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Penerapan Evidence Based Practice Hipertensi dengan Penerapan Teknik Relaksasi Benson Lontoh, Esther; Kairupan, Michelle; Mokoginta, Fitri Angraini
JURNAL ILMIAH KESEHATAN MANADO Vol. 4 No. 2 (2025): JURNAL ILMIAH KESEHATAN MANADO (JIKMA)
Publisher : Yayasan Syalom Cipta Sumikolah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64418/jikma.v4i2.212

Abstract

The estimated number of cases of hypertension in Indonesia is 63,309,620 people. According to the 2018 National Health Research (Riskesdas) report, approximately 34.11% of the population ≥ 18 years old suffers from hypertension (Ministry of Health of the Republic of Indonesia, 2019). Across Indonesia's 34 provinces, this condition can trigger various unexpected problems, such as threatening realities and increasing the risk of heart disease, stroke, and even death. The North Sulawesi Provincial Health Office explained that cases of hypertension in North Sulawesi reached 32,742 cases. This report uses case studies, nursing care provided using electrolyte fluid therapy and medication to address fluid balance and reduce pain, as well as pain management using Benson relaxation techniques, which can also help reduce pain. The results of the study found that acute pain problems are associated with increased cerebral vascular pressure. Sleep pattern disturbances are associated with psychological injury agents. Anxiety is related to lack of exposure to information about the disease process. The final results showed reduced headaches, complaints of insomnia began to improve, and feelings of anxiety and worry have decreased. In conclusion, fluid therapy, medication, and Benson relaxation techniques can address pain, sleep disturbances, and anxiety. Families are advised to maintain and monitor their health at the nearest hospital or community health center.
Penerapan Evidence Based Practice Pemberian Tepid Water Sponge pada Anak dengan Dengue Hemoragic Fever dengan Masalah Keperawatan Hipertermia Porajow, Mevlin; Kairupan, Michelle
JURNAL ILMIAH KESEHATAN MANADO Vol. 4 No. 2 (2025): JURNAL ILMIAH KESEHATAN MANADO (JIKMA)
Publisher : Yayasan Syalom Cipta Sumikolah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64418/jikma.v4i2.214

Abstract

Giving Water Tepid Sponge can be used to reduce hyperthermia by increasing the evaporation process through the skin. Giving Water Tepid Sponge can also provide comfort, reduce pain and anxiety. Objective: To determine the administration of Water Tepid Sponge to reduce hyperthermia in pediatric patients with Dengue Hemorrhagic Fever (DHF). This research method uses a case study method with a Nursing Care approach by taking one case as the unit of analysis. The unit of analysis is a child client with hyperthermia with the intervention of giving Water Tepid Sponge for 60 minutes to a child patient with Dengue Hemorrhagic Fever (DHF). The results of this study show that giving Water Tepid Sponge can reduce hyperthermia in pediatric patients with Dengue Hemorrhagic Fever (DHF) as much as after 60 minutes of treatment. Water Tepid Sponge can reduce hyperthermia in pediatric patients with Dengue Hemorrhagic Fever (DHF),
Evidance Based Practice Bermain Puzzle dengan Demensia di Panti Werdha Damai Ranomuut Kairupan, Michelle; Mokobimbing, Frensi
JURNAL ILMIAH KESEHATAN MANADO Vol. 4 No. 2 (2025): JURNAL ILMIAH KESEHATAN MANADO (JIKMA)
Publisher : Yayasan Syalom Cipta Sumikolah

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

Abstract

Dementia is a condition in which a person experiences a decrease in memory and thinking. This decline in ability causes disruption to the functioning of daily life. Dementia occurs due to cognitive impairment. One of the efforts that can be done to reduce cognitive function disorders is by providing puzzle play therapy. The purpose of this scientific paper is the implementation of nursing care with the application of evidence-based puzzle play therapy to improve cognitive function in Mrs. H. R at the peace orphanage ranomuut. The results of the study with the application of evidence-based puzzle play therapy which was carried out for 3 days, the results of the evaluation were found that puzzle play therapy was effective in improving cognitive function in Mrs. H. R from moderate cognitive aspect disorders 16 increased cognitive aspects with 26 results. Conclusion: This scientific paper showed an improvement in cognitive function in Mrs. H. R who experienced dementia after being given puzzle play therapy. Suggestion: to all health workers to be able to provide action and education in providing puzzle play therapy to clients suffering from dementia.
Effectiveness of health education Breast Self Examination (BSE) on knowledge of breast cancer prevention Legi, Julita; Molintao, Winarsi; Kairupan, Michelle; Mokalu, Shania
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1470

Abstract

Breast cancer remains a health issue among women of reproductive age. There is breast self-examination (BSE) to prevent breast cancer. This study aimed to examine the effectiveness of health education using a leaflet about BSE. This study was supported by Senior high school number 2 Langowan. The study sample was 30 students from ages 14 to 16 years old in grades X and XI. The knowledge in this study was categorized as good and not. The result revealed increasing students with good knowledge from 73.3 to 90.0. Using paired t-tests this study revealed the effectiveness of health education using leaflets to improve BSE knowledge. There is a need for collaboration among stakeholders to emphasize this issue.
PENERAPAN POSITIVE SELF TALK THERAPY DALAM MENGATASI HARGA DIRI RENDAH KRONIS Karame, Verra; Molintao, Winarsi; Kairupan, Michelle; Lasut, Nike Rossario
Jurnal Kesehatan Tambusai Vol. 6 No. 4 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i4.51872

Abstract

Harga diri merupakan faktor utama penentu kesehatan jiwa manusia. Harga diri rendah ialah perasaan yang negatif terhadap diri sendiri yang menyebabkan individu kehilangan kepercayaan diri, munculnya sifat pesimis, serta merasa tidak berharga dalam kehidupannya. Positive self talk therapy merupakan terapi berbicara hal-hal baik atau positif terhadap diri sendiri. Penelitian ini bertujuan untuk menganalisis penerapan positive self talk therapy dalam mengatasi masalah harga diri rendah kronis. Terapi ini bertujuan untuk membantu klien memiliki pola pikir dan persepsi yang lebih baik terhadap diri sendiri sehingga membantu meningkatkan harga diri klien karena harga diri sangat bergantung pada pola pikir dan persepsi atau penilaian terhadap diri sendiri. Sebelum diberikan terapi self talk positif, klien mengatakan bahwa dirinya tidak berguna, tidak mempunyai keahlian, dan takut ditinggalkan oleh istrinya. Setelah diberikan terapi, klien mengatakan bahwa ia merasa lebih tenang setelah mengikuti latihan positive self talk therapy dan meyakini bahwa semua orang berguna dan mempunyai keahlian masing-masing. Hasil penelitian menunjukkan bahwa intervensi positive self talk therapy terbukti efektif dalam mengatasi masalah harga diri rendah. Diharapkan positive self talk therapy dijadikan sebagai salah satu intervensi yang dapat diberikan kepada pasien yang mengalami kecemasan, memiliki sifat pesimis, ketidakpercayaan diri, dan harga diri rendah.
ASUHAN KEPERAWATAN GAGAL NAPAS ON VENTILATOR PADA PASIEN NY. A. L DENGAN PENERAPAN CLOSE SUCTION DI RUANGAN ICU BAWAH RSUP PROF. DR. R D KANDOU MANADO Manengkey, Olvin; Kairupan, Michelle; Nindi, Engryne; Tarema, Setya Prastica
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.51966

Abstract

Gagal napas akut (GGA) merupakan gangguan fungsi pompa otot pernapasan atau disfungsi pada paru-paru, terjadi ketidakseimbangan beban pada otot pernapasan dan kapasitas pompa otot. Tindakan suction yaitu memasukkan selang kateter suction melalui mulut atau hidung atau endotrakeal tube (ETT) yang tujuannya untuk mengurangi retensi sputum, membebaskan jalan nafas serta mencegah infeksi paru. Tujuan Penulisan karya ilmiah akhir Ners (KIAN) bertujuan untuk melakukan asuhan keperawatan pada Ny. A. L dengan Gagal Napas On Ventilator di Ruangan ICU Bawah RSUP Prof. Dr. R. D. Kandou Manado. Implementasi yang diberikan terhadap pasien adalah dengan mengidentifikasi adanya kelemahan otot bantu nafas, memonitor status respirasi dan oksigen, mempertahankan kepatenan jalan nafas dengan cara melakukan penerapan tindakan close suction, memonitor pola nafas ( frekuensi nafas ), monitor jumlah,warna ,aroma sputum, melakukan hiperoksigenasi sebelum endotrakeal (close suction) dan melayani obat mukolitik ( N asetilsistein 200 mg via NGT).Hasil penelitian dengan penerapan close suction selama 2 hari, hasil evaluasi  didapatkan penurunan produksi sputum dan peningkatan saturasi oksigen dari 90% menjadi 96%. Kesimpulan dalam penulisan KIAN ini indakan intervensi yang telah dilakukan pada Ny. A. L dengan diagnosa gangguan ventilasi spontan dan bersihan jalan napas tidak efektif yaitu manajemen diberikan tindakan close suction. Dilakukan penghisapan lendir (close suction) kurang dari 15 detik.
GERMAS Policy Implementation and Low-Salt Diet Compliance Among Hypertensive Patients in Ratahan, North Sulawesi, Indonesia Langingi, Ake Royke Calvin; Watung, Grace Irene Viodyta; Sepang, Mareyke Yolanda Lusia; Kairupan, Michelle
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.1042

Abstract

The aim of this study was to explore the relationship between the implementation of the “healthy living community movement” (GERMAS) policy and compliance with a low-salt diet among hypertensive patients. A quantitative cross-sectional study was conducted at Ratahan Primary Health Center among hypertensive patients who participated in the GERMAS program. Data were selected through proportional random sampling. Data were analyzed using multivariate logistic regression to determine the relationship between program implementation components, program socialization, community participation, and health facility support, and adherence to a low-salt diet. The analysis revealed that program socialization (OR=2.34, p=0.005, CI: 1.29–4.18), and has the most significant relationship of the other variables; community participation (OR=1.95, p=0.021, CI: 1.11–3.35), and health facility support (OR=2.07, p=0.017, CI: 1.14–3.68) were significantly associated with adherence to a low-salt diet. Implementation of GERMAS through effective program socialization, active community involvement, and adequate health facility support significantly increases adherence to a low-salt diet among hypertensive patients. Strengthening intersectoral collaboration and continuous community empowerment is crucial to sustaining GERMAS outcomes in hypertension prevention and control.
Risk Factors of Chronic Energy Deficiency among Pregnant Women in Minahasa Kairupan, Michelle; Manengkey, Olvin Kristin; Baithesda
NUTRIX Vol 10 No 1 (2026): Volume 10, Issue 1, 2026
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v10i1.1505

Abstract

Chronic Energy Deficiency (CED) remains a major public health concern among pregnant women and is associated with adverse maternal and neonatal outcomes. This study aimed to analyze the risk factors for CED and identify the dominant predictors among pregnant women in Minahasa. A cross-sectional analytical design was employed involving 246 pregnant women. Data were collected using structured questionnaires, dietary assessments, and Mid-Upper Arm Circumference (MUAC) measurements. Bivariate analysis was performed using the Chi-square test, and multivariate analysis was conducted using logistic regression. The prevalence of CED was 41.5%. Significant factors associated with CED included maternal age (p=0.012; OR=3.9), parity (p=0.004; OR=4.7), knowledge (p<0.001; OR=14.8), and dietary patterns (p=0.002; OR=2.9). Multivariate analysis revealed that maternal knowledge was the strongest predictor of CED (aOR=15.25; 95% CI: 3.80–61.20), followed by parity, age, and dietary diversity. Education and antenatal care (ANC) visits were not significantly associated with CED prevalence. These findings indicate that knowledge gaps and poor dietary diversity are key determinants of CED. Strengthening culturally sensitive nutrition education within antenatal care services is essential for improving maternal nutrition and supporting stunting reduction strategies. Defisiensi Energi Kronis (CED) tetap menjadi masalah kesehatan masyarakat yang serius di kalangan ibu hamil dan dikaitkan dengan hasil kehamilan yang buruk bagi ibu dan bayi baru lahir. Penelitian ini bertujuan untuk menganalisis faktor risiko CED dan mengidentifikasi prediktor utama di kalangan ibu hamil di Minahasa. Desain penelitian analitik cross-sectional digunakan dengan melibatkan 246 ibu hamil. Data dikumpulkan menggunakan kuesioner terstruktur, penilaian pola makan, dan pengukuran Lingkar Lengan Atas Tengah (MUAC). Analisis bivariat dilakukan menggunakan uji Chi-square, sedangkan analisis multivariat dilakukan menggunakan regresi logistik. Prevalensi CED sebesar 41,5%. Faktor-faktor signifikan yang terkait dengan CED meliputi usia ibu (p=0,012; OR=3,9), paritas (p=0,004; OR=4,7), pengetahuan (p<0,001; OR=14,8), dan pola makan (p=0,002; OR=2,9). Analisis multivariat menunjukkan bahwa pengetahuan ibu merupakan prediktor terkuat CED (aOR=15,25; 95% CI: 3,80–61,20), diikuti oleh paritas, usia, dan keragaman makanan. Pendidikan dan kunjungan perawatan antenatal (ANC) tidak secara signifikan terkait dengan CED. Temuan ini menunjukkan bahwa kesenjangan pengetahuan dan keragaman pola makan yang buruk merupakan faktor penentu utama CED. Memperkuat pendidikan gizi yang sensitif terhadap budaya dalam layanan perawatan antenatal sangat penting untuk meningkatkan gizi ibu dan mendukung strategi pengurangan stunting.