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Compliance of Patients Undergoing Hemodialisis with Recovery Time Post-Dialysis Agustina, Fitriani; Yusra, Ainil; Taufiq, Said
Jurnal Keperawatan Vol 9 No 2 (2024): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v9i2.1485

Post-hemodialysis, patients frequently experience symptoms that disrupt their comfort during daily activities, ranging from simple to strenuous tasks. Many hemodialysis patients do not feel well after dialysis sessions and require time to recover before resuming their usual activities at home or work. This study aims to determine the influence of fluid compliance, dietary compliance, and hemodialysis dose compliance on post-dialysis recovery time. A cross-sectional design with consecutive sampling was employed, involving 76 respondents. Data were collected by distributing questionnaires to patients undergoing hemodialysis during each session. Data analysis was conducted using the Mann-Whitney test with a 95% confidence interval. Post-dialysis recovery time ranged from a minimum of 15 minutes to a maximum of 1,800 minutes, with the majority of patients recovering within 240 minutes. There was a significant difference between post-dialysis recovery time and fluid restriction adherence (p-value = 0.000, p-value < 0.05), with respondents who adhered to fluid restrictions having a predominantly 45-minute recovery time. Similarly, a significant difference was observed between post-dialysis recovery time and dietary compliance (p-value = 0.000, p-value < 0.05), with respondents who adhered to their diet also having a 45-minute recovery time. Additionally, a significant difference was found between post-dialysis recovery time and hemodialysis dose compliance (p-value = 0.007, p-value < 0.05), with the majority of respondents adhering to the hemodialysis dose exhibiting a 120-minute recovery time. Post-dialysis recovery time is influenced by compliance to fluid restrictions, dietary management, and hemodialysis dosing in hemodialysis patients. Maintaining compliance to fluid restrictions, diet, and hemodialysis dosing can shorten post-dialysis recovery time.

PENGARUH EDUKASI KESEHATAN DENGAN MEDIA BOOKLET TERHADAP PENGETAHUAN DAN SIKAP PENCEGAHAN DIABETES MELLITUS PADA REMAJA DI SMA NEGERI I SAMUDERA KABUPATEN ACEH UTARA Hamid, Syahabuddin; Yusra, Ainil; Subki, Subki
Indonesian Trust Health Journal Vol 8 No 1 (2025): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v8i1.352

Diabetes mellitus (DM) is one of the non-communicable diseases that is the biggest global emergency health problem in the 21st century. The prevalence of DM in Indonesia reached 19.5 million in 2021 and is ranked fifth in the world. This disease is not only experienced by early to late adulthood but is also prevalent among adolescents, and the mortality rate of diabetes mellitus (DM) in Indonesia is predicted to reach 58% by the year 2045 Efforts to control and prevent diabetes mellitus correctly and appropriately can be realized by making changes to healthy lifestyle behaviors through increasing public knowledge, especially adolescents, by providing health education about DM. This study was conducted to determine the effect of health education through booklet on knowledge and attitudes about preventing DM in adolescents. The study was conducted at SMA Negeri I Samudera, North Aceh Regency. The research design used was a quasi-experimental method with a pretest and posttest method in one group. The sampling technique was carried out randomly with a sample size of 74 students. Data collection was carried out using a questionnaire in the form of a link distributed to respondents, then the data was analyzed using a statistical test t-test with a confidence interval of 95%. The results of the Paired Sample T-Test on knowledge showed a p-value of 0.000 (p < 0.05), and for respondents' attitudes, the p-value obtained was 0.001 (p < 0.005). Therefore, it can be concluded that the use of booklets in health education has a significant effect on knowledge and attitudes regarding diabetes mellitus prevention among adolescents. Abstrak Diabetes mellitus (DM) merupakan salah satu penyakit tidak menular yang menjadi masalah kesehatan kedaruratan global terbesar di abad 21. Prevalensi DM di Indonesia mencapai 19,5 juta pada tahun 2021 dan menduduki urutan kelima dunia. Penyakit ini tidak hanya diderita oleh dewasa awal hingga akhir lansia tetapi juga rentan terjadi pada remaja dan angka kematian DM di Indonesia diprediksikan mencapai 58% pada tahun 2045. Upaya pengendalian dan pencegahan diabetes mellitus secara benar dan tepat dapat diwujudkan dengan melakukan perubahan perilaku pola hidup sehat melalui peningkatan pengetahuan masyarakat khususnya remaja dengan memberikan pendidikan kesehatan tentang pencegahan penyakit DM. Penelitian ini dilakukan untuk mengetahui pengaruh edukasi kesehatan menggunakan media booklet terhadap pengetahuan dan sikap pencegahan penyakit DM pada remaja. Penelitian dilakukan di SMA Negeri I Samudera Kabupaten Aceh Utara. Desain penelitian yang digunakan yaitu quasi eksperiment dengan metode pretest dan posttest pada satu kelompok. Tehnik pengambilan sampel dilakukan secara purposive sampling dengan jumlah sampel 72 orang siswa. Pengumpulan data dilakukan dengan menggunakan kuesioner dalam bentuk link yang disebarkan kepada responden kemudian data dianalisis dengan menggunakan uji statistik t-test dengan interval kepercayaaan 95%. Hasil uji Paired Sample T-Test terhadap pengetahuan diapatkan niai p value sebesar 0,000 (p value < 0.05) dan terhadap sikap responden nilai p value yang didapat sebesar 0,001 (p <0,005) dengan demikian dapat disimpulkan bahwa ada pengaruh yang signifikan penggunaan booklet dalam edukasi kesehatan terhadap pengetahuan dan sikap pencegahan diabetes mellitus pada remaja.

GAMBARAN PENGETAHUAN DAN SIKAP IBU TENTANG PERTOLONGAN PERTAMA PADA LUKA BAKAR RINGAN DI DESA TANJONG MULIENG KECAMATAN SYAMTALIRA ARON Syahabuddin, Syahabuddin; Yusra, Ainil; Subki, Subki
Indonesian Trust Health Journal Vol 6 No 1 (2023): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v6i1.141

Burns are damage to the body's skin caused by heat trauma or cold trauma (frost bite). According to WHO the highest incidence of burns in the Southeast Asia region, 27% of the global total die and almost 70% women. The prevalence of burns in Indonesia is 2.2%. The highest burn rate in developing countries occurs in women, while in developed countries it is highest in men. Most, approximately 80% of burn injuries occur at home and 20% occur in the workplace. Delay in handling or ignorance of treatment of burns can cause disability and even death. The aim of this study is to describe the knowledge and attitudes of mothers regarding first aid for burns in Tanjong Mulieng Village. This type of research is quantitative with a descriptive survey design. The sample in this study was 95 people using purposive sampling method. The results showed that in general the knowledge of mothers in Tanjong Mulieng village was still in the sufficient category of 47.4% (45 people) and the attitude of the mothers in first aid for burns was in the sufficient category of 51.6% while most of them were still using toothpaste that is equal to 52.6%. Abstrak Luka bakar merupakan kerusakan kulit tubuh yang disebabkan oleh trauma panas atau trauma dingin (frost bite). WHO menyebutkan bahwa wanita di wilayah Asia Tenggara mempunyai angka kejadian luka bakar yang tertinggi, 27% dari angka keseluruhan secara global meninggal dunia dan hampir 70% diantaranya adalah wanita. Prevalensi luka bakar di Indonesia adalah 2,2%. Tingkat luka bakar tertinggi di negara berkembang terjadi pada kalangan perempuan sedangkan di negara maju tertinggi pada laki-laki. Sebagian besar sekitar 80% cidera luka bakar terjadi di rumah dan 20% terjadi di tempat kerja. Keterlambatan penanganan atau ketidaktahuan penanganan luka bakar dapat menyebabkan kecacatan bahkan kematian. Tujuan penelitian ini adalah untuk mendeskripsikan pengetahuan dan sikap ibu tentang pertolongan pertama pada luka bakar di Desa Tanjong Mulieng. Jenis penelitian ini adalah kuantitatif dengan desain deskriptif survey. Sample pada penelitian ini berjumlah 95 orang dengan menggunakan metode purposive sampling. Hasil penelitian didapatkan secara umum pengetahuan ibu–ibu di desa Tanjong Mulieng masih dengan kategori cukup sebanyak 47,4% (45 orang) dan sikap ibu-ibu dalam pertolongan pertama pada luka bakar berada pada kategori cukup sebanyak 51,6% sedangkan sebagian besar masih menggunakan pasta gigi yaitu sebesar 52,6%.

EFEKTIFITAS PEMBELAJARAN STUDENT CENTERED LEARNING (SCL) MELALUI MODEL PEMBELAJARAN STUDENT TEAMS ACHIEVEMENT DICISION DAN SELF DIRECTED LEARNING PADA MATA KULIAH KEPERAWATAN MEDIKAL BEDAH I PADA PRODI KEPERAWATAN ACEH UTARA POLTEKKES KEMENKES ACEH Agustina, Fitriani; Yusra, Ainil; Yusrawati, Yusrawati
Indonesian Trust Health Journal Vol 6 No 2 (2023): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v6i2.188

Student Centered Learning (SCL) is a learning model that is currently popular in the world of education, namely the implementation of a student-centered learning process. One of the efforts to improve KMB I learning at the Aceh Ministry of Health Polytechnic is implementing a competency-based curriculum with an emphasis on a learning process that relies on student learning activities (Student Centered Learning - SCL). The STAD learning model was chosen for its relevance, the cooperative approach is very flexible and can be applied to almost all courses and can improve students' ability to solve problems in a timely manner. Self-Directed Learning can improve knowledge, skills, achievement and individual development starting with one's own initiative using one's own learning planning and doing it oneself, realizing one's own learning needs in achieving learning goals by creating one's own learning strategies and assessing one's own learning results. These two methods are part of theory and are effective in achieving learning objectives. The design of this research is classroom action research with Consecutive Sampling. The number of respondents involved was 76 respondents. Data collection was carried out using checklists and evaluation forms from exam results and student activities. Data collection was carried out from July to December 2022. Data analysis used the t test with a 95% confidence interval. The results of the research obtained the SDL Learning Method with a mean of 70.54 and STAD 69.34 with a P Value > 0.05, this shows that these two learning methods have not shown differences in effectiveness in their application in the North Aceh Nursing Study Program so that students' learning styles and learning motivation have an important role in the process learning. Abstrak Student Centered Learning (SCL) merupakan salah satu model pembelajaran yang saat ini populer di dunia pendidikan, yaitu pelaksanaan proses pembelajaran yang berpusat pada siswa. Salah satu upaya perbaikan pembelajaran KMB I di Poltekkes Kemenkes Aceh yaitu pengimplementasian kurikulum berbasis kompetensi dengan menitik beratkan pada proses belajar yang bertumpu pada aktivitas belajar mahasiswa (Student Centered Learning - SCL). Model pembelajaran STAD dipilih relevansi, pendekatan kooperatif sangat fleksibel diterapkan pada hampir semua mata kuliah dan dapat meningkatkan kemampuan mahasiswa memecah masalah secara tim. Self-Directed Learning dapat meningkatkan pengetahuan, keahlian, prestasi dan pengembangan individu yang diawali dengan inisiatif sendiri menggunakan perencanaan belajar sendiri dan dilakukan sendiri, menyadari kebutuhan belajar sendiri dalam mencapai tujuan belajar dengan cara membuat strategi belajar sendiri serta penilaian hasil belajar sendiri. Kedua metode ini secsra teori efektif dalam mencapai tujuan pembelajaran. Desain penelitian ini adalah classroom action riset dengan Concecutive Sampling. Jumlah responden yang dilibatkan 76 responden. Pengumpulan data dilakukan dengan menggunakan daftar tilik dan form evaluasi dari hasil ujian dan aktivitas mahasiswa. Pengumpulan data dilaksanakan pada bulan Juli sampai Desember 2022. Analisis data menggunakan t tes dengan interval kepercayaan 95%. Hasil penelitian didapat Metode Pembelajaran SDL dengan rerata 70.54 dan STAD 69.34 dengan nilai P Value > 0.05, hal ini menunjukan bahwa kedua metode pembelajaran ini belum menunjukkan perbedaan keefektifan dalam penerapannya di Prodi Keperawatan Aceh Utara sehingga gaya belajar dan motivasi belajar mahasiswa mempunyai peran penting dalam proses pembelajaran.

PENGARUH PEMBERIAN AROMATERAPI LEMON DENGAN PENURUNAN INTENSITAS MUAL MUNTAH PADA IBU HAMIL TRIMESTER I DI WILAYAH KERJA PUSKESMAS SYAMTALIRA ARON KABUPATEN ACEH UTARA Mauyah, Nizan; Subki, Subki; Yusra, Ainil
Indonesian Trust Health Journal Vol 7 No 1 (2024): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v7i1.233

Nausea and vomiting are the most common disorders encountered in young pregnancies and are complained of by 50-70% of pregnant women in the first 16 weeks. Approximately 66% of trimester I pregnant women experience nausea and 44% experience vomiting. There are several factors that cause nausea and vomiting during pregnancy, including an increase in the hormone Human Choronic Gonadotropin (HCG) in pregnancy, the hormones estrogen and progesterone, history of hyperemesis gravidarum in previous pregnancies, nutritional status, and psychological factors. This study aims to analyze the effect of lemon aromatherapy on reducing the intensity of nausea and vomiting in pregnant women in the trimester I in the Working Area of the Syamtalira Aron Public Health Center, North Aceh Regency in 2023. This type of research is a quantitative study conducted using a quasi-experimental research method with a one group pre test post design. test. by using simple random sampling technique. The population in this study were pregnant women in their trimester I in the Working Area of the Syamtalira Aron Public Health Center, Aceh Utara Regency. Determination of the sample is the Simple Random Sampling method, namely 30 respondents. Based on statistical tests using the T-test, the results obtained were a p-value of 0.000 where the p-value <0.05, meaning that there was an effect of giving lemon aromatherapy to reducing the intensity of nausea and vomiting in pregnant women in the trimester I. It is hoped that health workers, especially midwives at the Syamtalira Aron Public Health Center to increase counseling for mothers about nausea and vomiting during pregnancy and for pregnant women to be more active in seeking information and consulting with health workers, especially midwives, about the condition of the mother during pregnancy. Abstrak Mual dan muntah merupakan gangguan yang paling sering di jumpai pada kehamilan muda dan dikeluhkan oleh 50-70% wanita hamil dalam 16 minggu pertama. Kurang lebih 66% wanita hamil trimester pertama mengalami mual dan 44% mengalami muntah. Terdapat beberapa faktor yang menyebabkan mual dan muntah selama kehamilan antara lain peningkatan hormon Human Choronic Gonadotropin (HCG) pada kehamilan, hormon estrogen dan progesteron, riwayat hyperemesis gravidarum pada kehamilan sebelumnya, status nutrisi, dan faktor psikologis. Penelitian ini bertujuan untuk menganalisis pengaruh aromaterapi lemon terhadap penurunan intensitas mual muntah pada ibu hamil trimester I di Wilayah Kerja Puskesmas Syamtalira Aron Kabupaten Aceh Utara tahun 2023. Jenis penelitian ini adalah penelitian kuantitatif yang dilakukan melalui metode penelitian quasi eksperimen dengan rancangan one gruop pre test post test. dengan menggunakan teknik simple random sampling. Populasi dalam penelitian ini adalah ibu hamil trimester I yang ada di Wilayah Kerja Puskesmas Syamtalira Aron Kabupaten Aceh Utara. Penentuan sampel adalah dengan metode Simple Random Sampling yaitu 30 responden. Berdasarkan uji statistik dengan menggunakan T-test diperoleh hasil p-value 0,001 dimana nilai p-value<0,05, berarti bahwa ada pengaruh pemberian aromaterapi lemon terhadap penurunan intensitas mual muntah pada ibu hamil trimester I. Diharapkan kepada tenaga kesehatan khususnya bidan di Puskesmas Syamtalira Aron agar lebih meningkatkan penyuluhan kepada ibu-ibu tentang mual muntah selama hamil dan kepada ibu-ibu hami untuk lebih giat mencari informasi dan melakukan konsultasi dengan tenaga kesahatan khususnya bidan tentang kondisi ibu selama dalam masa kehamilan.

FAKTOR DOMINAN YANG MEMPENGARUHI KEPATUHAN DAN MOTIVASI PENDERITA DIABETES MELLITUS DALAM MELAKUKAN PERAWATAN KAKI DI WILAYAH KERJA PUSKESMAS SYAMTALIRA ARON KABUPATEN ACEH UTARA Yusra, Ainil; Hamid, Syahabuddin; Mustafa, Marlina; Agustina, Fitriani
Indonesian Trust Health Journal Vol 7 No 1 (2024): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v7i1.238

Diabetes Mellitus (DM) is a group of chronic metabolic diseases characterized by the characteristics of hyperglycemia due to impaired insulin sensitivity and/or impaired insulin secretion. Type 2 diabetes mellitus is a world health problem because the incidence and prevalence of this disease continues to increase in both industrial and developing countries, including Indonesia. Complications due to DM not only cause macrovascular disorders but also cause microvascular disorders, thereby risking diabetic foot wounds. The prevalence of amputation due to diabetic foot wounds reaches 90% and the death rate due to foot amputation is 11-41%. Diabetic foot complications can be prevented by practicing good foot care. Compliance and motivation are important factors that encourage someone to carry out foot care independently. . The aim of this research is to analyze the dominant factors that influence the compliance and motivation of Type 2 DM patients in carrying out foot care. This research is an analytical survey research with a cross sectional approach. The total research sample was 78 respondents using the purposive sampling method. Analysis of this research data used the Chi-Square test and logistic regression test. The results of the study showed that several factors that influence compliance and motivation for foot care are length of time suffering from DM (p value= 0.02), employment (p value= 0.015). and health education (p value=0.02). The most dominant factor of the three factors is the length of time suffering from DM which has a 9.43 times stronger influence on compliance and motivation to perform foot care. Abstrak Diabetes Mellitus (DM) merupakan suatu kelompok penyakit metabolik menahun yang ditandai dengan karakteristik hiperglikemia akibat gangguan sensitivitas insulin dan atau gangguan sekresi insulin. Diabetes Mellitus tipe 2 menjadi masalah kesehatan dunia karena insiden dan prevalensi penyakit ini terus meningkat baik di negara industry maupun negara berkembang termasuk juga Indonesia. Komplikasi akibat DM tidak hanya menimbulkan gangguan secara makrovaskuler tetapi juga menyebabkan gangguan mikrovaskuler sehingga beresiko terjadinya luka kaki diabetes. Prevalensi amputasi akibat luka kaki diabetes mencapai 90% dan tingkat kematian akibat amputasi kaki sebesar 11-41%. Komplikasi kaki diabetik dapat dicegah dengan melakukan perawatan kaki yang baik. Kepatuhan dan motivasi merupakan factor penting yang mendorong seseorang melakukan perawatan kaki secara mandiri. Tujuan dari penelitian ini adalah untuk menganalisis faktor dominan yang mempengaruhi kepatuhan dan motivasi pasien DM Tipe 2 dalam melakukan perawatan kaki. Penelitian ini merupakan penelitian survey analitik dengan pendekatan cross sectional. Jumlah sampel penelitian sebanyak 78 responden dengan menggunakan metode purposive sampling. Analisa data penelitian ini menggunakan uji Chi-Square dan Uji regresi logistic. Hasil penelitian menunjukkan beberapa faktor yang mempengaruhi kepatuhan dan motivasi perawatan kaki adalah faktor lamanya menderita DM (p value= 0,02), Pekerjaan (p value= 0,015) dan pendidikan kesehatan (p value=0,02). Faktor paling dominan dari ketiga faktor tersebut adalah faktor lamanya menderita penyakit DM mempunyai pengaruh 9,43 kali lebih kuat terhadap kepatuhan dan motivasi melakukan perawatan kaki.

Efforts to Increase Public Knowledge About First Aid in Burns in Tanjung Mulieng, Syamtalira Aron District Syahabuddin; Yusra, Ainil; Agustina, Fitriani
Jurnal Health Sains Vol. 5 No. 1 (2024): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i1.1218

People's habits in providing first aid for burns still need to be reviewed. Wrong habits can worsen the patient's condition and prolong the wound healing process. Preventing the risk of infection and the occurrence of further complications which can increase the risk of death and disability. The aim of carrying out activities is to increase people's knowledge and skills in helping themselves and their families in cases of burns. The activity method is education, demonstration and simulation of first aid for burns. The target audience for this community service activity is the residents of Tanjong Mulieng Village, Syamtalira Aron District, North Aceh Regency, totaling 29 subjects. Evaluate the success of education using knowledge instruments that are measured before and after the activity is carried out and increase skills using a first aid checklist for burns. The results obtained were a good increase in knowledge of 76%, and participants were able to correctly demonstrate first aid steps for minor burns. Increasing the community's ability to help themselves and their families can be achieved by providing education and demonstrating first aid for burns.

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