Claim Missing Document
Check
Articles

Found 34 Documents
Search

Gambaran Pengetahuan Tentang Perilaku Perawatan Diri pada Pasien Gagal Jantung Marbun, Agnes Putri S; Tarigan, Mula; Sitohang, Nur Asnah
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.11158

Abstract

This study aims to determine the description of knowledge about self-care behavior in heart failure patients. The research method used is quantitative research with a descriptive approach. Sampling was taken using a purposive sampling technique with a total sample of 50 people with heart failure who were hospitalized. Data collection used the Dutch Heart Failure Knowledge Scale instrument. Data were analyzed using univariate analysis tests with presentation of tables in the form of frequency distributions and percentages. The results showed that knowledge about self-care behavior in hospitalized heart failure patients tended to vary, with an average knowledge score of 4.44 and a standard deviation of 1.554. In conclusion, although there are variations in patient knowledge, nurses have an important role in improving patient knowledge and care, both during hospital treatment and after the patient goes home. This is important to help patients optimize their function in carrying out daily activities. Keywords: Heart Failure, Knowledge, Self-Care Behavior.
Gambaran efikasi diri dan perawatan diri pada pasien gagal jantung Manurung, Romatua Juliana; Tarigan, Mula; Sitohang, Nur Asnah
Holistik Jurnal Kesehatan Vol. 18 No. 7 (2024): Volume 18 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i7.414

Abstract

Background: Heart failure is one of the cardiovascular diseases which is a major health problem in western countries which is increasing in line with population growth and increasing life expectancy. Self-efficacy is an individual's belief in his ability to react to certain situations. Self-care is a decision taken by the patient himself or with his family, so that he is able to overcome his illness and maintain his functional abilities and achieve well-being. Purpose: To determine the description of self-efficacy and self-care behavior in heart failure patients. Method: Quantitative descriptive study, conducted at the Heart Polyclinic of the Regional General Hospital. Dr. Pirngadi Medan. The sampling technique used purposive sampling and the Slovin formula, the number of samples used was 84 respondents. The independent variables are self-efficacy and self-care, while the dependent variable is heart failure patients.  Data collection techniques using questionnaires. Self-efficacy using the Cardiac Self-Efficacy Scale questionnaire or (CSE scale). Self-care was obtained through the self care of heart failure index (SCHF) questionnaire which has been modified into Indonesian. The New York Heart Association (NYHA) functional classification was categorized as class I to IV. Univariate data analysis was used in the form of frequency distribution. Results: This study shows that the majority of respondents have less self-efficacy 54 (64.4%). Most respondents had poor self-care 48 (57.2%). New York Heart Association (NYHA) classification is mostly in the NYHA level II category 55 (65.4%). Conclusion: High self-efficacy in heart failure patients can increase motivation to do physical activity, resulting in reduced barriers to physical activity and encouraging patients to do more physical activity. Self-care needs to be practiced to cope with the disease, maintain functional ability, and achieve well-being. Suggestion: Hoped that heart failure patients' self-awareness will increase self-efficacy to improve self-care, and family support is expected to help patients carry out self-care. Increasing the self-efficacy of heart failure patients, it will help patients carry out self-care.    Keywords: Heart Failure; Self Care; Self Efficacy.    Pendahuluan: Gagal jantung merupakan salah satu dari penyakit kardiovaskuler yang menjadi masalah kesehatan utama di negara-negara barat yang meningkat sejalan dengan pertambahan populasi dan meningkatnya usia harapan hidup. Efikasi diri merupakan keyakinan individu terhadap kemampuannya dalam bereaksi terhadap situasi tertentu. Perawatan diri merupakan suatu keputusan yang diambil oleh pasien sendiri atau bersama keluarganya, sehingga mampu mengatasi penyakitnya dan mempertahankan kemampuan fungsionalnya serta mencapai kesejahteraan. Tujuan: Untuk mengetahui gambaran efikasi diri dan perilaku perawatan diri pada pasien gagal jantung. Metode: Penelitian deskriptif kuantitatif, dilakukan di Poliklinik Jantung Rumah Sakit Umum Daerah. Dr. Pirngadi Medan. Teknik pengambilan sampel menggunakan purposive sampling dan rumus slovin, jumlah sampel yang digunakan sebanyak 84 responden. Variabel independen adalah efikasi diri dan perawatan diri, sedangkan variabel dependen pasien gagal jantung. Teknik pengumpulan data menggunakan kuesioner. Efikasi diri menggunakan kuesioner Cardiac Self-Efficacy Scale atau (CSE scale). Perawatan diri didapatkan melalui kuesioner self care of heart failure index (SCHF) yang telah dimodifikasi kedalam Bahasa Indonesia. Klasifikasi fungsional New York Heart Association (NYHA) dikategorikan kelas I sampai IV. Analisis data yang digunakan univariate dalam bentuk distribusi frekuensi. Hasil: Penelitian ini menunjukan bahwa mayoritas responden memiliki efikasi diri yang kurang 54 (64.4%). Sebagian besar responden memiliki perawatan diri yang kurang 48 (57.2%). Klasifikasi New York Heart Association (NYHA) sebagian besar masuk dalam kategori NYHA tingkat II 55 (65.4%). Simpulan: Efikasi diri yang tinggi pada pasien gagal jantung dapat meningkatkan motivasi melakukan aktivitas fisik, sehingga mengurangi hambatan aktivitas fisik dan mendorong pasien untuk melakukan aktivitas fisik yang lebih banyak. Perawatan diri perlu dilakukan untuk mengatasi penyakit, mempertahankan kemampuan fungsional, dan mencapai kesejahteraan. Saran: Diharapkan kesadaran diri pasien gagal jantung untuk meningkatkan efikasi diri guna meningkatkan perawatan diri, dan diharapkan dukungan keluarga untuk membantu pasien dalam melaksanakan perawatan diri. Dengan meningkatkan efikasi diri pasien gagal jantung, akan membantu pasien dalam melaksanakan perawatan diri.   Kata Kunci: Efikasi Diri; Gagal Jantung; Perawatan Diri.
Phase I Cardiovascular Rehabilitation, Risk Stratification, and Length of Hospitalization in Post-Percutaneous Coronary Intervention (PCI) Patients Tanjung, Muhammad Sukri; Tanjung, Dudut; Sitohang, Nur Asnah; Ardinata, Dedi
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4732

Abstract

Percutaneous Coronary Intervention (PCI) is one of the most effective actions for patients with Acute Coronary Syndrome (ACS), which can improve prognosis and minimize hospitalization time. To optimize medical therapy programs, PCI must be complemented with further preventive measures, such as cardiovascular rehabilitation, including lifestyle modification and risk stratification. This study aims to analyze the relationship between phase I cardiovascular rehabilitation, risk stratification, and length of hospitalization in post-PCI patients. The study design was a retrospective cohort sourced from electronic medical record data. Respondents were divided into groups: those exposed and those not exposed to phase I cardiovascular rehabilitation. Risk stratification and length of hospitalization were studied as study outcomes. Among 201 patients who were followed up during hospitalization, high-risk stratification was more in the unexposed group: exposed group (92.2%: 90.8%; RR 0.85, 95%CI 0.340-2.104). Length of hospitalization ≥3 days was more in the unexposed group: exposed group (63.1%: 59.2%; RR 0.904 95%CI (0.639-1.279). Length of hospitalization ≥3 days was more in the high stratification group: low stratification (63.6%: 35.3%; RR 0.555 95%CI (0.289-1.066). Phase I cardiovascular rehabilitation was not associated with risk stratification and length of hospitalization. Patient risk stratification was related to the length of hospitalization of post-PCI patients. Phase I cardiovascular rehabilitation is an integral part of medical therapy that can reduce adverse events in post-PCI patients.
Effectiveness of Information–Motivation–Behavioral (IMB) Skills Model on Diabetes Mellitus Patients Knowledge Barutu, Exodus Maruaba; Tanjung, Dudut; Sitohang, Nur Asnah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5543

Abstract

Diabetes mellitus (DM) is characterized by increased blood glucose levels caused by insulin deficiency or insulin resistance. Knowledge of diabetes mellitus plays an important role in reducing diabetes-related complications and improving its prevention.Knowledge about diabetes influences decision-making related to physical activity, diet, medication use, and health monitoring, including diabetes assessment and foot care. Model Information-Motivation-Behavioral Skills (IMB) is effective in being implemented in providing health education to patients.The purpose of the research is toanalyzing the effectiveness of the information–motivation–behavioral (IMB) skills model on the knowledge of diabetes mellitus patients. The research design was quasi-experimental nonequivalent control group design. The sampling technique was purposive sampling. The number of samples was 66 respondents. The instruments used are DKQ-24 (Diabetes Knowledge Questionnaire). Data analysis used dependent t-test and independent t-test. The results of data analysis showed the influence of the IMB skills model on pre- and post-test knowledge in the intervention and control groups with a p value = 0.000 (<0.05). The results of statistical tests also showed that there was a difference in the influence of the intervention between the intervention and control groups with a p value = 0.000 (<0.005). This study proves that the IMB skills model is effective in improving the knowledge of diabetes mellitus patients.
The Effectiveness of the Phase II Cardiac Rehabilitation Program on the Functional Capacity of the Heart and Quality of Life of Post-CABG Patients Maraksa, Deddy Wandra; Sitohang, Nur Asnah; Tarigan, Mula
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6600

Abstract

The Coronary Artery Bypass Graft (CABG) procedure is a form of surgical intervention carried out to treat coronary heart disease (CHD). Cardiac rehabilitation programs are training and education programs that aim to improve patients' heart health, especially after surgery. One of the goals of cardiac rehabilitation is to return patients to achieve optimal conditions, increase the functional capacity of the heart, and improve the quality of life. The purpose of the study was to test the effectiveness of the phase II cardiac rehabilitation program on increasing cardiac functional capacity and quality of life of post-CABG patients at H. Adam Malik Hospital Medan. The research design is a quasi-experimental one group pre-test and post-test design. The sampling technique is purposive sampling. The number of samples was 33 respondents. Data analysis was conducted using dependent t tests for heart rate (HR), systolic blood pressure, and diastole blood pressure. Data on respiratory rate (RR), METs, oxygen saturation (SpO2), and quality of life variables were used to test the wilcoxon. The results of the data analysis showed that there was no effect of the phase II cardiac rehabilitation program on HR and RR (p>0.05 value) because the majority of respondents took beta-blocker drugs. However, the results of statistical tests showed that there was an effect of the phase II cardiac rehabilitation program on systole and diastole blood pressure, METs, SpO2, and the quality of life of the respondents (p value <0.05). This study proves that the phase II cardiac rehabilitation program is effective in improving the functional capacity of the heart and the quality of life of post-CABG patients.
The Effect of Self-Efficacy Based Education on the Daily Care of Stroke Patients and its Implications with Counseling Wiguna, Rizaldi Nanda; Ritarwan, Kiking; Sitohang, Nur Asnah; Sinaga, M. Harwansyah Putra
KONSELI: Jurnal Bimbingan dan Konseling (E-Journal) Vol 8 No 2 (2021): KONSELI: Jurnal Bimbingan dan Konseling (E-Journal)
Publisher : Universitas Islam Negeri Raden Intan Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24042/kons.v8i2.9221

Abstract

Stroke patients generally experience daily self-care disorders due to old age (elderly), so that motor skills are low. One factor affecting the ability to take care of oneself every day and be motivated to be independent is self-efficacy. The purpose of this study was to analyze the effect of self-efficacy-based education on the daily self-care of stroke patients at the Haji Adam Malik General Hospital and its implications with counselling guidance. The type of research used is a quasi-experimental design using the nonequivalent control group pre- post-test only design method. The population in this study were all ischemic stroke patients at Haji Adam Malik Hospital Medan and a sample of 36 people. Researchers provided educational interventions based on self-efficacy using visual media, discussions, motor skills training, and occupational exercises for three meetings per week with a duration of 30 minutes each session for six weeks. Data collection with primary and secondary data and analyzed by statistical test Paired Sample t-Test. The results showed an effect of self-efficacy-based education on the daily care of stroke patients at Haji Adam Malik Hospital Medan (p-value = 0.000 <0.05) such as motor function and improving their daily activities.
EFEKTIVITAS TERAPI RENDAM KAKI AIR HANGAT TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI SEBAGAI PENERAPAN HOLISTIC CARE: A LITERATURE REVIEW Sirait, Diyan Marsella; Saragih, Maria Uli Marselina; Sitohang, Nur Asnah
Jurnal Ilmu Keperawatan Vol 13 No 1 (2024): Al-Asalmiya Nursing Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/keperawatan.v13i1.2631

Abstract

Hidroterapi merupakan salah satu modalitas pengobatan naturopati penting yang menggunakan air, Hidroterapi memiliki banyak manfaat selain mengurangi tekanan darah tinggi, seperti mengurangi kekakuan otot, meredakan otot yang terluka, meningkatkan sistem kekebalan tubuh, serta memberikan efek detoksifikasi dan meningkatkan kesehatan kulit. Melalui penggunaan air hangat, hidroterapi dapat membantu menstabilkan dan menurunkan tekanan darah secara alami. Penelitian ini bertujuan mengidentifikasi efektivitas terapi rendam kaki dengan air hangat dalam menurunkan tekanan darah pada pasien hipertensi. Literatur review yang berfokus pada intervensi terapi rendam kaki dengan air hangat dalam menurunkan tekanan darah. Artikel yang digunakan pada literature review ini adalah artikel yang didapatkan dengan pencarian artikel berdasarkan hasil penelusuran pada situs yaitu Science Direct, Pubmed, Ebsco dan Google Scholar dan dengan memasukan kata kunci Hypertension, Hydrotherapy and Blood pressure. Studi literature review ini secara signifikan menghasilkan kesimpulan bahwa terapi rendam kaki dengan air hangat dapat menurunkan tekanan darah pada pasien hipertensi. Hidroterapi rendam kaki air hangat merupakan praktik berbasis bukti yang efektif dalam meningkatkan perawatan pasien secara holistik, menawarkan alternatif non-farmakologis yang aman dan efektif untuk mengelola tekanan darah tinggi. Oleh karena itu, hidroterapi ini layak dipertimbangkan sebagai bagian dari perawatan standar bagi individu dengan tekanan darah tinggi.
EFEKTIVITAS TERAPI AKUPRESUR TERHADAP PENURUNAN TEKANAN DARAH PASIEN HIPERTENSI SEBAGAI PENERAPAN HOLISTIC CARE: A LITERATURE REVIEW Manullang, Evi Sara Hotmauli; Sianipar, Helpvina Lestari; Sitohang, Nur Asnah
Jurnal Ilmu Keperawatan Vol 13 No 1 (2024): Al-Asalmiya Nursing Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/keperawatan.v13i1.2634

Abstract

Terapi akupresur merupakan terapi non-farmakologi yang dapat menurunkan tekanan darah pada pasien hipertensi. Selain mudah dilakukan, juga hemat biaya dan tidak menimbulkan efek samping. Terapi akupresur bertujuan membantu penderita hipertensi dengan menurunkan tekanan darah dan mengurangi efek samping jangka panjang terapi obat, seperti mual, muntah, sakit kepala, dan pusing. Penelitian tentang akupresur tidak hanya memberikan efek terapeutik dan memberikan kenyamanan bagi penderita hipertensi tetapi juga meningkatkan kualitas hidup pasien.  Tujuan: Penelitian ini bertujuan untuk mengevaluasi pengaruh akupresur terhadap penurunan hipertensi. Metode Penelitian: Literatur review yang berfokus pada intervensi terapi Akupresur terhadap penurunkan tekanan darah pasien hipertensi. Metode pencarian artikel menggunakan PICOTT question pada database Science Direct, EBSCO, PubMed, dan Google Scholar dengan memasukan kata kunci Hypertension, Acupressure and Blood pressure. Penelusuran dibatasi pada artikel teks lengkap, penelitian asli, jurnal nasional dan internasional, yang diterbitkan pada tahun 2015-2024 di mana di temukan sebanyak 16 jurnal. Hasil: Studi literature review ini signifikan menghasilkan kesimpulan bahwa terapi Akupresur dapat dijadikan salah satu pengobatan alternatif  terhadap penurunan tekanan darah pasien hipertensi. Kesimpulan: Terapi Akupresur sebagai praktik berbasis bukti dalam peningkatan perawatan pasien secara holistik, memberikan alternatif non-farmakologis yang aman dan efektif dalam pengelolaan tekanan darah tinggi.  
Effectiveness of Baby Oil On Skin Integrity Disorders in Patients With Uremic Pruritus Due to Chronic Kidney Failure: Efektivitas Baby Oil Terhadap Gangguan Integritas Kulit Penderita Pruritus Uremik Akibat Gagal Ginjal Kronik Sitohang, Nur Asnah; Sara Hotmauli Br Manullang, Evi
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2025): Edisi Juli 2025
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v5i2.1333

Abstract

Chronic renal failure is an abnormality of kidney function and structure, where the glomerular filtration rate is less than 60 mL/min/1.73 m² and there is kidney damage that lasts more than 3 months. Uremic pruritus is one of the most common skin disorders in patients with chronic renal failure disease, which disrupts the physical and mental health of patients. Although pruritus is not life-threatening, it causes sleep disturbances and affects patients' quality of life. The participant in this case study was only one person diagnosed with CKD. One of the non-pharmacological interventions that can be done by nurses to patients is Baby Oil Therapy by applying 3-5 ml of Baby Oil on itchy skin for 15 minutes (3 times a day) for 4 consecutive days. The instrument used to assess itch intensity is Visual Analogue Scale (VAS, range: 0-10). The results of the provision of Baby Oil therapy decreased Visual Analogue Scale which initially scored 6 after intervention for 4 days the VAS scale of pruritus itching dropped to 1-2, the skin looks more moist, not dry and rough, redness is reduced and complaints of waking up while sleeping at night because of itching have decreased. This case study aims to evaluate the effectiveness of Baby Oil therapy for uremic pruritus in patients with chronic renal failure. Suggestions for further case studies are to analyze the impact of Baby Oil therapy not only on pruritus, but also on aspects of the quality of life of CKD patients.
DETEKSI DINI KANKER SERVIK PADA WANITA USIA SUBUR DENGAN INSPEKSI VISUAL ASAM ASETAT (IVA TEST) DI KLINIK BERSALIN KOTA MEDAN Nasution, Diah Lestari; Sitohang, Nur Asnah; Adela, Cut Adeya
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 2 (2018): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.429 KB) | DOI: 10.32734/abdimastalenta.v3i2.4164

Abstract

Kanker rahim di Indonesia menduduki peringkat pertama, 65%. Kondisi pasiennya dalam stadium lanjut. Pada penelitian di tiga belas laboratorium patologi anatomi didapatkan jumlah penderita kanker serviks sekitar 18,5%. Ditemukan sejak umur 25-34 tahun dengan puncaknya terbanyak berada pada umur 45-54 tahun. Data di RS.H.Adam Malik Medan tahun 2011 ditemukan jumlah pasien kanker serviks sebanyak 367 orang. Keluhan utama yang paling banyak dialami penderita adalah perdarahan pervaginam (77,9%), sedangkan stadium terbanyak adalah IIIb (39,5%). Pengabdian kepada masyarakat ini ini bertujuan untuk memberikan komunikasi,edukasi dan informasi (KIE) kanker serviks dan melakukan deteksi dini gejala kanker servik pada wanita usia subur untuk menurunkan morbiditas dan mortalitas dan memotivasi melakukan pemeriksaan IVA Test sekali dalam 3 tahun. Pengabdian masyarakat ini dilaksanakan di dua (2) Klinik bersalin yaitu rumah bersalin SAM (20 orang) dan Klinik Bersalin Sari (20 orang). Metode pendekatan yang dilaksanakan menggunakan komunikasi informasi edukasi (KIE) dan pemeriksaan serviks dengan metode IVA test. Metode analisis data menggunakan dependent t test. Hasil kegiatan diperoleh data mayoritas WUS berusia 26-30 tahun (40%), suku batak (13%),agama islam (95%),menikah pertama kali (77.5%), pendidikan SMA/diploma/sarjana (80%),IRT (77.5%),pekerjaan suami karyawan (52.5%),umur pertama menikah 26-30 tahun(40%) dan tidak merokok (80%); menggunakan alat kontrasepsi suntik (42.5%);riwayat obstetri mayoritas WUS melahirkan 2 kali (42.5%),tidak pernah periksa (80%),tidak ada saudara yang sakit(75%),kanker payudara (10%),tidak banyak keputihan (65%),tidak ada sakit di bawah perut(70%), tidak ada perdarahan saat bersenggama (90%) dan tidak mengalami haid tidak teratur (55%);hasil IVA Test WUS adalah negatif (80%),radang (17,5 %) dan positif (2.5%);pengetahuan WUS sebelum diberi Komunikasi Edukasi Informasi (KIE) tentang kanker serviks dan IVA Test rata –rata = 13.58,SD =3.012 dan sesudah diberi KIE rata –rata= 14.30, SD = 3.275. Hasil uji statistik diperoleh beda mean = 0.725 dan nilai P=0,016,maka dapat disimpulkan ada pengaruh yang signifikan KIE terhadap pengetahuan WUS tentang kanker serviks dan IVA Test.