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All Journal Jurnal Keperawatan Journal Of Vocational Health Studies JPP Jurnal Kesehatan Poltekkes Palembang Mapalus Nursing Science Journal (MNSJ): Jurnal Ilmu Keperawatan Mapalus
Muhamad Nurmansyah
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Health Professions Medicine & Pharmacology Nursing Public Health

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FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA HIPOTENSI INTRADIALISIS PADA PASIEN GAGAL GINJAL KRONIK DI RUANGAN HEMODIALISIS MELATIRSUP PROF DR. R. D. KANDOU MANADO Natalia Nova Tampah; Gresty Masi; Muhamad Nurmansyah
JURNAL KEPERAWATAN Vol. 11 No. 1 (2023): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jkp.v11i1.48473

Abstract

Backgroud One of the most frequent complications in patients with hemodialysis is an intradialysis hypotension. Some conditions of patients who can trigger a drop in blood pressure during hemodialysis: age, gender, comorbidities such as diabetes and cardiomyopathy, anemia, weight gain and the use of antihypertensive drugs. Aim: this study aim to identify factors that affect the intradialysis hypotension of chronic kidney failure patients with hemodialysis. Method the uses the kind of quantitative with a cross-sectional study design, total sample of 296 hemodialysis patients. Data analysis using chi square test and coefficient correlation. Results showed a correlation between age and cardiovascular history with the incidence of intradialysis hypotension and while gender have nothing to do with the incidence of intradialysis hypotension. Conclusion monitoring needs to be improved while the patient is undergoing hemodialysis so as not to cause intradialysis hypotension which threatens the health and safety of the patient while undergoing hemodialysis.  Keywords: Chronic Kidney Diseases; Hemodialysis; Intradialysis Hypotension
EFEKTIVITAS SELF-INSTRUCTIONAL MODULE (SIM) DALAM PENINGKATAN PENGETAHUAN PASIEN DIABETES MELLITUS TIPE II Abd. Gani Baeda; Rizqi Wahyu Susanti Kedua; Sri Yulianti; Muhamad Nurmansyah
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 18 No 1 (2023): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : POLITEKNIK KESEHATAN KEMENKES PALEMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v18i1.1569

Abstract

Latar Belakang: Rendahnya pengetahuan penderita diabates mellitus berdampak pada rendahnya self care management dan kemungkinan terjadinya peningkatan komplikasi penyakit. Salah satu media untuk meningkatkan pengetahuan pasien diabetes mellitus adalah dengan memberikan informasi melalui self instructional module (SIM). Tujuan penelitian ini adalah untuk mengetahui efektivitas self instructional module (SIM) terhadap peningkatan pengetahuan pasien diabates melitus. Metode: Penelitian ini menggunakan desain quasi-experimental dengan rancangan pretest-postest group design dengan jumlah sampel 15 orang yang ditentukan secara purposive sampling. Hasil: Analisis data menunjukkan self instructional module (SIM) efektif dalam meningkatkan pengetahuan pasien diabates mellitus dengan nilai p 0,04 (p<0,05). Sebagian besar responden mengalami peningkatan pengetahuan tentang pengobatan dan komplikasi setelah pemberian modul Kesimpulan: SIM efektif dalam meningkatkan pengetahuan pasien diabates melitus.
SERUM ELECTROLYTE LEVELS IN HEART FAILURE PATIENTS WITH A HYPERTENSION HISTORY Suharno Usman; Christha Zenithy Tamburian; Imelda Sirait; Muhamad Nurmansyah
Journal of Vocational Health Studies Vol. 9 No. 2 (2025): November 2025 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V9.I2.2025.77-86

Abstract

Background: Knowing the description of serum electrolytes in those with a history of hypertension and congestive heart failure is critical. Purpose: The purpose of this study is to look into the estimation of serum electrolytes, the correlation between serum electrolytes (sodium (Na+), potassium (K+), chlorine (Cl-)) levels with blood pressure, and the demographic characteristics of heart failure patients with a history of hypertension. Method: A retrospective design was used in this study, which used progress records (e.g., participant demographic data, medical history, and clinical laboratory tests such as serum electrolytes and blood chemistry) from patients with hypertension and Heart Failure (HF) who were hospitalized. Result: The present study established no correlation between serum electrolyte levels and blood pressure. The highest of Na+ levels were 169 mEq/L, K+ 6.4 mEq/L, and Cl- 119 mEq/L. Most participants had the habit of not smoking (87 people, 79.8%) and not consuming alcohol (91 people, 83.5%). Demographic characteristics such as gender, smoking habits, and alcohol consumption had no significant impact on serum electrolyte levels, except for a history of alcohol consumption on sodium levels, which had a significant effect (p-value = 0.014). Furthermore, an absence of correlation was observed between demographic factors and blood pressure. Conclusion: A lack of relationship between serum electrolyte levels and blood pressure. Similarly, demographic characteristics were not correlated with blood pressure. HF patients with a history of hypertension show normal serum electrolyte levels, but a significant relationship between alcohol consumption habits and sodium levels was found.
Asuhan Keperawatan Medikal Bedah pada Tn. dengan ADHF dan Penerapan Foot Elevation 30 Derajat untuk Menurunkan Foot Edema di Ruangan CVBC Lt. 3 RSUP Prof R.D Kandou Manado Kaani, Jimri Novrian; Muhamad Nurmansyah; Fernandez, Gratsia Victoria
Mapalus Nursing Science Journal Vol. 3 No. 2 (2025): Mapalus Nursing Science Journal (Jurnal Ilmu Keperawatan Mapalus)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v3i2.59998

Abstract

Background. Acute Decompensated Heart Failure (ADHF) is acute heart failure which is defined as a rapid onset of symptoms or signs due to abnormal heart function. Heart failure is known in several terms, namely left, right, and combined or congestive heart failure, in this case patients with right heart failure are characterized by the presence of peripheral edema, ascites and increased jugular veins, in patients who experience heart disease edema caused by pump failure, edema that occurs in patients can cause discomfort, difficulty walking, The best way to reduce edema is to take advantage of the nature of the fluid that always goes to a lower place due to the influence of gravity and one of the exercises that can be given to patients with heart failure is the provision of a higher leg position of 30˚ for 3x a day, done for approximately 15-30 minutes. Objective. Describing the results of practice in the form of nursing care in ADHF patients with the provision of 30 degree elevation in reducing edema. Results : after giving foot elevation 30 degrees for 5 days the results obtained that the level of edema in the legs from the initial 4/4 dropped to 0/2 degrees, so with these results it can be concluded that giving foot elevation 30 degrees is effective in reducing the degree of edema. Conclusion : the intervention given by EBPN, namely foot elevation of 30 degrees in reducing the degree of edema, has significant results where the patient's edema drops to grade 0. Keywords: ADHF ;Edema:Foot elevation
Co-Authors Abd Gani Baeda Christha Zenithy Tamburian Fernandez, Gratsia Victoria Gresty Masi Imelda Sirait Kaani, Jimri Novrian Natalia Nova Tampah Sri Yulianti Susanti, Risqi Wahyu Usman, Suharno