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Faktor yang Berhubungan dengan Tingkat Kecemasan Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis Arta Marisi Dame; Fitrian Rayasari; Besral Besral; Diana Irawati; Dian Novita Kurniasih
Jurnal Keperawatan Vol 14 No 3 (2022): Jurnal Keperawatan: Supp September 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.376 KB)

Abstract

Penyakit Ginjal Kronik (PGK) dengan terapi hemodialisis menimbulkan masalah kesehatan fisik dan psikologis. Dampak psikologis salah satunya adalah kecemasan.Berdasarkan riview dari 55 peneliti ditemukan prevalensi kecemasan berkisar antara 12% sampai 52%. Penelitian ini bertujuan mengetahui faktor yang berhubungan dengan tingkat kecemasan pasien penyakit ginjal kronik yang menjalani hemodialisis di RSU Imelda Pekerja Indonesia. Rancanganpenelitian adalah desain survey analitik dengan pendekatan cross sectional. Teknik sampling menggunakan teknik purposive samplingdengan jumlah sampel 84 responden. Variabel kecemasan diukur menggunakan Generalized Anxiety Disorder(GAD)-7. Analisis data menggunakan uji chi-square dan uji regresi logistik. Hasil penelitian menunjukkan terdapat hubungan antara pendidikan, lama menjalani hemodialisis, pengetahuan, dan dukungan keluarga (p < 0,05). Faktor yang memiliki pengaruh dengan kecemasan antara lain pendidikan, lama menjalani hemodialisis dan pengetahuan sedangkan yang paling berpengaruh berhubungan dengan kecemasan adalah lama menjalani hemodialisis. Faktor pengetahuan sebagai variabel kedua dengan nilai Exp.B terbesar yang paling berpeluang terjadinya kecemasan pada pasien penyakit ginjal kronik (p< 0,05) dengan nilai OR=6,92 95% CI(2,412-19,871).
Edukasi dan Promosi Kesehatan Autis di Panti Asuhan SLB-C St.Lucia Lau Dendang Kabupaten Deliserdang Noradina Noradina; Meriani Herlina; Rostinah Manurung; Mira Indrayani; Aureliya Hutagaol; Bernita Silalahi; Arta Marisi Dame; Paskah Rina Situmorang; Dea Lisa Sriananda Ritonga; Elena Laure Hasibuan; Yoga Saputra Gea; Putri Mulia Nanda; Muliyadi Banjar Nahor; Permanda Maulana
Jurnal Pengabdian Bidang Kesehatan Vol. 2 No. 2 (2024): Jurnal Pengabdian Bidang Kesehatan
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jpbidkes.v2i2.74

Abstract

Autism Education and Health Promotion at the St. SLB-C Orphanage. Lucia Lau Dendang, Deliserdang Regency” focuses on delivering autism education and health promotion aimed at improving educational and health outcomes for orphaned children with Autism Spectrum Disorder. Aim: this implementation is to improve knowledge and management of autism among staff and residents of residential care, to advance the development of individual skills in children with ASD, and to improve their physical, mental and emotional well-being. Methods: A multidisciplinary approach was adopted, featuring individualized education plans, specific teaching methods, health promotion activities such as regular physical exercise, nutritional education, and hygiene practices, alongside targeted mental health support. Expected Results: Benefits include increased autism awareness, improved communication and social interaction skills for children, better physical health through structured exercise and diet, and increased emotional stability from various coping strategies. In addition, this initiative aims to foster a safe and supportive environment that meets the sensory and safety needs of children with Autism. The implementation of this activity shows how important adaptive and holistic parenting models are in special needs orphanages and suggests that with training and resources appropriately, significant improvements in the quality of life of orphaned children with Autism can be achieved.
Description Of Factors Influencing Stroke In Early Adults At Rsu Imelda Medan Gultom, Satriani; Candra Damanik; Syahrul Handoko; Yuni Shanti; Ali Asman Harahap; Arta Marisi Dame
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 2 No. 01 (2023): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), November 2023
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/juk-medifa.v2i01.236

Abstract

Stroke is a disease that most often causes disability in the form of paralysis of the limbs, speech disorders, thought processes, memory, and other forms of disability as impaired brain function. In general, people think that stroke is a disease that only occurs in middle age and old age. In fact, 10% of strokes occur at a relatively young age (less than 45 years). But now there is also a trend in patients under 45 years of age. According to WHO in 2012, 51% of deaths from stroke worldwide are caused by high blood pressure. Based on the results of the 2013 Riskesdas, the prevalence of stroke in Indonesia increases with age. The highest cases of stroke diagnosed by health workers were 75 years and over (43.1%) and the lowest were in the age group 15-24 years (0.2%). The prevalence of stroke based on gender is higher for males (7.1%) than for females (6.8%). Based on place of residence, the prevalence of stroke in urban areas is higher (8.2%) compared to rural areas (5.7%). This research was conducted in May 2017 which was descriptive in nature with the aim of getting an overview of the factors that influence the occurrence of stroke in early adulthood at the Imelda general hospital, Indonesian workers in Medan. This research technique used a sample method of 30 respondents. The results of this study showed that the most influential risk factors for the incidence of stroke in early adulthood were lifestyle, namely eating and drinking habits (89.1%), hypertension (84.3%), family history (84.3%) , obesity (83%), smoking (67.6%), and physical activity (30%). Eating and drinking habits have a high influence, because in their daily lives they consume the foods they like and what they want to eat without thinking that these foods are at risk of causing degenerative diseases. factors that influence the occurrence of stroke in early adulthood, so that the family's knowledge of stroke patients increases.
Factors Related to the Level of Patient Adherence in Taking Hypertensive Medication at RSU Imelda Pekerja Indonesia Medan in 2022 Dame, Arta Marisi; Roslinda, Rada
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 1 No. 02 (2023): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), Mey 2023
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/juk-medifa.v1i02.306

Abstract

This article describes the factors related to the level of patient adherence in taking hypertension medication at RSU Imelda Pekerja Indonesia Medan. This study used quantitative methods with an analytical survey approach and the research design used in this study was Cross Sectional. The sample in this study was 35 people. The results of statistical test analysis using the Chi-Sguare statistical test where the results showed meaningful relationships for age variables (p value = 0.005), for sex variables (p value = 0.557), for knowledge variables (p value = 0.011), for officer role variables (p value = 0.007) and for family support variables (p value = 0.012).
The Effect of Inhalation Aromatherapy on the Anxiety of Hemodialysis Patients at RSU Imelda Pekerja Indonesia Medan in 2023 Dame, Arta Marisi; Siregar, Muhammad Hamid
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 2 No. 01 (2023): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), November 2023
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/juk-medifa.v2i01.307

Abstract

According to KDIGO (2012) people with chronic kidney disease need hemodialysis therapy. Hemodialysis is the process of exchanging solutes and waste products of the body. The waste substances that accumulate in chronic kidney disease patients are withdrawn by the passive diffusion mechanism of semipermeable membranes. From the results of the analysis that has been carried out at RSU Imelda Pekerja Indonesia on patients undergoing hemodialysis, it was found that 7 out of 22 people undergoing hemodialysis experienced anxiety when they were about to start the hemodialysis process with signs of feeling tense, heart palpitations, nausea and anxiety about side effects during the hemodialysis process. One non-pharmacological therapy is complementary therapy that can be used to reduce some of the complications of hemodialysis such as anxiety, fatigue, pain, sleep quality, stress, and headaches, namely aromatherapy. The purpose of the study was to determine the effect of inhalation aromatherapy on the anxiety of patients undergoing iohemodialysisodi at RSU Imelda Pekerja Indonesia Medan in 2023. This study used quantitative methods. This type of study is pre-experimental with a one-group pretest-posttest design. The study population was 104 people, the study sample was 43 with purposive sampling. Bivariate test with wicoxon test. The results of the study The anxiety level of hemodialysis patients before giving aromatherapy had a mild anxiety level (40-59) as many as 21 people (48.8%), followed by hemodialysis patients with moderate anxiety levels (60-74) as many as 16 people (37.2%), followed by severe anxiety (75-80) as many as 6 people (14.0%). The anxiety level of hemodialysis patients after aromatherapy administration had mild anxiety levels (40-59) as many as 22 people (51.2%), followed by hemodialysis patients with moderate anxiety levels (60-74) as many as 13 people (30.2%), followed by no anxiety (20-39) as many as 5 people (11.6%) and severe anxiety (75-80) as many as 3 people (7.0%). The results of the Wilcoxon test, it was found that there was an effect of inhalation aromatherapy with a decrease in anxiety in hemodialysis patients with sig values. 0.000<0.05.
PENINGKATAN PENGETAHUAN PERAWAT TENTANG CARA BERKOMUNIKASI TERAPEUTIK PADA PASIEN YANG MENGALAMI KECEMASAN KARENA GAGAL JANTUNG DI RSU IPI 2020 Gultom, Satriani; Handoko, Syahrul; Damanik, Candra; Shanti, Yuni; Harahap, Ali Asman; Dame, Arta Marisi
Pengabdian Kepada Masyarakat Indonesia SEAN (ABDIMAS SEAN) Vol. 1 No. 02 (2023): Pengabdian Kepada Masyarakat Indonesia SEAN (ABDIMAS SEAN), Agustus 2023
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/abdimassean.v1i02.237

Abstract

Didalam pelaksanaan pelayanan kesehatan pada pasien di rumah sakit memerlukan sebuah pedoman sebagai acuan untuk pelayanan bermutu yang dapat mempercepat proses penyembuhan pasien, memperpendek lama hari rawat dan menghemat biaya perawatan. Ruang lingkup pelayanan rumah sakit meliputi pelayanan rawat jalan, rawat inap, penyelenggaraan makanan serta penelitian dan pengembang. Salah satu kegiatan yang dilakukan pada pelayanan pasien gagal jantung rawat inap yaitu melakukan konseling/edukasi cara berkomunikasi teraupetik yang bertujuan untuk menanamkan dan meningkatkan pengertian, sikap dan perilaku pasien dalam mengenai dan mengatasi masalah penyakitnya sehingga pasien dapat memutuskan apa yang akan dilakukannya. Komunikasi terapeutik memegang peranan penting dalam membantu pasien memecahkan masalahnya yang dihadapi. Komunikasi terapeutik adalah komunikasi yang direncanakan secara sadar, bertujuan dan kegiatannya dipusatkan untuk kesembuhan pasien. Pada dasarnya komunikasi terapeutik merupakan komunikasi profesional yang mengarah pada tujuan yaitu penyembuhan pasien, dimana perawat yang memiliki kemampuan dan kewenangan melakukan tindakan keperawatan berdasarkan ilmu yang diperoleh melalui pendidikan keperawatan. Dalam proses menyampaikan edukasi diperlukan media yang edukatif dalam penyampaian pesan agar dapat diterima dan diserap dengan baik. (10 pt). Tujuan PkM Secara umum adalah : Untuk meningkatkan pengetahuan Perawat Tentang Cara Berkomunikasi Teraupetik yang mengalami kecemasan pada pasien gagal jantung di Rumah Sakit Umum Imelda Pekerja Indonesia
Manfaat Terapi Akupresur Terhadap Penurunan Kadar Gula Darah Pada Pasien DM Tipe II di Poliklinik Rumah Sakit Umum Imelda Pekerja Indonesia Medan Meriani Herlina; Noradina Noradina; Bernita Silalahi; Paskah Rina Situmorang; Arta Marisi Dame; Candra Meriani Damanik; Satriani H Gultom; Yuni Shanti Ritonga; Syahrul Handoko Nainggolan; Ali Asman Harahap
Karawo : Journal of Community Service (KJCS) Vol. 3 No. 1 (2025): Karawo : Journal of Community Service (KJCS)
Publisher : Lembaga Pengabdian Masyarakat Universitas Ichsan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/karawo.v3i1.119

Abstract

Diabetes Mellitus (DM) is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. Diabetes Mellitus is known as a silent killer because it is often not realized by the sufferer and when it is known, complications have occurred. The method used in this research is the Quasy Experiment method using a pre-test and post-test approach with control group design. The population in this study was 40 respondents and the sample in this study was 20 respondents who were taken by purposive sampling. And analyzed Univariate and Bivariate using the Wilcoxon and Mann Whitney tests to determine the differences between the two groups on the effect of acupressure therapy. The results showed that the effect of acupressure therapy on reducing blood sugar levels was p-value = 0.005 <0.05 it can be concluded that there is an effect of acupressure therapy on reducing blood sugar levels in Type II DM patients at the Poliklinik Rumah Sakit Umum Imelda Pekerja Indonesia Medan. It is suggested that the results of this study are expected to be information for diabetes mellitus patients to independently carry out acupressure therapy and for the Indonesian Imelda Workers Hospital to include elements of acupressure therapy as study material in the management of type 2 diabetes mellitus patients.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS TIDUR PASIEN HEMODIALISIS Dame, Arta Marisi; Ritonga, Yuni Shanti; Rina Situmorang, Paskah; Noradina, Noradina; Siahaan, Meriani; Silalahi, Bernita
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (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.v11i2.1959

Abstract

Background: Sleep quality is defined as a state where a person is satisfied with their sleep so that they do not show signs of sleep disorders. Patients undergoing hemodialysis are 25% more likely to experience sleep disorders than normal adults. Objective: This study aims to determine the factors associated with sleep quality in hemodialysis patients. Method: This study is a quantitative study with an analytical survey design through a cross-sectional approach. The sampling technique in this study was accidental sampling. The sample in this study were patients who underwent hemodialysis regularly at least 2 times a week. Data collection used the Pittsburgh Sleep Quality Index (PSQI) questionnaire in Indonesian, a physical activity questionnaire and a Fatigue Severity Scale (FSS) questionnaire with a total of 58 hemodialysis patients at RSU Imelda Pekerja Indonesia. Data analysis used bivariate data analysis with the chi-square test. Results: This study showed that there was no significant relationship between age (p=0.956), gender (p=0.225), employment status (p=0.462), duration of hemodialysis (p=0.559) and sleep quality of hemodialysis patients at Imelda Buruh Indonesia Hospital. There was a significant relationship between comorbidities (p=0.001), smoking habits (p=0.026), coffee consumption (p=0.003), physical activity (p=0.000) and fatigue levels (p=0.000). Conclusion: Lifestyle factors (smoking habits, coffee consumption), comorbidities, physical activity and fatigue levels are related to sleep quality of hemodialysis patients. Suggestion: Future researchers should examine the sleep quality of hemodialysis patients with different methods and research designs.
PENDIDIKAN KESEHATAN TENTANG MENOPAUSE DAN OLAH RAGA TEPAT PADA PEREMPUAN PERIMENOPAUSE DI GEREJA SILOAM INJILI (GSI) KECAMATAN MEDAN PERJUANGAN Dewi, Ratna; Tampu Bolon, Christina Magdalena; Manurung, Rostinah; Siregar, Sarmaida; Manurung, Nixson; Dame, Arta Marisi; Sagala, Deddy Sepadha Putra; Handoko, Syahrul
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 4 No. 1 (2024): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/ji-somba.v4i1.1785

Abstract

Pendahuluan: menopause mengacu pada perdarahan menstruasi terakhir dan merupakan proses alami yang dialami semua perempuan paruh baya. Perempuan tanpa adanya perubahan dalam siklus menstruasi dievaluasi sebagai pramenopause, perempuan dengan perubahan dalam siklusnya atau yang terakhir perdarahan menstruasi ? 12 bulan sebelumnya dievaluasi sebagai perimenopause, dan perempuan yang mengalami perdarahan menstruasi terakhir tanpa sebab apapun seperti kehamilan, menyusui atau pengobatan > 12 bulan sebelumnya dievaluasi sebagai pascamenopause. Menopause dapat menimbulkan serangkaian gejala seperti: vasomotor, somatik, psikologis, dan seksual dan keluhan utama yang sering muncul yaitu dari vasomotor yaitu hot flashes yang dikaitkan dengan perubahan kadar hormon dan perubahan norepinefrin serta serotonin. Salah satu faktor yang berpengaruh untuk meminimalisir keluhan saat menopause yaitu peningkatan pengetahuan sehingga berpengaruh pada sikap dan perilaku yang dapat dilakukan melalui pendidikan kesehatan. Tujuan: pengabdian masyarakat ini bertujuan mengidentifikasi pengaruh pendidikan kesehatan tentang menopause dan olahraga tepat pada perempuan perimenopause untuk meningkatkan pengetahuan tentang menopause. Metode: pengabdian masyarakat dilaksanakan di Gereja Siloam Injili kecamatan Medan Perjuangan pada bulan Agustus – Oktober 2024 dengan metode pelaksanaan pengabdian meliputi: observasi, ceramah tanya jawab, dan pelatihan dengan 30 partisipan. Hasil: evaluasi didapatkan peningkatan nilai pengetahuan dengan mayoritas baik setelah dilakukan pengabdian. Kesimpulan: pemberian pendidikan kesehatan tentang menopause dan olahraga tepat pada ibu – ibu perimenopause agar mencapai derajat kesehatan yang optimal, baik fisik, mental, dan sosiial di keluarga dan masyarakat.
PENDIDIKAN KESEHATAN TENTANG PENYAKIT GINJAL KRONIK (PGK) PADA KELUARGA PASIEN YANG MENJALANI HEMODIALISIS Dewi, Ratna; Sagala, Deddy Sepadha Putra; Siregar, Sarmaida; Manurung, Rostinah; T. Bolon, Christina Magdalena; Manurung, Nixson; Dame, Arta Marisi; Nainggolan, Syahrul Handoko
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 4 No. 2 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jisomba.v4i2.1889

Abstract

Pendahuluan: Penyakit ginjal kronik (PGK) merupakan salah satu penyakit yang menjadi masalah besar di dunia termasuk Indonesia yang berdampak pada masalah kesehatan, ekonomi dan sosial yang besar bagi pasien dan keluarganya. Saat orang mengalami PGK, ginjal sudah mengalami kerusakan yang bersifat progresif dan irreversible artinya tubuh gagal untuk mempertahankan metabolisme serta keseimbangan cairan dan elektrolit sehingga dapat menyebabkan uremia. Prevalensi penyakit dasar dari PGK yang menjalani dialisis terbanyak adalah penyakit ginjal hipertensi diikuti oleh nefropati diabetik dan diikuti oleh glomerulopati. Upaya kesehatan melalui edukasi untuk peningkatan pengetahuan bagi PGK penting meningkatkan kualitas hidup dan atau mempertahankan kualitas hidup yang sudah baik. Upaya kesehatan bagi keluarga yang berisiko dapat mencegah terjadinya PGK. Tujuan: pengabdian masyarakat ini bertujuan untuk mengidentifikasi pengaruh pendidikan kesehatan tentang PGK pada pasien dan keluarga PGK yang menjalani hemodialisis untuk meningkatkan pengetahuan dalam mempertahankan kualitas hidup yang baik. Metode: pengabdian masyarakat dilaksanakan di RSU Imelda Pekerja Indonesia Medan pada bulan Februari – April 2025 dengan metode pelaksanaan pengabdian meliputi: observasi dan ceramah tanya jawab dengan 30 partisipan. Hasil: evaluasi didapatkan peningkatan nilai pengetahuan dengan mayoritas baik setelah dilakukan pengabdian. Kesimpulan: pemberian pendidikan kesehatan tentang PGK pada keluarga pasien yang menjalani hemodialisis agar mencapai derajat kesehatan yang optimal, baik fisik, mental, dan sosial pasien dan keluarga PGK yang menjalani hemodialisis.