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Pengaruh Motivasi dan Health Locus of Control terhadap Kepatuhan Pengobatan pada Pasien DM Tipe 2: The Influence of Motivation and Health Locus of Control on Treatment Adherence in Patients Type 2 Diabetes Mellitus Puja Dias Rama Novianto; Nanda Desreza; Cut Oktaviyana
Jurnal Keperawatan Bunda Delima Vol 8 No 1 (2026): EDISI JANUARI
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v8i1.224

Abstract

Pendahuluan: Diabetes mellitus merupakan penyakit metabolik ditandai dengan adanya hiperglikemia dan termasuk penyakit silent killer artinya penyakit yang membunuh orang secara perlahan. Penyakit ini dapat menimbulkan komplikasi serius bagi penderitanya. Komplikasi penyakit DM tipe 2 disebabkan oleh rendahnya faktor kepatuhan pengobatan ketika menjalani perawatan. Faktor kepatuhan ini memiliki kaitan dengan dukungan atau motivasi diri seseorang serta health locus of control dimana seseorang mempersepsikan kontrol terhadap kesehatan mereka ketika menjalani perawatan penyakit DM tipe 2. Tujuan penelitian ini untuk mengetahui pengaruh motivasi dan health locus of control terhadap kepatuhan pengobatan pada pasien DM Tipe 2. Metode: Jenis penelitian yaitu deskriptif korelasi dengan desain cross sectional study. Populasi adalah seluruh pasien diabetes mellitus tipe 2 berjumlah 254 orang dengan teknik pengambilan sampel yaitu purposive sampling sehingga sampel dalam penelitian ini berjumlah 72 orang. Instrumen pengumpulan data menggunakan lembar kuesioner. Penelitian ini telah dilaksanakan di ruang poli penyakit dalam RSUD Teungku Peukan Kabupaten Aceh Barat Daya pada tanggal 11 s/d 16 Juni tahun 2025. Analisis data menggunakan uji chi square. Hasil penelitian ini yaitu pengaruh motivasi terhadap kepatuhan pengobatan didapatkan p-value 0,000 serta pengaruh health locus of control terhadap kepatuhan pengobatan didapatkan p-value 0,000. Kesimpulan penelitian yaitu ada pengaruh motivasi dan health locus of control terhadap kepatuhan pengobatan pada pasien DM Tipe 2.
Asuhan Keperawatan Perfusi Perifer Tidak Efektif dengan Intervensi Perawatan Kaki pada Pasien Diabetes Mellitus Tipe 2 di Ruang Aqsa 2 RSUDZA Banda Aceh Husna Faidzi; Maimun Tharida; Nanda Desreza
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 4 No. 2 (2026): Juni: Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v4i2.2324

Abstract

Type 2 Diabetes Mellitus (DM) is a chronic disease that can lead to impaired peripheral perfusion and increase the risk of complications in the lower extremities. Foot care is one of the essential nursing interventions to prevent these complications. This scientific paper aims to describe nursing care through foot care interventions in patients with type 2 DM experiencing ineffective peripheral perfusion in Aqsa 2 Ward, Zainal Abidin Regional General Hospital, Banda Aceh. The method used is a case study with a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The assessment results showed that the patient experienced ineffective peripheral perfusion, characterized by tingling in the feet, pale skin, and decreased peripheral circulation. The interventions provided included foot care education, maintaining foot hygiene, routine foot inspection, and foot exercises. After the nursing interventions were implemented, there was a reduction in complaints in the lower extremities and an increase in the patient’s knowledge regarding the prevention of diabetes complications. The conclusion shows that foot care is effective in improving peripheral perfusion and preventing complications in patients with type 2 DM. Therefore, foot care should be performed routinely as part of self-care in diabetes patients.
EDUCATION ON THE PREVENTION OF HYPERTENSIONTO AVOID COMPLICATIONS IN THE CLINIC ROOM OF THE ACEH BESAR HOSPITAL Edy Cahyady; Rizkidawati Rizkidawati; Nanda Desreza
JOURNAL OF SUSTAINABLE COMMUNITY SERVICE Vol. 4 No. 4 (2024): SEPTEMBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/jscs.v4i4.790

Abstract

Hypertension is currently known as the ‘silent killer’ because it is not often found with obvious signs and symptoms. Risk factors for hypertension include family genetic history, overweight or obesity, lack of physical activity, unhealthy lifestyle, alcohol consumption, and stress. The purpose of the activity is to increase public understanding in the prevention of hypertension in order to avoid its complications. This activity was held in the polyclinic room of the Aceh Besar Hospital. Participants who attended directly were patients who visited the hospital for re-control and treatment with a total of 17 patients. This community service method was carried out in the form of counselling and discussion. This activity was carried out on 25 April 2024 in the hospital poly room at 09.30 WIB until completion. The activity began with recording the participants and continued with the presentation of the objectives of the activity and material related to hypertension and its complications. From the activity it was found that the patient's level of understanding of poor diet was low in fibre, low physical activity, the use of excess salt content in cooking. It is recommended that people with hypertension can improve their lifestyle, diet, rest patterns that are not appropriate, and for families to continue to provide strong motivation to sufferers.
Hubungan Usia Maternal, Paritas, Indeks Massa Tubuh, Jenis Kehamilan, Dan Riwayat Penyakit Terhadap Derajat Preeklampsia Di RS Pertamedika Ummi Rosnati Banda Aceh Shella Widya Gani; Rizka Yuli Syafira; Nanda Desreza
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1288

Abstract

Preeclampsia is a specific form of hypertension that often occurs during pregnancy, characterized by increased basal blood pressure after approximately 20 weeks of gestation, accompanied by proteinuria and/or maternal and uteroplacental organ dysfunction. This condition remains a major cause of maternal morbidity and mortality in Indonesia. Objective: To analyze the relationship between maternal age, parity, body mass index (BMI), type of pregnancy, and medical history with the severity of preeclampsia at Pertamedika Ummi Rosnati Hospital, Banda Aceh. Methods: This study used an observational analytical approach with a cross-sectional design utilizing medical records of pregnant women diagnosed with preeclampsia and treated at Pertamedika Ummi Rosnati Hospital, Banda Aceh, between January 2020 and December 2025. A total of 48 subjects were selected using a total sampling technique. Bivariate analysis was performed using the Chi-Square test with a statistical significance limit set at p<0.05. Results: Body mass index was the only variable significantly associated with the severity of preeclampsia (p=0.026). In contrast, maternal age (p=0.166), parity (p=0.113), gestational age (p=1.000), and medical history (p=0.166) did not show a statistically significant association with the severity of preeclampsia. Conclusion: In this study, body mass index was a factor associated with the severity of preeclampsia. These findings demonstrate the importance of optimizing body weight before and during pregnancy as part of efforts to reduce the risk of developing more severe preeclampsia. However, studies with larger sample sizes and multivariate analysis are needed to confirm these findings.
Karakteristik Gangguan Refraksi Di Poli Mata RSU Pertamedika Ummi Rosnati Shakira Rizkatuljannah; Hady Maulanza; Nanda Desreza
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1315

Abstract

Refractive errors are among the most common causes of visual impairment and remain a significant public health problem affecting individuals of all age groups. These conditions include myopia, hyperopia, and astigmatism, which may reduce visual acuity and adversely affect daily activities and quality of life if left undetected and untreated. This study aimed to describe the characteristics of patients with refractive errors at the Ophthalmology Clinic of Pertamedika Ummi Rosnati General Hospital based on age, sex, type of refractive error, and the results of visual acuity examinations of the left eye (Oculus Sinistra, OS) and the right eye (Oculus Dextra, OD). This study employed a descriptive quantitative design using secondary data obtained from patients’ medical records available in the Hospital Management Information System (SIMRS). The study population consisted of 1,186 patients diagnosed with refractive errors during the period of November 2025 to April 2026. A total of 92 respondents were selected using the simple random sampling technique. Data were analyzed using univariate analysis and presented as frequency distributions and percentages. The results showed that the largest age group was late elderly (56–65 years), accounting for 23 respondents (25.0%). The majority of patients were female, comprising 64 respondents (69.6%), while 28 respondents (30.4%) were male. Astigmatism was the most common type of refractive error, affecting 51 respondents (55.4%). Based on visual acuity examination, most patients had mild visual impairment, with 50 respondents (54.3%) in the left eye (OS) and 48 respondents (52.2%) in the right eye (OD). Overall, patients with refractive errors in this study were predominantly late elderly females, with astigmatism as the most common refractive error and mild visual impairment as the most frequent visual acuity finding. These findings are expected to contribute to improving early detection strategies and enhancing eye health services. Keywords: Astigmatism, Visual acuidity, Age, Gender
Hubungan Jenis Kelamin, Angkatan, Riwayat Keluarga, Terhadap Tingkat Stres Akademik Mahasiswa Fakultas Kedokteran Abulyatama Tahun 2026 Nauval Udzri; Nanda Desreza; M. Yani
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1358

Abstract

Medical students are a group vulnerable to academic stress due to the high academic demands and various emotional and social pressures encountered throughout their educational process. A demanding curriculum, expectations for academic achievement, a competitive learning environment, and family conditions may influence students' stress levels. Data regarding factors associated with academic stress among medical students in Aceh remain limited. This study aimed to analyze the relationship between gender, family status, and academic cohort and the level of academic stress among students of the Faculty of Medicine, Universitas Abulyatama, in 2026. This study employed a quantitative analytical correlational design with a cross-sectional approach. A total of 243 students from the 2022–2024 cohorts of the Faculty of Medicine, Universitas Abulyatama, were included as respondents using a total sampling technique. Data were collected online using the Perceived Stress Scale-10 (PSS-10) questionnaire. Stress levels were consistently categorized as low, moderate, and high. The data were analyzed using the Chi-Square test with a significance level of p < 0.05. The results showed that the majority of respondents experienced moderate stress (66.7%), followed by low stress (24.3%) and high stress (9.1%). The analysis demonstrated significant relationships between gender (p = 0.017), family status (p = 0.000), and academic cohort (p = 0.000) and the level of academic stress among students. The proportion of students experiencing high stress was greater among male students (12.3%), students from non-intact families (16.5%), and students from the 2024 cohort (17.3%). It can be concluded that gender, family status, and academic cohort were significantly associated with the level of academic stress among students of the Faculty of Medicine, Universitas Abulyatama.
Pengaruh Latihan Fisik Aerobik Intensitas Ringan Terhadap Tekanan Darah Pada Lansia Hipertensi Di UPTD Panti Sosial Lanjut Usia Geunaseh Sayang Khanifah Saini; Syarifah Nora Andriaty; Nanda Desreza
KOLONI Vol. 5 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i3.1394

Abstract

Hypertension is one of the most common non-communicable diseases among older adults and is a major risk factor for cardiovascular disease. As individuals age, physiological changes in the cardiovascular system may contribute to an increase in blood pressure. One non-pharmacological approach that can help control blood pressure among older adults with hypertension is low-intensity aerobic exercise. This study aimed to determine the effect of low-intensity aerobic exercise on blood pressure among older adults with hypertension at UPTD Panti Sosial Lanjut Usia Geunaseh Sayang. This study employed a pre-experimental design using a one-group pretest-posttest approach. The sample consisted of 13 older adults with hypertension who were selected using purposive sampling. The intervention consisted of walking for 15 minutes, three times per week, for four weeks. Blood pressure was measured before and after the intervention. Data were analyzed using the Wilcoxon Signed-Rank Test. The results showed that the mean systolic blood pressure decreased from 149.15 mmHg to 144.31 mmHg, while the mean diastolic blood pressure decreased from 91.62 mmHg to 87.69 mmHg. The Wilcoxon test showed a p-value of 0.00024 (p < 0.05), indicating a significant effect of low-intensity aerobic exercise on blood pressure among older adults with hypertension. It can be concluded that low-intensity aerobic exercise in the form of walking is effective in helping reduce and control blood pressure among older adults with hypertension at UPTD Panti Sosial Lanjut Usia Geunaseh Sayang. The mean reduction in systolic blood pressure was 4.84 mmHg, while the mean reduction in diastolic blood pressure was 3.93 mmHg.
DESCRIPTION OF OSTEOARTHRITIS CASES IN THE ELDERLY AT PERTAMEDIKA UMMI ROSNATI HOSPITAL, BANDA ACEH CITY Edy Cahyady; Eko Siswanto; Rizkidawati Rizkidawati; Nadya Salsabila Suherman; Nanda Desreza
TRANSPUBLIKA INTERNATIONAL RESEARCH IN EXACT SCIENCES Vol. 3 No. 2 (2024): APRIL
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/tires.v3i2.1394

Abstract

Osteoarthritis (OA) is a condition in which the joints experience a decrease in space and the cartilage is damaged, particularly affecting older individuals with a high Body Mass Index (BMI). The combination of a higher BMI and aging can exacerbate joint issues, leading to an increased likelihood of cartilage deterioration. The purpose of this study is to examine the prevalence of knee osteoarthritis at the Internal Medicine Polyclinic of Pertamedika Ummi Rosnati Hospital in Banda Aceh. The research conducted is quantitative in nature, utilizing an observational approach and selecting 80 patients through purposive sampling. The findings revealed that a majority of cases occurred among individuals aged 55 to 65 years. To prevent obesity and protect the joints from harm, individuals are advised to maintain a nutritious diet, engage in regular exercise, and exercise caution during daily activities.
THE INFLUENCE OF GREEN COCONUT WATER (COCOS NUCIFERA LINN VARIETY. VIRIDIS) ON THE REDUCTION OF MENSTRUAL PAIN (DYSMENORRHEA) IN FEMALE STUDENTS OF MTSS BABUN NAJAH BANDA ACEH Nanda Desreza; Novi Diana; Syarifah Masthura
INTERNATIONAL JOURNAL ON ADVANCED TECHNOLOGY, ENGINEERING, AND INFORMATION SYSTEM Vol. 2 No. 4 (2023): NOVEMBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/ijateis.v2i4.866

Abstract

Menstruation marks the onset of a woman's reproductive phase. Dysmenorrhea is a common issue among young women, often affecting their daily routines. To alleviate dysmenorrhea symptoms, various approaches, both pharmacological and non-pharmacological, have been explored. One such non-pharmacological method involves consuming green coconut water, which is rich in calcium, magnesium, and vitamin C. This research aims to assess the impact of green coconut water (Cocos nucifera Linn variety Viridis) on reducing menstrual pain (dysmenorrhea) among students at Babun Najah Islamic State Junior High School in Banda Aceh. This study employed a quasi-experimental design with a pretest-posttest control group. The research population comprised 65 students, with 15 respondents participating in the study. Data collection took place from May 1st to 20th, 2023. The Wilcoxon test results for the pretest conducted on the first day yielded a mean score of 5.133, while the posttest on the third day resulted in a mean score of 0.733, with a significance value of 0.000, indicating a reduction in menstrual pain. The findings of this research suggest that the consumption of green coconut water (Cocos nucifera Linn variety Viridis) can effectively reduce dysmenorrhea among students at Babun Najah Islamic State Junior High School in Banda Aceh. It is recommended that respondents consider incorporating green coconut water into their routines to alleviate dysmenorrhea pain.
THE INFLUENCE OF BENSON RELAXATION TECHNIQUE ON PAIN REDUCTION IN PATIENTS AFTER CESAREAN SECTION SURGERY Nanda Desreza; Saiful Riza; Nofrida Zarita
INTERNATIONAL JOURNAL ON ADVANCED TECHNOLOGY, ENGINEERING, AND INFORMATION SYSTEM Vol. 3 No. 2 (2024): MAY
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/ijateis.v3i2.867

Abstract

A Caesarean Section (C-section) is a surgical procedure in which a fetus is delivered through an incision made in the abdominal and uterine walls, provided that the uterus is intact, and the fetus weighs more than 500 grams. Abdominal incisions can cause pain. One non-pharmacological therapy that can be employed to alleviate post-operative abdominal pain in C-section patients is Benson Relaxation Therapy. This study aims to investigate the impact of Benson Relaxation Therapy on Pain Reduction in Post-Operative C-Section Patients. This research is categorized as a quasi-experimental study using a one-group pretest-posttest design approach. Data collection took place from August 15th to 26th, 2022, involving a population of 15 post-C-section mothers. Data were collected using both primary and secondary sources and analyzed using the Wilcoxon test, as well as univariate and bivariate analysis techniques. The study results showed a significant difference in pain levels before and after the administration of Benson Relaxation Therapy, with a p-value of 0.000 (<0.05). It is hoped that this research will enhance postpartum mothers' awareness of pain-reduction therapies, prompting them to consult healthcare professionals (doctors and nurses) and participate in seminars or workshops organized by relevant institutions.