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The Influence of Health Education on Knowledge and Attitude of Students of Dharma Pancasila Middle School About Menstrual Health Management Sitohang, Nur Asnah; Cut, Adeya Adella
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (804.393 KB) | DOI: 10.32734/abdimastalenta.v7i1.4201

Abstract

Menstrual Hygiene Management (MHM) is the management of hygiene and health when women experience menstruation. The main problem in adolescents related to menstruation is the lack of knowledge about MSM and poor water sanitation. Many girls don't have the right understanding that menstruation is a normal biological process. Community service aims to improve students' knowledge and attitudes about menstrual health management. The method used is socializing; identify the state of menstrual health service facilities in schools: bathrooms, water, information; carry out bathroom renovations; provide educational media about menstrual health management in the form of posters, videos, leaflets, modules and flip sheets. Pre-test and post-test aims to identify students' knowledge and attitudes about menstrual health management. Analysis of the data used is the dependent t test. The knowledge of students before being given health education majority was in the sufficient category and thereafter increased to good. Likewise, students' attitudes increase to be positive. The statistical test results obtained mean difference of 7.72 and P Value = 0.001, it can be concluded that there is a significant effect of health education on knowledge. For attitudes the mean difference is 1.62 and the P value = 0.001, it can be concluded that there is a significant influence on health education on student attitudes. Therefore it is suggested to the school to include this topic in the subject matter. So students can apply it early and their reproductive health can be maintained.
Inovasi Sistem Informasi Penanggulangan Krisis Kesehatan: Implementasi dan Uji Coba di Dinas Kesehatan Kota Banda Aceh Rimadeni, Yeni; Oktabina, Rizki Wan; Asiah, Nur; Sitohang, Nur Asnah
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14078

Abstract

ABSTRACT Health Crisis Management prioritizes health crisis risk reduction activities, which include the prehealth crisis stage, health crisis emergency response stage and post-health crisis stage. One of the prevention and mitigation efforts at the prehealth crisis stage is to develop a health crisis management information system. The activities of the health crisis event information system, in general, still use the information system manually by filling out the reporting form so that the reporting needed immediately is less timely in its reporting, and the storage of the reported database has not been managed properly. The research design using the Research and Development approach aims to obtain the development and test results of the health crisis response reporting system. Product testing is produced using Heuristic Review Analysis. This research is only limited to the development of reporting systems and system tests on users. The research object in this study is the health rapid assessment reporting system currently used, namely based on Permenkes Number 75 of 2019. The research subject is the sub-section that deals with health crisis and disaster reporting at the Banda Aceh City Health Office. This research has produced an online-based health crisis management information system. The results of testing the information system concluded that the display design received 94.2% points, data entry and editing with 92.2% points, the search menu with 95% points and the help function (help) with 96.7% points. Overall, the online-based health crisis management information system is capable and easily accepted by users with 93.8% points. Functionally, the application has been said to be good, but there is still much to be improved and added. For improvement, it can be continued until the implementation stage, namely starting from training and changing the system supported by policies from decision-making management so that this application can be operationalized in the ranks of the Health Office. Keywords: Health Crisis, Disaster, Online Reporting, Sipkrikes  ABSTRAK Penanggulangan Krisis Kesehatan mengutamakan kegiatan pengurangan risiko krisis kesehatan yang meliputi: tahap prakrisis kesehatan, tahap tanggap darurat krisis kesehatan dan tahap paskakrisis kesehatan. Upaya pencegahan dan mitigasi pada tahap prakrisis kesehatan sebagaimana dimaksud salah satunya adalah mengembangkan sistem informasi penanggulangan krisis kesehatan. Kegiatan sistem informasi kejadian krisis kesehatan secara umum masih menggunakan sistem informasi secara manual dengan mengisi form pelaporan sehingga pelaporan yang dibutuhkan dengan segera kurang tepat waktu dalam pelaporannya serta penyimpanan data base yang di laporkan belum terkelola dengan baik.Desain penelitian yang menggunakan pendekatan Research and Development ini bertujuan untuk memperoleh pengembangan dan hasil uji coba sistem pelaporan penanggulangan krisis kesehatan. Pengujian Produk yang dihasilkan dengan mengunakan Analisis Heuristic Review. Penelitian ini hanya dibatasi sampai pengembangan sistem pelaporan dan uji sistem pada pengguna (user). Obyek penelitian dalam penelitian ini adalah Sistim pelaporan penilaian cepat kesehatan yang digunakan  saat ini yaitu berdasarkan permenkes Nomor 75 Tahun 2019. Subyek penelitiannya adalah Sub bagian yang menanggani tentang pelaporan krisis kesehatan dan bencana di Dinas Kesehatan Kota Banda Aceh. Penelitian ini telah menghasilkan sistem informasi penanggulangan krisis kesehatan berbasis online. Hasil pengujian sistem informasi tersebut disimpulkan bahwa desain tampilan mendapatkan poin 94,2%, entri dan edit data dengan poin 92,2%, menu pencarian  dengan poin 95% dan fungsi bantuan (help) dengan poin 96,7%. Secara keseluruhan, sistem informasi penanggulangan krisis kesehatan berbasis online yang mampu dan mudah diterima oleh pengguna sebesar poin 93,8%. Secara fungsional aplikasi sudah dikatakan baik namun masih banyak yang harus diperbaiki dan ditambahkan. Untuk penyempurnaan agar dapat dilanjutkan sampai tahap implementasi yaitu mulai dari pelatihan dan pergantian sistem yang didukung dengan kebijakan dari manajemen pengambil keputusan sehingga aplikasi ini dapat dioperasionalkan di jajaran Dinas Kesehatan. Kata Kunci: Krisis Kesehatan, Bencana, Pelaporan Online, Sipkrikes
Clinical Predictors of Functional Disability in Knee Osteoarthritis: Risk Stratification Approach as Implications of Nursing Practice Yannis, Nafi; Tanjung, Dudut; Dedi Ardinata; Tasrif Hamdi; Nur Asnah Sitohang
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.21284

Abstract

Osteoarthritis (OA) of the knee is one of the most common musculoskeletal disorders and a leading cause of disability in the elderly. The severity of osteoarthritis can be assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), which is a widely used tool to measure pain, stiffness, and physical dysfunction in patients with OA. This study aimed to analyze the relationship between the demographic and clinical characteristics of patients with knee osteoarthritis and their WOMAC scores. The study used a quantitative, cross-sectional observational design. The relationship between functional disability (measured by the WOMAC score) and various factors was analyzed. The independent variables included age, sex, occupation, body mass index (BMI), OA grade, and duration of OA to the WOMAC score. Significant correlations were found between the WOMAC score and both OA grade (p=0.049) and OA duration (p=0.030). Furthermore, the multiple linear regression analysis revealed that OA duration (p=0.038) and OA grade (p=0.036) were significant predictors of the WOMAC score, collectively explaining 13.0% of its variance (R² value = 0.130).  The findings of this study indicate that OA grade and duration of illness are significant predictors of the level of disability as measured by the WOMAC scores. OA levels and disease duration were the primary predictors of functional disability, explaining 13.0% of the WOMAC score variance. Nursing interventions should focus on risk stratification based on these clinical markers, prioritizing early intervention for newly diagnosed patients, irrespective of their age or BMI.
The Application of Menstrual Hygiene Management towards the Elementary Students Hygiene Personal Attitude during Menstruation Sitohang, Nur Asnah; Diah Lestari; Cut Adeya Adella; Nu Asiah
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.21794

Abstract

The main problem among adolescents related to menstruation is the lack of knowledge about Menstrual Health Management (MHM) and poor water sanitation. This study aims to determine the effectiveness of MHM on the knowledge and personal hygiene behavior of elementary school students in Medan. The research employed a quasi-experimental design with a one-group pretest-posttest approach. The population is all elementary school students in grades 4 and 5. The sample included 67 female and 43 male students, totaling to 110 participants. Data were collected using a questionnaire administered before the intervention (pretest), followed by a health education program consisting of lectures, discussions, and role plays, supported by LCD/PowerPoint presentasions, leaflets, and videos, and then after the intervention (posttest).The sampling technique used was total sampling. Dependent t-test analysis was utilized to assess the data. The results showed a significant difference in respondents’ knowledge before and after the intervention. For attitudes, the mean difference was 3.440 with a p-value of 0.000, indicating a significant effect of the intervention on respondents’ attitudes. Specifically, for male students, the mean difference in knowledge was 7.721 (p = 0.000), and the mean difference in attitudes was 1.628 (p = 0.000), confirming a significant improvement in both knowledge and attitudes after the intervention. Therefore, it is recommended that health workers implement MHM education programs to improve adolescent reproductive health status. Keyword: Menstrual hygiene knowledge, Attitude, Elementary student management
The Prevention of Ulcers Decubitus with Mobilization and The Usage of Olive Oil on Stroke Patients Siti Cahaya Meliza; Kiking Ritarwa; Nur Asnah Sitohang
Elkawnie Vol. 6 No. 2 (2020)
Publisher : Faculty of Science and Technology Universitas Islam Negeri Ar-Raniry

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22373/ekw.v6i2.6925

Abstract

Abstract: Decubitus ulcers are one of the problems experienced by bed rest patients, such as stroke patients, caused by immobilization. Prevention of decubitus ulcers can be done with mobilization and topical application of olive oil. Olive oil contains saturated fatty acids, unsaturated fatty acids, vitamin E, and phenols which are healthy for the skin. This research aims to identify the effects of mobilization and application of olive oil on the prevention of decubitus ulcers in stroke patients. A control group pretest-posttest quasi-experimental design was used in the research. Convenience (non-probability) sampling was also carried out, resulting in 64 research samples. Mobilization intervention of right-left oblique positions and application of olive oil on the area prone to decubitus ulcers were then executed for seven days. Data analysis using the Wilcoxon signed-rank test showed the effects of mobilization and application of olive oil on the preventions of decubitus ulcers in stroke patients with a value of P= <0,05. Abstrak: Ulkus dekubitus merupakan salah satu masalah yang dialami pasien tirah baring seperti pasien stroke, dengan faktor penyebabnya adalah immobilisasi, tindakan pencegahan ulkus dekubitus dapat dilkukan dengan mobilisasi dan pemberian bahan oles seperti minyak zaitun, minyak zaitun kandungannya terdiri dari asam lemak jenuh, asam lemak tak jenuh, vitamin E dan fenolik yang baik untuk kesehatan kulit. Penelitian ini bertujuan untuk mengidentifikasi pengaruh mobilisasi dan penggunaan minyak zaitun terhadap pencegahan ulkus dekubitus pada pasien stroke. Penelitian menggunakan desain Quasi-experimental dengan pretest- posttest with countrol gruopdesign.Convenience (Non-probability) dilakukan untuk pengambilan sampel, jumlah sampel penelitian 64. Intervensi mobilisasi miring kanan dan kiri kemudian bagian yang akan terjadi ulkus dekubitus diolesi minyak zaitun,intervensi dilakukan selama tujuh hari. Analisa data wilcoson signed -rank test menunjukan adanya pengaruh mobilisasi dan penggunaan minyak zaitun terhadap pencegahan ulkus dekubitus pada pasien stroke dangan nilai P= <0,05. Mobilisasi miring kanan dan kiri penggunaan minyak zaitun dapat mencegah ulkus dekubitus.
Hubungan pengetahuan dengan sikap tentang proteksi radiasi perawat kamar operasi dan kateterisasi jantung Bungaria, Sri; Tarigan, Mula; Sitohang, Nur Asnah
Holistik Jurnal Kesehatan Vol. 20 No. 2 (2026): Volume 20 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i2.2240

Abstract

Background: Nurses working in operating rooms and cardiac catheterization units may be exposed to radiation exceeding threshold levels, which can have serious health impacts. Knowledge of radiation protection forms the basis for attitudes and implementation of radiation safety practices to anticipate the hazards and impacts of radiation. Purpose:To analyze the relationship between knowledge and attitudes regarding radiation protection among operating room and cardiac catheterization nurses. Method: This study used a quantitative approach with a correlational design. A sample of 43 operating room and cardiac catheterization nurses at Royal Prima General Hospital (RSU) in Medan City was selected using a total sampling technique, and data collection used the Health Professional Knowledge of Radiation Protection (HPKRP) questionnaire and an attitude questionnaire regarding radiation protection. Data analysis was performed using the Spearman Rank test to analyze the relationship between knowledge and attitudes regarding radiation protection. Results: Knowledge regarding radiation protection was categorized as sufficient (69.8%), with attitudes categorized as good (97.7%). There was a positive relationship between knowledge and attitudes (p = 0.001) with an r value of 0.474, indicating that knowledge is significantly related to nurses' attitudes regarding radiation protection. Conclusion: Operating room and cardiac catheterization nurses require structured and ongoing educational interventions to improve occupational safety, reduce the risk of radiation exposure, and improve the quality of healthcare. Suggestion: Operating room and cardiac catheterization nurses require structured and ongoing educational interventions to improve occupational safety, reduce the risk of radiation exposure, and improve the quality of healthcare.   Keywords: Attitudes; Cardiac Catheterization; Knowledge; Operating Room Nurses; Radiation Protection.   Pendahuluan: Perawat yang bekerja di unit kamar operasi dan kateterisasi jantung dapat terpapar radiasi melebihi ambang batas dengan dampak yang serius terhadap kesehatannya. Pengetahuan tentang perlindungan radiasi menjadi dasar bersikap dan melaksanakan praktik keselamatan radiasi untuk mengantisipasi bahaya dan dampak radiasi. Tujuan: Untuk menganalisis hubungan antara pengetahuan dan sikap tentang proteksi radiasi perawat kamar operasi dan kateterisasi jantung Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain korelasional. Sampel sebanyak 43 perawat kamar operasi dan kateterisasi jantung di Rumah Sakit Umum (RSU) Royal Prima di Kota Medan. Sampel dipilih dengan teknik total sampling dan pengumpulan data menggunakan kuesioner Healthcare Professional Knowledge of Radiation Protection (HPKRP) serta kuesioner sikap tentang perlindungan radiasi. Analisis data dilakukan menggunakan uji Spearman Rank untuk menganalisis hubungan pengetahuan dengan sikap tentang proteksi radiasi. Hasil:Tingkat pengetahuan tentang perlindungan radiasi pada kategori cukup (69.8%) dengan kategori sikap pada ketegori baik (97.7%). Terdapat hubungan hubungan positif antara pengetahuan dengan sikap (p= 0.001) dengan nilai r= 0.474 yang bermakna pengetahuan berhubungan secara signifikan dengan sikap perawat dalam perlindungan radiasi. Simpulan: Perawat kamar operasi dan kateterisasi jantung memerlukan intervensi pendidikan yang terstruktur dan berkelanjutan untuk meningkatkan keselamatan kerja, menurunkan risiko paparan radiasi, dan meningkatkan kualitas pelayanan kesehatan. Saran: Perawat kamar operasi dan kateterisasi jantung memerlukan intervensi pendidikan yang terstruktur dan berkelanjutan untuk meningkatkan keselamatan kerja, menurunkan risiko paparan radiasi, dan meningkatkan kualitas pelayanan kesehatan.   Kata Kunci: Kateterisasi Jantung; Pengetahuan; Perawat Kamar Operasi; Proteksi Radiasi; Sikap.
Efektifitas Teknik Relaksasi Otot Progresif Terhadap Intensitas Nyeri Akut Pascaoperasi Fraktur Tulang Panjang Syah Fara Dillasani Sirait; Dudut Tanjung; Dedi Ardinata; Tasrif Hamdi; Nur Asnah Sitohang
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57243

Abstract

Abstract Acute postoperative pain following long bone fractures is a common clinical problem that may hinder the healing process and delay early patient mobilization. This study aimed to analyze the effectiveness of Progressive Muscle Relaxation (PMR) techniques in reducing the intensity of acute postoperative pain in patients with long bone fractures. A randomized controlled trial with a pretest–posttest control group design was employed. The sample consisted of 72 respondents, who were divided into an intervention group (NSAIDs + PMR) and a control group (NSAIDs only). Univariate analysis showed that the mean pain intensity in the intervention group decreased from 68.2 ± 8.5 mm before the intervention to 32.4 ± 7.6 mm after the intervention, while in the control group, mean pain intensity decreased from 67.9 ± 8.1 mm to 48.6 ± 8.9 mm. Bivariate analysis using the paired t-test demonstrated a statistically significant reduction in pain intensity before and after treatment in both the intervention group (p = 0.000) and the control group (p = 0.001). Furthermore, the independent t-test revealed a significant difference in post-intervention pain intensity between the intervention and control groups (p = 0.000). These findings indicate that Progressive Muscle Relaxation is effective as a complementary therapy in reducing acute postoperative pain following long bone fractures and is recommended for integration into postoperative nursing care. Keywords: Progressive Muscle Relaxation Technique, acute pain, long bone fracture, postoperative, NSAID
Efektivitas Manajemen Tekanan Cuff ETT terhadap Aspirasi Sekret dan VAP pada Pasien Ventilasi Mekanik di ICU RS Murni Teguh Medan Sartika Hutahaean; Nur Asnah Sitohang; Mula Tarigan
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57806

Abstract

Ventilasi mekanik merupakan sistem bantuan napas untuk mempertahankan pertukaran gas pada pasien dengan gangguan pernapasan berat, yang memerlukan pengendalian jalan napas buatan secara terstandar dalam keperawatan kritis. Pengelolaan tekanan cuff Endotracheal Tube (ETT) oleh perawat ICU penting untuk menjaga airway seal, karena tekanan yang tidak optimal dapat menyebabkan kebocoran mikro, aspirasi sekret, dan meningkatkan risiko Ventilator-Associated Pneumonia (VAP). Oleh karena itu, pemantauan tekanan cuff menggunakan manometer perlu dievaluasi efektivitasnya dalam praktik klinik. Penelitian ini bertujuan mengetahui efektivitas manajemen tekanan cuff ETT terhadap aspirasi sekret dan VAP pada pasien ventilasi mekanik. Desain penelitian menggunakan quasi-experimental dengan post-test only with control group design. Sampel sebanyak 82 pasien diambil dengan teknik consecutive sampling dan dibagi menjadi kelompok intervensi dan kontrol (masing-masing 41 pasien). Pengumpulan data menggunakan lembar observasi aspirasi sekret dan Clinical Pulmonary Infection Score (CPIS). Hasil penelitian didapatkan bahwa ada perbedaan pengaruh manajemen tekanan cuff ETT terhadap aspirasi sekret pada kelompok intervensi dan kelompok kontrol dengan nilai p<0,001 (p<0,05) serta ada perbedaan pengaruh manajemen tekanan cuff ETT terhadap angka kejadian VAP pada kelompok intervensi dan kelompok kontrol dengan nilai p<0,001 (p<0,05). Manajemen tekanan cuff ETT yang terkontrol secara rutin efektif dalam mencegah aspirasi sekret dan menurunkan risiko VAP.
Efektivitas Inspiratory Muscle Training (IMT) Terhadap Weaning ventilator pada Pasien ICU Di RS Murni Teguh Medan Normi Hotriani Purba; Nur Asnah Sitohang; Mula Tarigan
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57932

Abstract

Weaning ventilator merupakan proses pelepasan ventilasi mekanik secara bertahap hingga pasien mampu mempertahankan pernapasan spontan secara adekuat tanpa bantuan alat selama minimal 48 jam setelah ekstubasi. Proses ini berperan penting dalam menentukan luaran klinis pasien ICU, namun masih menjadi tantangan karena tingginya angka kegagalan, reintubasi, serta komplikasi seperti ventilator-associated pneumonia yang berkaitan dengan kelemahan otot pernapasan. Intervensi seperti Inspiratory Muscle Training (IMT) diperlukan untuk meningkatkan kekuatan otot inspirasi dan mendukung keberhasilan weaning ventilator. Penelitian ini bertujuan untuk mengetahui efektivitas IMT terhadap keberhasilan weaning ventilator pada pasien ICU. Desain penelitian menggunakan kuasi eksperimen dengan rancangan pre test–post test control group design. Teknik pengambilan sampel menggunakan consecutive sampling dengan jumlah sampel 78 pasien ventilasi mekanik yang dibagi menjadi dua kelompok, yaitu 39 kelompok intervensi yang diberikan IMT dan 39 kelompok kontrol dengan perawatan standar. Instrumen pengumpulan data menggunakan lembar observasi fisiologis (HR, RR, TD, SpO₂, suhu, dan RSBI), dengan analisis data menggunakan uji t dependen atau Wilcoxon serta t independen atau Mann–Whitney sesuai distribusi data. Hasil penelitian didapatkan bahwa ada perbedaan rerata parameter fisiologis (TD, HR, RR, suhu, SpO₂, dan RSBI) sebelum dan sesudah intervensi pada kelompok intervensi dengan nilai p < 0,05, yang menunjukkan adanya pengaruh signifikan IMT. Pada kelompok kontrol juga terjadi perubahan rerata parameter fisiologis, namun tidak signifikan dan tidak sebesar kelompok intervensi. Selain itu, terdapat perbedaan bermakna antara kelompok intervensi dan kontrol (p < 0,05), yang menunjukkan bahwa IMT lebih efektif dalam meningkatkan kondisi fisiologis dan keberhasilan weaning ventilator pada pasien ICU. IMT disarankan sebagai intervensi pendukung dalam praktik keperawatan ICU untuk meningkatkan parameter fisiologis dan keberhasilan weaning ventilator pada pasien kritis.