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                        HUBUNGAN KEPATUHAN MINUM OBAT DENGAN PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI PROGRAM PROLANIS DIWILAYAH KERJA PUSKESMAS TAPA 
                    
                    Rahmalia Yacob; 
Rosmin Ilham; 
Fadli Syamsuddin                    
                     Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 2 (2023): April : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran 
                    
                    Publisher : Pusat Riset dan Inovasi Nasional 
                    
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                                DOI: 10.55606/termometer.v1i2.1297                            
                                            
                    
                        
                            
                            
                                
Hypertension is one of the risk factors for cardiovascular disease that contributes to the highest mortality in Indonesia, so adherence to hypertension treatment is necessary. The purpose of this study is to determine the relationship between adherence to medication and a decrease in blood pressure in patients with hypertension in the prolanis program. The type of method is quantitative. The sample size was 60 respondents. The sampling technique was simple random sampling. Data collection used a questionnaire. The results of this study showed that most of the respondents who had adherence to taking medication were obedient 22 respondents (36.67%) and who had hypertension blood pressure level I 50 respondents (83.3%), quite obedient 20 respondents (33.33%), hypertension blood pressure level II 7 respondents (11.7%), disobedient 18 respondents (30.00%) and hypertension blood pressure level III 3 respondents (5.00%). The results of the chi-square statistical test (P-value = 0.003 <0.05) there is a significant relationship. Adherence to taking initial medication as an effort to lower blood pressure should be considered, and educate hypertensive patients about the schedule of taking medication and stopping medication after the doctor’s knowledge.
                            
                         
                     
                 
                
                            
                    
                        Peran Pengawas Minum Obat (PMO) Terhadap Keberhasilan Pengobatan TB Paru Di Wilayah Kerja Puskesmas Bulango Ulu 
                    
                    Zulfikar A. Mokambu; 
Pipin Yunus; 
Fadli Syamsuddin                    
                     Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 2 (2023): Mei : Jurnal Inovasi Riset Ilmu Kesehatan 
                    
                    Publisher : Pusat Riset dan Inovasi Nasional 
                    
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Pengawas Menelan Obat (PMO) pada pasien TB Paru adalah seseorang yang dipercaya untuk memantau penderita TB paru untuk minum obat secara teratur. Untuk mendukung strategi DOTS, dibutuhkan kedisiplinan dari penderita TB itu sendiri dalam pengobatannya. Penelitian ini bertujuan untuk menganalisis peran Pengawas Minum Obat (PMO) terhadap keberhasilan pengobatan di wilayah kerja Puskesmas Bulango Ulu. jenis penelitian ini kuantitatif dengan pendekatan Studi Retrospektif. juumlah sampel sebanyak 40 responden. Dari hasil analisis PMO yang berperan baik 21 orang (52,5%), berperan cukup 11 orang (27,5%) dan berperan kurang 8 orang (20%). Sedangkan pasien yang berhasil menjalani pengobatan 29 orang (72,5%) dan yang gagal/kabuh 11 orang (27,5%). Dari hail statistik menggunakan uji chi-square diketahui nilai p value sebesar 0,000 (< α 0,05) sehingga dapat di artikan terdapat hubungan signifikan Peran Pengawas Minum Obat (PMO) terhadap Keberhasilan Pengobatan TB paru di Wilayah Kerja Puskesmas Bulango Ulu. Diharapkan kepada petugas kesehatan untuk sering melakukan kunjungan rumah pasien TBC secara berkala sebagai dukungan dan pengawasan terhadap pengobatan pasien.
                            
                         
                     
                 
                
                            
                    
                        EFEKTIFITAS TEKHNIK RELAKSASI NAPAS DALAM TERHADAP PENURUNAN SKALA NYERI PADA PASIEN APPENDISITIS DI IRD RSUD OTANAHA KOTA GORONTALO 
                    
                    Andi Akifa Sudirman; 
Fadli Syamsuddin; 
Syahrain S.Kasim                    
                     Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 2 (2023): Mei : Jurnal Inovasi Riset Ilmu Kesehatan 
                    
                    Publisher : Pusat Riset dan Inovasi Nasional 
                    
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Appendisitis adalah proses peradangan akibat infeksi pada usus buntu atau umbai cacing atau disebut appendiks. Salah satu masalah yang paling dirasakan oleh penderita apendisitis adalah gangguan rasa nyaman “nyeri”.Penatalaksanaan nyeri pada penelitian ini dengan menggunakan teknik relaksasi napas dalam. Penelitian ini bertujuan untuk menganalisis efektifitas teknik relaksasi napas dalam terhadap penurunan skala nyeri pada pasien appendisitis di IRD RSUD Otanaha Kota Gorontalo. Penelitian ini merupakan Pre Eksperimen dengan pendekatan one group pre-post test design, dengan Sampel sebanyak 10 responden. Hasil penelitian ini setelah dilakukan teknik relaksasi napas dalam mayoritas skala nyeri pasien appendisitis termasuk dalam kategori sedang yaitu sebanyak 7 pasien (70.0%) dan kategori ringan 3 orang (30.0%). Hasil perhitungan statistik menggunakan paired sampel t test, diperoleh nilai signifikansi sebesar 0,000 < 0,05. Sehingga dapat disimpulkan bahwa tekhnik relaksasi napas efektif dalam menurunkan menurunan Skala Nyeri Pada Pasien Appendisitis di IRD RSUD Otanaha Kota Gorontalo. Maka disarankan perawat agar lebih maksimal dalam mengajarkan teknik relaksasi napas dalam untuk mengurangi nyeri yang dialami pasien.
                            
                         
                     
                 
                
                            
                    
                        KEPATUHAN DIET PENCEGAHAN DIABETES MELITUS PADA PASIEN DIABETES MELITUS DI PUSKESMAS TILAMUTA KABUPATEN BOALEMO 
                    
                    Hirmawati Hirmawati; 
Abdul Kadim Masaong; 
Fadli Syamsuddin                    
                     Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 2 (2023): Mei : Jurnal Inovasi Riset Ilmu Kesehatan 
                    
                    Publisher : Pusat Riset dan Inovasi Nasional 
                    
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Pada penderita diabetes melitus yang memiliki pengetahuan yang baik memungkinkan penderita dapat mematuhi segala apa yang telah dianjurkan oleh petugas kesehatan seperti diet yang telah ditentukan untuk penderita diabetes melitus tersebut.Penelitian ini untuk menggambarkan kepatuhan diet pencegahan DM pada pasien DM di Puskesmas Tilamuta. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode Deskriptif. Hasil menunjukkan bahwa responden berdasarkan Pengetahuan terhadap Kepatuhan Diet, terbanyak Pada Kategori sedang dengan jumlah 27 responden (70.0%), Responden berdasarkan Sikap terhadap Kepatuhan Diet, terbanyak Pada Kategori rendah dengan jumlah 18 responden (60.0%), Responden berdasarkan Motivasi terhadap Kepatuhan Diet terbanyak Pada Kategori rendah dengan jumlah 18 responden (60.0%), Responden berdasarkan Dukungan Keluarga terhadap Kepatuhan Diet, terbanyak Pada Kategori rendah dengan jumlah 27 responden (90.0%).Saran dalam penelitian ini diharapkan Responden lebih meningkatkan Pengetahuan, sikap, motivasi dan dukungan keluraga dalam menjalankan diet DM agar kadar glukosa darah tetap terkendali untuk mencegah komplikasi.  
                            
                         
                     
                 
                
                            
                    
                        Analisis Praktik Klinik Keperawatan Penerapan Intervensiterapi Finger Hold Terhadap Tingkat Nyeri Pada pasien Cedera Kepala Ringan 
                    
                    Novita Efendi; 
Fadli Syamsuddin                    
                     Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan 
                    
                    Publisher : Pusat Riset dan Inovasi Nasional 
                    
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                                DOI: 10.55606/detector.v1i3.2079                            
                                            
                    
                        
                            
                            
                                
Introduction: Head injury is a traumatic disorder of brain function that does not result in a disconnection of brain continuity and can occur with or without interstitial hemorrhage of the brain substance. Purpose:Acute pain is one of the nursing problems experienced by patients with head injuries. To analyze the application of finger hold therapy interventions in reducing pain in patients with mild head injuries. Research methods: is Pre Experimental, which is a design with a One group pre test post test design approach, when this study was carried out from December 21, 2022 to January 23, 2023, with a sample of 6 patients. Research Results: The frequency of patients who experienced moderate pain levels before treatment was 4 patients (66.7.7%), and severe pain levels were 2 patients (33.3%) while the distribution of psien frequency who experienced mild pain levels after treatment was 3 respondents (50.0%), moderate pain levels were 1 patient (16.7%) and berst pain levels were 2 patients (33.3%). This shows that there is no change in pain levels in patients with severe pain scales, because finger hold terap cannot be applied to patients with severe pain levels.Conclusion :This study showed that there is an effect of finger hold therapy in reducing pain in patients with mild head injuries
                            
                         
                     
                 
                
                            
                    
                        Analisis Asuhan Keperawatan Penurunan Curah Jantung Pada Pasien Congestive Heart Failure (CHF) 
                    
                    Rahmawati ibrahim; 
Fadli Syamsuddin                    
                     Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan 
                    
                    Publisher : Pusat Riset dan Inovasi Nasional 
                    
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                                DOI: 10.55606/detector.v1i3.2080                            
                                            
                    
                        
                            
                            
                                
Congestive heart failure (CHF) is a clinical syndrome (a collection of signs and symptoms) characterized by dyspnea and fatigue (at rest or during activity) due to abnormalities in the structure and function of the heart. CHF can be caused by diseases that cause reduced ventricular filling (diastolic dysfunction) and/or myocardial contraction (systolic dysfunction). The purpose of this study is so that the authors are able to perform Nursing Care for Decreased Cardiac Output in Congestive Heart Failure (CHF) Patients. used is a case study, this research is descriptive in the form of a case report which is a nursing analysis. This research was conducted from 26 December 2022 - 07 January 2023, with a total sample of 3 respondents. The case data showed that the three patients had a history of hypertension, 1 patient with a history of Diabetes Mellitus, 2 patients had a Medical Diagnosis of Congestive Heart Failure (CHF) and 1 patient had a Medical Diagnosis of Hypertensive Heart Disease (HHD). The three patients had the same cardiac EKG, namely Arrhythmia, 2 patients had results of Photo Thorax Cardiomegaly and All patients had a weak general condition with Composmentis awareness. With the appointment of a nursing diagnosis of Decreased Cardiac Output. The three patients had a history of the same disease, namely hypertension and 1 patient had diabetes mellitus and used the nursing diagnosis of decreased cardiac output.
                            
                         
                     
                 
                
                            
                    
                        PENGARUH TERAPI KELOMPOK SUPORTIF TERHADAP KEMAMPUAN MENGATASI HALUSINASI PADA KLIEN SKIZOFRENIA DI RSUD TOMBULILATO 
                    
                    Nur Uyuun I. Biahimo; 
Fadli Syamsuddin; 
Susinta Ismail                    
                     Jurnal Anestesi Vol. 1 No. 2 (2023): April : Jurnal Anestesi 
                    
                    Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia 
                    
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                                DOI: 10.59680/anestesi.v1i2.318                            
                                            
                    
                        
                            
                            
                                
Supportive Group Therapy is a therapy consisting of several people who plan, organize and respond directly to issues and pressures as well as adverse circumstances and is also a significant method of dealing with hallucination problems. Hallucinations experienced by individuals can be caused by precipitation and predisposing factors. The objective of research was to determine supportive group therapy on the ability to overcome hallucinations in schizophrenic clients at RSUD Tombulilato. Quasi-experimental research design with a group pretest – posttest one group design. Sampling used total sampling with 15 respondents. Data collection used an observation sheet with the results, there were 15 (100%) respondents controlling low hallucinations before being given supportive group therapy by 12 (80.0%) respondents and controlling high hallucinations by 3 (20.0%) respondents. After being given supportive group therapy, it controlled low hallucinations by 2 (13.3%) respondents and controlled high hallucinations by 13 (86.7%) respondents. Statistical test results used the paired t-test showed a p-value = 0.000 with ? <0.05, there was a significant influence between the effect of supportive group therapy on the ability to overcome hallucinations in clients with schizophrenia. It is expected the influence of supportive group therapy can improve the ability to deal with patient hallucinations.
                            
                         
                     
                 
                
                            
                    
                        DUKUNGAN KELUARGA MENINGKATKAN KEPATUHAN PASIEN DALAM MENGONSUMSI OBAT HIPERTENSI DI WILAYAH KERJA PUSKESMAS LIMBOTO BARAT 
                    
                    Rosmin Ilham; 
Fadli Syamsuddin; 
Adela Delia Tamrin                    
                     Jurnal Anestesi Vol. 1 No. 3 (2023): Juli : Jurnal Anestesi 
                    
                    Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia 
                    
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                                DOI: 10.59680/anestesi.v1i3.322                            
                                            
                    
                        
                            
                            
                                
Hypertension drugs can reduce the symptoms of hypertension, but there are still many elderly people with hypertension who do not comply with taking drugs, this can be influenced by various factors including family support. The purpose of the study was to determine family support in improving patient adherence to taking hypertension drugs in the West Limboto Health Center Working Area. Descriptive quantitative research design. The total population of hypertensive patients who participated in the prolanis in August 2022 was 77 people. The sample totaled 77 people with total sampling technique. The instrument used is a family support questionnaire. Test statistics using analyze descriptive statistics. The results obtained by the family support of the emotional aspect of the majority were good at 76.6%, the majority award aspect was good at 74%, the information aspect was majority good at 77.9% and the instrumental aspect was majority good at 75.3%. It is concluded that family support in the elderly with hypertension is mostly good in emotional, informational, rewarding and instrumental aspects
                            
                         
                     
                 
                
                            
                    
                        Analisis Praktik Klinik Keperawatan Pada Pasien CKD (Chronic Kidney Disease) Dengan Intervensi Inovasi Sipping Ice Cube Therapy Terhadap Penurunan Rasa Haus Di Ruang Perawatan Rsud. Prof. DR. H. Aloei Saboe Kota Gorontalo 
                    
                    Fadli Syamsuddin; 
Iskandar Simbala; 
Hendra Radjulani                    
                     DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 3 (2023): Agustus : Jurnal Ilmu Kesehatan dan Keperawatan 
                    
                    Publisher : Universitas Katolik Widya Karya Malang 
                    
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                                DOI: 10.59581/diagnosa-widyakarya.v1i3.917                            
                                            
                    
                        
                            
                            
                                
Chronic Kidney Disease (CKD) This is a gradual and irreversible kidney disorder that affects the body's capacity to regulate metabolism, fluids, and electrolytes, leading to the development of uremia. Hemodialysis (HD) patients with chronic renal failure are subject to fluid, dietary and pharmaceutical restrictions as well as activity and medication limits. Weight gain, edema, and high blood pressure will occur if fluid balance is not maintained or if there is excess fluid between dialysis sessions. But limiting fluids while receiving hemodialysis can have a number of negative consequences on the body, one of which is thirst and dry mouth (xerostomia), caused by decreased salivary gland production. This scientific study uses a descriptive methodology along with nursing care strategies to apply the "sipping ice cubes therapy" strategy to reduce thirst in CKD patients receiving hemodialysis. Evidence-based practice of nursing This procedure is carried out in the Nursing Room of RSUD Dr. dr. Aloei Saboe Gorontalo City on December 26 2022 and January 26 2023. According to researchers, the administration of the innovative therapy "Sipping Ice Cubes Therapy" can significantly reduce thirst levels in CKD (Chronic Kidney Disease) patients. It can be seen from the 6 respondents who were given the innovative therapy "sipping ice Cubes Therapy" all of which gave a positive response after evaluation, both direct evaluation after giving therapy or evaluation after 3 days of giving the implementation of "sipping ice Cubes Therapy"
                            
                         
                     
                 
                
                            
                    
                        Analisis Praktik Klinik Keperawatan pada Pasien Stroke Non Hemoragik dengan Pemberian Latihan Pemasangan Puzzle Jigsaw Terhadap Peningkatan Kekuatan Otot Ekstermitas Atas RSUD PROF. DR. H. Aloei Saboe Kota Gorontalo 
                    
                    Fadli Syamsuddin; 
Riyana Nur Ridwan Adam                    
                     MAHESA : Malahayati Health Student Journal Vol 3, No 11 (2023): Volume 3 Nomor 11 (2023) 
                    
                    Publisher : Universitas Malahayati 
                    
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                                DOI: 10.33024/mahesa.v3i11.11485                            
                                            
                    
                        
                            
                            
                                
ABSTRACTBackground: Stroke is an acute neurological condition caused by decreased blood flow to the brain. Nervous system dysfunction occurs suddenly (within seconds) or rapidly (within hours) and the symptoms and signs correspond to the local area of the brain affected. Objective: To conduct an analysis of managed cases with a medical diagnosis of nonhemorrhagic stroke with jigsaw puzzle pairing exercise therapy to increase upper extremity muscle strength Methods: This research is a quasi-experimental design with pre and post test. The sample used in this study were 6 patients with a critical sample of patients who had non-hemorrhagic stroke who were treated at Prof. Hospital. Dr. Aloei Saboe Gorontalo City. Results: The results of the study showed that changes in musclestrength were only present in Mr. I.T obtained an increase on the evaluation of the third day of implementation where there was an increase in muscle strength to 5/4, which means there was an increase using the MMAS (Modified Muscle Assessment Scale) it was found that the client was only able to lift the top part of the puzzle and put it back.  Keywords: Non Hemorrhagic Stroke, Jigsaw Puzzle, Upper Limb Muscle Strength ABSTRAKStroke adalah kondisi neurologis akut yang disebabkan oleh penurunan aliran darah ke otak. Disfungsi sistem saraf terjadi secara tiba-tiba (dalam hitungan detik) atau cepat (dalam beberapa jam) dan gejala serta tandanya sesuai dengan area lokal otak yang terkena.  Tujuanya Melakukan analisis terhadap kasus yang dirawat dengan diagnosis medis stroke non hemoragik menggunakan terapi latihan jigsaw untuk meningkatkan kekuatan otot ekstremitas atas. Metode: metode yang digunakan yaitu Quasi eksperimen dengan desain pre-and-post-test. Sampel yang digunakan dalam penelitian ini terdiri dari 6 pasien stroke non hemoragik yang dirawat inap di RSUD Prof. dr Aloei Saboe Kota Gorontalo . Hasil penelitian menunjukkan hanya terjadi perubahan kekuatan otot. Mr. I.T mendapatkan peningkatan kekuatan otot pada hari ketiga pelaksanaan, dengan peningkatan kekuatan otot menjadi 5/4 yang berarti peningkatan tersebut diterapkan pada MMAS (Modified Muscle Assessment Scale) dan didapatkan klien hanya mengambil puncak dari teka-teki dan bisa kembali.Kata Kunci: Stroke Non Hemoragik, Puzzle Jigsaw, Kekuatan Otot Ekstremitas    Atas