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HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP PESERTA PROLANIS DIABETES MELLITUS TIPE 2 TERHADAP KEPATUHAN PROTOKOL KESEHATAN COVID - 19 DI KLINIK IMAN ANGGI SRI REJEKI; SHAHRUL RAHMAN
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

COVID-19 is an acute respiratory disease that was discovered in early December 2019 and is called a public healthemergency by WHO. Patients with type 2 diabetes mellitus are susceptible to infection with COVID-19 because it is acomorbid disease. To identifying the relationship between the level of knowledge and attitudes of participants in Prolanis type2 diabetes mellitus to compliance with the COVID-19 health protocol in the IMAN clinic. Analytical descriptive using crosssectionaldesign. The hypothesis test used is the Chi Square Test. The questionnaire that has been validated with thenumber of respondents is 38 samples. The results showed 28 people (93.3%) had a good level of knowledge in the obedientcategory with a p value of 0.004 and as many as 31 people (91.2%) had a positive attitude in the obedient category with a pvalue of 0.009. There is a relationship between the level of knowledge and attitudes towards compliance with the COVID-19health protocol.
TINGKAT PENGETAHUAN TERHADAP PENCEGAHAN COVID - 19 PADA PESERTA PROLANIS DIABETES MELITUS TIPE 2 DI KLINIK IMAN DESTY ASLYA SARI SINAGA; SHAHRUL RAHMAN
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

COVID-19 is acute respiratory disease that can attack humans and spreads very easily. COVID-19 can affect everyone, butsomeone who has Diabetes Melitus can have a poor prognosis for the occurrence of COVID-19. The general objective in thisstudy was to determine the level of knowledge on the prevention of COVID-19 in PROLANIS Diabetes Melitus type 2 at theKlinik IMAN. This research is a descriptive study wih cross sectional design, this study uses a total sampling and obtainded asample amount of 38. The level of knowledge of COVID-19 prevention among PROLANIS Diabetes Melitus type 2participants in the category of good knowledge was 18 people (17,4%), 11 people (28,9%) had sufficient knowledge, and 9people (23,7%) had bad knowledge. There was significant relationship between knowledge of COVID-19 prevention inPROLANIS Diabetes Melitus type 2 participants.
PROFIL PASIEN DEMAM TIFOID DAN PENGOBATAN DI BAGIAN PENYAKIT DALAM RUMAH SAKIT PIRNGADI MEDAN TAHUN 2016 MUHAMMAD FADHIL; NELLI MURLINA; YENITA .; SHAHRUL RAHMAN
JURNAL ILMIAH SIMANTEK Vol 5 No 1 (2021): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

The type of research used in this study is a descriptive study with a cross sectional design to determine the profile andtreatment of typhoid fever patients in the internal medicine department of Pirngadi hospital Medan in 2016 through medicalrecord data. Based on the genitalia, male as many as 33 samples and females as many as 49 samples. Based on the age,teenager as many as 6 samples, young adults as many as 47 samples, adults as many as 27 samples, elderly as many as 2samples. Based on the work, students as many as 6 samples, college student as many as 21 samples, goverment employeeas many as 7 samples, entrepeneur as many as 15 samples, private employees as many as 10 samples, retirees as manyas 4 samples, farmers as much as 2 samples, housewife as many as 14 samples, unemploymeent 3 people. Based on thetreatment of antibiotics, cifrofloxacin as many as 25 samples, levofloxacin as many as 9 samples, ceftriaxone as many as 37samples, cefixime as many as 7 samples, cefadroxyl as many as 1 sample, cefotaxime 1 sample, cotrimoxazole 1 sample.Based on antipyretic treatment, as many as 82 samples of paracetamol.
FAKTOR PENYEBAB PENYAKIT GINJAL KRONIK PADA PASIEN YANG MENJALANI TERAPI HEMODIALISIS DI UNIT HEMODIALISIS RUMAH SAKIT KHUSUS GINJAL RASYIDA MEDAN TAHUN 2019 KASIH SANTIKA; SHAHRUL RAHMAN
JURNAL ILMIAH SIMANTEK Vol 5 No 2 (2021): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Chronic kidney disease (CKD) is a pathological process with diverse etiologies, resulting in a progressive and irreversibledecline in kidney function. The prevalence of CKD in the last ten years has increased. Factors causing CKD vary greatlyfrom country to country. Hemodialysis is still the main kidney replacement therapy besides peritoneal hemodialysis andkidney transplantation. This study aims to determine the factors causing chronic kidney disease in patients undergoinghemodialysis therapy at the Medan Rasyida Kidney Special Hospital in 2019. A descriptive study with a total sampling of 307CKD patients undergoing hemodialysis. The data came from the patient's medical record which included the patient'sprevious medical history. The most common factors causing chronic kidney disease in hemodialysis patients werehypertension (59.6%), diabetes mellitus (32.2%), obstructive nephropathy (2.6%), gout nephropathy (2.3%), polycystickidney (2.0%) and glomerulonephritis (1.3%). Hypertension is the most common cause of CKD in Medan Rasyida KidneyHospital in 2019.
GAMBARAN SIMTOM KECEMASAN PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA DI RUMAH SAKIT KHUSUS GINJAL RASYIDA RANGGA PRADIDO; SHAHRUL RAHMAN
JURNAL ILMIAH SIMANTEK Vol 5 No 2 (2021): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Anxiety is a disorder that is triggered by the existence of a a clear situation or object (from outside the individual itself), whichactually does no harm. Unresolved anxiety can lead to some impact on which a person tends to have a negative assessmentof the meaning of life, decreased quality of life, emotional changes such as chronic depression and psychosis disorders.The general objective in this research is to find out the symptoms of anxiety symptoms of chronic kidney disease patientsundergo hemodialysis. This research is a descriptive study with cross sectional design, This study uses a sampling methodthat is non-probability sampling type quota sampling. Calculated using the Slovin formula: and obtained a sample amount of171. The proportion of patient with chronic kidney disease treated with hemodialysis in Rasyida, kidney speciality hospitalbased on the anxiety level resulting mild anxiety (86,5%) and moderate anxiety (13,5%). There are symptoms of anxietysymptoms in patients with chronic kidney disease undergoing hemodialysis.
HUBUNGAN LAMA MENJALANI TERAPI HEMODIALISIS DENGAN KUALITAS HIDUP PASIEN PENYAKIT GINJAL KRONIK DI RUMAH SAKIT KHUSUS GINJAL RASYIDA SARI DEVI; SHAHRUL RAHMAN
JURNAL ILMIAH KOHESI Vol 6 No 1 (2022): JURNAL ILMIAH KOHESI
Publisher : LP2MTBM MAKARIOZ

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Abstract

Chronic Kidney Disease (CKD) is a disorder of renal function that is progressive and irreversible where the body's abilitycannot maintain metabolism and electrolyte balance. Chronic Kidney Disease (CKD) is characterized by abnormalities inrenal structure or function with abnormal albumin excretion or decreased kidney function seen by examination of theGlomerular Filtration Rate (LFG) which lasts for more than 3 months. Patient with GFR less than 15ml/min/1,73m2 requiringRenal Replacement Therapy (RRT) such as hemodialysis. Hemodialysis is a theraphy that takes a long time, havecomplications, and require patient compliance. This condition will provide physiological and psychological stressors ofpatients wich can affects the quality of life of patients. This study aimed to determine relationship the long-time undergoinghemodialysis therapy with the quality of life of patients with chronic kidney disease on Rasyida Kidnet Special Hospital in2020 Descriptive-analytical with cross sectional approach onvolving 32 respondents of chronic kidney disease patientsundergoing hemodialysis. This study uses primary data using the Kidney Disease Quality Of Life Short-36 (KDQOL-36)questionnaire. There were 15 patients (46.9%) who underwent hemodialysis for more than 12 months and 9 of them had agood quality of life and 6 others had a poor quality of life. Statistical test results using the Chi Square Test obtained p value =0.036 (p <0.05). It can be concluded that there is a significant relationship between the length of undergoing hemodialysisand the quality of life of patients with chronic kidney disease.
Pengaruh Ekstrak Seledri (Apium Graveolens Linn ) terhadap Penurunan Kadar Asam Urat pada Lansia di Klinik Iman Kecamatan Medan Labuhan Kota Medan Halmin Halmin; Shahrul Rahman
Jurnal Pendidikan Tambusai Vol. 6 No. 2 (2022): Agustus 2022
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (125.705 KB) | DOI: 10.31004/jptam.v6i2.4363

Abstract

Perubahan gaya hidup masyarakat menjadi pola hidup yang tidak sehat telah mendorong terjadinya berbagai penyakit yang mempengaruhi metabolisme tubuh. Salah satu diantaranya adalah penyakit asam urat atau yang disebut hiperurisemia. Hiperurisemia adalah asam yang terbentuk akibat metabolisme purin (adenin dan guanin) di dalam tubuh, purin berasal dari makanan yang mengandung protein, seperti daging, jeroan, kacang-kacangan dan lainnya. Secara umun kandungan seledri (Apium graveolens linn) terdiri dari karbohidrat, fenol (flavonoid) yang bekerja untuk memotong jalur metabolisme purin.seledri juga mengandung apiin yang bekerja sebagai diuretic yang berfungsi mengeluarkan purin dari ginjal, sehingga kadar asam urat bisa menurun. Metode: Penelitian ini menggunakan studi eksperimen dengan metode pretest dan posttest dimana sampel yang digunakan sebanyak 36 orang yang dibagi atas kelompok eksperimen dan kelompok kontrol, sampel merupakan lansia ? 60 tahun yang mengikuti program program pengelolaan penyakit kronik di klinik IMAN, Martubung. hasil penelitian ini menunjukkan hasil rata-rata pretest 8.533 mg/dl dan posttest 6.516 mg/dl. Terdapat penurunan kadar asam urat sebesar 2.017 mg/dl pada kelompok eksperimen, pada kelompok Kontrol hasil rata-rata pretest 7.696 dan posttest 7.494 terjadi penurunan sebesar 0.202 mg/dl. Terdapat pengaruh ekstrak seledri (Apium gravolens Linn) terhadap penurunan kadar asam urat pada lansia di klinik Iman.
Tatalaksana Hemodialisis pada Anak dan Bayi Shahrul Rahman
Cermin Dunia Kedokteran Vol 47, No 4 (2020): Arthritis
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i4.387

Abstract

Penyakit ginjal kronik (PGK) merupakan masalah kesehatan serius pada anak dengan morbiditas dan mortalitas yang makin meningkat serta menimbulkan masalah sosial ekonomi yang signifikan. Penyebab utama PGK pediatrik adalah anomali kongenital ginjal dan saluran kemih, diikuti nefropati herediter dan glomerulonefritis. Indikasi absolut untuk memulai dialisis pada anak meliputi anuria, gangguan elektrolit berat, gangguan neurologis pada gagal ginjal, perikarditis, diatesis perdarahan, mual berulang, gejala uremia, volume berlebihan, atau kegagalan pertumbuhan meskipun terapi medis sudah tepat, dan hipertensi. Mengoptimalkan status gizi dengan dukungan ahli diet adalah elemen dasar perawatan anak dengan penyakit ginjal kronis stadium 5. Peran ahli diet adalah meminimalkan gejala uremia, mencegah komplikasi penyakit tulang akibat gangguan ginjal (renal bone disease), dan mengoptimalkan pertumbuhan anak.Chronic kidney disease (CKD) is a serious health problem in children with increasing morbidity and mortality and creates significant socio-economic problems. The main causes of CKD in pediatric are congenital renal and urinary tract anomalies, followed by hereditary nephropathy and glomerulonephritis. Absolute indications for dialysis in children include anuria, severe electrolyte disorders, neurological disorders found in renal failure, pericarditis, bleeding diathesis, repetitive nausea, uremia symptoms, excessive volume, or growth failure after appropriate medical therapy and hypertension. Optimizing nutritional status with the support of a dietitian is basic element of care for a child with stage 5 chronic kidney disease. The role of a diet expert is to minimize the symptoms of uremia, prevent complications of bone disease due to kidney disorders (renal bone disease), and optimize adequate child growth. 
Mencegah Stunting pada 1000 Hari Pertama Kehidupan pada Masyarakat Kelurahan Pasar Merah Barat Bincar Robinson Hutasuhut; Shahrul Rahman
JURNAL IMPLEMENTA HUSADA Vol 3, No 2 (2022)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v3i2.11591

Abstract

Abstrak:Masalah gizi di Indonesia seperti masalah kekurangan gizi dankelebihan gizi. Beban gizi ganda ataupun Double Burden of Malnutrition (DBM) adalah keadaan ko-eksistensi antara kekurangan gizi maupun kelebihan gizi makronutrien ataupun mikronutrien pada sepanjang kehidupan. Stunting ialah kondisi gagal pada pertumbuhan pada anak akibat kekurangan gizi kronis sehingga anak akan terlalu pendek pada seusianya. Asupan energi dan zat gizi yang tidak atau kurang memadai, maupun penyakit infeksi adalah salah satu faktor faktor yang sangat berperan pada masalah stunting. Pemerintah di Indonesia sudah meluncurkan “Gerakan 1.000 Hari Pertama Kehidupan” yang dikenal juga sebagai 1.000 HPK (Hari Pertama Kehidupan) Gerakan yang bertujuan untuk mempercepat perbaikan gizi untuk memperbaiki kehidupan anak-anak di Indonesia pada masa mendatang. Tumbuh kembang anak sangat perlu diperhatikan setelah dua tahun, kerena tumbuh kejar masih akan berkembang sampai usia anak usia pubertas. Ada tiga fase dalam tumbuh kembang, fase pertama perlambatan tajam pada komponen bayi mempresentasikan pada pertumbuhan fetal, fase kedua perlambatan perlahan komponen anak yang dimulai dari paruh kedua pada masa bayi dan berlanjut sampai maturitas, dan fase ketiga pubertas,pertumbuhananak akan berlanjut. Pada tiap fase regulator hormon berbeda,sehingga intervensi gizi yang diberikan harus speseifik. Bisa di disimpulkan perbaikan pada dalam tumbuh kembang anak setelah masa gagal tumbuh awal masih bisa diintervensi untuk mencegah gagal tumbuh pada anak.
Edukasi Bahaya Stunting pada Anak yang Perlu Diketahui Orangtua di Kelurahan Pasar Merah Barat Aulia Ardhana; Shahrul Rahman
JURNAL IMPLEMENTA HUSADA Vol 2, No 3 (2021)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v2i3.11637

Abstract

Jurnal ini bertujuan untuk memberikan sumbangan pemikiran berbasis ilmu pengetahuan dalam masalah peningkatan kualitas kesehatan manusia, dalam arti menginformasikan kepada masyarakat tentang cara pencegahan dan deteksi stunting pada masyarakat pasar merah barat. Stunting merupakan masalah gizi kronis yang muncul sebagai akibat dari keadaan kurang gizi yang berlangsung cukup lama. Faktor-faktor yang dapat memengaruhi kejadian stunting secara langsung dipengaruhi oleh penyakit infeksi dan kurangnya asupan gizi secara kualitas maupun kuantitas. Adapun faktor secara tidak langsung yaitu dari faktor sosial ekonomi, pendidikan orang tua, pekerjaan orang tua, ASI eksklusif, status imunisasi, jangkauan fasilitas pelayanan kesehatan serta pola asuh yang kurang memadai.