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Erika Erika
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
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Mental Health In The Workplace: Overcoming Stigma And Increasing Support Mokhamad Nurhadi; Yessy Dessy Arna; Erika Erika; Mutmainnah Mutmainnah
Oshada Vol. 1 No. 5 (2024): Oshada Journal - October
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/gh2zy630

Abstract

The first stage of labor often takes a long time and causes discomfort for the mother, so methods are needed to accelerate it. This study aims to evaluate the effectiveness of microcontroller-based nipple stimulation in accelerating the labor process by stimulating the release of the hormone oxytocin which increases uterine contractions and accelerates cervical opening. Microcontroller technology is used to ensure the stimulation is done automatically and measured according to the mother's physiological needs. This study involved two groups, namely the group that received stimulation and the control group that did not receive stimulation. There are shortcomings in studies examining the effectiveness of interventions implemented at the organisational level in reducing stigma and improving mental health support. A variety of strategies can be used to address stigma, including proper education, awareness campaigns, and training for managers and employees on the importance of mental health. The development of inclusive policies and the provision of easy and non-discriminatory access to mental health services are essential. Consistent managerial support also plays a key role in creating a supportive work environment. Creating a positive and inclusive organizational culture will help companies improve employee mental health and well-being, while also increasing workforce productivity and retention. Reducing stigma and increasing support can create a healthier work environment, which ultimately supports individual development and the long-term success of the company.
Impact of Sleep Quality on The Immune System in Adult Individuals Erika Erika; Olyvia Rosalia
Oshada Vol. 2 No. 2 (2025): Oshada Journal - April
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/6tm8g921

Abstract

This study aims to explore the relationship between sleep quality and the immune system in adults. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), while immune function was evaluated through levels of inflammatory cytokines (such as IL-6 and CRP) and the frequency of infections in the past three months. The results showed that the majority of respondents had poor to moderate sleep quality, which was associated with increased levels of proinflammatory cytokines and a higher frequency of infections. A decline in sleep quality was significantly correlated with a decrease in immune resistance, indicating that poor sleep can disrupt the body's defense mechanisms. Psychosocial factors such as stress were also found to worsen both sleep quality and immune function. These findings highlight the importance of sleep quality in maintaining a healthy immune system, with implications for the development of lifestyle-based interventions to improve sleep quality and immune resilience. This study opens opportunities for further in-depth research on the causal mechanisms between sleep and immunity.
Manajemen Asuhan Keperawatan Keluarga yang Service Excellent Pada Ny. T dengan Gout Arthritis di Desa Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2026 Iin Nina Hastuti Padang; Tahan Tahan; Siti Nurmawan Sinaga; Erika Erika; Misno Misno
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61803

Abstract

Penyakit Tidak Menular (PTM) saat ini mendominasi angka mortalitas dan morbiditas secara global, dan salah satu jenis PTM yang prevalensinya terus meningkat adalah Gout Arthritis (asam urat). Penyakit ini disebabkan oleh akumulasi kadar asam urat berlebih (hiperurisemia) yang membentuk kristal di area persendian sehingga memicu peradangan dan nyeri intens. Kurangnya pengetahuan keluarga mengenai pola makan rendah purin dan manajemen perawatan menjadi pemicu kekambuhan. Tujuan merencanakan dan menerapkan Manajemen Asuhan Keperawatan Keluarga yang Service Excellent pada Ny. T dengan Gout Arthritis di Desa Bangun Rejo, Kecamatan Tanjung Morawa, Kabupaten Deli Serdang, Provinsi Sumatera Utara. Metode studi kasus dengan pendekatan deskriptif; pengumpulan data melalui wawancara mendalam, observasi non-partisipan, dan telaah dokumen. Subjek penelitian adalah Ny. T berusia 66 tahun dengan Gout Arthritis. Penelitian dilaksanakan pada 13–22 Februari 2026. Hasil ditemukan dua diagnosis keperawatan prioritas, yaitu nyeri kronis (D.0078) berhubungan dengan kondisi muskuloskeletal kronis, dan defisit pengetahuan (D.0111) berhubungan dengan kurang terpapar informasi. Kadar asam urat awal 10 mg/dL dengan skala nyeri 8. Setelah dilakukan implementasi lima Tugas Kesehatan Keluarga (edukasi, dukungan koping, kompres dingin, modifikasi lingkungan, dan pemanfaatan fasilitas kesehatan), keluhan nyeri berkurang dan pemahaman keluarga meningkat. Kesimpulan penerapan manajemen asuhan keperawatan keluarga berbasis service excellent dan budaya PACER terbukti efektif meningkatkan kemandirian keluarga dan menurunkan tingkat keparahan gejala Gout Arthritis pada Ny. T.
Co-Authors Iin Nina Hastuti Padang Misno Misno Mutmainnah Mutmainnah nurhadi, mokhamad Olyvia Rosalia Siti Nurmawan Sinaga Tahan Tahan Yessy Dessy Arna