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Nursing Students Readiness Through Clinical Learning Sondang Ratnauli Sianturi; Lia Natalia
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (388.857 KB) | DOI: 10.21776/ub.jik.2021.009.01.16

Abstract

Students’ experiences in doing clinical learning are a challenge in themselves where studnets interact directly with patients and face the changes that occur. Students are prepared in various aspects to deal with learning in clinics where students contact with patients. The phenomenon that occurs is students are not confident to practice and learn cases in clinic, fear of the tasks and responsibilities given. The purpose of this study is to describe of nursing student readiness when practice in clinical setting at the Nursing Institution in Jakarta. This research method is a quantitative method with a correlative design with 219 samples (nursing students). The measuring instrument used in this study is by using the CLES questionnaire, motivation and anxiety faced by students. The results showed that the RMSEA value is 0.000, which means that the fit of the model is good or good fit and 90% internal confidence, and there is an influence from the environment (p value 0,000), motivation (p value 0,000) and anxiety factors (p value 0,000) to the readiness students doing clinical learning. Therefore, to get good service quality in nursing education, collaboration between health care and education is very important to create a conducive environment for students to conduct clinical learning.
Pemberdayaan Kader Kesehatan: Pencegahan Komplikasi Diabetes dengan Pengelolaan Makan dan Perawatan Kaki Dewi Prabawati; Lia Natalia
Seminar Nasional Penelitian dan Abdimas Vol 2 No 1 (2024): Juni
Publisher : Lembaga Penelitian dan Pengabdian pada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24002/senapas.v2i1.9251

Abstract

Penyakit Diabetes Mellitus (DM) merupakan penyakit kronik yang dapat mengakibatkan komplikasi pada organ tubuh. Diperlukan peran serta kader kesehatan untuk dapat memotivasi pasien DM agar dapat menjaga pola hidup sehat melalui pola makan sehat dan aktivitas fisik. Perlu dilakukan edukasi kepada para kader kesehatan terkait pencegahan komplikasi DM dengan pengelolaan Makan dan Perawatan Kaki. Kegiatan Pengabdian masyarakat ini bertujuan untuk memberikan informasi Kesehatan kepada kader kesehatan tentang pencegahan komplikasi DM dengan pengelolaan Makan dan Perawatan Kaki. Kegiatan ini diikuti oleh 34 kader kesehatan di Puskesmas Johar Baru, Jakarta Pusat. Ada 4 tahapan yang dilakukan dalam kegiatan ini, yaitu perkenalan dan ice breaking, dilanjutkan dilakukan penjelasan tentang Konsep DM, pengelolaan makan dan membaca label makanan, sesi dilanjutkan dengan penjelasan perawatan kaki dan screening kaki; dan diakhiri dengan demonstrasi dan re-demonstrasi senam kaki DM. Hasil evaluasi terhadap kegiatan pengabdian yang telah dilakukan terlihat mayoritas peserta memiliki pengetahuan yang baik sebesar 91.2% terkait dengan pengetahuan perawatan kaki DM. Kegiatan ini perlu dilakukan secara rutin untuk meningkatkan pengetahuan kader Kesehatan tentang pengendalian pasien DM sehingga mereka dapat membagikan ilmu kepada pasien DM disekitarnya dan akan meningkatkan kesadaran akan pentingnya melakukan monitoring pada area kaki.
Skrining Kesehatan Ginjal pada Remaja Melalui Pemeriksaan Urine Sewaktu Lia Natalia; Rahma Hidayati; Mohtar Jamaluddin; Juzan Asngadi
Jurnal Medika: Medika Vol. 5 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/z8bw1s04

Abstract

remaja. Gangguan fungsi ginjal, jika tidak terdeteksi dan ditangani sejak dini, dapat berkembang menjadi penyakit ginjal kronis yang serius. Kegiatan pengabdian kepada masyarakat ini bertujuan melakukan skrining kesehatan ginjal pada remaja melalui pemeriksaan urine sewaktu sehingga dapat memberikan gambaran awal status kesehatan ginjal remaja dan menjadi dasar intervensi lebih lanjut. Kegiatan ini diikuti oleh 110 remaja di SMA X Jakarta. Kegiatan ini dilakukan dalam 3 tahap, dimulai dengan mengisi kuesioner, pemeriksaan tekanan darah dan pemeriksaan urine menggunakan disptick. Hasil pemeriksaan yang tidak normal diberikan edukasi atau rekomendasi ke pelayanan kesehatan terdekat. Dari hasil skrining urine sewaktu menunjukkan 56.3% remaja mengalami leukosituria, 41.8% proteinuria, 8.2% hematuria, 18,2% ketonuria, dan 48.1% bilirubinuria. Ditemukan 36.3% remaja pre hipertensi, memiliki kebiasaan yang dapat merusak ginjal seperti konsumsi makanan instan mengandung natrium tinggi, minum air putih <8 gelas per hari, kebiasaan menahan buang air kecil.  Beberapa remaja juga menunjukkan tanda dan gejala ISK seperti nyeri saat berkemih, sakit pada area genitalia dan berkemih tidak lancar. Pemeriksaan urine sewaktu efektif dilakukan untuk memberikan gambaran kesehatan ginjal. Sekolah perlu membuat program edukasi kesehatan ginjal bagi remaja secara rutin melalui kegiatan penyuluhan dan media poster.
The Relationship between Blood Flow Velocity (QB) and Achievement of URR Values in Hemodialysis Patients Christianto Napitu; Lia Natalia; Yovita Setiyowati
International Journal Of Health Science Vol. 5 No. 1 (2025): : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i1.5019

Abstract

This literature study examines the relationship between blood flow velocity (Qb) and the achievement of Urea Reduction Ratio (URR) values in chronic kidney disease (CKD) patients undergoing hemodialysis. The main objective of this review is to identify and analyze findings from various studies related to this topic. The research method used is a systematic literature review, with article searches through the ResearchGate, Proquest, and Google Scholar databases using specific keywords. Of the 310 initial articles, 10 articles that met the inclusion and exclusion criteria were further analyzed. The results of the analysis of the 10 articles showed a variety of findings regarding the relationship between Qb and URR. Three studies showed a significant relationship between increasing Qb with increasing URR and hemodialysis effectiveness. Meanwhile, two other studies found no significant relationship between Qb and hemodialysis adequacy, emphasizing the role of other factors such as vascular access patency, body weight, and dialysis characteristics. Other studies also highlighted the influence of dialysis filter type and hemodialysis time on adequacy. The conclusion of this literature review is that there is an indication of a positive relationship between blood flow velocity and achievement of hemodialysis adequacy as measured by URR in CKD patients. However, this relationship is influenced by various other factors. The implication of this review is the need for holistic consideration of patient and technical factors in determining Qb settings to achieve optimal dialysis adequacy. Further research is needed to identify more specific and personalized guidelines in Qb settings to improve hemodialysis outcomes in CKD patients
The Effectiveness Of Ginger And Honey Therapy To Reduce Nausea In Ca Mammary Patients On Chemotherapy Apriani Yanti; Lia Natalia
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.7955

Abstract

Chemotherapy is one of the primary treatment modalities for patients with breast cancer (Ca mammae). Despite its effectiveness, chemotherapy frequently causes side effects such as nausea, which can negatively affect patients’ quality of life and adherence to treatment. Pharmacological management is commonly used to control chemotherapy-induced nausea; however, it may not always be effective and can produce additional adverse effects. Therefore, supportive non-pharmacological interventions are needed. Ginger and honey are natural substances known for their antiemetic properties and potential to alleviate nausea.This study employed a descriptive case study design. The subjects were patients with Ca mammae undergoing chemotherapy who experienced nausea. Nausea levels were assessed using the Index of Nausea, Vomiting, and Retching (INVR) instrument before and after the administration of ginger and honey therapy. The intervention consisted of providing ginger and honey as a complementary therapy during the chemotherapy period. Data were analyzed descriptively by comparing pre- and post-intervention nausea scores. The findings demonstrated a decrease in INVR scores after the administration of ginger and honey therapy. This reduction indicates an improvement in nausea symptoms among patients with Ca mammae following chemotherapy. Discussion/Suggestion: Ginger and honey therapy was shown to be effective in reducing chemotherapy-induced nausea. This intervention may serve as a safe, simple, and cost-effective non-pharmacological nursing strategy. It is recommended that nurses consider incorporating ginger and honey therapy as a complementary intervention to support patients undergoing chemotherapy.
EFFORTS TO IMPROVE KNOWLEDGE OF TYPE 2 DIABETES MELLITUS (DM) DIETS AT X HOSPITAL: A CASE STUDY Chyntia Anesiaa; Lia Natalia
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.7959

Abstract

Type 2 diabetes mellitus (DM) is a chronic disease with an increasing prevalence and a risk of serious complications if left uncontrolled. One of the main pillars of DM management is diet control based on the 3J principle (amount, type, and schedule). However, low patient knowledge remains an obstacle to diet compliance and blood glucose control. This study aims to determine efforts to improve dietary knowledge in patients with Type 2 Diabetes Mellitus through diet education based on the 3J principle at Hospital X. Method: The study used a case study design with a descriptive approach. The research subjects were three type 2 DM patients who met the inclusion criteria, namely being able to communicate well and able to read and write. The intervention in the form of DM dietary education based on the 3J principle was carried out directly using lectures and question and answer sessions for approximately 15 minutes. Knowledge levels were measured before and after the intervention using a DM dietary knowledge questionnaire that had been tested for validity. The data were analyzed descriptively. Results: All subjects experienced an increase in knowledge scores with an average increase of 3–4 points. Two patients improved from the poor knowledge category to the good category, while one patient improved from the poor category to the adequate category. In addition, all patients experienced a decrease in fasting blood glucose (FBG) values after the intervention, indicating an improvement in glycemic control in the short term. Conclusion: Diabetes Mellitus diet education based on the 3J principle effectively improves the knowledge of type 2 DM patients and has the potential to support blood glucose control. Brief and structured education can be an applicable nursing intervention to improve patients' self-care abilities in managing chronic diseases.
The Relationship between Knowledge, Attitudes and Behaviors of Hemodialysis Nurses Towards Preventing Risk of Catheter Infection Doube Lumen Tunneling at X Jakarta Hospital Yuli Verawati; Lia Natalia
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): 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.v7i2.5768

Abstract

Infection in Catheter Double Lumen (CDL) tunneling is a complication that often occurs in patients with hemodialysis.The prevention of infection in tunneling CDL can be achieved through nurses' possession of adequate knowledge, attitudes, and behaviors regarding the care of tunneling CDL access, as well as the provision of proper information to patients and families.The objective of this study is to ascertain the relationship between nurses' knowledge, attitudes, and behaviors regarding the prevention of infection in tunneling CDL at Hospital X Jakarta. The research method employed is quantitative, utilizing a descriptive correlation research design with a cross-sectional approach.The sample collection technique employed total sampling of 46 hemodialysis nurses. The results of univariate analysis indicated that the majority of respondents were female (93.5%), aged 31-40 years (47.8%), had a Diploma 3 education level (69.6%), exhibited good category knowledge (65.2%), good category attitude (65.2%), and good category behavior (69.6%). The results of Kendal's Tau B analysis demonstrated a relationship between nurses' knowledge and attitude regarding the prevention of CDL infection (p-value 0.014) and a relationship between nurses' behavior and the prevention of CDL infection (p-value 0.004). The knowledge, attitudes, and behaviors of nurses have been identified as a crucial component in the prevention of infection in the context of CDL tunneling. Hospitals are expected to implement training programs, disseminate Standard Operating Procedures on infection control in CDL, and conduct ongoing monitoring and evaluation to mitigate the risk of CDL infection.
Effect of Education on Patient Colonoscopy Compliance: Literature Review Sri Sulastri; Lia Natalia; Lastri Nainggolan
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6090

Abstract

Bowel preparation is essential to ensure optimal visualization during colonoscopy, thus facilitating a safe procedure and ensuring comprehensive data acquisition. An important aspect of patient preparation is education, which is critical to ensure optimal outcomes and patient compliance.The purpose of this study is to analyze the effect of education on patient compliance in performing colonoscopy examination preparation in the endoscopy unit. The research method employed was a comprehensive literature review on patient compliance with colonoscopy preparation. A comprehensive search strategy was employed, encompassing three prominent web databases: Google Scholar, Proquest, and Gale. The search was conducted from 2016 to 2024, and the full-text articles were obtained in PDF format for further analysis. The search was conducted using the keywords "colonoscopy" "education" "compliance" and "bowel preparation". The literature selection process employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method, yielding ten relevant publications. The results of the study indicated a significant positive impact of educational interventions on patient compliance with colonoscopy preparation, as well as a concomitant enhancement in the quality of bowel preparation among individuals undergoing colonoscopy procedures. Nurse practitioners must educate patients to promote optimal outcomes from both the examination itself and the subsequent colonoscopy procedure.
STUDI KASUS ANALISIS ASUHAN KEPERAWATAN PADA PASIEN DENGAN DIABETES MELITUS TIPE 2 DI RUMAH SAKIT X Albertha Kurniati Harai; Lia Natalia
ASSYIFA : Jurnal Ilmu Kesehatan Vol. 4 No. 1 (2026)
Publisher : Forind Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62085/ajk.v4i1.211

Abstract

Type 2 diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels due to impaired insulin function or production, which may lead to complications if not properly managed. This paper aims to examine nursing care in two patients with type 2 diabetes mellitus using a case study method based on a systematic nursing process approach.Data were collected through observation, interviews, physical examinations, and documentation studies to formulate nursing diagnoses, including unstable blood glucose levels, ineffective airway clearance, ineffective peripheral perfusion, and hypervolemia. The implementation results showed significant clinical progress, characterized by the stabilization of the patients' general condition and a decrease in Random Blood Glucose (RBG) levels from an initial 298 mg/dL to 186 mg/dL, accompanied by a reduction in complaints of nausea and fatigue. Furthermore, regarding the issue of ineffective airway clearance, patients demonstrated a better ability to expectorate secretions, reduced coughing frequency, and a decrease in adventitious breath sounds such as crackles (rhonchi). The evaluation of nursing care for these two patients with Type 2 Diabetes Mellitus comorbidities indicated clinical improvement meeting the expected outcomes, evidenced by reduced symptoms, more stable vital signs, better-controlled blood glucose levels, and improved respiratory function and secretion clearance, proving that the nursing care provided was effective in enhancing the patients' health status.