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HUBUNGAN AKTIVITAS FISIK DENGAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2 DI PUSKESMAS BINJAI ESTATE Faswita, Wirda
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (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.v10i1.1632

Abstract

Diabetes mellitus (DM) is a dangerous disease because it can cause many complications. Physical activity is necessary for successful diabetes treatment. The aim of this study was to determine the relationship between physical activity and blood glucose levels in type 2 diabetes patients at the Binjai Estate Health Center. The type of research used is correlational research with a cross sectional design. The population of this study consisted of type 2 DM patients in the working area of ??the Binjai Estate Health Center from January 2020 to March 2020, using a purposive sampling technique, the population was 209. The sample size was taken 20% of the total population, namely 42 people (Arikunto, 2013). The data collection method used the Baecke questionnaire, analysis used the chi-square test with ? = 0.05. The research results showed that the majority of DM sufferers had the type with light physical activity, namely 21 people (50.00%) and the majority of DM sufferers had the type with KGD >200 mg/dL, namely 34 people (81.00%). The test results obtained Asymp.Sig value. (2 sides) = 0.000, namely <0.05, meaning there is a relationship between physical activity and blood sugar levels in type 2 DM sufferers at the Binjai Estate Health Center. It is recommended for diabetes mellitus sufferers to always be active in physical activity.
Correlation between Family Support and Compliance with Dietary Control in Diabetes Mellitus Faswita, Wirda
Jurnal Ilmu Keperawatan Vol 12 No 2 (2023): Al-Asalmiya Nursing Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/keperawatan.v12i2.2487

Abstract

Diabetes Mellitus (DM) characterized by an increase in blood glucose levels caused due to chronic metabolic disorders characterized by deficiencies in the production and utilization of the hormone insulin. Family has an influence on the attitude and acceptance of health education for people with Diabetes Mellitus. Family support is needed to improve dietary compliance in people with Diabetes Mellitus. The purpose of this study is to determine the relationship between family support and dietary control compliance in people with Diabetes Mellitus in the Binjai City Health Center work area in 2023. This type of research is quantitative with a correlation design carried out in the working area of the Binjai City Health Center in March-July 2023. The population in this study was all Diabetes Mellitus sufferers in the working area of the Binjai City Health Center which amounted to 155 respondents. The samples in this study were taken using purposive sampling techniques as many as 30 respondents . The results of family support research in people with Diabetes Mellitus the majority of respondents had family support in a good category as many as 15 respondents (50%). Meanwhile, dietary compliance shows that the majority of respondents have compliance as many as 19 respondents (63.3%). Based on the results of the chi-squertes test above, we get a p value of 0.000 (p < 0.005) which means that there is a relationship between family support and dietary control compliance in patients with Diabetes Mellitus Ho rejected Ha accepted. It is expected that health workers can provide health education to families in handling diet control in patients with Diabetes Mellitus.
The Relationship on Social Support with Anxiety in Stroke Patients Faswita, Wirda
Caring: Indonesian Journal of Nursing Science Vol. 3 No. 1 (2021): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v3i1.6039

Abstract

Around 90% of patients having stroke experience sudden weakness or paralysis of  the  limb.  Other  signs  and  symptoms  include  memory  problems  and  some  signs indicating impaired brain function. This study aims to determine the relationship between social support and anxiety levels of stroke patients dependent on daily activities using a dynamic correlation research design. This study's data sources are primary data and secondary data using a questionnaire instrument and analysis using chi-square test. The analysis of social support with the anxiety level of stroke patients dependent on daily activities shows that the p value = 0.184 (p> 0.05 then Ho is rejected, and Ha is accepted). This means no relationship exists between social support and anxiety levels in stroke patients who experience dependency on daily activities at RSUD Dr. RM Djoelham Binjai.
The Effect of Prolanis Exercise on Reducing Blood Sugar Levels Faswita, Wirda; Leny Suarni; Anggi Lauviga
Caring: Indonesian Journal of Nursing Science Vol. 3 No. 2 (2021): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v3i2.7496

Abstract

Diabetes mellitus (DM) is a dangerous disease because it causes many complications. Prolanis Exercise is one of the physical activities for people with Diabetes Mellitus (DM) to lower blood glucose levels. This study aims to determine the effect of prolanis exercise on reducing patients' blood glucose levels in the working area of the southern Namu Ukur Health Center. The Quasi Experiment method with a one-group pretest-posttest design is used as a research design. This study also used a purposive sampling method with 28 respondents. Prolanis Exercise exercises were used as the data collection tool. The results showed that there was an effect of prolanis exercise on decreasing blood glucose levels in people with Diabetes Mellitus (DM) in the working area of the Namu Ukur Health Center with a value of 0.004 (α<0.05). Before treatment, blood sugar levels were an average of 270 mg/dL and 257 mg/dL after the treatment. Patients with Diabetes Mellitus (DM) should carry out regular physical activities in routine such as prolanis exercise.
Efektivitas Edukasi Kolaboratif Antara Bidan dan Perawat Medikal Bedah dalam Pencegahan Anemia pada Ibu Hamil dengan Komorbiditas Penyakit Kronis: Effectiveness of Collaborative Education Between Midwives and Medical-Surgical Nurses in the Prevention of Anemia in Pregnant Women with Chronic Disease Comorbidity Eqlima Elfira; Diah Lestari Nasution; Evi Indriani Br Karo; Wirda Faswita
Jurnal Keperawatan Bunda Delima Vol 8 No 1 (2026): EDISI JANUARI
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v8i1.205

Abstract

Pendahuluan: Anemia pada ibu hamil dengan komorbiditas penyakit kronis menjadi masalah Kesehatan yang kompleks dan berdampak pada ibu dan janin. Intervensi edukasi kolaboratif oleh tenaga Kesehatan lintas disiplin berpotensi meningkatkan hasil Kesehatan ibu. Tujuan penelitian adalah menganalisis efektivitas edukasi kolaboratif antara bidan dan perawat medical bedah dalam mencegah anemia pada ibu hamil dengan komorbid di Medan Sunggal. Metode: Penelitian ini menggunakan Quasi eksperimen pretest-posttest dengan kelompok control. Responden penelitian ini sebanyak 60 ibu hamil trimester II-III yang mengalami anemia ringan-sedang dan memiliki komorbid (DM, hipertensi, CKD). Kelompok intervensi (n=30) menerima edukasi kolaboratif, kelompok control (n=30) mendapat edukasi standar. Analisa data menggunakan uji t independent dan berpasangan. Hasil: Rata-rata peningkatan Hb pada kelompok intervensi sebesar +1,4 g/dL (p=0,000), pada kelompok kontrol +0,6 g/dL (p =0,031). Terdapat perbedaan bermakna antar kelompok (p=0,002). Kesimpulan: Terjadi peningkatan pengetahuan dan kepatuhan lebih tinggi  pada kelompok intervensi dibanding kelompok kontrol. Intervensi edukasi kolaboratif antara bidan dan perawat medikal bedah lebih efektif meningkatkan nilai Hb ibu hamil dibanding jika hanya bidan saja.  Peran bidan dalam aspek kehamilan dikombinasikan dengan keahlian perawat bedah dalam manajemen penyakit kronis menghasilkan peningkatan pemahaman dan kepatuhan ibu. Pendekatan interprofessional ini menjadi model yang relevan diterapkan di layanan primer terutama pada populasi yang berisiko tinggi.
Penerapan Terapi Kelompok Terapeutik Seni Pewarnaan Ikat Celup (tie dye ) terhadap Peningkatan Harga Diri Pasien Harga Diri Rendah Kronis di Ruang Rehabilitasi Rumah Sakit Jiwa Prof Dr Muhammad Ildrem Medan.: The Application of Tie Dye Art Therapy Group Treatment to Improve the Self-Esteem of Patients with Chronic Low Self-Esteem in the Rehabilitation Ward of Prof. Dr. Muhammad Ildrem Mental Hospital, Medan. Indrawati; Arbani Batubara; EQLIMA ELFIRA; Wirda Faswita
Jurnal Keperawatan Bunda Delima Vol 8 No 1 (2026): EDISI JANUARI
Publisher : Akademi Keperawatan Bunda Delima Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59030/jkbd.v8i1.223

Abstract

Pendahuluan : Harga diri rendah adalah salah satu masalah psikososial yang sering dialami oleh pasien gangguan jiwa di rumah sakit jiwa. Pasien dengan harga diri rendah cenderung menunjukkan perasaan tidak berharga, kurang percaya diri, dan menarik diri dari lingkungan sosial. Salah satu terapi yang dapat membantu meningkatkan harga diri adalah  terapi kelompok terapeutik seni pewarnaan ikat celup (tie dye ) yang melibatkan kreativitas, ekspresi diri, dan hasil karya yang dapat menimbulkan rasa bangga serta kepuasan pribadi bagi pasien. Penelitian ini bertujuan untuk mengetahui pengaruh Penerapan terapi kelompok terapeutik seni pewarnaan ikat celup (tie dye ) terhadap peningkatan harga diri pasien harga diri rendah kronis di ruang rehabilitasi Rumah Sakit Jiwa Prof Dr Muhammad Ildrem Medan . Metode: Penelitian ini menggunakan desain quasi experiment dengan pendekatan one group pre-test and post-test dengan 20 responden yang dipilih menggunakan teknik purposive sampling sesuai kriteria inklusi. Intervensi terapi dilakukan dalam 4 sesi terapi kelompok selama satu minggu. Pengukuran harga diri dilakukan menggunakan kuesioner Rosenverg Self-Esteen Scale sebelum dan sesudah intervensi. Data dianalisis menggunakan uji Wilcoxon Signed Rank Test. Hasil: Penelitian menunjukkan adanya peningkatan  skor rata-rata harga diri pasien, nilai  sebelum mengikuti terapi 18.45 dan skor rata-rata harga diri pasien setelah selesai mengikuti terapi adalah 27.15. Hasil uji statistik menunjukan perbedaan signifikan setelah dilakukan terapi (p < 0,001). Kesimpulan: Responden menunjukkan perubahan perilaku positif seperti berani mengekspresikan pendapat, merasa bangga terhadap hasil karya sendiri, dan lebih aktif berinteraksi dengan anggota kelompok lain. Terapi ini dapat dijadikan salah satu alternatif terapi untuk membantu pemulihan psikososial pasien. 
The Multidimensional Role of Family Members in Dietary Supervision for Hypertension Patients: A Descriptive Phenomenological Study Wirda Faswita; Eqlima Elfira
Caring: Indonesian Journal of Nursing Science Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v8i1.23765

Abstract

Long-term dietary regulation, characterized by the reduction of sodium and fat intake along with increased fiber consumption, serves as a crucial non-pharmacological component for controlling blood pressure in patients with hypertension. Therefore, this study aims to identify and analyze the various dimensions of the family's role in dietary supervision for members suffering from hypertension. The study procedures were carried out at UPT Puskesmas Medan Sunggal (July-August 2025) using a qualitative design with a descriptive phenomenology approach. The participants (n=8) were selected using a purposive sampling method. Data from semi-structured interviews were analyzed using Colaizzi’s seven-step method, involving transcription, significant statement extraction, and thematic formulation. The results showed that the family's role was divided into 3 interconnected main categories. First, the family as a practical supervisor and food environment modifier, where members actively limited the use of salt, oil, and flavor enhancers during cooking and controlled the availability of fast food at home. Second, the family as motivation and emotional coping supporter, where members provided encouragement, reminded the patient using gentle language, and helped the patient cope with the frustration associated with dietary changes. Third, as a behavior model and informal educator, where members collectively adopted healthier eating patterns (low salt), preventing the patient from feeling isolated, and proactively provided nutritional information. These results recommend the empowerment of families by the primary health center to improve communication skills and the preparation of healthy meals that are acceptable to hypertensive patients. Keyword: Dietary Supervision, Family Members, Hypertension, Role  
GAME-BASED PSYCHOEDUCATION AND TRAUMA HEALING TO ENHANCE COMMUNITY RESILIENCE IN TANJUNG PURA Wirda Faswita; Eqlima Elfira; Nurbaiti Nurbaiti; Bina Melvia Girsang; Nur Afidarti; Diah Lestari Nasution; Evi Indriani
Jurnal Gembira: Pengabdian Kepada Masyarakat Vol 4 No 04 (2026): AGUSTUS 2026
Publisher : Media Inovasi Pendidikan dan Publikasi

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

Abstract

Masyarakat di wilayah Tanjung Pura seringkali dihadapkan pada tantangan psikososial, baik akibat dampak bencana alam maupun tekanan ekonomi yang berpotensi menimbulkan trauma psikologis berkepanjangan. Kondisi ini jika tidak ditangani dapat menurunkan tingkat resiliensi atau kemampuan individu untuk bangkit dari keterpurukan. Kegiatan ini bertujuan untuk memberikan pemahaman mengenai Kesehatan mental melalui psikoedukasi serta memulihkan kondisi psikologis Masyarakat melalui pendekatan trauma healing yang interaktif berbasis permainan (game-based intervention). Kegiatan ini menggunakan desain intervensi lapangan dengan subjek berjumlah 50 orang warga Tanjung Pura yang dipilih menggunakan teknik purposive sampling. Metode pelaksanaan terdiri dari tiga tahap: (1) Psikoedukasi, pemberian materi mengenai manajemen stress dan regulasi emosi; (2) Trauma Healing, implementasi berbagai permainan terapeutik yang dirancang untuk membangun kerja sama, kepercayaan diri, dan katarsis emosi; dan (3) Evaluasi, pengukuran tingkat resilienasi sebelum (pre-test) dan sesudah (post-test) kegiatan menggunakan skala resiliensi. Hasil kegiatan menunjukkan adanya peningkatan signifikan pada skor resiliensi peserta setelah mengikuti rangkaian intervensi. Pendekatan berbasis permainan terbukti efektof menciptakan suasana yang aman dan nyaman, sehingga peserta lebih terbuka dalam mengekspresikan emosi serta memperkuat dukungan social antarwarga. Integrasi antara psikoedukasi dan permainan dalam program trauma healing mampu menjadi strategi yang efektif untuk meningkatkan ketangguhan mental Masyarakat di Tanjung Pura. Program ini direkomendasikan untuk dilakukan secara berkelanjutan dengan melibatkkan tokoh Masyarakat setempat