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Pengaruh Intervensi Supportive Educative Berbasis Keluarga Terhadap Perubahan Status Gizi dan Kualitas Hidup Pasien TB Paru di Wilayah Kerja Puskesmas Bandar Khalifah Yuni, Irma; Nasution, Siti Zahara; Tanjung, Riswani
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48888

Abstract

Penyakit tuberkulosis paru (TB paru) berdampak serius terhadap kualitas hidup dan status gizi penderitanya. Pendekatan edukatif berbasis keluarga dinilai efektif dalam mendukung proses pemulihan pasien TB. Penelitian ini bertujuan untuk menganalisis pengaruh intervensi supportive educative berbasis keluarga terhadap perubahan status gizi dan kualitas hidup pasien TB paru di wilayah kerja Puskesmas Bandar Khalifah. Penelitian menggunakan desain quasi-experimental dengan pendekatan pretest-posttest control group design, melibatkan 62 responden yang dibagi dalam kelompok intervensi dan kontrol. Instrumen yang digunakan meliputi kuesioner WHOQOL-BREF untuk mengukur kualitas hidup dan perhitungan Indeks Massa Tubuh (IMT) untuk menilai status gizi. Hasil penelitian menunjukkan adanya peningkatan yang signifikan pada nilai kualitas hidup (p = 0,000) dan IMT (p = 0,002) setelah dilakukan intervensi pada kelompok intervensi. Sebaliknya, kelompok kontrol tidak menunjukkan perubahan yang signifikan. Hasil ini membuktikan bahwa intervensi supportive educative berbasis keluarga efektif dalam meningkatkan status gizi dan kualitas hidup pasien TB paru. Intervensi ini direkomendasikan untuk diterapkan secara luas di pelayanan kesehatan primer guna mendukung program eliminasi tuberkulosis nasional.
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.
Dukungan Keluarga: Pengalaman Pasien Kanker yang Sedang Menjalani Pengobatan di Rumah Singgah YKI Sumatera Utara Darayana, Farah; Nasution, Siti Zahara; Bukit , Evi Karota
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48890

Abstract

Penelitian ini bertujuan untuk mengeksplorasi pengalaman dukungan keluarga yang dirasakan oleh pasien kanker selama menjalani pengobatan di Rumah Singgah Yayasan Kanker Indonesia (YKI) Cabang Sumatera Utara. Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan teknik total sampling dan melibatkan delapan partisipan. Data dikumpulkan melalui wawancara mendalam dan dianalisis menggunakan pendekatan Colaizzi. Hasil penelitian mengungkapkan empat tema utama dukungan keluarga yang dirasakan pasien, yaitu: dukungan emosional, informasional, instrumental, serta penghargaan dan penilaian. Dukungan emosional seperti perhatian, semangat, dan kehadiran keluarga terbukti memberikan ketenangan psikologis. Dukungan informasional membantu pasien memahami proses pengobatan melalui peran aktif keluarga dalam pencarian informasi. Dukungan instrumental mencakup bantuan transportasi, finansial, dan kebutuhan harian. Dukungan penghargaan memberikan validasi terhadap ketahanan pasien dan mendorong motivasi untuk melanjutkan pengobatan. Temuan ini menegaskan bahwa dukungan keluarga memainkan peran penting dalam meningkatkan kualitas hidup dan kepatuhan pasien terhadap terapi. Pendekatan keperawatan komunitas yang melibatkan keluarga sangat dibutuhkan dalam manajemen perawatan pasien kanker secara holistik.
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

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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

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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 Terapi Herbal Daun Salam Terhadap Penurunan Kadar Asam di Wilayah Kerja Puskesmas Sibolangit Kabupaten Deli Serdang Aprillina, Yeriska; Tanjung, Riswani; Nasution, Siti Zahara; Khairunnisa, Khairunnisa; Bukit, Evi Karota
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47931

Abstract

Abstrak Kadar asam urat yang tinggi pada penderita gout arthritis menjadi masalah kesehatan yang signifikan, terutama di wilayah kerja Puskesmas Sibolangit, Kabupaten Deli Serdang. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh terapi herbal daun salam terhadap penurunan kadar asam urat. Penelitian ini menggunakan rancangan quasi-experimental dengan desain non-equivalent control group pretest-posttest, melibatkan 62 responden yang dibagi menjadi kelompok intervensi dan kontrol. Kelompok intervensi diberi terapi air rebusan daun salam dua kali sehari selama 14 hari. Hasil penelitian menunjukkan bahwa terjadi penurunan kadar asam urat yang lebih signifikan pada kelompok intervensi dibandingkan kelompok kontrol. Rata-rata kadar asam urat menurun dari 10,87 mg/dL menjadi 7,90 mg/dL. Terapi daun salam terbukti efektif menurunkan kadar asam urat melalui kandungan flavonoid dan efek diuretiknya. Penelitian ini mendukung penggunaan terapi herbal sebagai pendekatan non-farmakologis dalam keperawatan komunitas.Kata Kunci: terapi herbal, daun salam, asam urat, keperawatan komunitas, gout arthritis. Abstract High uric acid levels in gout arthritis patients are a significant health issue, particularly in the working area of Sibolangit Health Center, Deli Serdang Regency. This study aimed to analyze the effect of bay leaf herbal therapy on reducing uric acid levels. A quasi-experimental design with a non-equivalent control group pretest-posttest was applied, involving 62 respondents divided into intervention and control groups. The intervention group received boiled bay leaf water therapy twice daily for 14 days. Results showed a more significant decrease in uric acid levels in the intervention group compared to the control. The average uric acid level decreased from 10.87 mg/dL to 7.90 mg/dL. Bay leaf therapy proved effective in reducing uric acid levels due to its flavonoid content and diuretic effects. This study supports the use of herbal therapy as a non-pharmacological approach in community nursing. Keywords: herbal therapy, bay leaf, uric acid, community nursing, gout arthritis.
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