Jurnal Keperawatan Priority

PENGARUH RENDAM KAKI DENGAN AIR HANGAT TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA HIPERTENSI: SCOPING REVIEW

Ni Komang Mia Sintya Dewi — 2023-07-03

Elderly or often called the elderly is an age group that is prone to health problems. The more a person gets older the experienced will cause all systems and functions to decrease. One function that has decreased is physiological function. This decrease in physiological function gives rise to non-communicable and communicable diseases. Some of the non-communicable diseases experienced by the elderly are hypertension, arthritis, stroke, and diabetes mellitus. Hypertension ranks first in health problems for the elderly. Hypertension or high blood pressure is when a person experiences an increase in blood pressure which is characterized by a systolic number of more than 140 mmHg and a diastolic number of more than 90 mmHg. Several treatments for lowering blood pressure can be carried out with pharmacological and non-pharmacological actions. This study aims to determine the benefits of soaking feet in warm water which can be used as a non-pharmacological treatment to reduce blood pressure. The literature review uses secondary data taken from Google Scholar. The results of this literature review present articles regarding the benefits of soaking feet in warm water to reduce blood pressure in elderly hypertensives.

FAKTOR-FAKTOR PERILAKU PICKY EATER PADA ANAK: SCOOPING REVIEW

Dewa Ayu Bella Riska Anggreni — 2023-07-03

Picky eater or better known as having difficulty eating, is a problem in food harvesting in an effort to meet nutritional intake in children. Based on research in several countries, it can be seen that the prevalence of picky eaters or difficulty eating in children is quite high. Research in the USA reports that 50% of 3,022 toddlers have difficulty eating and around 20% -60% of parents say that their toddlers eat not optimally. In London, 17% of children have a low appetite, while another 12% are picky eaters. The prevalence of picky eaters in Singapore with frequent classification was 49.6% of 407 respondents, the Jakarta area was 46.9%, 59.5% of children aged 6-60 months in Depok, and 82% of children aged 3-6 years in Bekasi Regency is experiencing picky eater. Purpose: to be able to find out the factors that cause picky eater behavior. Literature review uses secondary data taken from Google Scholar. The results of this literature review present articles regarding the factors that cause picky eaters. There are factors that cause picky eaters. One of them is mother's knowledge about nutrition with picky eater behavior.

HUBUNGAN SENAM OSTEOPOROSIS DENGAN AKTIVITAS SEHARI HARI USIA LANJUT DI PUSKESMAS PADANG BULAN MEDAN

Dahlia Purba — 2023-07-06

The public is encouraged to make promotive and preventive efforts, by adopting a healthy lifestyle smartly, namely periodic health checks, getting rid of cigarette smoke, diligent osteoporosis exercises, healthy and balanced diet, adequate rest, and managing stress. The purpose of this study was to determine the relationship between osteoporosis exercise and the daily activities of the elderly at the Padang Bulan Health Center. This study used a correlation descriptive design with a cross sectional approach with 30 respondents using the total sampling method. In the study, it was found that most of the respondents in the elderly age group were 20 respondents (66.7%) and a small proportion of respondents in the old age group were 10 people (33.3%). The results of the research conducted by the author showed that the correlation coefficient between osteoporosis exercise and daily activities of the elderly was 0.745. That is, p-value <α (0.000<0.05). This means that there is a significant relationship between osteoporosis exercise and daily activities for the elderly. The conclusion in this study is that there is a relationship between osteoporosis exercise and the daily activities of the elderly at the Padang Bulan Health Center.

HUBUNGAN PENGETAHUAN ORANGTUA DENGAN PERILAKU PENGGUNAAN FIRST AID KITS DALAM PENANGANAN CIDERA TODDLER

Dewi Astuti Pasaribu — 2023-08-02

The role of parents is very important in having knowledge of the proper behavior of using First Aid Kits in treating injuries in toddlers. Toddlers aged 12-36 months are at risk of injury. The purpose of this study was to identify the relationship between the level of parental knowledge and the behavior of using First Aid Kits in treating injuries in toddlers. The research design is descriptive correlation with a cross sectional approach (cross tabulation). The research sample was 37 parents (respondents) who had toddler-aged children. In this study, the frequency distribution of the relationship (correlation) level of parental knowledge with the use of First Aid Kits showed that the majority of respondents were in the category with a “high” level of parental knowledge and the use of First Aid Kits in the "good" category was 11 (29.7%) respondent. From the results of the bivariate analysis research for the relationship (correlation) level of parental knowledge with the use of First Aid Kits in treating toddler-aged injuries, it is assumed that there is a relationship p-value = 0.01 (p = 0.01 < α = 0, 05, 95% significance value. For parents, it is hoped that they can complete the components and infrastructure of First Aid Kits so that they can handle injuries to toddlers in the household.

PENGARUH FAKTOR USIA, INDEKS MASSA TUBUH, DAN KADAR GULA DARAH TERHADAP KEJADIAN PENYAKIT DIABETES MELITUS TIPE 2

Tri Suci — 2023-07-03

Diabetes Mellitus is a non-communicable and chronic disease; this disease is also generally very closely related to people who are elderly and female. This study aims to determine the effect of age, body mass index, and blood sugar levels on the incidence of type 2 DM. The population of this study was 55,372, which was obtained from secondary data from the offline surveillance form SIPTM (Non-Communicable Disease Information System), Johar Baru Health Center, South Jakarta, 2020; the sample used total sampling. Data analysis using SPSS Ver.25, with bivariate (Chi-Square test) and multivariate (Logistic Regression Enter Method) analysis. The Chi-Square test results showed that the variables of age, body mass index, and blood sugar levels had an association with the incidence of Type 2 DM with a p-value <0.05. The multivariate test results showed that the most influential variable was the blood sugar level variable, with a p-value of 0.00, with OR = 93,302. This means that people with abnormal blood sugar levels have a 93,302 times chance of developing Type 2 Diabetes Mellitus compared to people with normal blood sugar levels. Therefore, the most effective preventive measure for this disease is maintaining blood sugar levels in a normal state to avoid the incidence of Type 2 Diabetes Mellitus, namely by diligently checking blood sugar levels and maintaining a healthy diet and life.

EFEKTIVITAS DISCHARGE PLANNING TENTANG PERAWATAN LUKA TERHADAP PENYEMBUHAN LUKA PADA PASIEN SECTIO CAESAREA

Basri Basri — 2023-07-04

Sectio caesarea (SC) is a surgical process to deliver a fetus through incisions made in the abdominal wall and uterus so that the fetus can be born healthy and intact. Caesarean section has life-threatening risks, one of which is the risk of infection. The quality of wound care must not decline after the patient is discharged, follow-up care at home will be very important. The aim of this study is to determine the effectiveness of discharge planning regarding wound care for wound healing in Sectio caesarea patients. This research was conducted at the BLUD of RSU Cut Nyakdhien Meulaboh. This type of research uses a quantitative method with a quasi-experimental design through a one group pre-test post-test design approach. The research population was 35 people. The sampling technique uses saturated sampling. The instrument in this study used a questionnaire filled out by respondents and observation sheets. Data analysis using univariate and bivariate. Bivariate analysis using paired t-test (Paired T-Test). The results showed that the majority of wound healing before discharge planning was carried out was good. Wound healing after the majority of discharge planning was carried out very well. The significance value of p-value = 0.000 (p <0.05) then H0 is accepted. This means that there is effectiveness of discharge planning regarding wound care for wound healing in Sectio caesarea patients. It is suggested that this study can provide additional references for future research to discuss more broadly the factors that accelerate wound healing in Sectio caesarea patients.

HUBUNGAN KUALITAS PELAYANAN TERHADAP TINGKAT KEPUASAN PASIEN RAWAT INAP BPJS KESEHATAN

Indridani Rogate Tobing — 2023-08-03

Indonesia is one of the countries that has created a social security program to improve public health under the Health Social Security Organizing Agency (BPJS). The hospital is part of a health care system that broadly provides health services, including medical services, medical support, medical rehabilitation, and care services through emergency, outpatient, and inpatient units. This study aims to determine and analyze the relationship between service quality factors and patient satisfaction. This quantitative research method uses a descriptive approach (cross-sectional survey) and associative analysis conducted at Royal Prima Medan Hospital in March 2022. The population is all inpatients of BPJS Health users, sampling using non-probability, accidental sampling type-univariate, bivariate (Chi-Square) data analysis with a significance level of 0.05. The results showed that the variables Tangibles (p-value=0.001), Reliability (p-value=0.004), Responsiveness (p-value = 0.007), Assurance (p-value = 0.000), Empathy (p-value = 0.003), had a significant relationship with patient satisfaction with a p-value ≤ 0.05. Conclusion Based on the results of research and discussion, it can be concluded that service quality (dimensions of tangibles, reliability, responsiveness, assurance, empathy) is related to the satisfaction of inpatients using BPJS Health at Royal Prima Medan Hospital.

PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN DI RSUD DR. RM. DJOELHAM BINJAI

Delimayani — 2023-08-03

Service quality is a measure of how well the level of service provided is able to match customer expectations. Patient satisfaction is an evaluation or assessment after using a service, that the selected service at least meets or exceeds expectations. This type of research is a descriptive study using a cross sectional analytic study design. The research objective is to determine the effect of service quality on patient satisfaction at the Dr. General Hospital. RM. Djoelham Binjai. In this study, the sampling technique was carried out using a saturated sample technique of 75 people. The results of hypothesis testing to see the relationship between variable X and variable Y are with a significant level (α) = 5% (0.05) and df = 1, the results are p.value = 0.000 at df = 1 where sig < (0.000< 0.05) then H0 is rejected so it can be concluded that there is an effect of service quality on patient satisfaction at the Dr. RM. Djoelham Binjai in 2021. The results of this study are expected to provide input to the hospital management to further improve the quality of service in order to increase patient satisfaction.

HUBUNGAN ANTARA STATUS FUNGSIONAL PASIEN STROKE DENGAN BEBAN CAREGIVER KELUARGA

Wulan Sari Purba — 2023-08-15

Caregivers are people who have an important role in helping the process of caring for stroke patients, spouses, children, family members, or friends. The study aimed to examine the relationships between the functional status of stroke patients and the burden on family caregivers. The research design was a descriptive correlation. The participants were be composed of 77 stroke survivors', and their families selected by simple random sampling from the Polyclinic Army Hospital TK IV 01.07.01 Pematangsiantar. Data was collected using a questionnaire consisting of demographic characteristics, Zarit Burden Interview (ZBI), and Barthel Index (BI). The Pearson Product Moment test used to identify the relationships between the functional status of stroke survivors and the burden on family caregivers. The main result found that the functional's status of stroke survivors was mild dependence (51.9%), and 76.6% of the burdens of family caregivers were mild to moderate. Functional's status was statistically negatively associated with family caregiver burden (r=-0.505, p<0.001). In conclusion, the burden of family caregivers increases the functional's status score of stroke patients. The study suggested that nurses should maintain to the functional's status as eating, dressing, bathing, dressing, toileting, bowel/bladder continence, walking, climbing stairs, and changing chair/bed, to reduce the family caregiver burden of stroke survivors.

HUBUNGAN PENGETAHUAN IBU TENTANG 1000 HARI PERTAMA KEHIDUPAN DAN ASUPAN MAKAN DENGAN STATUS GIZI BADUTA

Yulita Yulita — 2023-08-23

Nutritional deficiencies continue to be a public health issue in Indonesia, particularly in Posyandu Lasoni in Hilizoi Village. Inadequate dietary intake has a severe influence on children if it is not balanced; in the short term, it affects brain development and impairs physical growth, while in the long term, it reduces cognitive capacity and immunity. The study aimed to find out the associated mothers' knowledge of the first 1000 days of life and food intake with toddler nutritional status in Posyandu Lasoni, Hilizoi Village, Gido District, Nias Regency. This research was cross-sectional. Mothers with children aged 6 to 24 months were recruited from Posyandu. Chi-square analysis was used to analyze the data. The results showed that there was a relationship between the mother's knowledge about the first 1000 days of life and the nutritional status of children aged 6-24 months with a p-value = 0.010 (p <0.05), and there is a relationship between food intake for children under five and the nutritional status of children aged 6-24 months with a p-value = 0.013 (p <0.05). It was to expand the understanding of Posyandu cadres, health professionals should be provided training relating to the first 1000 days of life, and it is intended that mothers with under-five children would seek more health information and be more diligent in participating in Posyandu events every month.

FAKTOR YANG BERHUBUNGAN DENGAN RISIKO KESELAMATAN DAN KESEHATAN KERJA PADA PEKERJA

Safrina Ramadhani — 2023-08-22

Potential health problems for workers are work accidents and occupational diseases. The International Labor Organization (ILO), 1 worker in the world dies every 1 second due to work accidents and 160 workers experience work-related illnesses. Based on the results of interviews conducted with 10 workers, 6 of them had experienced work accidents such as slipping, being contaminated with chemicals from animal feed and being scratched by sharp objects while the other 4 workers had no work accidents. The purpose of this study was to determine the factors associated with occupational safety and health risks in laying hens at PT. Livestock Friends of West Binjai District, Binjai City in 2022.The study used an analytic survey method with a cross sectional approach. The research population consisted of 50 workers with a sample of 50 people taken using the total sampling technique. Data analysis used univariate and bivariate analysis with the chi-square test statistic.The results showed that variable knowledge (p=0.015), use of PPE (p=0.008) and work environment (p=0.001) with occupational health and safety risks in laying hen farm workers.The conclusion of this study is that there is a relationship between knowledge, use of PPE and work environment with occupational safety and health risks in laying hen farm workers. It is suggested that this research can be used as input for the management, regarding the importance of implementing occupational safety and health to prevent work accidents, such as providing training to workers, providing PPE according to the needs of workers.

ANALISIS FAKTOR RISIKO ERGONOMI PERAWAT TERHADAP KELUHAN MUSCULOSKELETAL DISORDERS

Vivi Indah — 2023-08-26

Nurses are one of the medical staff who play an active role in improving health development. The purpose of this study was to analyze the risk factors of nurse ergonomics for complaints of musculoskeletal disorders in the inpatient room of Rumah Sakit Umum Langsa. This research is analytic observational research with a case-control design. The population in this study were all inpatient nurses at Langsa Hospital. The sample involved in this study was 144 nurses, consisting of 72 people as case samples and 72 people as control samples. The sampling was done by purposive sampling. Based on the results of the study, it was found that the age, tenure, and work position of nurses were related to complaints of musculoskeletal disorders (MSDs), where older nurses (36-50 years) and long working years tended to experience MSDs complaints, as well as nurses who worked in positionswork that is not ergonomic is more likely to experience MSDs. Meanwhile, the gender of the nurse is not related to complaints of musculoskeletal disorders (MSDs) because both women and men have the same risk of experiencing MSDs complaints. This study concludes that the most at risk for musculoskeletal disorders is the work position variable. It is recommended that the K3RS team develop and implement SOP (Standard Operating Procedures) regarding the risk of patient handling for nurses at work, and conduct training related to patient handling or ergonomics activities for nurses.

ANALISIS KUALITAS PEMERIKSAAN ANTENATAL CARE (ANC) MENURUT BUKU KIA

Irma Noviana — 2023-08-26

ANC services that have not fulfilled the 10 T standard are the cause of death. Many pregnant women were found to have incomplete records because laboratory tests for urine protein and complete tetanus immunization status were not carried out. This study aims to analyze the Analysis of Quality of Antenatal Services (ANC) according to the 2020 MCH Handbook. This type of quantitative research used the cross-sectional study approach which was carried out at the Sei Mencirim Health Center, Sunggal District, Deli Serdang from May to October 2022. A sample of 55 people was obtained using a purposive sampling technique. Data analysis used the Chi-Suare test and Logistic Regression. The results showed that there was a relationship between reliability, assurance, physical evidence, empathy, responsiveness, and the quality of antenatal care according to the 2020 MCH Handbook. The variable that was most related was the physical evidence variable. This study concludes that the quality of the ANC examination is according to the MCH handbook, but there are several indicators from the 10 T that have not been implemented. It is suggested to Puskesmas to optimize service standards appropriately and provide information according to services as well as provide adequate ANC service infrastructure and have optimal assessment accuracy.

ANALISIS PERILAKU YANG MEMENGARUHI PEMERIKSAAN ANC DI WILAYAH KERJA PUSKESMAS MAMAS KECAMATAN DARUL HASANAH KABUPATEN ACEH TENGGARA PROVINSI ACEH TAHUN 2022

Ridha Sakinah — 2023-08-26

Antenatal care is the care of the mother and fetus during pregnancy. Currently, the proportion of maternal deaths is approximately 305 deaths per 100 thousand live births, where the largest deaths occur in hospitals, around 77% of mothers cannot be saved, one of which is because the mothers who are referred to the hospital have severe complications. This occurs because identification and examination during pregnancy are not maximized. This study aimed to analyze behavior that influences ANC examinations in pregnant women at Working Area of Mamas Health Center, Southeast Aceh Regency, Aceh Province. This is analytical descriptive quantitative research. The population in this study were all third trimester pregnant women with late gestational age in the working area of the Mamas Health Center, Darul Hasanah District, Southeast Aceh Regency, Aceh Province in 2022 totaling 211 people. There were 68 samples in this study which were taken by Nonprobability Sampling using the slovin formula. Quantitative data analysis used univariate, bivariate and multivariate analysis. The results of the chi-square test obtained for age p= 0.000, education p=0.000, parity p=0.000, distance p=0.000, occupation p=0.000, knowledge p=0.000, husband support p=0.000 and attitude p=0.000 which indicated that there were influencing factors. The conclusion shows that there is a relationship between age, education, parity, distance, occupation, knowledge, attitude and husband's support with ANC examinations at Mamas Health Center in 2022, and the husband's support factor is the most Dominantly affect ANC examinations in pregnant women with an Exp(B) value of 4.691. It is expected that health workers at the Health Center to be more routine and intense in conveying health education to the community, especially to pregnant women and their husbands, about the importance of having ANC examination at least 6 times during pregnancy.

Keywords: Age, Education, Parity, Distance, Work, Knowledge, Attitude, Husband's Support AND ANC Examination

RASIO MONOSIT LIMFOSIT SEBAGAI PREDIKTOR KEPARAHAN NEFROPATI DIABETIK PADA PASIEN DIABETES MELITUS TIPE 2

Andri Bernando — 2023-08-23

Diabetic nephropathy is a complication that often occurs in diabetics. In this disease, there is damage to the kidney filter, known as the glomerulus. Due to glomerular damage, diabetic nephropathy is closely related to the mechanism of inflammation. The Monocyte-Lymphocyte Ratio is a relatively new marker of inflammation. This study aims to explore the significance of the prediction of the Monocyte-Lymphocyte Ratio as a predictor of the severity of diabetic nephropathy in Type 2 Diabetes Mellitus (DMT2) patients at H. Adam Malik Hospital, Medan. The research was conducted using the cross-section method. This study took blood samples from 44 patients with type 2 diabetes mellitus with diabetic nephropathy, 22 patients with macroalbuminuria, and 22 patients with microalbuminuria. Then blood was drawn from the vein, and the Monocyte-Lymphocyte Ratio was assessed in all patients. In this study, the average MLR for all patients was 0.41±0.037. There was a significant difference between MLR values in diabetic nephropathy patients with macroalbuminuria compared to diabetic nephropathy patients with microalbuminuria (p<0.001). The optimal cut-off value of MLR in predicting diabetic nephropathy with macroalbuminuria and microalbuminuria was 0.37 with a specificity of 81.8% and a sensitivity of 81.8%. The MLR value in type 2 diabetic patients with diabetic nephropathy can be used as a prognostic factor for the incidence of microalbuminuria and macroalbuminuria.

TERAPI RELAKSASI AUTOGENIK UNTUK MENURUNKAN NYERI POST OPERASI TURP PADA PASIEN BPH

Yulis Hati — 2023-08-21

Benign Prostatic Hyperplasia (BPH) is a benign tumor that often affects men, and its incidence increases with age, namely over 40 years. TURP is a solution for treating BPH, in the postoperative TURP effects patient will feel pain. Autogenic relaxation technique which is a part of non-pharmacological pain management. This study aims to determine the effect of autogenic relaxation therapy on patient pain in postoperative TURP BPH in the ICU room of Sri Pamela Tebing Tinggi Hospital in 2022. This research is a quantitative study with a pre-experimental approach. The population is 150 people with a sample using a purposive sampling technique totaling 75 people. The results of the study showed that before the Autogenic Relaxation was carried out it was 2.80 after the Autogenic Therapy was carried out the average value of the pain scale was 2.44. This means that there is an average decrease in the Pain Scale of 0.36. Based on the results of the paired t-test, it was found that there was an effect of autogenic therapy on the pain scale of postoperative TURP BPH patients with a p-value of 0.001 <a = 0.05. It is suggested that RS Sri Pamela Tebing Tinggi informs the importance of implementing autogenic relaxation techniques to reduce the pain scale in postoperative TURP BPH patients.