Malahayati International Journal of Nursing and Health Science最新文献

{"title":"Profil Neuropati Perifer dan Korelasinya dengan Kadar Gula Darah Sewaktu di Panti Lansia Santa Anna","authors":"Alfred Sutrisno Sim, Dean Ascha Wijaya, Fernando Nathaniel, Giovanno Sebastian Yogie, Yohanes Firmansyah, Hans Sugiarto, Stephanie Amadea, Alexander Halim Santoso","doi":"10.33024/mnj.v5i9.11121","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.11121","url":null,"abstract":"ABSTRACT Diabetes, as a global disease, continues to increase worldwide without being limited by location. The burden of diabetes in the elderly population is a significant health issue. Peripheral neuropathy caused by diabetes is strongly associated with physical limitations in older individuals. This cross-sectional study aims to determine the characteristics of peripheral neuropathy in participants who meet the criteria, using a total sampling at Santa Anna on July 15, 2023, and explore its correlation with blood sugar levels. Evaluation of sensory and motor clinical symptoms using Neuropathy Symptom Score (NSS) questionnaire. Abnormal reflexes and sensory function were assessed using Neuropathy Deficit Score (NDS) questionnaire. Blood sugar levels were measured using POCT method following standard procedures. Statistical analysis using the Kruskall Wallis test. Out of the 68 participants, the average age was 74.06 years, with 67.6% of the participants being female. The overall average blood sugar level was found to be 115.82 mg/dL. Based on the NSS and NDS classifications, 8.8% and 23.5% of the total participants were categorized as having severe symptoms, respectively. The statistical analysis revealed a significant difference in mean blood sugar levels between the NSS groups (p-value: 0.003). However, no significant difference was observed in mean blood glucose levels between the NDS groups (p-value: 0.264). Clinically, the severe symptom group had a higher median blood glucose level compared to the normal group. It is noteworthy that elevated transient blood sugar levels tend to impact the subjective symptoms (NSS) of peripheral neuropathy earlier than the objective symptoms (NDS). Keywords: Blood Glucose, Clinical Symptom, Peripheral Neuropathy  ABSTRAK Sebagai penyakit yang tersebar di seluruh dunia, diabetes terus berkembang tanpa memandang tempat dengan jumlah pasien yang semakin meningkat. Beban diabetes pada populasi lanjut usia merupakan masalah kesehatan yang krusial. Neuropati perifer yang diakibatkan oleh diabetes dikaitkan dengan disabilitas fisik yang signifikan pada populasi lanjut usia. Penelitian potong lintang ini bertujuan untuk mengetahui profil neuropati perifer pada responden yang memenuhi kriteria dengan menggunakan total sampling di Panti Santa Anna pada 15 Juli 2023 serta korelasinya dengan kadar gula darah sewaktu. Evaluasi gejala klinis sensorik dan motorik menggunakan kuesioner Neuropathy Symptom Score (NSS). Refleks tidak normal dan penilaian sensorik dieevaluasi menggunakan kuesioner Neuropathy Deficit Score (NDS). Gula darah sewaktu diukur menggunakan POCT sesuai prosedur standar. Analisis statistik menggunakan uji Kruskall Wallis. Dari 68 responden, rata-rata usia adalah 74,06 tahun dengan 67,6% responden adalah perempuan. Dari seluruh responden, didapatkan rata-rata gula darah sewaktu sebesar 115,82 mg/dL. Berdasarkan NSS dan NDS, persentase responden yang termasuk dalam klasifikasi berat adalah sebesar 8,8% ","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79831703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faktor-Faktor yang Berhubungan dengan Nyeri Tulang Belakang pada Perawat di Rumah Sakit Universitas Kristen Indonesia Jakarta Timur","authors":"Iin Wahyuliyanti, N. Naziyah, Andi Julia Rifiana","doi":"10.33024/mnj.v5i9.9189","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.9189","url":null,"abstract":"ABSTRACT Spinal pain is pain that occurs in spinal, has a high enough degree of pain that it can interfere with activity. Nurses are a profession that is prone to spinal pain due to high work mobility, inappropriate body positions when performing nursing care such as bending, lifting heavy objects, transferring patients, performing nursing actions and standing for a long time during surgery etc (Nurhafizhoh, 2019). To find out the factors associated with spinal pain among nurses at the Universitas Kristen Indonesia Hospital. This research is a descriptive study with a cross-sectional approach. The sample in this study were 43 respondents, using total sampling. The instrument of this study used a standardized questionnaire and for data analysis used the chi square test. The results showed that out of 43 samples there were 24 respondents who experienced spinal pain and the results of bivariate analysis using the chi square test found a relationship between gender and spinal pain (p-value = 0,004), relationship between history of spinal disease and pain spine (p-value = 0,031), relationship between length of work and spinal pain (p-value = 0.008), relationship between workload and spinal pain (p-value = 0,016) and there is no relationship between age and spinal pain ( p-value = 0,074). Where the p-value is greater than the α value (0,074 > 0,05), which means that there was no significant relationship between age and back pain. Gender, history of spinal disease, years of service and workload are associated with spinal pain, while age is not associated with spinal pain in nurses at the Universitas Kristen Indonesia Hospital. Keywords: Spinal Pain, Nurse, Age, Gender, History Of Spinal Disease, Years Of Service And Workload  ABSTRAK Nyeri tulang belakang adalah nyeri yang terjadi pada bagian tulang belakang, memiliki derajat nyeri yang tinggi sehingga mengganggu aktivitas. Perawat merupakan salah satu profesi yang rentan terkena nyeri tulang belakang karena mobilitas kerja yang tinggi, postur tubuh yang tidak sesuai seperti membungkuk, mengangkat benda berat, mentransfer pasien, melakukan tindakan keperawatan dan berdiri lama saat operasi dll. (Nurhafidzoh, 2019). Untuk mengetahui faktor-faktor yang berhubungan dengan nyeri tulang belakang pada perawat di Rumah Sakit Universitas Kristen Indonesia. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross-sectional. Sampel dalam penelitian ini sebanyak 43 responden, dengan menggunakan total sampling. Instrumen dari penelitian ini menggunakan kuesioner yang sudah baku dan untuk analisa data menggunakan uji chi square. Hasil penelitian menunjukan dari 43 sampel terdapat 24 responden yang mengalami nyeri tulang belakang dan hasil analisis bivariat dengan menggunakan uji chi square terdapat hubungan antara jenis kelamin dengan nyeri tulang belakang (p-value = 0,004), hubungan riwayat penyakit tulang belakang dengan nyeri tulang belakang (p-value = 0,031), hubungan masa kerja dengan nye","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86505158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Tingkat Stres dengan Siklus Menstruasi Remaja di Wilayah RW 011 Kelurahan Pela Mampang Jakarta Selatan","authors":"Nurul Rizky Amalia, Andi mayasari Usman, Susanti Widiastuti","doi":"10.33024/mnj.v5i9.9138","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.9138","url":null,"abstract":"ABSTRACK Abnormalities of the menstrual cycle are a cause of infertility). Factors that cause this irregular menstrual cycle include changes in hormone levels due to stress or an unstable emotional state (Zhu et al., 2020). Based on the results of observations made on 30 adolescents in the RW 011 area of Pela Mampang Village, the study found that as many as 8 people (26%) experienced moderate levels of stress, and 3 people (1%) experienced very severe levels of stress. Based on the results of these observations, it was also found that of the 30 adolescents, 5 (16%) experienced abnormal menstrual cycles. To determine the relationship between stress levels and the menstrual cycle in adolescents in the area of Rw 011 Pela Mampang Village. This research is a type of correlation research with a cross-sectional approach with a non-probability sampling method with a purposive sampling type based on predetermined inclusion and exclusion criteria. The research sample uses the slovin formula. There is a Relationship Between Adolescent Stress Levels and Menstrual Cycles in RW 011, Pela Mampang Village. With a p-value of 0.000. Conclusions and Suggestions: Adolescent Menstrual Cycles in RW 011, Pela Mampang Village. mostly abnormal. Local officials and health services should pay more attention to this in order to reduce stress levels in adolescents with menstrual cycles Keywords: Stress Levels, Adolescents, Cycles, Menstruation  ABSTRAK Kelainan siklus menstruasi merupakan penyebab infertlitas. Faktor yang menyebabkan siklus menstruasi yang tidak teratur ini diantaranya adalah perubahan kadar hormon akibat stres atau keadaan emosi yang kurang stabil (Zhu et al., 2020). Berdasarkan hasil observasi yang dilakukan terhadap 30 remaja diwilayah rw 011 Kelurahan Pela Mampang, penelitian menemukan sebanyak 8 orang (26%) remaja mengalami stress tingkat sedang, dan 3orang (1%) remaja mengalami stress tingkat sangat berat. Berdasarkan hasil observasi tersebut ditemukan pula dari 30 remaja tersebut 5 orang (16%) diantaranya mengalami siklus menstruasi yang tidak normal. Untuk mengetahui hubungan antara tingkat stress dengan siklus menstruasi pada remaja diwilayah Rw 011 Kelurahan Pela Mampang. Penelitian ini adalah jenis penelitian kolerasi dengan pendekatan cross sectioonal dengan metode non- probability sampling dengan jenis purposive sampling berdasar kriteria inklusi dan eksklusi yang sudah ditetapkan. Sampel penelitian menggunakan rumus slovin. Ada Hubungan Antara Tingkat Stres Remaja Dengan Siklus Menstruasi Di Wilayah RW 011 Kelurahan Pela Mampang. Dengan dengan nilai p value 0,000. Siklus Menstruasi Remaja di Wilayah RW 011 Kelurahan Pela Mampang. sebagian besar tidak normal. Hal ini harus lebih diperhatikan oleh aparat setempat dan pelayanan kesehatan supaya dapat mengurangi tingkat stress pada remaja dengan siklus menstruasi. Kata Kunci: Tingkat Stres, Remaja, Siklus, Menstruasi.   PENDAHULUANSiklus menstruasi atau stress merupakan gangguan psikisis yang idea","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72885740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh Senam Hipertensi terhadap Tekanan Darah pada Lansia dengan Hipertensi di Puskesmas Rasimah Ahmad Bukittinggi","authors":"Siti Mutia Kosassy, A. Mulya, Riri Risdawati","doi":"10.33024/mnj.v5i9.9063","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.9063","url":null,"abstract":"ABSTRACT According to World Health Organization (WHO) in 2014, around 40% of the world's population over the age of 25 were diagnosed with hypertension. WHO data in 2015 showed that around 1.13 billion people in the world have hypertension, meaning that 1 in 3 people in the world is diagnosed with hypertension. The purpose of this study to know the effectiveness of Hypertension excercise on elderly blood pressure in Health Care Bukittinggi. This research was conducted using a quasi-experimental design with a pre-test-post-test control group design. The population is 143 respondents with non-probability sampling technique (purposive sampling). A sample of 18 respondents. This research was conducted in August 2022 using univariate and bivariate analysis. The results of the study found that there was an effect of hypertension exercise on blood pressure in the elderly with hypertension in the work area of the Rasimah Ahmad Public Health Center, Bukittinggi City. Hypertension exercise has a significant effect on reducing systolic and diastolic blood pressure in elderly hypertensives in the working area of the Rasimah Ahmad Public Health Center, Bukittinggi City. It is hoped that further research will be developed and maintained so that hypertension exercises are still carried out routinely at the Puskesmas. Keywords : Elderly, Blood Pressure, Hypertension Exercise  ABSTRAK Menurut WHO pada tahun 2014, sekitar 40% dari seluruh penduduk dunia dengan usia lebih dari 25 tahun terdiagnosa menderita hipertensi. Riskesdas 2018 saat ini sebanyak 34,1% dimana mengalami kenaikan dari angka sebelumnya di tahun 2013 yaitu sebanyak 25,8%. Sedangkan untuk prevalensi hipertensi di Provinsi Sumatera Barat, tahun 2018 kota Bukittinggi berada diurutan ketiga tertinggi yaitu sebanyak 31,2 % dari 19 kota dan kabupaten yang ada di Sumatera Barat Upaya yang dilakukan penderita hipertensi untuk menurunkan tekanan darah dapat dilakukan dengan dua jenis yaitu terapi farmakologis dan non farmakologis seperti senam hipertensi. Penelitian ini bertujuan untuk mengetahui pengaruh senam hipertensi terhadap tekanan darah lansia. Penelitian ini dilakukan dengan menggunakan desain quasi ekperiment  dengan kelompok kontril dan intervensi masing masing 18 responden senam ini dilakukan selama 40 menit dengan waktu 3 kali dalam 1 minggu dengan rancangan pre test-post test control grup design. Populasi sebanyak 143 responden teknik pengambilan sampel secara Non Probability sampling (purposive sampling). sampel 18 responden. Penelitian ini menggunakan uji Wilcoxon dengan menggunakan analisa univariat dan bivariate. Hasil penelitian diketahui bahwa Ada Pengaruh senam hipertensi Terhadap tekanan darah pada lansia dengan hipertensi di wilayah kerja Puskesmas Rasimah Ahmad Kota Bukittinggi Tahun 2022. Senam hipertensi memiliki pengaruh yang cukup signifikan terhadap penurunan darah sistolik dan diastolic pada lansia hipertensi di wilayah kerja Puskesmas Rasimah Ahmad Kota Bukittinggi. Diharapka","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82071119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analisis Hubungan Pelaksanaan Supervisi Terhadap CPPT di Rumah Sakit Umum Universitas Riau","authors":"Vivi Wanti, Yulastri Arif, Dewi Murni","doi":"10.33024/mnj.v5i9.7880","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.7880","url":null,"abstract":"ABSTRACT Documentation is a means of affective communication between health professions. The low quality of integrated record documentation in Indonesia includes incomplete CPPT where patient identity, date and time of visit are not filled in, PPA's signature and full name, and lack of discipline in filling out medical records by PPA. Supervision is carried out in stages in the preparation, implementation and evaluation phases. The preparation phase contains the planning of the supervision program that will be carried out. The implementation phase is the nurse's assessment by the supervisor while the last phase is the evaluation of the supervision assessment (from the results of direct and indirect observations from the CPPT. The purpose of the thesis is to analyze the relationship between the implementation of supervision on CPPT at the Riau University General Hospital. This study was conducted with a cross sectional approach and is a quantitative study. The research sample is 33 people with total sampling sampling technique. The study uses questionnaires and observation sheets that have been tested for validity and reliability. Through statistics there is a relationship between the preparation phase (p value 0.000), the implementation phase (p value 0.001) and the evaluation (p value 0.000) clinical supervision model 4S with CPPT. Researchers recommend the role of supervision to improve service quality and completeness of integrated recording documentation, carried out by increasing the frequency of supervision and assessment of the implementation of the document integrated logging entity. Keywords: Supervisor Characteristics, Supervision 4S model   ABSTRAK Dokumentasi adalah sarana komunikasi afektif antar profesi kesehatan. Rendahnya kualitas pendokumentasian catatan terintegrasi di Indonesia   meliputi tidak lengkapnya CPPT dimana tidak terisinya identitas pasien, tanggal dan jam visite, tanda tangan PPA serta nama dengan lengkap, serta kurangnya kedisiplinan pengisian rekam medis oleh PPA. Supervisi dilakukan bertahap dalam fase persiapan, pelaksanaan dan evaluasi. Fase persiapan berisi perencanaan program supervisi yang dijalankan. Fase pelaksanaan merupakan penilaian perawat oleh supervisor sedangkan fase terakhir adalah evaluasi dari penilaian supervisi (dari hasil observasi langsung dan tidak langsung dari CPPT. Tujuan tesis adalah menganalisis hubungan pelaksanaan supervisi terhadap CPPT di Rumah Sakit Umum Universitas Riau. Penelitian ini dilakukan dengan pendekatan cross sectional dan merupakan penelitian kuantitatif. Sampel penelitian sebanyak 33 orang dengan teknik pengambilan sampel total sampling. Penelitian menggunakan kuesioner dan lembar observasi yang sudah teruji validitas dan reliabilitasnya. Melalui statistik terdapat hubungan fase persiapan (p value 0,000), fase pelaksanaan (p value 0,001) dan fase evaluasi (p value 0,000) supervisi klinik model 4S dengan CPPT. Peneliti merekomendasikan peran supervisi untuk meningkatkan ","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82182623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervensi Pembersihan Lendir pada Pasien Gagal Pernapasan dengan Ventilator: Sebuah Narratif Review","authors":"Etika Emaliyawati, Aan Nuraeni, Ristina Mirwanti, F. Sugiharto, D. Astuti, Evania Altsa Radinka, Siti Nur Damayanti","doi":"10.33024/mnj.v5i9.10045","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.10045","url":null,"abstract":"ABSTRACT Acute respiratory failure (ARF) is a disorder of the pump function of the respiratory muscles or dysfunction of the lungs. Patients with respiratory failure use mechanical ventilation for breathing apparatus. However, mechanical ventilation often interferes with airway clearance and coughing. So intervention is needed to remove mucus from the airways. This study aimed to identify interventions that can be performed to reduce and clear mucus in patients with respiratory failure who are attached to a mechanical ventilator. This study used the narrative review method with the keywords “patient with ventilator OR patient with mechanical ventilation OR mechanically ventilated patient OR patient undergoing mechanical ventilation” AND “intervention OR strategies OR best practice OR treatment OR therapy OR program OR management” AND “mucus clearance OR airway clearance OR sputum clearance”. The databases used include Scopus, PubMed, EBSCO, Oxford. The results of 5 articles were obtained which consisted of various effective interventions for removing secretions such as ventilator hyperinflation mode, head down tilt position, manual chest compression (MCC), mechanical insufflation-exsufflation (MI-E), and chest physiotherapy. This intervention is effective in expelling mucus, increases expiratory flow bias which has the potential to increase secretions removal maneuvers, facilitates mucus cleaning during suctioning, and increases aeration in the dorsal lung without affecting blood gas analysis results. These various interventions can be a choice of solutions to help problems that arise due to the use of mechanical ventilation. Keywords: Acute Respiratory Failure, Mucus Suction, Ventilator  ABSTRAK Gagal napas akut (GGA) merupakan gangguan fungsi pompa otot pernapasan atau disfungsi pada paru-paru. Penderita gagal napas menggunakan ventilasi mekanik untuk alat bantu napas. Namun, ventilasi mekanis sering mengalami gangguan pembersihan lendir saluran napas dan batuk. Sehingga diperlukan intervensi untuk mengeluarkan lendir dari saluran napas. Penelitian ini bertujuan untuk mengidentifikasi intervensi-intervensi yang dapat dilakukan dalam menurunkan dan membersihkan lendir pada pasien dengan gagal napas yang terpasang ventilator mekanik. Penelitian ini menggunakan metode narrative review dengan kata kunci “patient with ventilator OR patient with mechanical ventilation OR mechanically ventilated patient OR patient undergoing mechanical ventilation” AND “intervention OR strategies OR best practice OR treatment OR therapy OR program OR management” AND “mucus clearance OR airway clearance OR sputum clearance”. Database yang digunakan antara lain scopus, pubmed, EBSCO, oxford. Didapatkan hasil 5 artikel yang terdiri  dari berbagai intervensi yang efektif untuk mengeluarkan sekret seperti mode hiperinflasi ventilator, posisi head down tilt, manual chest compression (MCC), mechanical insufflation-exsufflation (MI-E), dan fisioterapi dada. Intervensi ini efe","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91277841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Tingkat Pengetahuan dan Dukungan Keluarga Terhadap Kepatuhan Medikasi Diabetes Mellitus Tipe 2 di Puskesmas Kecamatan Limo Depok","authors":"Verawaty Melisa, D. Hasni, Toto Suharyanto","doi":"10.33024/mnj.v5i9.9174","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.9174","url":null,"abstract":"ABSTRACT Diabetes mellitus is a symptomatic metabolic disease characterized by elevated blood glucose levels due to impaired insulin release and decreased insulin performance. One of the successes of treatment in patients with Diabetes Mellitus (DM) was seen from controlled blood sugar levels. Controlled blood sugar levels are influenced by diet, physical activity, medication adherence and knowledge. This study aims to identify the characteristics of respondents related to age, gender, employment status, recent education, and length of suffering. As well as to understand the relationship between the level of knowledge and family support for medical compliance for people with Type 2 DM. Type of quantitative research, descriptive research design with a cross sectional approach. The sample of this study used Type 2 Diabetes Mellitus patients at the Puskesmas Limo Depok District and found a minimum sample number of 67 respondents. In this study, researchers used probability sampling. The characteristics of respondents were mostly female as many as 52 respondents (77.6%), ages 55-64 years 37 respondents (55.2%), employment as IRT 46 respondents (68.7%), primary education 32 respondents (47.8%). As well as the length of time patients suffered from Diabetes Mellitus for 1-4 years 58 respondents (86.6%). And most of the Type 2 Diabetes Mellitus patients had a high level of knowledge of 49 respondents (73.1%), had good family support of 45 respondents (67.2%), and compliance with 47 respondents (70.1%). There is a significant relationship between the level of knowledge on the adherence of type 2 diabetes mellitus medicine at the Limo Depok District Health Center with a p-value of 0.000. There is a significant relationship between family support and compliance with diabetes mellitus type 2 medicine at the Limo Depok District Health Center with a p-value of 0.000. It is hoped that the Puskesmas can provide education to families about the importance of family support for diabetes mellitus type 2 medical compliance so that informational support can be fulfilled. Keywords : Diabetes Mellitus Type 2, Family Support, Medication Compliance, Level of knowledge  ABSTRAK Diabetes mellitus ialah penyakit metabolik bergejala akan tertandai dengan meningginya tingkat glukosa di darah dikarenakan oleh gangguan pengeluaran insulin serta menurunnya kinerja insulin. Keberhasilan pengobatan pada pasien Diabetes Mellitus (DM) salah satunya dilihat dari terkendalinya kadar gula darah. Terkendalinya kadar gula darah ini dipengaruhi oleh faktor diet, aktivitas fisik, kepatuhan medikasi dan tingkat pengetahuan.: Penelitian ini bertujuan untuk mengidentifikasi karakteristik responden terkait umur, jenis kelamin, status pekerjaan, pendidikan terakhir, serta lama menderita. Serta untuk memahami hubungan tingkat pengetahuan dan dukungan keluarga terhadap kepatuhan medikasi bagi penderita DM Tipe 2. Jenis penelitian kuantitatif, desain penelitian deskriptif dengan pendekatan cross se","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73439960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengalaman Stress Kerja yang Dialami oleh Bidan Ruang Bersalin dan Nifas di Rumah Sakit Banjarmasin","authors":"Dewi Setya Paramitha, Lita Ariani","doi":"10.33024/mnj.v5i9.11104","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.11104","url":null,"abstract":"ABSTRACT Midwives in carrying out their roles are expected to be free from pressure (work stress) in order to be able to carry out their work in providing professional nursing care. Errors in intervention will result in failure for both the mother and the baby. The aim of the study was to find out how the phenomenon of work stress is experienced by midwives in the maternity and postpartum wards of hospitals. This study used a qualitative design with a phenomenological approach. The instrument used was an interview guide, collecting data with a focus group discussion, the analysis used was thematic analysis. There are two main themes, namely the causes of stress and how to overcome it. Causes of stress consist of patients not understanding procedures, limited room infrastructure, insufficient number of human resources and team methods not optimal. How to deal with it consists of communicating therapeutically to patients and families, coordinating with colleagues and other teams, coordinating with the doctor in charge, dan coordinating with the case manager. This study concluded that the work stress experienced by midwives was mostly due to administrative and managerial problems. This condition increases the workload of midwives. Causing midwives also have to deal with problems other than direct service to patients. Keywords: Delivery Ward, Midwives, Postpartum Ward, Workload, Work Stress  ABSTRAK Bidan dalam menjalankan perannya diharapkan terbebas dari tekanan (stres kerja) agar dapat menjalankan pekerjaannya dalam memberikan asuhan keperawatan professional. Kesalahan dalam intervensi akan mengakibatkan kegagalan baik pada ibu ataupun bayi. Penelitian bertujuan untuk mengetahui bagaimana pengalaman stress kerja yang dialami oleh bidan di ruang bersalin dan nifas rumah sakit. Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologi. Instrumen yang digunakan adalah pedoman wawancara, pengumpulan data dengan focus grup discussion, analisis yang digunakan adalah analisis tematik. Terdapat dua tema utama, yaitu penyebab stress dan cara mengatasi. Penyebab stress terdiri atas pasien tidak memahami prosedur, sarana prasarana ruangan terbatas, jumlah SDM belum mencukupi dan metode tim belum optimal. Cara mengatasi terdiri atas melakukan komunikasi terapeutik ke pasien dan keluarga, berkoordinasi dengan sejawat dan tim lain, berkoordinasi dokter sebagai penanggung jawab, dan berkoordinasi dengan case manager. Penelitian ini menyimpulkan bahwa stress kerja yang dialami oleh bidan sebagian bersar karena masalah administrasi dan manajerial. Kondisi ini meningkatkan beban kerja bidan. Meyebabkan bidan juga harus berhadapan dengan masalah-masalah selain pelayanan langsung ke pasien. Kata Kunci: Beban Kerja, Bidan, Ruang Bersalin, Ruang Nifas, Stress Kerja ","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84319811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perbedaan Efektivitas Promosi Kesehatan Melalui Leaflet dan Video Animasi terhadap Pengetahuan Sadari pada Siswi di SMP Suluh Jakarta Selatan","authors":"Adinda Novita Rayani, Aisyiah Aisyiah, Retno Widowati","doi":"10.33024/mnj.v5i9.9199","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.9199","url":null,"abstract":"ABSTRACT The most common cancer in Indonesia is breast cancer, namely 58,256 cases or 16.7% of the total 348,809 cancer cases. Breast Self Examination (BSE) is the development of a woman's concern for the condition of her own breasts. This action is equipped with special steps to detect breast cancer early to find out the changes that occur in the breast. This study aims to determine differences in the effectiveness of health promotion through leaflets and animated videos on BSE knowledge in female at SMP Suluh South Jakarta.This research method is Quasi Experimental with Pretest and Posttest two Group Design involving 110 respondents who meet the inclusion criteria. Sampling used the Proportional Stratified Random Sampling technique with a research instrument using a questionnaire. This research was conducted by taking the pre-test for each group on the first day and then taking the post-test on the seventh day. The analysis used is the Mann-Whitney test.The results obtained were the average in the leaflet group of 35,45 and the average in the animation video group of 75,55. This shows that there are differences in the effectiveness of health promotion through leaflets and animated videos on BSE knowledge with a value of p = 0.000 (p <0.05). Health promotion using animated video media is more effective than leaflet media to increase knowledge about BSE. Keywords : Leaflet, Health Promotion, BSE, Animation Video  ABSTRAK Kanker yang paling banyak terjadi di Indonesia adalah kanker payudara, yakni 58.256 kasus atau 16,7% dari total 348.809 kasus kanker. Pemeriksaan Payudara Sendiri (SADARI) adalah pengembangan kepedulian seorang perempuan terhadap kondisi payudaranya sendiri. Tindakan ini dilengkapi dengan langkah-langkah khusus untuk mendeteksi secara awal penyakit kanker payudara untuk mengetahui perubahan-perubahan yang terjadi pada payudara.Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas promosi Kesehatan melalui leaflet dan video animasi terhadap pengetahuan SADARI pada siswi di SMP Suluh Jakarta Selatan.Metode penelitian ini adalah Quasi Eksperimental dengan Pretest and Posttest two Group Design melibatkan 110 responden yang memenuhi kriteria inklusi. Pengambilan sampel menggunakan teknik Proporsionate Stratified Random Sampling dengan instrumen penelitian menggunakan kuesioner. Penelitian ini dilakukan dengan pengambilan pre-test pada masing-masing kelompok pada hari pertama dan selanjutnya pengambilan post-test pada hari ketujuh. Analisis yang digunakan adalah uji Mann-Whitney.Hasil yang diperoleh yaitu rerata pada kelompok leaflet sebesar 35,45 dan rerata pada kelompok video animasi sebesar 75,55. Hal ini menunjukkan adanya perbedaan efektivitas promosi Kesehatan melalui leaflet dan video animasi terhadap pengetahuan SADARI dengan nilai p = 0,000 (p<0,05). Dalam penelitian ini promosi kesehatan menggunakan media video animasi lebih efektif dari pada media leaflet untuk meningkatkan pengetahuan mengenai SADARI. Kata Kunci: ","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79856248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hubungan Tingkat Kecemasan terhadap Proses Penyembuhan Luka pada Fase Proliferasi pada Pasien Ulkus Diabetikum di Wocare Center Bogor","authors":"Melinda Sekar Sari, N. Naziyah, Cholisah Suralaga","doi":"10.33024/mnj.v5i9.9180","DOIUrl":"https://doi.org/10.33024/mnj.v5i9.9180","url":null,"abstract":"ABSTRACT Diabetic ulcer is a complication of diabetes mellitus which also has an impact on physical, psychological, social, and also economic conditions. The impact that occurs in addition to the physical there are also psychological impacts, one of which is anxiety disorders. Wound healing is a process that involves biochemical cellular responses both locally and systematically involving dynamic and complex processes. The wound healing phase consists of: inflammatory phase, proliferation phase, maturation phase (remodeling). This study aims to determine the relationship of Anxiety Levels to the Wound Healing Process In The Proliferation Phase In Diabetic Ulcer Patients. This study uses a descriptive research method with a cross sectional approach. The sampling technique uses Total Sampling. The research instrument consists of a questionnaire on anxiety levels and an observation sheet using a winner scale assessment. The statistical test uses the chi-square test to determine whether or not there is a relationship to the level of anxiety with the wound healing process. The results showed that there was a relationship between the level of anxiety and the wound healing process in the proliferation phase with the P-Value (0.028) value < the α value (0.005). There is a Relationship between Anxiety Levels Towards the Wound Healing Process. It is hoped that patients with diabetic ulcers are always calm so that anxiety does not occur, because anxiety can hamper the wound healing process. Keywords : Anxiety level, Diabetic Ulcer, Wound Healing Process  ABSTRAK Ulkus diabetikum adalah komplikasi penyakit diabetes melitus yang juga berdampak pada keadaan fisik, psikologi, sosial ,dan juga ekonomi. Dampak yang terjadi selain pada fisik juga terdapat dampak psikologi salah satunya yaitu gangguan kecemasan. Penyembuhan luka adalah suatu proses yang melibatkan respon seluler biokimia baik secara lokal maupun secara sistematik yang melibatkan proses dinamis dan kompleks. Fase penyembuhan luka terdiri dari: fase inflamasi, fase proliferasi, fase maturasi (remodeling). Penelitian ini bertujuan untuk mengetahui hubungan Tingkat Kecemasan Terhadap Proses Penyembuhan Luka Pada Fase Proliferasi Pada Pasien Ulkus Diabetikum. Penelitian ini menggunakan metode penelitian deskriptif dengan pendeketan cross sectional. Teknik pengambilan sampel menggunakan Total Sampling. Instrumen penelitian terdiri dari kuesioner tentang tingkat kecemasan dan lembar observasi menggunakan pengkajian winner scale. Uji statistik menggunakan uji chi-square untuk mengetahui apakah terdapat hubungan atau tidak terhadap tingkat kecemasan dengan proses penyembuhan luka. Hasil penelitian menunjukan bahwa terdapat hubungan antara tingkat kecemasan dengan proses penyembuhan luka pada fase proliferasi dengan nilai P-Value (0,028) < nilai α (0,005). Terdapat Hubungan antara Tingkat Kecemasan Terhadap Proses Penyembuhan Luka. Diharapkan untuk pasien dengan ulkus diabetikum selalu tenang agar tidak terj","PeriodicalId":18172,"journal":{"name":"Malahayati International Journal of Nursing and Health Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85776305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}