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HUBUNGAN ANTARA KONTRIBUSI EDUCATOR OLEH PERAWAT DALAM DISCARE PLANNING DENGAN TINGKAT KEDISIPLINAN PASIEN GAGAL GINJAL KRONIK YANG MELAKUKAN HEMODIALISA SECARA RUTIN Rina Situmorang, Paskah; Lingga, Rugun Togianur; Berutu, Heriaty; Herlina, Meriani; Noradina, Noradina; Silalahi, Bernita; Ritonga, Yuni Shanti; Harefa, Sehardi Natal; Manurung, Sarida Surya
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i2.1537

Abstract

ABSTRACT Hemodialysis is dialysis therapy as a kidney replacement in patients with CKD. One of the problems that cause hemodialysis failure is the problem of compliance in patients with chronic kidney failure who undergo hemodialysis therapy. Therefore, the role of health workers is very much needed in providing understanding to patients regarding discharge planning in order to get better care to achieve the patient's quality of life. If the patient is not disciplined in maintaining his life by obediently carrying out hemodialysis therapy according to the doctor's recommendations, shortness of breath, edema, ascites will occur and will cause many long-term complications which will ultimately increase mortality. With quality instructions from nurses or a good understanding of discharge planning, it is hoped that it can improve the discipline of CKD patients in carrying out hemodialysis therapy. This study aims to determine whether there is a relationship between the contribution of educators by nurses in discharge planning and the level of discipline of chronic kidney failure patients who undergo regular hemodialysis at RSU IPI Medan. This type of quantitative research with a correlation research design. Data collection used was an educator contribution questionnaire by nurses in discharge planning which consisted of 21 questions. The population in this study was all CKD patients undergoing hemodialysis therapy, totaling 52 people. With an accidental sampling technique. The research results were tested using the Chi-Square test with a (p) value of <0.001 <0.05, meaning that there is a relationship between the provision of discharge planning and the level of discipline of CKD patients undergoing hemodialysis therapy, so it is hoped that all health workers will provide clear information to patients regarding the importance of carrying out hemodialysis therapy so that the patient's quality of life is more optimal.
The Effect of the Nurse's Role as an Educator on Adherence to Taking Medication for Hypertensive Patients at RSU Imelda Pekerja Indonesia in 2023 Ritonga, Yuni Shanti; Silaban, Nataria Yanti; Ritonga, Lelli Nur
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 2 No. 01 (2023): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), November 2023
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/juk-medifa.v2i01.309

Abstract

Hypertension is Wrong One disease No contagious that can cause death . Disease This as the silent disease because sufferer No know that himself currently caught symptom hypertension . one _ condition absolute For can reach effectiveness therapy And increase quality life patient is compliance , meanwhile Disobedient patient in consuming drug is Wrong One factor main reason failure therapy . Role nurse as educator help patient increase knowledge about maintenance And action medical so that patient get information For increase obedience drug to hypertension . Objective in study This is analyze influence role nurse as educator to obedience drink drug on patient hypertension .Method study This is method quantitative with approach cross- sectional conducted pafa 73 respondents sufferer Hypertension at RSU Imelda Pekerja Indonesia. Method study This use Technique data collection is carried out with method provide instruments in the form of questionnaire role nurse And obedience drink drugs that are then tested use Mann-Whitney test . Results study This show role nurse as Educator at Home Sick General Imeld Medan Indonesian workers are good as many as 49 respondents (67.1%), and obedience drink drug on patient Hypertension at RSU Imelda Pekerja Indonesia Medan respondent the most obedience while 60 respondents (82.2%). From the results study This between role nurse with obedience drink drug on patient with hypertension is there is influence with value (p=0.002). Can concluded that there is influence between role nurse as educator with obedience drink medicine . So the more Good role nurse as educator the more obey patient in drink medicine .
The Effect Of Diabetic Foot Exercises On Lowering Blood Sugar Levels In Type II Patients In RSU Imelda Pekerja Indonesia Medan Ritonga, Yuni Shanti; Silaban, Nataria Yanti; Septiana, Tri Suci
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 1 No. 02 (2023): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), Mey 2023
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/juk-medifa.v1i02.310

Abstract

Increased prevalence of type 2 Diabetes Mellitus in developed and developing countries so that it becomes a health problem or disease global on society. Therefore type 2 Diabetes Mellitus can be prevented by regular exercise, healthy and regular life. The objectives of this study are to: knowing the effect of foot gymnastics on changes in blood sugar levels in elderly people with type 2 diabetes mellitus at RSU Imelda Pekerja Indonesia Medan. This type of research is experimental with one group pre-post test. The population in this study was 30 elderly people with type 2 Diabetes Mellitus at RSU Imelda Pekerja Indonesia Medan. The samples in this study were all elderly people suffering from type 2 diabetes mellitus at RSU Imelda Pekerja Indonesia as many as 30 elderly. The sampling technique used is total sampling. The data collection method used observation sheets before and after foot gymnastics was given. The statistical test used in this study was Wilcoxon with a α of 0.05. The results of the study found that there were changes in blood sugar levels before and after foot exercise with the mean before foot exercise was 182.80 mg / dl while the mean after foot exercise was 143.13 mg / dl. The results of Wilcoxon's analysis obtained a significance value of p-value = 0.000 < α = 0.05 meaning that there is an influence of foot gymnastics on changes in blood sugar levels of patients with type 2 diabetes mellitus at RSU Imelda Pekerja Indonesia Medan. From the results of foot exercise research can affect the decrease in blood sugar levels, besides that the age of respondents can also affect how often to do physical activity sports such as gymnastics every week.
The Relationship Of The Implementation Of Spirituality Aspects Of Nurses With The Fulfillment Of Spiritual Needs Inpatients At Imelda Hospital Medan Damanik, Candra Meriani; Ritonga, Yuni Shanti; Gultom, Satriani H.; Naibaho , Eka Nugraha V.
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 2 No. 02 (2024): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), May 2024
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/juk-medifa.v2i02.321

Abstract

Nurses believe that humans are complete bio-psycho-socio-cultural and spiritual beings who respond to changes that occur, among other things, due to health problems and irregularities in meeting needs. The nurse seeks to help meet the client's spiritual needs as part of the client's overall needs, including by facilitating the fulfillment of the client's spiritual needs, even though the nurse and client do not have the same spiritual or religious beliefs. This study aims to determine the relationship between implementing aspects of nurses' spirituality and fulfilling the spiritual needs of inpatients at Imelda Hospital in Medan. The type of research used is descriptive correlation with a cross sectional study design. The research was conducted in April 2019. The population in this study was all 350 patients treated in the inpatient ward at the Imelda Workers Indonesia Hospital. The sampling technique in this research is a quota sampling technique, so the number of samples in this research is 35 people. The results of the analysis of the relationship between the application of spiritual aspects of nurses and the fulfillment of patients' spiritual needs showed that there were 25 (71.4%) respondents whose spiritual needs were fulfilled by the application of spiritual aspects of nurses well. Statistical tests using chi square obtained a p value <0.05, meaning there is a relationship between aspects of spiritual application and the fulfillment of spiritual needs. It is hoped that the results of this research can be used as a reference for Imelda Hospital in improving health services, especially the implementation/nursing care in meeting the spiritual needs of patients
The Effect of Individual Coping and Family Support in Reducing the Anxiety Level of Hemodialysis Patients at Imelda General Hospital Indonesia Naibaho , Eka Nugraha V.; Loka, Tya Pita; Ritonga, Yuni Shanti
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic renal failure (CRF) is a condition of kidney function that decreases gradually due to kidney damage. Patients undergoing hemodialysis therapy will face problems arising from malfunctioning of the kidneys. Coping mechanism is one way to adapt to stress. Family support is an attitude, action, acceptance of the family and ready to provide help and assistance to one of the families who is sick or needs help and causes a sense of love and affection. The purpose of the study was to determine the effect of individual coping and family support in reducing the anxiety level of hemodialysis patients at Imelda General Hospital Indonesia in 2023. This type of research is quantitative research. The study was conducted at Imelda Indonesia Hospital Medan in August 2023. The study population was 104 hemodialysis patients, the study sample was 52 people with purposive sampling. Bivariate Analysis with Chi Square test. The results of the study The age of the majority of hemodialysis respondents aged 46-55 years (Early Elderly) as many as 26 people (50.0%), the majority sex is male as many as 28 people (53.8%), Long time undergoing hemodialysis the majority of 1-3 years as many as 30 people (57.7%), Adaptive coping (62-100) as many as 49 people (94.2%), Good family support (36-48) as many as 50 people (96.2%), Mild anxiety levels (20-39) as many as 42 respondents (80.8%), Adaptive coping individuals (62-100) had an effect with mild anxiety levels (20-39) as many as 40 people with P Value values of 0.035<0.05. Good family support (36-48) had an effect with mild anxiety levels (20-39) as many as 42 people with P Value 0.013<0.05.