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All Journal JOURNAL EDUCATIONAL OF NURSING(JEN) Jurnal Pengabdian Kepada Masyarakat Jurnal Keperawatan International Journal Of Health And Social Behavior Jurnal Praba: Jurnal Rumpun Kesehatan Umum Jurnal Kesehatan
Afiatika Ahsani
Faculty Of Nursing, Universitas Sumatera Utara
Humanities Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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MDR-TB Patient’s Experience While Consuming Anti TB Drugs in Medan Afiatika Ahsani; Dewi Elizadiani Suza; Amira Permatasari Tarigan
Jurnal Keperawatan Vol 14 No S2 (2022): Jurnal Keperawatan: Supp Juni 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.328 KB)

Abstract

Drug-resistant TB threatens global TB care and prevention. It remains a major public health problem in many countries. Nurses are front line personnel who have contact with patients, and because of their role as other medical care providers, in the prevention and monitoring of adverse drug reactions caused by Anti-TB Drugs to improve the quality of care. The aim of the study was to explore in depth the experiences of MDR TB patients taking anti-TB drugs. This type of research is qualitative with a descriptive phenomenological approach. There were 10 participants, selected by purposive sampling technique. Methods of data collection with in-depth interviews. The data were analyzed by the Colaizzi analysis method. The themes obtained were 7 themes, namely the psychological response of MDR TB patients, lifestyle of MDR TB patients undergoing treatment, side effects of anti-TB drugs that occur in MDR TB patients, efforts to overcome side effects, expectations of MDR TB patients, perceptions of MDR TB patients in consuming drugs. Anti-TB, and the support needed by MDR TB patients while taking Anti-TB drugs. Based on the results of the study, it is recommended that nurses provide nursing education related to the side effects of anti-TB drugs, treatment planning and information about things that may occur during treatment need to be emphasized so that patients and families can prepare physically and mentally to complete treatment.
Application Of The Braden Scale Instrument in Detecting Risk of Decubitus Armi Mawaddah; Afiatika Ahsani
International Journal of Health and Social Behavior Vol. 1 No. 3 (2024): August : International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v1i3.49

Abstract

Decubitus wounds are wounds caused by prolonged pressure on a prominent surface area of ​​the bone. Nurses play an important role in preventing the incidence of decubitus, especially by carrying out an early assessment of the risk of decubitus, namely by using the Braden Scale. Objective: to determine the risk of decubitus injuries using the Braden Scale. Method: This type of research is quantitative research with a descriptive research design. The sample in this study was 20 people using a non-probability accidental sampling. Inclusion criteria for this research were patients treated in hospital. Islam Malahayati Medan for more than 2 days of treatment, young elderly, middle elderly and old elderly patients. Data analysis in this study used SPSS 25 for Windows for descriptive statistics. Results: There were 7 people (35%) in the no risk category, 6 people (30%) in the mild risk category, 2 people (10%) in the moderate risk category and 4 people (20%) in the high risk category and 1 person (5%) severe risk category. Suggestion: Hospitals need to include the Braden Scale assessment format in the inpatient assessment format to detect the risk of decubitus injuries and carry out assessments on patients every day while the patient is hospitalized.
Penerapan Terapi Range Of Motion (ROM) Pada Pasien Stroke Iskemik Di Wilayah Kerja UPT Puskesmas Medan Sunggal Fira Azhara; Afiatika Ahsani
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.548

Abstract

Background: Ischemic stroke is an acquired brain injury caused by blockage of blood vessels or inadequate blood supply resulting in infarction or hemorrhage in the brain parenchyma. Stroke is ranked as the second leading cause of death in the world and is the largest contributor to disability, resulting in a significant economic burden. The problem that often arises in ischemic stroke patients is the presence of a problem in the limbs so that the individual's ability to move cannot be free and limited which is commonly referred to as the problem of physical mobility disorders. Ischemic stroke is part of cardiovascular disease which is classified as a catastrophic disease because it has a wide economic and social impact. Ischemic stroke can cause permanent disability which can certainly affect the productivity of the sufferer. Purpose: Knowing the results of the application of Range Of Motion (ROM) exercises on the patient's muscle strength. Methods: Using case studies and subjects by collecting data from interviews and observations on Ischemic Stroke patients with nursing problems of Physical Mobility Disorders. Results: after carrying out Range Of Motion (ROM) therapy nursing actions on a routine schedule twice a day morning and evening for 6 days with 15-20 minutes, it was found that there was an increase in muscle to 4 5 4 5. Conclusion: there is an increase in muscle strength in Ischemic Stroke patients after Range Of Motion (ROM) therapy.
Penerapan Pemberian Aromaterapi Lavender Terhadap Intensitas Nyeri Post Sectio Caesarea Pada Ny. R Di Rumah Sakit Islam Malahayati Medan Bela Juliana Harahap; Afiatika Ahsani
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i3.550

Abstract

cesarean section is a delivery technique that involves making an incision in the uterine wall (hysterotomy) through the front abdominal wall (laparotomy). The action of a cesarean section causes a change in the continuity of body tissues that results in pain. This writing aims to apply the provision of lavender aromatherapy as a non-pharmacological nursing intervention at the Islamic Hospital Malahayati Medan, 2nd Floor New Room. This type of writing is a case study using a nursing care approach for a 35-year-old mother diagnosed with post-cesarean section. The intervention provided was the administration of lavender aromatherapy using inhalation methods with a diffuser, by adding 1 cc of lavender essential oil and 10 cc of clean water into the humidifier for 10 – 15 minutes over 3 consecutive days. This was indicated by the patient reporting that pain decreased to a pain scale of 3 from a pain scale of 6. Lavender aromatherapy therapy has proven to be effective as a non-pharmacological therapy in reducing pain intensity after Caesarean section
Pemberian Teknik Alih Baring pada Ny. S dengan Gangguan Sistem Kardiovaskular Congestive Heart Failure dengan Masalah Keperawatan Risiko Gangguan Kerusakan Integritas Kulit Lila Efriyanti Sagala; Afiatika Ahsani
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 4 (2024): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i4.168

Abstract

Congestive Heart Failure is the inability of the heart to pump blood effectively throughout the body. The heart is said to fail not because it stops working, but because it does not pump as hard as it should. One way to reduce the risk of skin integrity disorders is by using the bed transfer technique. This article uses a case study design and the subjects used in this case are Congestive Heart Failure patients treated at RSI Malahayati Medan with nursing problems at risk of skin integrity disorders. The results of the application which had been carried out for 3 days showed different results with the Braden score assessment on the first day getting a score of 12 and the second day getting a score of 14. Conclusion: giving the bed transfer technique can prevent the risk of damage to skin integrity in Congestive Heart Failure patients who experience total bedrest . Suggestions are given to patients to know and carry out bed transfer techniques to prevent the risk of damage to skin integrity.
Implementasi Senam Kaki Diabetik terhadap Penurunan Kadar Gula Darah pada Pasien DM Tipe II di Puskesmas Sering Afiatika Ahsani; Atika Atika
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 4 (2024): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i4.169

Abstract

Type II diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, occurring due to abnormalities in insulin secretion, insulin action or both. One of the recommended sports exercises is leg exercises. Diabetic foot exercises are a form of physical exercise for Diabetes Mellitus sufferers of all ages to avoid injuries so that blood circulation in the feet can be facilitated. Foot exercises are movements that train the small muscles of the feet and improve blood circulation in various positions such as sitting, standing or lying down. The purpose of this writing is to discuss diabetes foot exercises which can reduce blood sugar levels in people with Type II Diabetes Mellitus. The writing method uses a descriptive design with a killing process approach. The written results show a decrease in blood sugar levels after carrying out diabetic foot exercises with results before doing 300 mg/dl and after doing 250 mg/dl.
Penerapan Effective Coughing pada Tn.T dengan Penyakit TB Paru dengan Masalah Keperawatan Bersihan Jalan Napas Tidak Efektif di Ruang Nurul Jannah 301 RSI.Malahayati Dimas Agil Latunda; Afiatika Ahsani
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 4 (2024): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i4.172

Abstract

Pulmonary Tuberculosis is a disease caused by the bacteria Mycobacterium Tuberculosis which enters the respiratory tract and attacks the lungs so that in the alveoli there are nodules or inflammation in the walls of the alveoli which will shrink. One way to reduce secretions in pulmonary tuberculosis patients is through effective coughing exercises. This article uses a case study design and the subjects used in this case are pulmonary tuberculosis patients treated at RSI Malahayati Medan with the problem of ineffective airway clearance. The results of implementing the intervention showed that after applying the effective cough technique for 3 days the patient showed that the patient was able to expel secretions, the respiratory frequency decreased to 22 times per minute, but there were still crackles in the breath. Conclusion: applying effective coughing techniques to patients can be used to expel secretions and can reduce respiratory frequency in pulmonary tuberculosis patients. Suggestions are expected for patients to be able to take independent action (cough effectively) when experiencing problems with ineffective airway clearance.
TERAPI KOMPLEMENTER DALAM MENCEGAH EFEK SAMPING OBAT ANTI TB PADA PASIEN TB PARU : SYSTEMATIC REVIEW Ahsani, Afiatika; Dewi Elizadiani Suza; Tarigan, Amira Permatasari
Jurnal Mal el Hayat Vol. 3 No. 2 (2025): Jurnal Mal el Hayat : July
Publisher : STIKes Malahayati Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65187/gvrgrb52

Abstract

Tuberculosis (TB) adalah suatu penyakit infeksi menular yang disebabkan bakteri Mycrobacterium Tuberculosis, yang dapat menyerang berbagai organ, terutama paru-paru. Tujuan: Systematic review ini bertujuan untuk mengidentifikasi dan mengevaluasi intervensi terapi komplementer dalam mencegah efek samping Obat Anti TB pada pasien TB paru yang mengkonsumsi Obat Anti TB. Database yang digunakan dalam penelusuran artikel terdiri dari EBSCO, PUBMED, ProQuest, dan CNKI dengan menggunakan kata kunci yang relevan berdasarkan topik dan judul penelitian. Seleksi artikel menggunakan metode diagram PRISMA (Preferred Reporting Items for Systematic Reviews and Meta- Analyses), dengan didapatkan jumlah artikel 2.957. 4 artikel didapatkan sesuai dengan kriteria inklusi dan dianalisa secara deskriptif narasi serta telah memenuhi kajian kualitas dengan menggunakan pedoman JBI (Joanna Briggs Critical Appraising Methodology). 4 artikel penelitian dengan intervensi terapi komplementer yang terdiri dari acupressure, auricular pressure, terapi herbal jahe 500 mg, ekstrak teh hijau, dan terapi herbal Sylimarin menunjukkan hasil yang signifikan terhadap pencegahan gejala yang muncul dari efek samping Obat Anti TB pada pasien TB mulai dari hasil follow-up 2 minggu sampai 6 bulan setelah pelaksanaan intervensi. Temuan dari systematic review ini menunjukkan bahwa intervensi acupressure, auricular pressure, terapi herbal jahe 500 mg, dan ekstrak katekin teh hijau yang diberikan pada pasien TB yang mengkonsumsi Obat Anti TB dapat membantu mencegah efek samping Obat Anti TB. Pemberian terapi komplementer dilakukan sebagai pendukung pengobatan medis.
HUBUNGAN ANEMIA SELAMA KEHAMILAN DAN KEJADIAN PERDARAHAN POSTPARTUM DI KLINIK PRATAMA EVI, KECAMATAN MEDAN MARELAN, KOTA MEDAN, SUMATERA UTARA Afiatika Ahsani; Andini Mentari Tarigan; Aynil Paydah Harahap
Jurnal Mal el Hayat Vol. 2 No. 1 (2024): Jurnal Mal el Hayat : Januari
Publisher : STIKes Malahayati Medan

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Abstract

Anemia selama kehamilan merupakan salah satu masalah kesehatan ibu yang paling umum di negara berkembang dan berkontribusi signifikan terhadap komplikasi obstetrik, termasuk perdarahan postpartum. Penelitian ini bertujuan untuk menganalisis hubungan antara status anemia selama kehamilan dengan kejadian perdarahan postpartum di Klinik Pratama Evi, Kecamatan Medan Marelan, Kota Medan. Penelitian ini menggunakan desain analitik dengan pendekatan potong lintang. Data diperoleh secara retrospektif dari rekam medis ibu bersalin di Klinik Pratama Evi selama periode Januari–Desember 2023. Sebanyak 120 ibu melahirkan yang memenuhi kriteria inklusi dianalisis. Variabel independen adalah status anemia berdasarkan kadar hemoglobin pada trimester ketiga, sedangkan variabel dependen adalah kejadian perdarahan postpartum. Analisis dilakukan dengan uji chi-square dan odds ratio, dengan tingkat signifikansi p<0,05. Hasil penelitian menunjukkan bahwa 6,7% ibu hamil mengalami anemia, dan 23,3% mengalami perdarahan postpartum. Hasil uji chi-square menunjukkan adanya hubungan yang signifikan antara anemia selama kehamilan dengan kejadian perdarahan postpartum (p = 0,001). Ibu hamil dengan anemia memiliki risiko 6,4 kali lebih besar mengalami perdarahan postpartum dibandingkan yang tidak anemia (OR = 6,4; 95% CI = 2,6–15,8). Anemia selama kehamilan merupakan faktor risiko signifikan terhadap perdarahan postpartum. Diperlukan penguatan deteksi dini, edukasi gizi, dan pemantauan kadar hemoglobin secara rutin dalam pelayanan antenatal care untuk mencegah komplikasi maternal.
IMPLEMENTASI PEMBERIAN MINYAK ZAITUN TERHADAP PENCEGAHAN  RESIKO KERUSAKAN INTEGRITAS KULIT PADA PASIEN DM TIPE 2 DI WILAYAH KERJA PUSKESMAS HELVETIA Muhammad Roby Tamara Muslim; Afiatika Ahsani
Jurnal Mal el Hayat Vol. 3 No. 2 (2025): Jurnal Mal el Hayat : July
Publisher : STIKes Malahayati Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65187/gzqs3614

Abstract

Diabetes melitus tipe 2 merupakan penyakit kronis dengan komplikasi yang berdampak padaberbagai sistem tubuh, termasuk kulit. Salah satu komplikasinya adalah gangguan integritaskulit akibat sirkulasi darah yang buruk dan kulit kering. Minyak zaitun diketahui memilikikandungan antioksidan dan emolien yang dapat meningkatkan kelembaban dan mencegahkerusakan kulit. Untuk menerapkan intervensi penggunaan minyak zaitun sebagai terapinonfarmakologi guna mencegah kerusakan integritas kulit pada pasien diabetes melitus tipe 2.Studi kasus dilakukan pada pasien dengan DM tipe 2 yang mengalami kulit kering dan kasar diPuskesmas Helvetia. Intervensi pemberian minyak zaitun dilakukan selama 2 minggu sebanyak6 kali dengan pengamatan menggunakan Skala Overall Dry Skin (ODS). Setelah dilakukanintervensi, terjadi penurunan skor kekeringan kulit pada pasien dari skor 3 menjadi 1, menunjukkan adanya peningkatan kelembaban dan integritas kulit
Co-Authors Andini Mentari Tarigan Anwar, Syahferi Apriliani, Apriliani Armi Mawaddah Atika Atika Aynil Paydah Harahap Bela Juliana Harahap Dewi Elizadiani Suza Dimas Agil Latunda Fira Azhara Hastuti, Mona Ismayadi, Ismayadi Lila Efriyanti Sagala Mawaddah, Armi Melba, Restu Arahman Muhammad Roby Tamara Muslim Nasution, Rafi Ahmad Rizal Rinawati Br Tarigan Susanti Susanti Tarigan, Amira Permatasari Tri Budiarti, Tri Widiya Nisa Yuningsih Yuningsih Zuhair, Ruslan