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All Journal Jurnal Keperawatan Journal of Comprehensive Science Mapalus Nursing Science Journal (MNSJ): Jurnal Ilmu Keperawatan Mapalus
Wantania, Frans Erwin Nicolaas
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Computer Science & IT Economics, Econometrics & Finance Electrical & Electronics Engineering Health Professions Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health

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PENGARUH GUIDED IMAGERY TERHADAP TEKANAN DARAH PADA MASYARAKAT DENGAN HIPERTENSI Mantiri, Sintha; Wantania, Frans Erwin Nicolaas; Nurmansyah, Muhamad
JURNAL KEPERAWATAN Vol. 12 No. 1 (2024): JURNAL KEPERAWATAN
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/j-kp.v12i1.48715

Abstract

Background: Hypertension is a chronic disease that cannot be cured but must be controlled through various therapeutic efforts both pharmacological therapy and nonpharmacological therapy. One of the nonpharmacological therapies that can provide a relaxing effect on the body to be able to control blood pressure is guided imagery therapy. Objective: This study aims to identify the effect of Guided Imagery therapy on changes in blood pressure in people with hypertension. Methods: This study is a type of quantitative research that uses pre experimental research methods with One group pre-test and post-test design, namely measuring blood pressure using a tensimeter before being given an intervention and after being given an intervention. The sample size was 21 people with hypertension who were taken using non probability sampling technique using consecutive sampling. Results: After the intervention there was a decrease in mean systolic blood pressure by 20 mmHg and diastolic blood pressure by 10 mmHg. The results of the Wilcoxon Signed Rank test analysis in this study showed that there was a difference in systole blood pressure before guided imagery intervention and after intervention with a P value (0.000), and a difference in diastole blood pressure before guided imagery intervention and after intervention with a P value (0.000). Conclusion: Based on the results of the research conducted, it was found that there was an effect of guided imagery on blood pressure in people with hypertension in Kali village, Pineleng sub-district, so it is hoped that people can do guided imagery independently and routinely as an effort to control blood pressure Keywords: guided imagery; hypertension; blood pressure  
Perbandingan Rasio Neutrofil Terhadap Limfosit pada Pasien Angina Pektoris Stabil, Angina Pektoris Tidak Stabil, dan Infark Miokard Akut Non-Elevasi Segmen St di RSUP Prof. Dr. R. D. Kandou Manado Ari, Teguh Putra Anta; Wantania, Frans Erwin Nicolaas; Rotty, Linda Wilhelma Ancella
Journal of Comprehensive Science Vol. 4 No. 12 (2025): Journal of Comprehensive Science
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jcs.v4i12.3780

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Background: Coronary artery disease (CAD) progresses from stable atherosclerotic plaque to unstable plaque rupture, resulting in unstable angina (UA) and non–ST-elevation myocardial infarction (NSTEMI). Inflammation plays a pivotal role in this continuum, and the neutrophil-to-lymphocyte ratio (NLR) has emerged as a potential inflammatory biomarker. However, local data comparing NLR across the clinical spectrum of stable angina pectoris (SAP), UA, and NSTEMI remain limited. Purpose: To compare NLR values among patients with SAP, UA, and NSTEMI at Prof. Dr. R. D. Kandou Hospital Manado. Methods: This analytic comparative study used a cross-sectional design with secondary data from medical records of SAP, UA, and NSTEMI patients (January–July 2025). Total sampling was employed. NLR was obtained from complete blood count at admission. Data distribution was assessed using the Shapiro–Wilk test. Kruskal–Wallis and Mann–Whitney tests were used to compare NLR among groups. Results: A total of 261 subjects were included: 124 SAP, 80 UA, and 57 NSTEMI. Mean NLR increased progressively from SAP (2.15 ± 0.91) to UA (3.10 ± 2.03) and NSTEMI (6.50 ± 7.84). NLR was non-normally distributed in all groups (p < 0.05). There were significant differences in NLR across the three diagnoses (p = 0.000). Post-hoc analysis showed significant pairwise differences between SAP–UA, SAP–NSTEMI, and UA–NSTEMI (all p = 0.000). Conclusion: There is a significant difference in NLR among SAP, UA, and NSTEMI, with higher values corresponding to increased clinical severity.
Hubungan Kelelahan dengan Kepatuhan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di Rumah Sakit Sentra Medika Minahasa Utara Karinda, Keren Bethany Onibala; Wantania, Frans Erwin Nicolaas; Wirawan, Alfonsius Ade
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.v3i2.64167

Abstract

Background: Hemodialysis is the primary therapy used to remove metabolic waste from the blood in patients with chronic kidney disease (CKD). Although hemodialysis is crucial for the survival of CKD patients, the procedure has several physical impacts, one of which is fatigue. This fatigue can contribute to low adherence to the prescribed hemodialysis regimen. Objective: This study aimed to determine the relationship between fatigue and adherence in chronic kidney disease patients undergoing hemodialysis. Methods: This research used a quantitative approach with a cross- sectional design. The sample consisted of 137 hemodialysis patients selected using purposive sampling. Results: Based on the statistical analysis using Spearman’s rho correlation test, the result showed a p-value of 0.019 (p < 0.05), indicating a significant relationship between fatigue and adherence. The correlation coefficient was r = -0.200, which indicates a weak negative correlation. This means that the higher the level of fatigue experienced by patients, the lower their adherence tends to be. Conclusion: There is a significant relationship between fatigue and adherence in chronic kidney disease patients undergoing hemodialysis at Sentra Medika Hospital, North Minahasa. Keywords: Fatigue, Adherence, Chronic Kidney Disease, Hemodialysis.
Co-Authors Ari, Teguh Putra Anta Karinda, Keren Bethany Onibala Mantiri, Sintha Nurmansyah, Muhamad Rotty, Linda Wilhelma Ancella Wirawan, Alfonsius Ade