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The Relationship Between Diabetes Self-Management And The Stress Level Of Diabetes Mellitus Patients Undergoing A Diet At The Puskesmas Kota Rantau Prapat Nainggolan, Syahrul Handoko; Silaban, Nataria Yanti; Sangkut, Sangkut
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.v1i02.298

Abstract

Diabetes Mellitus (DM) is a chronic disease characterized by blood glucose levels exceeding normal and disturbances of carbohydrate, fat and protein metabolism caused by relative or absolute deficiency of the hormone insulin. If this is left uncontrolled, it can lead to acute metabolic complications and long-term vascular complications, both microangiopathy and macroangiopathy (Darmono in Hasdianah, 2012). Knowledge is needed by DM patients to improve self diabetes management to prevent acute complications and reduce risk long term complications. People with DM must have a fairly strict diet. This can be boring and stressful because the patient has to follow the recommended diet during his lifetime. Methods: This study aims to determine the existence of The relationship between diabetes self-management and stress levels on a diet for DM patients at the Rantau Prapat Public Health Center. This study used a cross sectional design. Respondents were selected from five Puskesmas in Puskesmas Rantau Prapat using purposive sampling method. A total of 37 respondents with DM participated in the study. Data were collected using a diabetes diet knowledge questionnaire, diet self-management questionnaire, and a stress level questionnaire undergoing a DM diet, and then the data were analyzed using the Chi Square test with a significance level of <0.05. Results: The results showed that there was a relationship between diabetes self-management and the stress level of undergoing a DM diet (p=0.004). Future research is expected to be able to use respondents with a wider area and use better measuring tools.
The Relationship Between Family Support And Compliance With Routine Control Of Pulmonary TB Patients At UPTD Puskesmas Teluk Dalam Nias Selatan Nainggolan, Syahrul Handoko; Hulu, Yurdina
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.v2i01.301

Abstract

Pulmonary TB or tuberculosis is an infectious disease caused by rod-shaped bacteria, namely Mycobacterium tuberculosis. Usually the most commonly infected are the lungs but can affect other organs. The disease can be transmitted from person to person through droplets from people infected with pulmonary TB. Treatment of tuberculosis depends on the patient's knowledge, socioeconomic circumstances as well as support from family. The lack of effort from oneself or lack of support from family for complete treatment will affect patient compliance to undergo brand treatmentThe purpose of the study was to determine the relationship between family support and compliance with routine control in TB patients. Lung at UPTD Teluk Dalam Health Center in South Nias in 2022 This study is a quantitative research using a correlation descriptive design with a cross-sectional observation approach. The results of the study showed a positive and significant relationship between Family Support and Adherence to Routine Control in TB Patients. Lung at UPTD Puskesmas Teluk Dalam Nias Selatan result p = 0.017. The conclusion of the study is that there is a relationship between family support and adherence to routine control in TB patients. Lung at UPTD Puskesmas Teluk Dalam Nias Selatan.
The Effect of Giving Tens on Reducing Pain Levels in Low Back Pain Patients in Anugerah Sehat Physiotherapy Practice Silitonga, Santo Damerius; Naibaho, Eka Nugraha V.; Nainggolan, Syahrul Handoko; Harahap, Ali Asman
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 02 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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

Abstract

Physical activity requires energy to do it such as walking, going up and down stairs, lifting things, running. Pain can arise in various parts of the body and can be caused by many things, one of which is the working condition of lifting objects, this condition can cause excessive physical stress on the spinal cord so that it causes muscle spasms and makes the nerves squeezed and causes pain in the lower back. TENS is a physiotherapy modality that aims to reduce pain, by sending signals in the form of low-pressure electrical currents to nerves through the conductivity of electrodes attached to the skin area. The purpose of the study was to determine the effect of giving TENS on the reduction of pain levels in patients with low back pain in the practice of Physiotherapy Anugerah Sehat. The type of research used is a quantitative type of research, with the research design used is Quasi Experimental with a pre-test and post test one group approach. This research was carried out at the Anugerah Sehat Physiotherapy Practice in February 2024. The population in this study is 70 Low Back Pain patients.The sampling technique in this study uses a total sampling technique with the purposive sampling method, the number of samples in this study is 30 people. Pain scale measurements use the VAS scale. Bivariate analysis was used Paired Sample T Test analysis. The pain outcomes of patients with low back pain before the administration of the Tens modality were pain scale 4-6 (moderate pain) for 19 people (63.3%), pain scale 7-10 (severe pain) for 11 people (36.7%). The pain of patients with low back pain after the administration of the Tens modality was a pain scale of 1-3 (mild pain) as many as 21 people (70%), followed by respondents who felt a pain scale of 0 (mild pain) as many as 4 people (13.3%) and respondents who felt a pain scale of 4-6 (moderate pain) as many as 5 people (16.7%). There was an effect of TENS administration on the reduction of pain levels in patients with low back pain in the Anugerah Sehat physiotherapy practice with a significant value (2-tailed) 0.000<0.05.
HUBUNGAN SPIRITUAL DENGAN KUALITAS HIDUP PASIEN HIV/AIDS Nainggolan, Syahrul Handoko; Dewi, Ratna; T.Bolon, Christina Magdalena; Manurung, Rostinah; Siregar, Sarmaida; Manurung, Nixson
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 2 (2025): 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.v11i2.1960

Abstract

The body can cause a decrease in the immune system, which can lead to AIDS. HIV/AIDS sufferers oftenexperience various complex problems in all aspects, including biological, psychological, social, andspiritual aspects. Spiritual problems that often arise in sufferers include blaming God, refusing toworship, disturbances in worship, and spiritual distress. Spiritual distress will impact their healthcondition in the form of a decreased quality of life because they have not accepted their illness and thetreatment that must be undergone. The purpose of this study was to determine the relationship betweenspirituality and the quality of lifeof HIV/AIDS sufferers at the RSU Imelda Pekerja IndonesiaMedan.This type of research is a quantitative approach with a cross-sectional research design. The sample in thestudy was determined by non-probability sampling with a purposive sampling technique of 111 HIV/AIDSpatients. Data analysis used the chi-square test. The results of the study indicate a relationship betweenspirituality and the quality of life of HIV/AIDS patients. It is recommended that the hospital use this asinformation and basic data regarding howspirituality applies to the quality of life of HIV/AIDS patientsso that the hospital can make policies to provide better services to HIV/AIDS patients undergoingtreatment atRSU Imelda Pekerja IndonesiaMedan.
PENDIDIKAN KESEHATAN TENTANG PENYAKIT GINJAL KRONIK (PGK) PADA KELUARGA PASIEN YANG MENJALANI HEMODIALISIS Dewi, Ratna; Sagala, Deddy Sepadha Putra; Siregar, Sarmaida; Manurung, Rostinah; T. Bolon, Christina Magdalena; Manurung, Nixson; Dame, Arta Marisi; Nainggolan, Syahrul Handoko
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 4 No. 2 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jisomba.v4i2.1889

Abstract

Pendahuluan: Penyakit ginjal kronik (PGK) merupakan salah satu penyakit yang menjadi masalah besar di dunia termasuk Indonesia yang berdampak pada masalah kesehatan, ekonomi dan sosial yang besar bagi pasien dan keluarganya. Saat orang mengalami PGK, ginjal sudah mengalami kerusakan yang bersifat progresif dan irreversible artinya tubuh gagal untuk mempertahankan metabolisme serta keseimbangan cairan dan elektrolit sehingga dapat menyebabkan uremia. Prevalensi penyakit dasar dari PGK yang menjalani dialisis terbanyak adalah penyakit ginjal hipertensi diikuti oleh nefropati diabetik dan diikuti oleh glomerulopati. Upaya kesehatan melalui edukasi untuk peningkatan pengetahuan bagi PGK penting meningkatkan kualitas hidup dan atau mempertahankan kualitas hidup yang sudah baik. Upaya kesehatan bagi keluarga yang berisiko dapat mencegah terjadinya PGK. Tujuan: pengabdian masyarakat ini bertujuan untuk mengidentifikasi pengaruh pendidikan kesehatan tentang PGK pada pasien dan keluarga PGK yang menjalani hemodialisis untuk meningkatkan pengetahuan dalam mempertahankan kualitas hidup yang baik. Metode: pengabdian masyarakat dilaksanakan di RSU Imelda Pekerja Indonesia Medan pada bulan Februari – April 2025 dengan metode pelaksanaan pengabdian meliputi: observasi dan ceramah tanya jawab dengan 30 partisipan. Hasil: evaluasi didapatkan peningkatan nilai pengetahuan dengan mayoritas baik setelah dilakukan pengabdian. Kesimpulan: pemberian pendidikan kesehatan tentang PGK pada keluarga pasien yang menjalani hemodialisis agar mencapai derajat kesehatan yang optimal, baik fisik, mental, dan sosial pasien dan keluarga PGK yang menjalani hemodialisis.