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The Effect of Self-Care Behavior on Blood Glucose Control Levels Among Patients with Type II Diabetes Mellitus Hondro, Helpianus Siswanto; Karota, Evi; Tanjung, Riswani; Lubis, Zulhaida; Nasution, Siti Zahara
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6937

Abstract

Diabetes mellitus is characterized by elevated blood glucose levels above normal, with random blood glucose levels ≥ 200 mg/dl and fasting blood glucose levels ≥ 126 mg/dl. This study employed a quantitative research method with a quasi-experimental design and an equivalent control group design approach. The study utilized power analysis with consecutive sampling techniques. Data collection techniques involved distributing questionnaires to 74 diabetes mellitus patients in the Onolalu Health Center Working Area, South Nias District. Data analysis techniques used independent t-test statistical analysis and presented in the form of a T-test table. The results of the study indicate that there is an influence of self-care behavior on blood sugar control levels in type II diabetes mellitus patients in the Onolalu Health Center Working Area, South Nias Regency, with a Sig. (2-tailed) of 0.024 < 0.05. Therefore, in the independent sample t-test, it can be concluded that the null hypothesis (HO) is rejected and the alternative hypothesis (Ha) is accepted. Thus, it can be concluded that there is a significant (statistically significant) difference between the average blood sugar levels of type II diabetes mellitus patients in the intervention group and the control group.
Efektivitas E-Protokol Terhadap Pengetahuan, Sikap dan Tindakan Perawat dalam Menilai Tingkat Ketergantungan Pasien di Rumah Sakit Umum Martha Friska Multatuli Hulu, Yusuf Panserito; Purba, Jenny Marlindawani; Nasution, Siti Zahara
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.17598

Abstract

ABSTRACT The patient dependency level e-protocol is an electronic-based form used to assess the level of patient dependency in hospitals. Patient dependence means the specific needs of each patient and some time required by the patient. This e-protocol aims to make it easier for nurses to assess patients and is expected to provide services to patients according to their different needs according to the characteristics and level of dependence of patients and be able to improve the knowledge, attitudes and actions of nurses in nursing assessment. This study aims to determine the effectiveness of e-protocols on nurses' knowledge, attitudes and actions in assessing the level of patient dependence at Martha Friska Multatuli General Hospital. The research method used pre-experimental design type one group pretest-postest with a sample of 34 respondents as an intervention group selected based on purposive sampling using power analysis. The results showed that there were differences in the mean knowledge, attitudes and actions of nurses after being given the intervention of using e-protocols (p=0.000). e-protocols can improve nurses' knowledge, attitudes and actions in assessing the level of patient dependence. This e-protocol is recommended to be used as a tool to assess the level of patient dependence in hospitals. Keywords: E-Protocol, Patient Dependency Level, Knowledge, Attitude, Action  ABSTRAK E-protokol tingkat ketergantungan pasien adalah formulir berbasis elektronik yang digunakan untuk menilai tingkat ketergantungan pasien di rumah sakit. Ketergantungan pasien berarti kebutuhan spesifik setiap pasien dan beberapa waktu yang diperlukan pasien. e-protokol ini bertujuan agar mempermudah perawat dalam melakukan penilaian terhadap pasien dan diharapkan dapat memberikan pelayanan kepada pasien sesuai dengan kebutuhannya yang berbeda-beda sesuai dengan karakteristik dan tingkat ketergantungan pasien serta mampu meningkatkan pengetahuan, sikap dan Tindakan perawat dalam penilaian keperawatan. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas e-protokol terhadap pengetahuan, sikap dan tindakan perawat dalam menilai tingkat ketergantungan pasien di Rumah Sakit Umum Martha Friska Multatuli. Metode penelitian menggunakan pre-experimental design type one group pretest-postest  dengan sampel sebanyak 34 responden sebagai kelompok intervensi dipilih berdasarkan purposive sampling menggunakaan power analysis. Hasil penelitian menunjukkan terdapat perbedaan rerata pengetahuan, sikap dan Tindakan perawat setelah diberikan intervensi penggunaan e-protokol (p=0,000). e-protokol dapat meningkatkan pengetahuan, sikap dan Tindakan perawat dalam menilai tingkat ketergantungan pasien. e-protokol ini direkomendasikan untuk digunakan sebagai alat menilai tingkat ketergantungan pasien di rumah sakit. Kata Kunci: E-Protokol, Tingkat Ketergantungan Pasien, Pengetahuan, Sikap, Tindakan
Literature Review: Management of Depression with Physical Exercise on Changes in Blood Sugar Levels in the Family of Diabetes Mellitus Fitriani, Fitriani; Nasution, Siti Zahara; Sari, Adinda Juwita
Jurnal Teknokes Vol. 16 No. 2 (2023): June
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

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

Abstract

The increase in blood sugar in type 2 diabetes mellitus is a big problem because it can have physical and psychological impacts. Type 2 diabetes mellitus can cause lifestyle changes, physical weakness, vision problems, and potentially death. All the physical issues that arise indeed have the opportunity to cause emotional problems and depression in people with diabetes mellitus. This review aims to identify research articles on managing depression with physical exercise on changes in blood sugar levels in families with diabetes mellitus. This review is expected to provide benefits to increase knowledge of health service institutions in providing nursing care to patients with diabetes mellitus. The methods used in compiling this literature review are (1) identifying variables in the literature, (2) identifying relevant literature based on topics and titles, (3) obtaining literature in complete reading form, and (4) analyzing the results of various variables in the literature. A literature search was attempted on several databases, such as US Proquest, ScienceDirect, Pubmed, and Google Scholar. The results of this review were obtained from a total of 10 evidence bases, found one qualitative study, two quasi-experiments, four cross-sectionals, 2Systematic Literature Reviews (SLRs) and meta-analyses, and one randomized controlled trial (RCTs).The conclusions based on this review explain that research on the application of physics exercise for families with diabetes mellitus who are depressed with blood sugar levels above normal has decreased, which means it has a significant effect.
Training and Assistance for Housewives' Group to Create a CEHATI Family (Smart, Healthy, and Active) in Efforts to Maintain Children's Health Anwar, Lufthiani; Nasution, Siti Zahara; Siregar, Cholina Trisa; Sitepu, Nunung Febriany
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1799.792 KB) | DOI: 10.32734/abdimastalenta.v7i1.7258

Abstract

The school age is a critical period, because at this time infectious diseases often occur in children. The incidence of infectious diseases in children is increasing which will have an impact on the growth and physical development of children. The role of mother is very important such as in the implementation of health services for children and families in order to make efforts to prevent infectious diseases in children. The purpose of training and mentoring activities by forming a CEHATI (Smart, Healthy and Active) family can increase the knowledge and skills of mothers in efforts to maintain children's health at home. The method of implementing community service activities is carried out by providing education, training and assistance to 50 housewives groups. Education is carried out by providing health education about disease problems in children, PHBS and Handling the Risk of Injury to children, followed by simulation and training on handling injuries at home and providing assistance. The results of the implementation of this community service activity showed that the mother's knowledge of infectious diseases and PHBS was in good category (100%), after training and mentoring activities were carried out. The results of the paired t-test before and after being given training and mentoring obtained a p value of 0.000. As a result of this activity, it is hoped that the group of housewives can increase their knowledge and be independent in efforts to maintain children's health so that they are formed into a CEHATI (Smart, Healthy and Active) family.
Empowerment of Housewives Groups in Fulfilling Family Nutrition Through the Formation of Bekam Family (Quality, Creative and Independent) in Kecamatan Biru-Biru Siregar, Cholina Trisa; Lufthiani; Chahaya, Indra; Nasution, Siti Zahara
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 2 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v7i2.7292

Abstract

Mothers have a role as caregivers for their children, this role will affect the growth and development of children. The role of mothers in providing nutritious food to children is influenced by many factors, one of which is the mother's knowledge and ability to manage simple foods that have high nutritional value. This community service activity was carried out in the Hamlet VII Mekar Sari, Deli Tua Village, Biru-biru District in 2021. The service participants were housewives who had 49 school-age children. Activities carried out include counseling on nutrition for school-age children, training in making simple foods with high nutritional value, interactive games and competitions to serve simple foods with high nutritional value. The results of the service activities obtained data on maternal knowledge before being given counseling and education in the good category of 36.7% (19 people) after being given action by 100% (49 people) knowing the nutrition of school-age children. The ability of the mother before being given the action was in good category 37.2% (18 people) and after being given the action 98% (48 people). A mother's ability to provide simple food with high nutritional value is influenced by a mother's level of knowledge. A good level of knowledge and supported by the participation of health workers in helping families, especially mothers, can reduce the occurrence of malnutrition in school-age children.
Comprehensive Information Learning Training for Productive Age Mothers in the Cervical Cancer Prevention and Care Movement (GERCEP) in the Community Lufthiani; Nasution, Siti Zahara; Karota, Evi; Siregar, Suri Mutia
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 2 (2023): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v8i2.11327

Abstract

Cervical cancer is the leading cause of cancer death for women in developing countries. The incidence of cervical cancer will increase four times greater in family planning acceptors who use hormonal contraceptives with a duration of more than five years. The high incidence of cervical cancer requires counseling for the community to conduct early detection of the possibility of cervical cancer. Through training and mentoring activities with comprehensive learning in productive age mother groups in the cervical cancer prevention and care Movement (GERCEP) efforts in the community that can increase knowledge as well as early prevention of cervical cancer and health maintenance efforts for productive age mothers. The method of implementing community service activities is carried out by providing education, learning training in the form of quizzing to 50 productive age mother groups. Education is carried out by providing health counseling about cervical cancer and how to prevent it through PHBS. The results of the implementation of this community service activity show that the mother's knowledge about cervical cancer and its prevention is in the good category (100%), after learning training activities. The results of the paired t-test test before and after being given learning training obtained a p value of 0.000. The results of this activity are expected that mothers are able to increase knowledge and insight in efforts to prevent cervical cancer through clean and healthy living behaviors.
Opportunities and Challenges of Independent Nursing Practice: A Systematic Review Hasibuan, Anisah; Nurhidayah, Rika Endah; Nasution, Siti Zahara
Jurnal Berita Ilmu Keperawatan Vol. 17 No. 2 (2024): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v17i2.5125

Abstract

Health services in the health professions can be used as business opportunities, building a culture of entrepreneurship and expanding professional roles into entrepreneurial health workers. Independent nursing practice is the practice of individual or group nurses in independent practice settings outside of health care facilities. Independent practice is a form of nursing that aims to standardise care for clients who need assistance because of ignorance, inability or unwillingness to meet their basic needs and care for themselves. Through the implementation of independent practice, nurses carry out their roles and functions in accordance with their authority. The purpose of this systematic review is to describe the opportunities and challenges of independent nursing practice. Methods: The research design used PRISMA systematic review. Journals were obtained from ProQuest and Google Scholar 2019-2023 database searches, full text, open access. Results: Based on the collected journals, independent nursing practice is a form of building an entrepreneurial culture and expanding professional roles to become entrepreneurial health workers. The motivation of nurses in independent practice is to improve the welfare of nurses, which can increase motivation. Nurses in independent practice face challenges because they are limited by the authority, responsibility and accountability that must be carried out in order to provide professional care.
PENGARUH CARING DAN SPIRITUALITAS TERHADAP MOTIVASI PASIEN STROKE YANG MENJALANI FISIOTERAPI DI RUMAH SAKIT Sitepu, Nunung; Aizar, Ellyta; Asrizal, Asrizal; Nasution, Siti Zahara
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 1 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i1.1835

Abstract

  Stroke patients often experience decreased motivation in undergoing physiotherapy, which results in a slow recovery process. Patient motivation is influenced by various factors, including the quality of care provided by nurses and the patient's level of spirituality. Caring and spirituality are believed to be able to strengthen the patient's spirit to undergo the rehabilitation process consistently. Objective: This study was conducted to examine the effect of Caring and spirituality on the motivation of stoke patients. Methods: This study used analytical research methods with a cross-sectional design. This study involved 75 respondents with stroke who underwent physiotherapy at H. Adam Malik Medan Hospital in April - August 2020 with a sampling technique, namely purposive sampling. Data collection used Caring instrument by Watson, spirituality with daily spiritual experience scale and motivation with participation motivation questionnaire with data analysis using fisher's exact test. The results showed that there was a significant relationship between caring and spirituality on motivation with each p-value of 0.001 (p-value <0.05). Conclusion: caring and spirituality each have a relationship to the motivation of stroke patients undergoing physiotherapy in the hospital
Pengaruh Edukasi Perilaku Hidup Bersih dan Sehat (PHBS) terhadap Masalah Kesehatan di Pesantren Novita, Ari; Nasution, Siti Zahara; Karota, Evi
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.16127

Abstract

ABSTRACT Health issue and disease in Islamic boarding schools (pesantren) often receive inadequate attention from residents, the community and the government. This is primary due to the insufficient implementation of clean and healthy living behavior (PHBS). This research aims to identify the influence of clean and healthy living behavior (PHBS). This study aims to identify the impact of PHBS education on health problems occurring in pesantren. This research employs a Quasi-Experimental design with a Two Group Pretest and Posttest approach. The population comprises all male and female student at Pondok Pesantren An-Nabawi and Dayah Tarbiatul Muta'allimin. The sampling technique used is quota sampling ,with 30 respondents in  the intervention group and 30 in the control group. Based on statistical tests using the Wilcoxon Signed Rank test, the p-value for knowledge, attitudes and actions/behavior was 0.000 < ɑ = 0.05. This indicate a significant effect of PHBS (knowledge, attitudes, actions) on students before and after the intervention, leading to the rejection of H0 and so that H0 and acceptance of  Ha. In contrast, the control group showed no change in health issues as they did not receive PHBS education, with a p-value of 0.698 > 0.05.  The study concludes that knowledge, attitudes and behavior towards PHBS are generally lacking. Therefore, health workers are encouraged to continuosly educate students on clean and healthy living behaviors. Keywords: Clean And Healthy Living Behavior, Students, Health Issue  ABSTRAK Masalah kesehatan dan penyakit di pesantren sangat jarang mendapat perhatian dengan baik dari warga pesantren itu sendiri maupun masyarakat dan juga pemerintah. Hal ini disebabkan karena kurangnya penerapan perilaku hidup bersih dan sehat (PHBS). Penelitian ini bertujuan untuk mengidentifikasi pengaruh edukasi perilaku hidup bersih dan sehat (PHBS) terhadap masalah kesehatan yang terjadi di pesantren.  Penelitian ini menggunakan desain Quasi Experiment berupa pendekatan Two Group Pretest and Posttest Design. Populasi dalam Penelitian ini merupakan seluruh Santriwan dan santriwati di Pondok Pesantren An-Nabawi dan Dayah Tarbiatul muta’allimin. Teknik pengambilan sampling yang digunakan adalah kouta sampling dengan menentukan 30 responden untuk kelas intervensi dan 30 responden untuk kelas kontrol.  Berdasarkan hasil uji statistic dengan menggunakan uji Wilcoxon Signed Rank di dapatkan nilai p-Value pengetahuan, sikap, dan tindakan/ perilaku adalah 0,000 < ɑ = 0,05. Artinya ada pengaruh edukasi perilaku hidup bersih dan sehat (pengetahuan, sikap, tindakan) santri dalam PHBS sebelum dan sesudah intervensi, sehingga H0 ditolak dan Ha diterima. Sedangkan pada kelas kontrol tidak ada perubahan masalah kesehatan karena tidak diberikan edukasi perilaku hidup bersih dan sehat (PHBS), hal ini dilihat dari nilap p-value 0.698 > 0.698. Berdasarkan hasil penelitian dapat disimpulkan bahwa pengetahuan, sikap, tindakan memiliki kategori kurang, sehingga petugas kesehatan diharapkan selalu mengajarkan perilaku hidup bersih dan sehat pada santriwan-santriwati. Kata Kunci: Perilaku Hidup Bersih dan Sehat, Santri, Masalah Kesehatan
The Diet Patterns of Diabetes Mellitus Patients in Lhokseumawe, Aceh Province, Indonesia Haris, Zulfan; Nasution, Siti Zahara; Siregar, Cholina Trisa
Caring: Indonesian Journal of Nursing Science Vol. 2 No. 1 (2020): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v2i1.4074

Abstract

Diabetes Mellitus/DM is an increase in blood glucose levels or hyperglycemia which causes various complications in some important organs such as eyes, kidneys, nerves, and blood vessels. A proper diet of diabetes mellitus patients is determined based on the amount of food intake, scheduled meal, and daily food composition. This study is a descriptive research, and aim to identify the diets of diabetic patients in Pusong, Lhokseumawe with 108 in population. The number of research samples were 52 respondents using purposive sampling techniques.  The sample criteria applied with several conditions, such as had been suffering from type 2 DM for more than 5 years and able to read and write in Indonesian. Data were collected using a validated and reliable questionnaire with a Cronbach alpha test value of 0.841. The results showed that 78.8% of respondents were not able to control the type of daily food consumption, 73.1% were not able to control the amount of daily food, 67.3% were not able to obey the scheduled meal and 72.2% of the respondents were adhere to a daily diet. According to this research result, it is important to identify the factors that contribute to the diet of patients with diabetes mellitus in the future. Keywords: diabetes mellitus diet, blood glucose, hyperglycemia
Co-Authors Abul A’la Tarigan Ade Andrian Adinda Juwita Sari Aizar, Ellyta Angenia Itoniat Zega Angenia Itoniat Zega Anwar, Lufthiani Aprillina, Yeriska Arlinda Sari Wahyuni Asrizal Bayu Anggileo Pramesona Bustami Syam Cahaya Artha Anastasia Gultom Deskrisman Stefan Mendrofa Dewi Frintiana Silaban Dewi Mustikani Saragih dharma Lindarto, dharma Dwi Amalia Sari Elfina Elfina Evawany Yunita Aritonang Evi Karota Bukit Fajar Amanah Ariga Fajrinur Syarani Farah Darayana Fitriani Fitriani Fitriany Fitriany Fransiska, Rosa Berlina Fujiati, Isti Ilmiati Ginting, Sadar Hariesty Talenta Narwastu Telaumbanua Haris, Zulfan Hasaroh, Yunita Hasibuan, Anisah Hasnida Hondro, Helpianus Siswanto Hulu, Yusuf Panserito Ika Maidah Nazli Matondang Indra Chahaya Irma Yuni Karota, Evi Khairunnisa Khairunnisa Kiking Ritarwan Laina Noviana Lia Mayang Sari Sijabat Lily Putri Marito Lufthiani Manalu, Ance Ria Maria Uli Marselina Saragih Muhammad Ridha Haykal Amal Muhammad Sukri Tanjung Mula Tarigan Mula Tarigan Novita, Ari Osi Draini Purba, Jenny Marlindawani Purba, Widya Darayani Reni Asmara Ariga Rika Endah Nurhidayah Riswani Tanjung Sairomaito Harahap Sairomaito Harahap Santi, Kartika Sari, Adinda Juwita Sari, Dewi Keumala Sari, Farida Linda Sembiring, Muhammad Nur Maghribi Sidabutar, Icceng Sirait, Trisno Sitepu, Nunung Sitepu, Nunung Febriany Sitindaon, Sry Rumondang Suhesti, Tri Sumaiyah Sumaiyah Suri Mutia Siregar, Suri Mutia Tahan, Tahan Tanjung, Riswani Taufik Ashar Ulfah Hidayah Almadany Wahyuni, Arlinda Sari Winarti, Gusti Yeriska Aprillina Zulfendri Zulfendri Zulhaida Lubis