and diabetic foot injury prevention measures, both intrinsic motivation and extrinsic motivation, with p-value = 0.000 (α = 0.05).Conclusion: There was a relationship between intrinsic and extrinsic motivation and the prevention of foot wounds in people with diabetes in Gorontalo Province. This research is expected to increase motivation so that diabetic foot injuries can be prevented optimally.
Co-Authors Abdi Dzul Ikram Hasanuddin Agung Dwi Laksono Agus Ishak Agustina Abuk Seran Ahmad Aswad Anggriani Eka Putri Nento Anita Dewi Prahastuti Sujoso Annisa Baili Ariani H. Hutuba Arsyad, Ananda Putri Gusti Aswad, Ahmad Ayu Thirta Lestari Azra Nadhira Botutihe Clara Alvioni Puteri I Mohamad Dewi Suryaningsi Hiola Dinastri Andari S. Atma Edy Dharma Putra Duhe Erwin Purwanto Fatra Lapagulu Febriyanti Umar Gusti Pandi Liputo Hari Basuki Notobroto HARTONO HADJARATI Hiola, Dewi Suryaningsi Hunawa, Rachmawaty Dirham Hunawa, Rahmawati Husain, Filsa Ibrahim Sulemen Iin Pratiwi Adjami Ika Wulansari Ilyas Ibrahim Indra Indrawati Mamu Ismail, Mirta Della Ita Sulistiani Jerawati Yunus Jerwati Yunus Jerwati Yunus Juna, Mersilan Kusnanto Kusnanto La Ode Aman Langoni, Anggriyani Liputo, Gusti Pandi Maharani, Adinda Mahmud, Ismivanti Marasabessy, Nur Baharia Masruroh - Meiti Yolanda Mery Adriany Yunus Mihrawaty Antu Mihrawaty Suleman Antu Mohamad Aprianto Paneo Mohamad Nurhidayat Ento Mohamad Nurhidayat H. Ento Mohamad, Rini Wahyuni Muhammad Rizaldi Kaharu Mursyidah, Andi Nikmatur Rohmah Nistain Kune Novita Angraeni Nur Syukriani Yusuf Nurhayti Abudi Ali Nurul Fitrah Akadji Oktia Woro Kasmini Handayani Oktia Woro Kasmini Handayani Pakaya, Midyan K. Pinoi, Ersavira S. Prameswari, Arawindah Rika Subarniati Salawali, Siti Hajar Sitti Fatimah M. Arsad Sitti Fatimah Meylandari Arsad Sri Wahyuni Kasim Suleman Ibrahim Sulistiani, Ita Sumiyati Moo Suryaningsih, Dewi Susan Monoarfa Svetlanikova Svetlanikova Widy Susanti Abdulkadir Widy Susanti Abdulkadir Wirda Y Dulahu Y Dulahu, Wirdha Yusuf, Muh. Nur Syukriani Yusuf, Nur Ayun R. Zainuddin Zainuddin Zainuddin Zainuddin Zainuddin, Zainuddin Zulkifli B Pomalango