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Prevention Behavior Of Diabetic Ulcuses In Patients With Diabetes Mellitus In The Working Area Of Puskesmas Kota Binjai Wirda Faswita; Johani Dewita Nasution; Eqlima Elfira
JINTAN: Jurnal Ilmu Keperawatan Vol. 3 No. 1 (2023): Edisi Januari 2023
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jintan.v3i1.400

Abstract

Diabetes Mellitus (DM) is a very dangerous disease, because it can cause many complications. One of the complications that often occurs in DM sufferers is the occurrence of Diabetic Ulcers. In the work area of ​​the Binjai City Health Center in 2021, data on visits for DM sufferers were recorded, namely 1,662 people. Diabetic ulcers can be prevented if the risk level is detected early. this is to find out how the behavior of Diabetes mellitus in the prevention of diabetic ulcers in the Binjai City Public Health Center area. This research is a type of quantitative research with a descriptive study design. The sample in this study were 23 DM sufferers in the Binjai City Health Center area, using a total sampling technique. The results showed that most DM sufferers in the Binjai Kota Health Center area were at a moderate level, while some others were at low and high risk for the occurrence of Diabetic Ulcers. These results are known that the majority of respondents based on negative behavior of 21 respondents (91.3%) and positive behavior of 2 respondents (50%). Efforts must be made to avoid the occurrence of Diabetic Ulcers such as health education about foot care which also needs to be increased, so that the prevention of Diabetic Ulcers is more optimal
Implikasi Mycobacterium Tuberculosis: Literature Review Johani Dewita Nasution; Eqlima Elfira; Wirda Faswita; Bina Melvia Girsang
JINTAN: Jurnal Ilmu Keperawatan Vol. 3 No. 1 (2023): Edisi Januari 2023
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jintan.v3i1.427

Abstract

Tuberkulosis (TB) adalah tantangan kesehatan masyarakat global yang serius yang menibulkan morbiditas dan mortalitas di seluruh dunia. TB disebabkan oleh infeksi basil Mycobacterium tuberculosis (M.tuberculosis), yang telah mengembangkan berbagai strategi untuk berkembang di dalam inangnya. Memahami interaksi kompleks antara M Tuberculosis dan kekebalan inang dalam menghindari kekebalan infeksi bakteri M. Tuberkulosis. Sistematik review ini bertujuan membahas studi literatur terkait respon virus mikrobakterium berdasarkan beberapa artikel yang terbit mulai tahun 2017 hingga 2022. Sistematik ini dilakukan dengan cara menelusuri database Pubmed dengan menggunakan aplikasi Vos Viewer dari 646 artikel yang terdeteksi oleh Pubmed dengan tipe artikel Uji klinis, Meta Analisis, Uji coba terkontrol acak, tinjauan sistematis dan tinjauan. Setelah 646 artikel di masukkan melalui penulis database Vos Viewer yang saling berkaitan ditemukan 13 item dengan 4 cluster keyword yang terdiri dari cluster 1 (4 items), cluster 2 (4 items), cluster 3 (3 items), dan cluster 4 (2 items).
Hubungan Self Care Activity Dengan Kejadian Komplikasi Pada Penderita Diabetes Mellitus Di Puskesmas Binjai Kota Wirda Faswita; Leny Suarni; Eqlima Elvira
JINTAN: Jurnal Ilmu Keperawatan Vol. 3 No. 02 (2023): Edisi Juli 2023
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jintan.v3i02.568

Abstract

Diabetes Mellitus (DM) adalah salah satu penyakit yang sangat berbahaya, karena dapat menyebabkan banyak komplikasi yang mengakibatkan peningkatan morbilitas dan mortalitas yang menyebabkan kerusakan pada organ-organ tubuh sehingga menyebabkan berbagai penyakit, seperti kebutaan, gagal ginja, kerusakan saraf, jantung, kaki diabetik, dan sebagainya. Self Care Activity DM adalah tindakan yang dilakukan untuk mengontrol kadar gula dalam darah meliputi pengaturan pola makan, aktivitas fisik (olaraga), minum obat secara teratur monitoring gula darah, dan perawatan kaki. Tujuan penelitian ini adalah untuk mengidentifikasi Hubungan Self Care Activity dengan terjadinya komplikasi pada penderita DM. Penelitian ini merupakan jenis penelitian kuantitatif dengan desain korelasi. Populasi pada penelitian ini adalah penderita DM yang berkunjung di Puskesmas Binjai Kota. Sampel dalam penelitian ini yaitu penderita DM yang ada di wilayah Puskesmas Binjai Kota sebanyak 35 orang responden, dengan teknik pengambilan sampel purposive sampling. Hasil penelitian menunjukan tindakan self care activity penderitta DM berada pada kategori baik sebanyak 15 orang ( 42,9%), kategori cukup sebanyak 17 reponden ( 48,6%), kategori kurang sebanyak 3 responden ( 8,6%). Berdasarkan terjadinya komplikasipada penderita DM penelitian menunjukan sebagian besar kategori tinggi terjadinya komplikasi sebanyak 9 responden ( 25,7%) dan kategori sedang sebanyak 18 responden ( 51,4%), dan tidak ada kompikasi sebanyak 8 responden (22,9%). Adanya hubungan antara hubungan self care activity dengan terjadinya komplikasi pada penderita DM dengan nilai p: 0,037. Diharapkan harus ada upaya tenaga kesehatan dalam memberikan edukasi tentang self care activity agar tidak terjadinya kompikasi DM yang semakin tinngi.
HUBUNGAN AKTIVITAS FISIK DENGAN KADAR GLUKOSA DARAH PADA PENDERITA DIABETES MELITUS TIPE 2 DI PUSKESMAS BINJAI ESTATE Elfira, Eqlima; Faswita, Wirda
JURNAL MEDICAL P-ISSN : 2685-7960 e-ISSN : 2685-7979 Vol 3 No 2 (2023): OKTOBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/jm.v3i2.370

Abstract

Diabetes Mellitus (DM) is a very dangerous disease, because it can cause complications. The survey on people with diabetes mellitus from 2019 to 2020 was 1227 cases. Successful management of diabetes mellitus can be achieved through physical activity, and balanced with adherence to taking anti-diabetic drugs as a form of pharmacological intervention. The purpose of this study was to determine the relationship between physical activity and blood sugar levels in patients with type 2 diabetes mellitus at the Binjai Estate Health Center. The design of this study was cross-sectional with purposive sampling technique on 20 respondents. Data collection method using Baecke Questionnaire. Analysis using the chi square test with α = 0.05. The results of the analysis showed that there were 10 people (50%) with abnormal blood sugar levels with light physical activity, 3 people (15%) with normal sugar levels and 3 people (15%) with abnormal sugar levels having moderate physical activity, 2 people (10%) with normal blood sugar levels and 2 people (10%) with abnormal blood sugar levels had heavy physical activity. With the result value 6.667a df 2 and the value of Asymp.Sig. (2-sided) = 0.036 < = 0.05 which means this means that there is a relationship between physical activity and blood sugar levels in Type 2 Diabetes Mellitus Patients at the Binjai Estate Health Center in 2020. It is recommended for people with diabetes mellitus to always be active in doing activities. Physical activity.
Hubungan antara Dukungan Keluarga dan Perilaku Pencegahan Ulkus Diabetik pada Penderita DM Faswita, Wirda; Nasution, Johani Dewita
Jurnal Keperawatan Vol 16 No 3 (2024): Jurnal Keperawatan: September 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i3.1970

Abstract

Salah satu komplikasi DM adalah komplikasi mikrovaskular, yaitu kerusakan pembuluh darah kecil seperti Neuropati Perifer yang membalikkan ekstremitas bawah sehingga menyebabkan peningkatan risiko ulkus diabetik. Tujuan penelitian ini adalah untuk mengetahui hubungan  dukungan keluarga dengan perilaku pencegahan tukak diabetik pada pasien DM Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross-sectional menggunakan  kuesioner untuk mengukur dukungan keluarga dan pencegahan tukak diabetik, mengadaptasi penelitian sebelumnya. (Putri, 2019). Populasi dalam penelitian ini adalah penderita DM di Wilayah Kerja Puskesmas Binjai, Kota Binjai, 2023 sebanyak 151 jiwa. Sampel yang diambil dengan menggunakan teknik accidental sampling sebanyak 30 responden. Hasil penelitian menunjukkan Terdapat hubungan antara dukungan keluarga dengan perilaku pencegahan ulkus diabetik (p-value 0,000) pada penderita DM karena p-valuenya adalah <0,005. Diharapkan hasil penelitian ini dapat dijadikan gambaran untuk meningkatkan promosi dalam rangka melakukan penyuluhan untuk meningkatkan perilaku pencegahan Diabetes.
Edukasi Kesehatan tentang Aktivitas Fisik dalam Mengontrol Kadar Gula Darah pada Penderita DM Tipe 2 di Puskesmas Tanah Tinggi Kota Binjai Tahun 2024 Faswita, Wirda
Unri Conference Series: Community Engagement Vol 6 (2024): Seminar Nasional Pemberdayaan Masyarakat
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/unricsce.6.620-625

Abstract

Diabetes Mellitus (DM) is a dangerous disease because it can cause many complications. Physical activity is one of the important things needed for successful diabetes treatment. The Indonesian Endocrine Association stated that to successfully overcome diabetes, 4 pillars of success are needed, namely education, diet, activity and treatment (Perkeni, 2019). Physical activity must also be balanced with compliance in taking antidiabetic drugs as a form of pharmacological intervention (Prasetyani, 2017). The purpose of this activity is to provide information for DM sufferers in carrying out physical activities. This activity began with a meeting with the Head of the Health Center to apply for activity permits and conduct an assessment of DM sufferers who wanted to take part in health education, then continued with education and evaluation, namely seeing the achievements of the results of the health education carried out including the level of knowledge of attitudes, enthusiasm and KGD values ​​of the participants. The results showed that the group of DM sufferers were very enthusiastic about participating in the socialization of physical exercise in controlling blood sugar levels and were willing to carry out special group activities for DM sufferers routinely with a Good knowledge level reaching 85%.
Pengaruh Kompres Jahe Terhadap Penurunan Intensitas Nyeri Pada Penderita Gout Arthritis Di Upt Puskesmas Helvetia Medan Tahun 2024 Faswita, Wirda; Elfira, Eqlima
JINTAN: Jurnal Ilmu Keperawatan Vol. 5 No. 1 (2025): Edisi Januari 2025
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jintan.v5i1.1246

Abstract

Gout Arthritis is an inflammatory arthritis disease caused by the accumulation of crystalline acid which is the result of the breakdown of purines. The most common symptom experienced is that the patient feels pain in the joint. Nonpharmacological therapies to relieve joint pain include the use of red ginger compresses containing gingerol, shogaol, and zingeron. The results of the initial survey at the Helvetia Health Center from May to July 2024 were obtained by 172 patients with Gout Arthritis. The type of research used is a type of quasi-experimental research with a pre-test post-test one-group research design. The sampling technique in this study uses the Purposive Sampling Technique, namely 26 people with Gout Arthritis who visited the Helvetia Medan Health Center. Data collection using Pain Level Measurement Sheets and SOPs. This study revealed that the change in pain level in patients with Gout Arthritis in the ginger compress intervention group, with a total of 26 people (100%), showed an average score of 5.58, a rating of 2.31, and an Asymp Sig. (2-tailed) result of 0.000. This shows that the administration of ginger compresses has an effect on reducing pain intensity in patients with Gout Arthritis. The results of this study are expected to be used as an illustration to improve health promotion in reducing pain intensity in patients with Gout Arthritis
EDUKASI KESEHATAN TENTANG SELF CARE PADA PENDERITA DIABETES MELLITUS DI PUSKESMAS TANAH TINGGI BINJAI Faswita, Wirda; Herawati, Leli; Elfira, Eqlima
Reswara: Jurnal Pengabdian Kepada Masyarakat Vol 3, No 2 (2022)
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/rjpkm.v3i2.1921

Abstract

Diabetes Melitus adalah penyakit gangguan metabolik yang disebabkan oleh peningkatan kadar gula darah karena kerusakan insulin, gangguan aktivitas insulin atau kekurangan sekresi insulin di dalam tubuh. Kasus Diabetes Melitus (DM) mengalami peningkatan setiap tahunnya dan merupakan termasuk ke dalam penyakit tidak menular (PTM). Hasil data selama tahun 2021 yang didapatkan dari Puskesmas daerah Tanah Tinggi Binjai ditemukan sebesar 820 kasus DM yang menimbulkan beberapa komplikasi jika mengalami peningkatan kadar gula darah yang tidak terkontrol. Akibat dari peningkatan kadar gula darah tersebut, penderita mengalami ulkus/gangrene, gangguan penglihatan, gagal ginjal, stroke dan bahkan menyebabkan kematian. Salah satu upaya dalam kegiatan pengabdian ini, pengabdi melakukan edukasi kesehatan berupa perawatan diri pada penderita Diabetes Melitus di Puskesmas daerah Tanah Tinggi Binjai. Metode yang dilakukan berupa ceramah dan sesi diskusi tanya jawab menggunakan poster dan leaflet. Kegiatan perawatan diri (self care) ini meliputi pengaturan pola makan, aktivitas fisik (olahraga) dan pemantauan kadar gula darah penderita secara berkala. Kegiatan ini diikuti 23 orang penderita Diabetes Melitus yang sedang melakukan rawat jalan
The Role of Elderly Health Tests as Early Prevention of Chronic Diseases During the Covid-19 Pandemic in the Region of Medan Sunggal District Elfira, Eqlima; Girsang, Bina Melvia; Nurbaiti; Sitohang, Ance Marintan D.; Faswita, Wirda
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (821.464 KB) | DOI: 10.32734/abdimastalenta.v7i1.6786

Abstract

A health test is an examination carried out to determine a person's health standards. Priority checks are carried out on the elderly, where the elderly may experience health problemsHealth Checkup includes checking blood pressure, blood glucose, urine and cholesterol. The objective of this activity is to carry out early detection of the elderly to prevent chronic diseases. The activity was carried out on August 12, 2021 in the area of the Medan Sunggal sub-district. The examination gave positive results for the community. People who check him can know the condition of his body. This examination also provides input and recommendations for therapy that must be carried out by the elderly while health is still available. This condition is marked by a change in the value of the Health examination results which increases from the normal amount.
Foot Care in Preventing Diabetic Ulcers in Diabetes Mellitus Patients at Tanah Tinggi Health Center Faswita, Wirda; Herawati, Leli
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (792.723 KB) | DOI: 10.32734/abdimastalenta.v7i1.6790

Abstract

Foot care is an action that aims to prevent diabetic ulcers including washing and drying the feet, checking the condition of the feet every day, taking care of nails, being careful when exercising, and protecting the feet with shoes and socks (Ariyanti, 2012). This action is carried out on the elderly who suffer from Diabetes Mellitus and have the potential to experience health problems. The purpose of this activity is to carry out early detection and prevent the occurrence of Diabetic Ulcers. The activity was carried out on June 17, 2021, UPTD Tanah Tinggi Public Health Center, Binjai City. The implementation of these activities gives positive results for the elderly. People who check themselves can find out the condition of their feet and add information in the prevention of diabetic ulcers with the result that participants enthusiastically ask about foot care and are able to explain how to prevent diabetic ulcers.