Garuda - Garba Rujukan Digital

Treatment adherence in patients with diabetes mellitus type 2 Riyan Mulfianda; Nanda Desreza; Khaira Rizki; Rizky Azhari Syam; Rauza Alda; Rizka Dara Vonna
Malahayati International Journal of Nursing and Health Science Vol 6, No 3 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i3.11634

Background: Diabetes Mellitus (DM) is a chronic disease often referred to as a lifelong disease with chronic complications. The risk of complications of diabetes mellitus can be reduced by effective management of medication therapy by implementing medication adherence. Medication compliance in diabetes mellitus is influenced by various determinants that describe the extent to which the patient's behavior is to comply with taking medication, following a diet, and implementing lifestyle changes per the recommendations recommended by health care providers.Purpose: to analyze the determinants of medication adherence in patients with type 2. Method: The design of this research is quantitative with a cross-sectional study approach. The sample amounted to 97 patients with diabetes mellitus. The statistical analysis used is logistic regression.Results: Showed that the determinants related to medication adherence were age p-value (0.019), education p-value (0.039), Income p-value (0.006), Health Examination p-value (0.034), Blood Sugar Check p-value (0.005), DM knowledge p-value (0.000), and Social Support p-value (0.003), while work p-value (0.136), Length of Suffering from DM p-value (0.399), Use of insulin p-value (0.504), Number of Diseases p-value (0.409), Comorbid p-value (0.583), emotional p-value (0.561) there is no relationship. The most dominant determinant related to medication adherence was the knowledge variable p-value (0.000) with an odds ratio of 0.150 (95% CI: 057-391Conclusion: The most significant determinant of medication adherence is knowledge, so it is recommended to provide continuous and comprehensive updated information about the management of DM, one of which is the diabetes self-management education (DSME) method. The provision of the DSME method can be carried out through a home visit approach to the homes of type 2 DM sufferers.

Nutritional management of diabetes mellitus: A single‐case study Elida Sinuraya; Antonij Edimarta Sitanggang; Erwin Silitonga; Jastro Situmorang; Leo Rikki Saragi
Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i2.10635

Background: An imbalance of the body's nutritional needs is a condition in which nutrient intake is insufficient to meet the metabolic needs of the body. Diabetes mellitus is a disease caused by high levels of glucose in the blood due to the body's inability to release or use insulin adequately.Purpose: to find out whether nursing interventions can meet the nutritional needs of the body in patients with diabetes mellitus.Method: This descriptive research uses a case study approach. The participant is a 68-year-old man who is 3 years old with diabetes mellitus. He felt weak, dizzy, and his legs tingled. He had no appetite and to eat, he only ate half of the plate. Their current blood sugar level is 548 mg/dl and their blood pressure is 200/94 mmHg. Intervention - within 3 days, participants were assessed on vital signs, nutritional status, and favorite foods. Participants received education about oral hygiene and important nutrition for their bodies. Participants had received insulin and a 1700-calorie diet.Results: With this intervention, participants' blood sugar levels were randomly assigned to drop from 548 mg/dl to 200 mg/dl, appetite increased, and food intake increased from half a plate to one plate. His blood pressure dropped from 200/94 mmHg to 120/80 mmHg.Conclusion: The results of these participants provide an encouraging assessment of vital signs, nutritional status, and favorite foods, education about oral hygiene and essential nutrients for the body, and collaboration of insulin diet and diabetes patients.

Knowledge, attitude regarding prevention of medication errors among registered nurses Rohanah Ben; Aini Ahmad; Teh Halimaton Radizuan; Annamma Kunjukunju
Malahayati International Journal of Nursing and Health Science Vol 6, No 3 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i3.10779

Background: Medication error (ME) is a preventable incident that might lead to patient harm or cause inappropriate medication use while the patient, healthcare professional, or consumer controls the medication. Such incidents might be related to the procedures and systems, including pre-labelling order communication, product labelling, packaging, nomenclature, compounding, dispensing, distribution, administration, education, monitoring, and use, professional practice and health care products. According to World Health Organization (2016), 6-7% of inpatients are exposed to medication errors daily, mostly admitted to the intensive care unit (ICU) and long-term care. Medication errors could result in negative events affecting patient safety, such as adverse events causing disability, injury and even in-hospital death.Purpose: To assess the knowledge regarding the prevention of medication errors and the attitude regarding the prevention of medication errors among registered nurses in a private hospital, particularly in Sarawak.Method: A descriptive quantitative research design cross-sectional survey has been chosen. A set of questionnaires adapted from Di Simone et al. (2018) about knowledge on the administration of IV drugs and attitude, while knowledge on serving medications was adapted from Johari et al. (2013), has been distributed to 122 registered nurses of the private hospital to obtain information about the nurses' knowledge and attitude on the prevention of medication error. The data has been analyzed using the IBM Statistical Package for Science (SPSS) version 20. In this study, a purposive sampling method has been used to enrol eligible participants. Participants’ knowledge and attitude were analyzed using frequency and percentage. The Pearson correlation coefficient test has been used to determine the relationship between knowledge and the socio-demographic data among registered nurses in a private hospital.Results:The study revealed that most of the registered nurses, 93 (76.2%) in one of the private hospitals in Sarawak, East Malaysia, have moderate knowledge of serving medications and a strong correlation between the level of education and knowledge regarding preventing medication error.Conclusion: Nurses have moderate knowledge and positive attitudes in preventing medication errors.

Antiretroviral drug adherence among patients with HIV/AIDS based on socio-demographic characteristics Mela Liberti Octoriani Simaremare; Suharmanto Suharmanto; Bayu Anggileo Pramesona; Susianti Susianti; Betta Kurniawan
Malahayati International Journal of Nursing and Health Science Vol 6, No 3 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i3.11649

Background : The government has set a target for accelerating the prevention of HIV/AIDS in Indonesia, namely zero new infections, zero people dying from HIV/AIDS, and zero stigma and discrimination. Stigma against people living with HIV has a major impact on HIV/AIDS prevention and control programs, including the quality of life for people living with HIV. Good knowledge will reduce the stigma that appears. Adherence to the use of ARV (antiretroviral) is one of the factors that can significantly extend the life expectancy of people living with HIV (people living with HIV AIDS). ARVs work against infection by slowing the reproduction of HIV in the bodyPurpose: To identify the factors that influence the adherence of people living with HIV to taking ARVs. Method: This is an observational, descriptive, and quantitative research project with a cross-sectional approach. The research will be conducted at the Sukabumi Health Center in Bandar Lampung in 2021. The population in this project is 103 HIV patients. The sampling technique used is total sampling.Results: Meanwhile, there are more PLHIV patients from urban areas than from rural areas. People living with HIV usually need ARV if the CD4 level is 350 mm3.Conclusion: The univariate variables of age group, occupation, education, gender, and origin of residence did not affect whether people living with HIV were non-adherent to treatment.

Social stigma and the quality of life among patients with schizophrenia Anipah Anipah; Dewi Eka Putri; Basmanelly Basmanelly
Malahayati International Journal of Nursing and Health Science Vol 6, No 3 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i3.11348

Background: Schizophrenia is a mental illness or disorder experienced by most people in the world. The stigma that exists in society with mental disorders is very high, where family acceptance and family support are shown through attitudes, actions that will greatly affect the quality of life of schizophrenics.Purpose: To find out the relationship between community stigma, family acceptance and support with the quality of life of schizophrenics.Method: Using a descriptive cross-sectional correlation approach. The sample in this research is as many as 329 families at the Jambi Regional Mental Hospital polyclinic using purposive sampling technique. The questionnaire used was the Schizophrenia Quality Of Life Scale (SQOLS), The Devaluation Families Scale (DCFS), family acceptance and support. The analysis used is multiple linear regression.Results: The average age of the respondents was 35.99, ranging from 17 to 70 years. recurrence of schizophrenics 1 time per year and less than 5 years of care.Conclusion: There is a relationship between community stigma, family acceptance and support with the quality of life of schizophrenics with a p-value of 0.000 (<0.05). The dominant factor related to quality of life is family acceptance (OR = 0.534).Suggestion: It is hoped that in caring for schizophrenics the family can be involved as a caregiver as a support system.

Analysis of integrated antenatal care implementation in Tanggamus district Inani Inani; Atikah Adyas; Febria Listina; Endang Budiarti; Sugeng Eko Irianto
Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i2.10576

Background: Antenatal care (ANC) as one of the early prevention efforts for pregnancy risk factors. The success of the maternal health program can be assessed through the main indikator maternal mortality rate (MMR). MMR is all deaths within the scope of every 100.000 live births. In 2021 there were 7,389 death in Indonesia. Health services for pregnant women or antenatal care must meet a minimum frequency of six prenatal checks and two visits by a doctor. In order for the implementation of the MCH program to run smoothly, aspects of improving the quality of MCH program services are still expected to become priority activities at the district/ City level. Improving the quality of the MCH Program is also assessed from the size of the program coverage in each work area.Purpose: To analysis of the implementation of an integrated antenatal service program in the Tanggamus Regency Area.Method: This type of research uses qualitative studies. This research was carried out in the Tanggamus Regency Region in March-April 2022. The data collection technique used in this study was a focus group discussion with the coordinating midwife and implementing midwife.Results: Based on integrated antenatal program planning, there are constraints related to human resources, which are still lacking in limited funds, and out of 6 health centers, there are five health centers that do not yet have pregnancy check-up facilities using ultrasound, based on the organization of integrated antenatal programs, due to a shortage of midwives so that the performance of midwives is still there concurrent positions where the midwife is also in charge of the laboratory. Judging from the implementation of the integrated antenatal program, a small portion or as many as 2 Community Health Centers had no problems in antenatal examinations, but most or 4 Community Health Centers implementing integrated antenatal activities did not comply with the guidelines because they did not have an ultrasound device and based on the supervision of the integrated antenatal program the results of activities were recorded. Integrated antenatal care by midwives given the task and authority in the recording.Conclusion: Based planning an integrated antenatal program, there are constraints related to human resources, which are still lacking limited funds; based on implementing an integrated antenatal program, a small part or as many as 2 Community Health Centers, there are no obstacles in antenatal examinations, based on monitoring integrated antenatal program the results of integrated antenatal activities are recorded by midwives who are given the task and authority in the recording.

Effect of ketogenic diet on alzheimer's disease to improve cognitive function: A literature review Anjani Daniyil Khoiroh
Malahayati International Journal of Nursing and Health Science Vol 6, No 4 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i4.11557

Background: Alzheimer's is the most common cause of neurodegenerative dementia which is characterized by reduced cognitive function. Alzheimer's disease is a serious global problem because so far no effective treatment has been found to prevent it. Improving diet can be used as therapy to prevent cognitive decline. The ketogenic diet is one of the recommended therapies because it is neuroprotective.Purpose: To review several studies related to the effect of giving a ketogenic diet in improving cognitive function in people with Alzheimer's.Method: This study used the literature review method using the PRISMA protocol. Literature searches were conducted online, sourced from Scopus, Science Direct, PubMed, ProQuest, and SpringerLink databases by entering a number of relevant keywords. The key words are "ketogenic diet" AND "alzheimer's disease" AND "cognitive function" OR "improves cognition". The conditions for the inclusion of the reviewed articles are publications for the last five years (2018 - 2023), in English, open access, and include research articles or original articles. The feasibility of this study was assessed by applying the PICO framework, including the samples used were humans or experimental animals suffering from Alzheimer's, the sample received a ketogenic diet intervention.Results: Showed an effect of the ketogenic diet on cognitive function in Alzheimer's patients. There were four articles reviewed where all articles examined the effect of giving a ketogenic diet on cognitive function in Alzheimer's sufferers. The ketogenic diet is a high-fat, low-carb diet that promotes the process of ketogenesis. The resulting ketone bodies, such as acetoacetate and β-hydroxybutyrate can meet the energy needs of brain cells and improve memory performance. The chronic effect of giving a ketogenic diet has been shown to increase cognitive test scores. However, acute administration of the ketogenic diet is still not known with certainty.Conclusions: The chronic intervention of the ketogenic diet has a positive effect on improving the cognitive function of Alzheimer's sufferers. The ketogenic diet has been shown to be safe, feasible, and recommended as a treatment method for Alzheimer's patients.

Malaria situation in Lampung Pesawaran during the COVID-19 pandemic Tusy Triwahyuni; Siti Haryati; Marwan Nusri
Malahayati International Journal of Nursing and Health Science Vol 6, No 3 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i3.11642

Background : At the time of COVID-19 was determined as a pandemic there are still many infectious diseases that have not been eliminated such as HIV / AIDS, tuberculosis, including malaria. Malaria is an infectious disease that existed long before corona virus or COVID-19 appeared in the world. malaria itself is a parasitic infectious disease plasmodium sp transmitted through the bite of a female Anophelese sp mosquito. The current incidence of malaria cases coincides with the COVID-19 pandemic, which could potentially increase or decrease the incidence of malaria cases.Purpose: To find out the comparison of malaria cases in endemic areas before and during the COVID-19 pandemic in The Hanura Health Center of Lampung Pesawaran Regency 2019-2020.. Method: Comparative research with purposive sampling research techniques with the population of all malaria patients in Puskesmas Hanura Pesawaran Lampung Regency from September 2019 to August 2020. Analyze data using univariate and bivariate..Results : The most cases of malaria based on the age before the COVID-19 pandemic at the age of >15 years amounted to 121 patients (72,9%) and during the COVID-19 pandemic the most at the age of >15 years amounted to 25 patients (61,0%). The most cases of malaria by gender before the COVID-19 pandemic were in 102 male patients (61,4%) and based on gender during the COVID-19 pandemic the most was in men as many as 21 patients (51,2%) . Malaria cases before the COVID-19 pandemic were highest in October 2019 at 55 patients (33,1%) and during the COVID-19 pandemic the highest in March 2020 was 14 patients (34,1%).Conclusion: There is a significant comparison in malaria cases before and during the COVID-19 pandemic with a P value of 0.033.

Factors associated with breast self-examination among women of reproductive age in Lampung-Indonesia Sri Diastuti; Wayan Aryawati; Nurul Aryastuti
Malahayati International Journal of Nursing and Health Science Vol 6, No 3 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i3.11553

Background: Breast cancer in Indonesia ranks first with 68,858 cancer cases and the second cause of cancer-related deaths with 22,430. In 2020 in Lampung Province there were 980 cases of breast lumps and 246 cases of breast cancer while in North Lampung district there were 26 cases of breast lumps and 7 cases of suspected breast cancer. The Abung Kunang Health Center had 3 cases of lumps in the breast and 2 cases of suspected breast cancer. Cancer prevention is a priority through Breast Self-Examination (BSE).Purpose: To determine the factors associated with breast self-examination (BSE) in women of productive age (WCA) at the Abung Kunang Community Health Center, North Lampung Regency in 2023.Method: Quantitative with cross sectional design. The population in this study were women of childbearing age aged 15-49 years who were at the Abung Kunang Community Health Center in North Lampung Regency in 2022 with a total of 381 samples. The sample technique used is multi-stage random sampling. Data analysis in this study used univariate, bivariate (chi-square), and multivariate (multiple logistic regression).Results: Shows that there is a relationship between knowledge (p value 0.000 and OR 3.147), attitude (p value 0.004 OR 1.900), education (p value 0.015 and OR 1.736), support from health workers (p value 0.014 and OR 1.708) and exposure to information media (p value 0.015 and OR 3.054) and there is no relationship between family support and BSE implementation in women of childbearing age. The most related factor is knowledge with (p value 0.000 and OR 2.567). It is hoped that health workers can provide implementation demonstrations and carry out community empowerment such as IT (information and technology) training.Conclusion: Factors related to the implementation of breast self-examination (BSE) in dealing with the occurrence of breast cancer, namely knowledge, attitudes, education, family support, health workers, and exposure to information media from respondents. However, from these factors the most related at the Abung Kunang Health Center in North Lampung Regency in 2023 is knowledge with OR 2.567.

Knowledge, attitudes and practices on postoperative pain management among registered nurses in a private hospital in Selangor-Malaysia Norini binti Samad; Aini Ahmad; Puziah Yusof; Annamma Kunjukunju
Malahayati International Journal of Nursing and Health Science Vol 6, No 2 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i2.10778

Background: Postoperative pain is an important aspect of patient care. It occurs when there is tissue injury and muscle spasms following surgery. The goal of postoperative pain management is to minimize discomfort and side effects. Poor pain management can result in patient discomfort, complications, slow recovery, and longer hospitalization. Therefore, it is crucial for registered nurses to have a good understanding of postoperative pain assessment tools in order to provide the best pain management for their patients.Purpose: To assess knowledge and attitude related to pain management practices among registered nurses (rn) in postoperative patients. Method: In this study, a descriptive quantitative cross-sectional survey design was used. A questionnaire was administered, consisting of four parts. The first part collected socio-demographic data from Registered Nurses. The second part contained 13 true and false questions to evaluate their knowledge level. The third part consisted of 14 questions to assess the attitudes of Registered Nurses, and the fourth part consisted of 18 questions using a Likert scale to evaluate their practices. The total number of respondents was 108 Registered Nurses. The data obtained were analyzed using IBM Social Packages for the Social Sciences (SPSS) software version 26.Results: The study finding shows that 58.2% of Registered Nurses possess adequate knowledge regarding postoperative pain management, while 41.8% lack sufficient knowledge. These nurses agree that effective analgesia is crucial in postoperative care, with 90.8% recognizing the importance of pain measurement instruments. Providing a clean and comfortable ward with a neatly made bed is the most commonly practiced intervention for pain relief among Registered Nurses. Additionally, the study found a positive correlation between age, years of clinical experience, and pain management practices.Conclusion: According to the findings, there is significant variation in the knowledge, attitude, and practices of registered nurses when it comes to managing postoperative pain. To ensure that patients receive helpful and effective pain management after surgery, it is important for nurses to participate in ongoing professional development activities.

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Teguh Pribadi

Contact Email
-

Phone
+6282282204653

Journal Mail Official
nursing@malahayati.ac.id

Editorial Address
Jl. Pramuka no 27 Kemiling Bandar Lampung, Kode Pos 35152

Location
Kota bandar lampung,

Lampung

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Teguh Pribadi

Contact Email -

Phone +6282282204653

Journal Mail Official nursing@malahayati.ac.id

Editorial Address Jl. Pramuka no 27 Kemiling Bandar Lampung, Kode Pos 35152

Location Kota bandar lampung, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Teguh Pribadi

Contact Email
-

Phone
+6282282204653

Journal Mail Official
nursing@malahayati.ac.id

Editorial Address
Jl. Pramuka no 27 Kemiling Bandar Lampung, Kode Pos 35152

Location
Kota bandar lampung,

Lampung

INDONESIA