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The Effect of Nursing Intervention-based Levine Conceptual Model Program on Rehabilitation Process among Fracture Patients Henrianto Karolus Siregar; Dudut Tanjung; Nunung Febriany Sitepu
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.18572

Abstract

Introduction: The nursing intervention program is a strategy for the rehabilitation process among fracture patients The Levine conceptual model program is a practical nursing theory using energy conservation, energy, structural integrity, personal integrity, and social integrity. The study aims to identify the effect of nursing intervention based on Levine's theory of the rehabilitation process among fracture patients.Methods: A quasi-experimental with equivalent control group design was applied in this study. Sixty-two respondents were selected into the experimental group (n=31) and control group (n=31) by using a consecutive sampling technique. The patients' rehabilitation on fracture included sleep disorder, pain, anxiety, and family support as dependent variables. Researchers used the Sleep Quality Scale (SQS) instrument, the Numeric Rating Scale, the Hamilton Anxiety Rating Scale, and the family support scale. Data were analyzed using a Wilcoxon Signed Rank Test.Results: The results showed a significant effect of patients' recovery on fracture among patients after receiving Levine-based nursing intervention than before receiving the intervention (p <0.05). The results of research on the nursing intervention program are based on Levine's conceptual model of sleep disorders, pain, anxiety, and family support (p <0.05). In conclusion, there was significantly different nursing intervention based on Levine in   energy conservation, energy, structural integrity, personal integrity, and social integrity.Conclusion: The nursing intervention program based on Levine's conceptual model could be part of independent nursing intervention to deal with recovery in fracture patients. Based on this description, the researcher is interested in examining the effect of nursing intervention based on Levine’s conceptual model program on rehabilitation process among fracture patients.
PENGARUH INTERVENSI KEPERAWATAN BERBASIS MODEL KONSEPTUAL LEVINE TERHADAP KECEMASAN PADA PASIEN FRAKTUR Henrianto Karolus Siregar; Dudut Tanjung; Nunung Febriany Sitepu
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 3 No. 2 (2020): November 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v3i2.467

Abstract

Fracture is the discontinuity of bone tissues according to their types and areas. Intervention for recovering fractured patients is done by using Levine theory. The objective of the research was to identify the influence of Levine conceptual model based-intervention on anxiety. The research used quasi-experimental method with equivalent control group design. The samples were 52 respondents, 26 of them were in the intervention group ad the other 26 of them were in the control group, taken by using consecutive sampling technique. The data were analyzed by using paired t-test and independent t-test. The result of the research showed that there the influence of Levine conceptual model based-intervention program on anxiety before and after the intervention at p-value=0.000 (p<0.05). There was the difference of this type of intervention from hospital standard nursing intervention at p-value = 0.000 (p<0.5). The conclusion that there was the influence of Levine conceptual model based-intervention program on anxiety. It is recommended that this type of nursing intervention be used as a part of independent nursing intervention to help handle on anxiety of fractured patients.
PENGARUH PERAWATAN DAERAH PEMASANGAN INFUS TERHADAP KEJADIAN PHLEBITIS DI RS KOTA KISARAN Khairunnisa Batubara; Henrianto Karolus Siregar; Elvipson Sinaga; Resmi Pangaribuan
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 2 (2021): November 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i2.1124

Abstract

Pada pasien rawat inap, pemasangan infus atau kateter vena perifer merupakan prosedurinvasif yang paling sering dilakukan. Pasien yang menerima terapi intravena selamadirawat di rumah sakit diperkirakan sekitar setengah dari keseluruhan pasien. Lebih dari90% pasien di rumah sakit menerima terapi intra vena melalui beberapa alat intravena(Chang & Peng, 2018). Komplikasi yang paling sering terjadi akibat terapi intravena yangditandai dengan pembengkakan, kemerahan, infiltrasi (kebocoran cairan dari vena),demam, nyeri, infeksi kulit lokal, dan infeksi aliran darah adalah phlebitis (Mihala et al.2018). Kemenkes RI (2017) menyatakan bahwa phlebitis adalah ditemukannya tanda-tanda kemerahan seperti terbakar, adanya pembengkakan, adanya rasa sakit apabiladilakukan penekanan, adanya ulkus sampai eksudat purulen atau keluarnya cairan jikaditekan pada daerah lokal tusukan infus.
Progressive Muscle Relaxation Techniques Reduces Anxiety in Fracture Recovery Patients at Haji Adam Malik General Hospital Henrianto Karolus Siregar; Wanto Sinaga; Khairunnisa Batubara; Ivana Aprilia Pehopu; Fendy Yesayas
Media Keperawatan Indonesia Vol 5, No 2 (2022)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (20.822 KB) | DOI: 10.26714/mki.5.2.2022.131-138

Abstract

Fracture is a disorder of the musculoskeletal system caused by damage to bone tissue. The progressive muscle relaxation technique is a deep muscle therapy that does not require imagination, persistence, and even suggestion that can be used by stretching and then relaxing the muscles. Progressive muscle relaxation techniques can help a person relax more when experiencing anxiety. The study aimed to identify the effect of progressive muscle relaxation techniques on anxiety in fracture recovery patients of research is a quantitative descriptive study with quasi-experimental research with a two-group pretest and post-test design approach. The treatment group was given a progressive muscle relaxation technique with as many as 15 movements starting from the facial muscles to the leg muscles for 20-40 minutes every day and carried out for 1 week. The results showed a positive effect of giving muscle progressive techniques to anxiety before and before intervention p-value = 0.000 (p <0.05). Based on the results of this study, it can be said that progressive muscle relaxation is effective in reducing anxiety scores of patients with fracture recovery.
Relationship between Knowledge and Attitude about Prevention of Diabetes Mellitus Complications in Diabetes Mellitus Patients Henrianto Karolus Siregar; Khairunnisa Batubara; Hanna Ester Empraninta; Fatima Ura Pabanne
South East Asia Nursing Research Vol 3, No 4 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.4.2021.153-159

Abstract

Diabetes mellitus is a chronic disorder characterized by hyperglycemia characterized by defects in insulin secretion, insulin action or both. Attitudes of patients regarding complications of diabetes mellitus need to be approached to patients who have diabetes mellitus. The number of people with Diabetes Mellitus in the world from year to year has increased, this is related to the increasing population, increasing life expectancy, urbanization which changes traditional lifestyles to modern lifestyles, obesity increases and physical activity decreases. Knowledge of patients with diabetes mellitus can be interpreted as the result of knowing from patients about their disease, understanding the disease, and understanding prevention, treatment and complications. This study aims to identify the relationship between knowledge and attitudes of patients with diabetes mellitus about complications of diabetes mellitus. This study is descriptive with 105 samples and data collection techniques using Convinience Sampling. Collecting data using a questionnaire that has been validated and reliability using the Cronbach alpha test. The results showed that the knowledge of diabetes mellitus patients about complications of diabetes mellitus was categorized as good as many as 83 respondents (79.0%). It can be used as a guideline for carrying out nursing care for patients with diabetes mellitus in order to realize the desired nursing goals and evaluations such as health workers are expected to further increase their role in providing health education about the prevention of complications of diabetes mellitus.
Hubungan Dukungan Keluarga terhadap Kepatuhan Minum Obat pada Penderita Diabetes Mellitus di RSUD Sawah Besar Jakarta Tahun 2022 Henrianto Karolus Siregar; Sri Wahyuni Siregar
ASJN (Aisyiyah Surakarta Journal of Nursing) Vol 3 No 2 (2022): DESEMBER
Publisher : P3M Universitas Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.949 KB) | DOI: 10.30787/asjn.v3i2.1061

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Latar Belakang: Terganggunya fungsi hormon insulin merupakan penyebab yang paling sering dialami penderita diabetes mellitus. Hal ini dapat menimbulkan berbagai permasalahan dan komplikasi akibat penyakit diabetes mellitus seperti penyakit kardiovaskuler, kegagalan kronis ginjal, kerusakan retina, kerusakan saraf, dan komplikasi kaki. Tujuan: penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga terhadap kepatuhan minum obat pada penderita diabetes mellitus di RSUD Sawah Besar Jakarta Tahun 2022. Metode: Desain penelitian yang digunakan pada penelitian ini adalah menggunakan desain metode penelitian survey analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah seluruh pasien yang menjalani pengobatan penyakit diabetes mellitus yang berjumlah 155 orang. Pengambilan sampel yang digunakan adalah consecutive sampling, dimana semua subjek penelitian yang datang dan memenuhi kriteria pemilihan diikutsertakan dalam penelitian sampai jumlah subjek penelitian yang dibutuhkan terpenuhi sebanyak 30 responden. Hasil : Berdasarkan hasil penelitian yang dilakukan di RSUD Sawah Besar Jakarta tahun 2022 dengan menggunakan uji Chi square bahwa ada hubungan dukungan keluarga terhadap kepatuhan minum obat pada penderita diabetes mellitus dengan nilai p-value 0,004. Simpulan: hal ini membuktikan bahwa ada hubungan dukungan keluarga terhadap kepatuhan minum obat pada pasien diabetes mellitus. Disarankan kepada pasien diabetes mellitus untuk selalu meminta dukungan pada keluarga dalam melakukan pengobatan.
PENDAMPINGAN TROUMA HEALING PADA MASYARAKAT YANG TERDAMPAK BENCANA GEMPA BUMI DI KABUPATEN CIANJUR, JAWA BARAT Sri Hunun Widiastuti; Henrianto Karolus Siregar; Santa Maria Pangaribuan; Lince Siringoringo
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 2 (2023): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i2.13143

Abstract

Abstrak: Indonesia merupakan negara yang sangat rentan terhadap bencana gempa bumi. Bencana gempa bumi di Indonesia merupakan suatu kejadian yang tidak hanya pada daerah rawan bencana, namun juga terjadi pada daerah yang relatif aman. Kondisi trauma yang dialami oleh masyarakat yang terdampak bencana gemap bumi memang tidak bisa dibiarkan terlalu lama. Disaat proses perbaikan pasca gempa harus meliputi perbaikan fisik, yang tidak kalah penting yaitu memperbaiki kerusakan jiwa pada diri masyarakat dan anak-anak. Tujuan Pengabdian Masyarakat ini adalah memberikan pendampingan Trouma Healing pada masyarakat yang terdampak bencana gempa bumi. Metode pelaksanaan pada pengabdian masyarakat dilakukan dengan memberikan pendampingan Trouma Healing selama dua hari di Kabupaten Cianjur Jawa Barat pada tanggal 12-13 Desember 2022 di ikuti masyarakat cianjur yang terdampak bencana sebanyak 33 peserta. Dari pretest dan posttest yang sudah dilakukan semua peserta mendapat gambaran dan dapat mempraktikkan materi dan latihan yang sudah diajarkan dengan baik. Berdasarkah hasil pre-test dengan jumlah 33 orang menunjukkan rata-rata 11,03% mengalami distress akibat bencana gempa bumi. Sedangkan pada post-test dengan jumlah peserta 30 orang menunjukkan bahwa nilai/skor rata-rata 10,64%. Abstract: Indonesia is a country that is very vulnerable to earthquakes. The earthquake disaster in Indonesia is an event that does not only occur in disaster-prone areas, but also occurs in areas that are relatively safe. The traumatic condition experienced by the people affected by the earthquake cannot be allowed to go on for too long. While the post-earthquake repair process must include physical repairs, which is no less important, namely repairing the mental damage to the community and children. The purpose of this Community Service is to provide Trouma Healing assistance to communities affected by the earthquake. The implementation method for community service is carried out by providing Trouma Healing assistance for two days in Cianjur Regency, West Java on December 12-13 2022, attended by 33 people in Cianjur who were affected by the disaster. From the pretest and posttest that have been carried out, all participants get an overview and can practice the material and exercises that have been taught properly. Based on the results of the pre-test with 33 people showing an average of 11.03% experiencing distress due to the earthquake. Whereas in the post-test with 30 participants it showed that the average value/score was 10.64%. 
PENGARUH PENGGUNAAN METODE BELAJAR BLENDED LEARNING TERHADAP MOTIVASI BELAJAR MAHASISWA DI MASA PANDEMI COVID-19 Henrianto Karolus Siregar; Elvipson Sinaga; Khairunnisa Batubara; Romauli Ervannya Goria Siallagan; Sri Wahyuni Siregar
Jurnal Keperawatan Priority Vol. 6 No. 1 (2023)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v6i1.3383

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The impact of the COVID-19 pandemic that occurred in Indonesia caused the learning process in tertiary institutions to change. The learning process in tertiary institutions is required to be mastered in their respective homes. This has an impact on the learning process activities on campus which has 45.5 million students and students are one of the places prone to the spread of the COVID-19 virus. This study aims to determine the effect of using blended learning methods on student motivation in medical-surgical nursing courses during the COVID-19 pandemic. This type of research uses quantitative research with a cross-sectional design approach. The population in this study were all nursing diploma students totaling 160 people. The sample used was purposive sampling in which a sample determination technique was carried out by selecting a sample among the population according to what the researcher wanted as many as 67 people. This research was conducted in June-July 2022. Based on the results of the research conducted, it was found that there was an effect of using the blended learning method on student learning motivation in medical-surgical nursing courses during the COVID-19 pandemic with a p-value of 0.000. The use of blended learning methods can affect student learning motivation. The results of this study are expected to increase student motivation in attending lectures, especially medical-surgical nursing courses.
RESPON TRAUMA PADA PENGUNGSI GEMPA BUMI CIANJUR JAWA BARAT: Pangaribuan, et.,al Santa Maria Pangaribuan; Henrianto Karolus Siregar; Sri Hunun Widiastuti; Malianti Silalahi; Lince Siringoringo; Nurul Purborini
Jurnal Ilmu Keperawatan Jiwa Vol. 6 No. 1 (2023): 28 Februari 2023
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

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

Abstract

ABSTRAK Bencana alam, salah satunya adalah gempa bumi, biasanya terjadi dengan cepat dan tanpa peringatan sebelumnya. Kondisi ini dapat membuat korban bencana menjadi lebih rentan mengalami trauma. Oleh karena itu, penelitian ini bertujuan untuk mendeskripsikan respon trauma yang dialami oleh pengungsi Gempa Cianjur. Penelitian ini menggunakan metode convenience sampling dengan jumlah responden sebanyak 30 orang. Analisa data penelitian menggunakan analisa univariate. Hasil penelitian menunjukkan bahwa dari 30 orang responden, sebanyak 11 orang (36,7%) mengalami gejala ringan dan 18 orang (60%) mengalami gejala mengarah ke PTSD. Hasil penelitian ini diharapkan dapat digunakan sebagai acuan dalam penanganan masalah kesehatan mental pasca bencana di tempat pengungsian korban Gempa Cianjur. Kata Kunci: Gempa; PTSD; Pengungsi; Trauma Abstrac Natural disaster, particularly earthquake, happen in short time and without warning. This condition make the victim are more vulnerable to develop trauma. Therefore, the aim of this study was to describe the trauma response among Gempa Cianjur refugees. This study was using convenience sampling method with the total of respondents were 30 people. Statistical analysis that used by this study was univariate analysis. This study found among 30 respondents, 11 person (36.7%) was got moderate symptoms and 18 person (60%) was got symptoms to PTSD. Based on the results, this study can be used as background to give more attention to mental health problems among refugees of Gempa Cianjur. Keywords: Earthquake; PTSD; Refugees; Trauma
Hubungan Breastfeeding Father dan Tingkat Pengetahuan Suami terhadap Keberhasilan Asi Eksklusif pada Ibu yang Memiliki Bayi Marta Imelda Br Sianturi; Khairunnisa Batubara; Elvipson Sinaga; Henrianto Karolus Siregar
MAHESA : Malahayati Health Student Journal Vol 3, No 3 (2023): Volume 3 Nomor 3 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.884 KB) | DOI: 10.33024/mahesa.v3i3.10010

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ABSTRACT Exclusive breastfeeding in Paya Mala Village, Sei Lepan District is still low. The low level of exclusive breastfeeding in Paya Mala Village, Sei Lepan District, is related to breastfeeding fathers and the husband's level of knowledge. This study aims to determine the relationship between breastfeeding father and the level of knowledge of husbands with the success of exclusive breastfeeding in mothers who have babies in the village of Paya Mala, Sei Lepan district. This type of research is analytic survey research with cross sectional design. The population in this study were all husbands of mothers who had babies in Paya Mala Village, Sei Lepan District, totaling 42 people with a total sampling of 42 people. Data collection with primary and secondary data and analyzed by chi Square statistical test with a confidence level of 95%. The results showed that there was a relationship between breastfeeding father and the success of exclusive breastfeeding in mothers who had babies in Paya Mala Village, Sei Lepan District, and there was a relationship between the husband's knowledge level and the success of exclusive breastfeeding in mothers who had babies in Paya Mala Village, Sei Lepan District. It is suggested that husbands in Paya Mala Village, Sei Lepan District, need to increase their knowledge about exclusive breastfeeding by following counseling held by health workers and seeking information about exclusive breastfeeding and for health workers in Paya Mala Village, Sei Lepan District, it is necessary to increase the understanding of mothers about exclusive breastfeeding and increase family support in an effort to increase exclusive breastfeeding.  Keywords: Breastfeeding Father, Knowledge, The Success of Exclusive Breastfeeding  ABSTRAK Pemberian ASI Eksklusif di Desa Paya Mala Kecamatan Sei Lepan masih rendah. Rendahnya pemberian ASI Eksklusif di Desa Paya Mala Kecamatan Sei Lepan terkait dengan breastfeeding father dan tingkat pengetahuan suami. Penelitian ini bertujuan untuk mengetahui hubungan breastfeeding father dan tingkat pengetahuan suami dengan keberhasilan ASI Eksklusif pada ibu yang memiliki bayi di Desa Paya Mala Kecamatan Sei Lepan. Jenis penelitian yang digunakan adalah penelitian survei analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh suami dari ibu yang memiliki bayi di Desa Paya Mala Kecamatan Sei Lepan yang berjumlah 42 orang dengan total sampling sebanyak 42 orang. Pengumpulan data dengan data primer dan sekunder dan dianalisis dengan uji statistik chi Square dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat hubungan breastfeeding father dengan keberhasilan ASI Eksklusif pada ibu yang memiliki bayi di Desa Paya Mala Kecamatan Sei Lepan dan terdapat hubungan tingkat pengetahuan suami dengan keberhasilan ASI Eksklusif pada ibu yang memiliki bayi di Desa Paya Mala Kecamatan Sei Lepan. Disarankan kepada suami di Desa Paya Mala Kecamatan Sei Lepan perlu meningkatkan pengetahuan tentang pemberian ASI Eksklusif dengan mengikuti penyuluhan yang diadakan petugas kesehatan dan mencari informasi tentang ASI Ekslusif dan kepada tenaga kesehatan di Desa Paya Mala Kecamatan Sei Lepan perlu meningkatkan pemahaman ibu tentang pemberian ASI Eksklusif dan meningkatkan dukungan keluarga dalam upaya peningkatan pemberian ASI Eksklusif. Kata Kunci : Breastfeeding Father, Pengetahuan, Keberhasilan ASI Eksklusif