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Jurnal Ilmiah Keperawatan Imelda
Published by Universitas Imelda Medan
ISSN : 24428108     EISSN : 25977172     DOI : https://doi.org/10.2411/jikeperawatan
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Ilmiah Keperawatan Imelda dikelola oleh Program Studi S1/DIII Keperawatan STIKes IMELDA, terbit 2 kali dalam setahun. Jurnal ini terbit dalam versi cetak pertama sekali pada bulan Februari 2015, sedangkan untuk media terbitan versi elektronik pertama sekali terbit di Bulan September 2017, dan merupakan wadah bagi para mahasiswa, dosen maupun peneliti untuk mengisi tulisan atau artikel yang merupakan hasil penelitian maupun karya tulis ilmiah di bidang kesehatan dan keperawatan. Jurnal Ilmiah Keperawatan Imelda memiliki scope : 1. Keperawatan medis bedah, 2. Keperawatan darurat, 3. Perawatan mental, 4. Keperawatan bersalin dan anak-anak, 5. Keperawatan komunitas, keluarga dan lansia manajemen keperawatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 284 Documents
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PENGARUH AKTIVITAS MONTESSORI TERHADAP KEMAMPUAN KOGNITIF KLIEN PSIKOGERIATRI DENGAN SCHIZOFRENIA KRONIS Suyanta, Suyanta; Hastuti, Tulus Puji; Rahmawati , Wiwin Reny
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.v10i1.1323

Abstract

Elderly individuals who have been exposed to psychosis (schizophrenia) since youth or adulthood will experience severe cognitive function decline, such as memory deficits, executive function, and attention. Other cognitive functions are also affected, including language function, intelligence, and orientation. Montessori activities are activities that are tailored to the interests and skills of clients and can be applied to stimulate or prevent cognitive decline in the elderly. This study aims to determine the effect of Montessori activities on the cognitive abilities of chronic schizophrenic psychogeriatric clients. The research design is a quasi-experimental study with a non-randomized control group pre-post test design. Data collection used the MMSE (Mini Mental State Examination) questionnaire or Folstein test twice, before and after the intervention. The sample size was 30 people, divided into 15 people in the experimental group and 15 people in the control group. The research was conducted at the Laras Jiwo Psychiatric Rehabilitation Center in the Magelang Regency area from September to November 2022. The results showed that Montessori activities did not significantly affect the improvement of cognitive abilities (MMSE score), as evidenced by the Mann-Whitney test results with the difference coefficient of the posttest between the experimental and control groups obtained a z-value of -1.579 and a p-value of 0.114 (p>0.05). However, the difference coefficient between pre and post in the experimental group showed a significant difference with a z-value of -3.436 and a p-value of 0.001 (p<0.05), thus it can be concluded that Montessori activities still have an effect on improving MMSE in the experimental group.
MASTURBASI DAN GUILTY FEELING PADA REMAJA Niman, Susanti; Budi Arianto, Albertus; Shinta Parulian, Tina; Saputra, Aloysius Hendra
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.v10i1.1338

Abstract

The development of reproductive organs and hormones triggers changes in sexual behavior in adolescents. Masturbation is a sexual behavior that often occurs in adolescents. Masturbation has a negative stigma because it is taboo to do. Feelings of guilt can be experienced by teenagers who masturbate. This study aims to determine the correlation of masturbation with feelings of guilt in adolescents. The research method is a cross-sectional correlation. The research sample used convenience sampling and collected as many as 385 respondents. The instruments used are masturbation behavior and feelings of guilt. Data analysis was performed using the Kendall-Tau correlation test. The study's results showed that 72.2% of respondents were male and 27.8% female. The average age of the respondents was 17.06 years, the moderate guilty feeling was 9.50, and the average masturbation behavior was 54.99. There is a negative correlation between masturbation behavior and guilty feelings (p-value 0.001; r = -0.124). In conclusion, there is a correlation between masturbation behavior and guilty feeling. The more masturbation behavior that is done, the less sense of guilt will be increasingly not felt. Sexual behavior involves not only biological aspects but psychological, social and moral aspects. Teenagers need to get health education about healthy sexual behavior.
HUBUNGAN STATUS GIZI DENGAN KEJADIAN TB PARU DI RUMAH SAKIT KHUSUS PARU SUMATERA UTARA TAHUN 2023 Rupang, Ernita Rante; Ginting, Amnita Anda Yanti; Veronika, Sovia
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.v10i1.1364

Abstract

Nutritional status is a value that shows the balance between the absorption of nutrients from food and the nutritional needs required by a person's body. Pulmonary TB is a disease caused by Mycobacterium tuberculosis and can be transmitted through air or droplets. Pulmonary TB sufferers who have less than normal nutritional status require a longer healing time and it is possible that pulmonary TB disease can recur. This study aims to determine the relationship between nutritional status and the incidence of pulmonary TB at the North Sumatra Special Lung Hospital in 2023. This research was conducted on April 5 - 18 2023. This research method uses a cross sectional design using a purposive sampling technique with a total of 88 respondents. This research instrument uses observation sheets, scales, and measuring tape. In this research, the data analysis used is univariate and bivariate analysis. The research results showed that of the 88 respondents there were 49 respondents (55.7%) with a mild level of underweight nutritional status, and 59 (67.0%) respondents had positive (+) acid-fast bacteria results. The statistical test results show that there is a relationship between nutritional status and the incidence of pulmonary TB at the North Sumatra Special Lung Hospital in 2023 with the results of the chi-square test, obtained p value = 0.002. Therefore, the nutritional status of pulmonary TB patients needs to be improved and paid attention to in order to speed up the healing process for pulmonary TB patients with health education provided by health services.
EVALUASI PENGALAMAN PASIEN DENGAN HIPERTENSI SELAMA PERAWATAN DI RUANG RAWAT INAP RUMAH SAKIT IMELDA PEKERJA INDONESIA MEDAN Naibaho, Eka Nugraha; Supriadi, Kyoko; Siburian, Christine Handayani; Silitonga, Santo Damerius
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.v10i1.1365

Abstract

Hypertension often causes no symptoms, while persistently high blood pressure over a long period of time can cause complications. The purpose of the study was to determine the experience of patients with hypertension during treatment in the inpatient ward of Imelda Indonesian Workers Hospital Medan. The type of research conducted in this study is a qualitative research with a descriptive phenomenological approach. This research was carried out in the inpatient ward of Imelda Indonesian Workers Hospital Medan in July-August 2022. Participants in this study were 5 patients with hypertension. Data collection techniques in this study used in-depth interview techniques. The results of the study of participants affected by hypertension varied in their length of suffering from hypertension, between 1 to 7 years. Participants revealed that the initial symptoms felt were dizziness, headache, blurred vision, the presence of objects that seemed to move, stiffness and pain in the back of the neck and weakness. When symptoms occurred, participants did not know if the symptoms they felt were signs of having hypertension. Participants affected by hypertension maintained their daily diet at the beginning of their hypertension, still limiting foods such as coffee, meat, fatty foods, but after a long time they could no longer hold back their appetite so they could no longer limit their daily food. Participants have difficulty when maintaining a diet, namely participants have not been able to keep food from salty, fatty, fried, meat and have not been controlled in maintaining a daily food diet. The experience of participants when receiving hypertension therapy was that at the beginning they were sick, participants were still obedient in taking drugs, but over time the participants were getting bored and even fed up with hypertension drugs so that more people did not take drugs according to the doctor's recommendations that had been given to participants. The changes felt when participants were affected by hypertension were that participants were more limited in time to carry out activities and some even took holidays or leave because they had to be hospitalized because of the high blood pressure experienced by these participants. The support that the participants got was that the participant's family always provided support to the participants and accompanied them until the treatment process was completed.
HUBUNGAN PERAN PERAWAT TERHADAP PENCEGAHAN DAN PENGENDALIAN INFEKSI Noor, Sirajudin; Hutahaean, Serri; Nababan, Dosmaida
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (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.v10i2.1389

Abstract

Prevention of infections in hospitals is very important to do, given the high incidence of infections in hospitals. This is an important note considering that this infection can happen to anyone, be it patients, nurses, doctors, employees, and so on. The role of the health team, especially nurses, needs to be involved in reducing the number of infections in the hospital. The purpose of this study was to determine the relationship between the nurse's role and infection prevention and control in the hospital. This research was conducted in June 2023 at a Tangerang Hospital. This type of research is a quantitative analytic descriptive design with a cross-sectional approach. Sampling is a total sampling of 100 respondents. The instrument in this study was to use a questionnaire. Data were analyzed using the Chi-Square Test. The results of the study obtained a p-value <0.05 (0.006) meaning that there is a significant relationship between the role of nurses in infection prevention and control. This study shows that nurses have played a good role in preventing and controlling infection, so it can be concluded that nurses who play a good role, better the infection prevention and control efforts. The recommendation from this study is the need for action from hospital management to improve the quality of the role of nurses by providing motivational support or rewards so that infection prevention and control efforts can be maximized.
EFEKTIVITAS TINDAKAN AMBULASI DINI TERHADAP PENURUNAN NYERI PUNGGUNG POST KATETERISASI JANTUNG KLIEN DENGAN SINDROM KORONER AKUT (SKA): SEBUAH STUDI KASUS DI RSUD ARIFIN ACHMAD PROVINSI RIAU Rahmanisa, Tengku Atika; Rasyid, T. Abdur
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.v10i1.1438

Abstract

Acute coronary syndrome (ACS) is a disease in which blood flow to the heart is decreased. Cardiac catheterization is one of the medical interventions to treat ACS. Post-catheterization patients must be immobilized to prevent hematoma and bleeding in the insertion area. Back pain was one of the complaints frequently reported by patients who were required for strict bed rest and immobilization after cardiac catheterization. The purpose of this study with the application of nursing care to Mr. Y and Mr. D with the implementation of early ambulation to reduce the discomfort of post-cardiac catheterization back pain in the CVCU room of Arifin Achmad Hospital, Riau Province strarted from 10th June – 17th June 2023. The analyze nursing care for patients' back pain with early ambulation after cardiac catheterization on implementation of early ambulation begins with a head bed 15o, head bed 30o, lateral position opposite to the puncture site as one piece, and then Patients were also advised to walk around the room and use the bathroom if they wanted. Based on the results of the early ambulation, it was found that the pain scale before Mr. Y was VAS 5 (moderate pain) and Mr. D VAS 4 (moderate pain). After early ambulation, the back-pain scale of Mr. Y was VAS 1 (mild pain), and Mr. D's pain scale was VAS 3 (mild pain). The above study concludes that the application of early ambulations can increase the patients' back pain.
EKSPLORASI ASUHAN KEPERAWATAN KELUARGA DI RUMAH (HOME CARE) DI PUSKESMAS SUDIANG RAYA Kadrianti, Erna; Hasifah, Hasifah
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.v10i1.1531

Abstract

There are still quite a lot of health problems in the world and in Indonesia that require long-term care at home. Home care is a form of nursing service, including community nursing care carried out at home. This research aims to explore family nursing care through home visits (Home Care) at the Sudiang Raya Community Health Center, with the main focus being policies, objectives, competencies possessed by implementers, implementation processes, monitoring and evaluation of the implementation of family nursing care through home visits (Home Care). This research took place at the Sudiang Raya Community Health Center, Makassar City. The research was carried out March – August 2022. This research uses descriptive qualitative methods to understand and explain the phenomenon of implementing nursing care through home visits. Data collection used an in-depth interview guide for 6 nurse participants who worked at the Community Health Center. The data collected was in menuscript form and then analyzed using Cresswell to determine themes. The themes in this research are 1) the role of community nurses, 2) Implementing Family Nursing Care, 3) Preventive and curative services, and 4) Home Care in the Community.
HUBUNGAN ANTARA KONTRIBUSI EDUCATOR OLEH PERAWAT DALAM DISCARE PLANNING DENGAN TINGKAT KEDISIPLINAN PASIEN GAGAL GINJAL KRONIK YANG MELAKUKAN HEMODIALISA SECARA RUTIN Rina Situmorang, Paskah; Lingga, Rugun Togianur; Berutu, Heriaty; Herlina, Meriani; Noradina, Noradina; Silalahi, Bernita; Ritonga, Yuni Shanti; Harefa, Sehardi Natal; Manurung, Sarida Surya
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (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.v10i2.1537

Abstract

ABSTRACT Hemodialysis is dialysis therapy as a kidney replacement in patients with CKD. One of the problems that cause hemodialysis failure is the problem of compliance in patients with chronic kidney failure who undergo hemodialysis therapy. Therefore, the role of health workers is very much needed in providing understanding to patients regarding discharge planning in order to get better care to achieve the patient's quality of life. If the patient is not disciplined in maintaining his life by obediently carrying out hemodialysis therapy according to the doctor's recommendations, shortness of breath, edema, ascites will occur and will cause many long-term complications which will ultimately increase mortality. With quality instructions from nurses or a good understanding of discharge planning, it is hoped that it can improve the discipline of CKD patients in carrying out hemodialysis therapy. This study aims to determine whether there is a relationship between the contribution of educators by nurses in discharge planning and the level of discipline of chronic kidney failure patients who undergo regular hemodialysis at RSU IPI Medan. This type of quantitative research with a correlation research design. Data collection used was an educator contribution questionnaire by nurses in discharge planning which consisted of 21 questions. The population in this study was all CKD patients undergoing hemodialysis therapy, totaling 52 people. With an accidental sampling technique. The research results were tested using the Chi-Square test with a (p) value of <0.001 <0.05, meaning that there is a relationship between the provision of discharge planning and the level of discipline of CKD patients undergoing hemodialysis therapy, so it is hoped that all health workers will provide clear information to patients regarding the importance of carrying out hemodialysis therapy so that the patient's quality of life is more optimal.
STUDI KASUS: PENERAPAN TERAPI RELAKSASI OTOT PROGRESIF UNTUK MENGATASI GANGGUAN TIDUR PADA LANSIA DI SENTRA TERPADU PANGUDI LUHUR BEKASI Dewi, Mia Kusuma; Andas, Amzal; Puspitasari, Indah; Wada, Fauziah H; Romantika, I Wayan; Shoaliha, Maratun; Nurwahidah, Andi Tenri
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 2 (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.v10i2.1539

Abstract

Background : Indonesia is currently experiencing a period of demographic growth, moving from a high birth rate to a low birth rate as well as death. so that the elderly population in the future will increase. For the elderly who experience health problems in terms of physical, psychological. This will have an impact on the sleep quality of the elderly. Non-pharmacological methods can be carried out by implementing behaviors that target thoughts, feelings that worsen sleep quality, namely progressive muscle relaxation therapy that does not require technology, costs, special equipment, does not require a special place and time, and is easy to learn so that researchers are interested in conducting studies. case. The aim is to determine the effect of progressive muscle relaxation therapy in the elderly who experience sleep disturbances. Methods: The sample in the case study was based on the results of screening using the SQS Single item and was selected based on inclusion criteria, namely >60 years. The number of samples that met the criteria were 5 elderly people. Data was collected through observation and interviews. Data analysis was carried out by identifying patterns, comfort and effects during sleep disturbance. In this study, data were analyzed to determine the effectiveness of progressive muscle relaxation therapy to treat sleep disturbances in the elderly. Results: This case study shows that after 5 days of therapy, the sleep quality score results from a total score of 15 (poor) the score becomes 36 (good). This shows that progressive muscle relaxation therapy can be an effective alternative non-pharmacological treatment to treat sleep disorders in the elderly. Conclusion Progressive muscle relaxation therapy can be used as an effective treatment option in reducing sleep disturbances in the elderly.
KURANGNYA MANAJEMEN PERAWATAN DIRI DAN PENGENDALIAN TEKANAN DARAH PASIEN HIPERTENSI DI DAERAH LAHAN BASAH Guna, Stephanie Dwi; Agrina, Agrina; Herlina, Herlina; Nopriadi, Nopriadi; Nurhayati , Nurhayati
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.v10i1.1544

Abstract

Hypertension is the non-communicable disease with relatively high prevalence in Indonesia. The continuity of hypertension care is crucial for patients to control their blood pressure and prevent complications of this silent-killer disease. This research aims to analyze the self-management and blood pressure control of hypertension patients in wetland areas. Taking place in the area supported by the Faculty of Nursing, Universitas Riau, which is the coastal area of the Siak River, Pekanbaru, this research was a quantitative study; descriptive analytic. Thirty participants who were hypertensive patient without complication were chosen by purposive sampling. The instruments were a hypertension patient self-management questionnaire and a digital sphygmomanometer to measure blood pressure. The result showed the majority of the participants was in productive age; adult (33%) and pre-elderly (47%). The result also showed that no participant had good self-management, and most of them had poor self-management (53%). It also revealed only 23% of participants consume anti-hypertension medications regularly, while the rest of them is not taking medication at all. Most of the participants’ blood pressures were uncontrolled (97%). The average systolic pressure was 159 mmHg with maximum point at 238 mmHg and diastolic pressure was 98 mmHg with maximum point at 141 mmHg. This research indicates the urgency in dealing with hypertension, especially in research locations.

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