Jurnal Keperawatan Priority

Prevalence of Diarrhea in the Community in Bagan Dalam Village, Tanjung Tiram District

Anggun Sheillawany — 2025-01-22

Diarrhea is one of the most prevalent health problems in Indonesia, especially in areas with limited access to clean water and adequate sanitation facilities. In addition, diarrhea is one of the leading causes of death in the world, especially in children under 5 years of age, with approximately 2.2 million deaths each year. The purpose of this study was to increase community knowledge about diarrhea in Bagan Dalam Village, Tanjung Tiram Sub-District, Batu Bara Regency to prevent diarrhea. The research method used is quantitative with a pre-experimental approach designed in the form of one-group pre-test and post-test. Sampling using the accidental sampling formula obtained 30 samples in this study. This research instrument uses a questionnaire with data analysis techniques using paired simple t-test. Based on the results of the pre-test and post-test tests, there was no significant difference in knowledge between before and after counseling, with an average value of 0.833. This is because the education was only conducted once, so the impact on changes in the level of knowledge of the community who became the research sample was not large.

Factors Influencing Hypertension Incidence in Bangun Sari Village: A Cross-Sectional Study

Anggina Cucu Khetri Sianturi — 2025-01-21

Hypertension is theoretically influenced by several risk factors. The first risk factors are those that cannot be changed such as age, gender, and genetics. Modifiable risk factors include education, knowledge, behavior, and attitude. This study aims to identify factors that contribute to hypertension in Bangun Sari Village, Datuk Tanah Datar Sub-district. This study used a quantitative approach with a cross-sectional analytic design. The study population consisted of all residents of Bangun Sari Village, with a total population of 4,099 people and 1,148 households. The sample was taken using a purposive sampling technique, with the Lameshow formula, resulting in 94 respondents. Data were collected through observation sheets. The results showed a statistically significant relationship between age, knowledge, behavior, attitude, and occupation with the incidence of hypertension (with a p-value of 0.001 for all variables except education). There was a statistically significant association between employment status and the incidence of hypertension (p-value = 0.002). However, no significant association was found between education level and the incidence of hypertension (p-value = 0.501). Therefore, there is a statistically significant relationship between age, knowledge, behavior, attitude, and occupation with the incidence of hypertension, but there is no significant relationship between education level with the incidence of hypertension in Bangun Sari Village.

Stunting Prevention through Local Wisdom of Mambosuri Culture in Pregnant Women of Batak Tribe

Natar Fitri Napitupulu — 2025-01-26

Prevention of stunting in children was an important issue in efforts to improve the quality of human resources in Indonesia. Stunting could cause long-term impacts such as problems with physical growth, cognitive development, and productivity in adulthood. Therefore, preventing stunting in pregnant women is very important. The local wisdom of the Mambosuri culture of the Batak tribe in North Padang Lawas Regency can be an alternative in efforts to prevent stunting in pregnant women. This study aims to explore the use of local wisdom of Mambosuri to help prevent stunting in pregnant women of the Batak tribe in North Padang Lawas Regency. The research design is phenomenology. The data collection method was carried out by in-deptPrevention of stunting in children was an important issue in efforts to improve the quality of human resources in Indonesia. Stunting could cause long-term impacts such as problems with physical growth, cognitive development, and productivity in adulthood. Therefore, preventing stunting in pregnant women is very important. The local wisdom of the Mambosuri culture of the Batak tribe in North Padang Lawas Regency can be an alternative in efforts to prevent stunting in pregnant women. This study aims to explore the use of local wisdom of Mambosuri to help prevent stunting in pregnant women of the Batak tribe in North Padang Lawas Regency. The research design is phenomenology. The data collection method was carried out by in-depth interviews. The purposive sampling method was used to select participants who met the criteria as participants. The participants in this study numbered 7 people. The results of the transcribed interview were analyzed using content analysis. The results of this study found 4 themes that reflected the phenomenon being studied. These themes are the knowledge of pregnant women about the mambosuri tradition, the mambosuri tradition improves the nutritional status of pregnant women, the support that pregnant women receive from the mambosuri tradition, and the mamsbosuri tradition strengthens dalihan natolu kinship ties. h interviews. The purposive sampling method was used to select participants who met the criteria as participants. The participants in this study numbered 7 people. The results of the transcribed interview were analyzed using content analysis. The results of this study found 4 themes that reflected the phenomenon being studied. These themes are the knowledge of pregnant women about the mambosuri tradition, the mambosuri tradition improves the nutritional status of pregnant women, the support that pregnant women receive from the mambosuri tradition, and the mamsbosuri tradition strengthens dalihan natolu kinship ties.

Relationship between Family System Support and Diet Compliance in Diabetes Mellitus Patients

Donny Hendra — 2025-01-01

The diabetes diet is carried out to regulate eating patterns according to the portions determined for DM sufferers. by maintaining the 3Js, namely the number, type, and schedule of the DM diet. The research aims to determine the relationship between Family System Support and Diet Compliance in Diabetes Mellitus Patients. This type of research has a quantitative and descriptive design. The research population was 228 diabetes mellitus patients, and the sample was 39 people, using an accidental sampling technique. The research instrument is a questionnaire, and computerized data processing using SPSS, with univariate and bivariate data analysis. The research results showed that the majority of respondents in the Family Support System group were 39 people lacking (56.5%) and respondents in the non-compliant group were 44 people (63.8%). The results of the chi-square test showed that there was a relationship between family support system and dietary compliance in diabetes mellitus patients with p.value = 0.015 < 0.05. It is hoped that the health center will provide education and information to DM patients by making leaflets and posters about DM, especially DM treatment to control blood glucose levels and prevent complications and always socialize something new to treat DM by continuing to update knowledge about DM in particular.

The Effect of Range of Motion (ROM) Exercises on the Occurrence of Neuropathy and Angiopathy

Harry Permana Wibowo — 2025-01-03

Ankle ROM training involves two movements: dorsiflexion and plantarflexion, which enhances calf muscle strength and pumping, facilitating venous return and reducing oxygen and nutrient diffusion, thus promoting overall health. This study provides active lower ROM intervention to diabetes mellitus patients twice a day for 6 consecutive days simultaneously. This type of research uses quasi-experimental research using two groups pretest-posttest, namely an experimental design where there are control and intervention groups. The samples in this study were 35, of which 17 samples were for the intervention group and 18 samples were for the control group. The research found that ankle ROM exercises significantly improved the DNE score and ABI value in both the intervention and control groups, with a statistical test result of p = 0.000 in the DNE score. It can be believed that there is a significant difference between the DNE scores of the intervention group, and the control group after doing ankle ROM exercises (p = 0.000), then H0 was rejected or there was an effect of ROM exercises on reducing the risk of neuropathy. Meanwhile, the ABI value showed a statistical test result of p = 0.002 and it can be believed that there is a significant difference between the ABI values of the intervention group and the control group after ankle ROM exercises (p = 0.002), so H0 is rejected or there is an effect of ROM exercises on reducing the risk of Angiopathy.

The Relationship between Family Support and Emotional Mental Disorders in Adolescents

Yeni Devita — 2025-01-01

Adolescent emotional disorders are behaviors that are not in accordance with their age stages. The number of problems and deviant behaviors in adolescence shows that adolescents are a risk group for emotional mental disorders. The purpose of the study was to determine the relationship between family social support and emotional mental disorders in adolescents. This type of quantitative research has a cross-sectional design. The research sample is 288 respondents. The sampling technique uses stratified random sampling. Data collection was carried out using a social support questionnaire and a Strenght and Difficulties Questionnaire (SDQ) questionnaire. The data was analyzed by the Chi square test. The results of the univariate analysis related to the characteristics of the respondents were almost all (94.8%) of the respondents were at the age of 12-15 years (early adolescence) as many as 273 people, and more than half (68.1%) of the respondents were female as many as 196 people. In terms of the frequency distribution of family support, half of the respondents did not get family support as many as 146 respondents (50.7%). Frequency distribution of the frequency of adolescent emotional mental disorders almost half of the respondents had emotional disorders in the borderline range as many as 123 respondents (42.7%). The results of the statistical test obtained p-value = 0.00 < 0.05 so that it can be concluded that there is a relationship between family support and adolescent mental disorders. There needs to be high family social support to prevent mental disorders in adolescents.

Health Literacy and Early Detection Skills of Dengue Hemorrhagic Fever in Adolescents

Ilham Syarochman Putra — 2025-01-01

Dengue hemorrhagic fever (DHF) is a significant public health problem in Indonesia, especially in tropical areas such as Jepara Regency. The increase in DHF cases in adolescents is caused by low health literacy and a lack of confidence in early detection skills that play an important role in preventing DHF. The impact is the occurrence of complications to the economic impact of the community in the treatment phase. This study aims to analyze the relationship between health literacy with early detection skills for DHF in adolescents. This study aims to analyze the relationship between health literacy and health beliefs with early detection skills of DHF in adolescent groups at SMAN 1 Tahunan, Jepara Regency. This study used a correlational analytical design with a cross-sectional approach. Independent variables are health literacy Dependent variables are early detection skills of DHF. This study was conducted in November at SMAN 1 Tahunan, the number of samples was 93 students selected using purposive sampling techniques. The research instrument used health literacy instruments (HLS-12Q),), and early detection behavioral skills of DHF. Data analysis was carried out using the chi-square test. The results of the study showed that there was a significant relationship between health literacy and early detection skills of DHF with a p-value = 0.000, health literacy is related to early detection skills. With this, schools and health centers can collaborate in improve health literacy, skills and early detection of DHF.

Dominant Factors Barriers to Hypertension Diet Management in Hypertension Sufferers

Dela Amanda Nisdayanti — 2025-01-03

Hypertension is a serious problem because it causes high morbidity and mortality. One indicator of successful management is diet management. Diet management is often an obstacle for hypertension sufferers. This study aimed to determine the dominant factors that inhibit hypertension diet management in hypertension sufferers in the working area of the Juwana Health Center. This research method used a correlation study with a cross-sectional design. The number of samples in this study was 65 respondents, using a total sampling technique with the inclusion criteria of hypertensive patients who were routinely checked on prolongs, hypertensive patients who implemented hypertension diet management, and hypertensive patients without comorbidities. The instruments used in this research are HKT (Hypertension Knowledge Test), FFQ (Food Frequency Questionnaire), FFS (Family Support Scale), PSS (Perceived Stress Scale), and HSMBQ (Hypertension Self Management Behavior Questionnaire). Data analysis used chi-square and simple logistic regression. The results of data analysis show that hypertension diet management is affected by knowledge (p: 0.003, OR: 2.764), dietary habits (p: 0.001, OR: 7.986), income (p: 0.004, OR: 2.098), family support (p: 0.001, OR: 9.986), and stress (p: 0.001, OR: 3.874). The most dominant factors are family support (p: 0.001, OR: 9.986, 95% CI: 0.653 < OR < 23.98). Family support is the most dominant factor affecting hypertension diet management. Positive system support is necessary for the patient's success in controlling blood pressure. Conclusion: There are factors that affected diet management of the hypertension: knowledge, dietary patterns, income, family support, and stress, with the dominant factor being family support.

Descriptive of Critical Thinking in Nursing Care of Nurses: A Survey Study

Diah Arruum — 2025-01-16

Nurses are responsible for providing nursing care to patients while being treated in the hospital. Providing nursing care to patients requires critical thinking skills for nurses to be able to achieve various problem-solving and decision-making in care so that the needs and treatment process of patients can be met. Critical thinking in nursing care begins with the assessment to the evaluation of nursing care for patients. However, obstacles in critical thinking in nursing care are still a concern for nurses. This study aims to descriptive of critical thingking in nursing care of nurses. This study is a descriptive survey study with a cross-sectional design. This study involved 69 nurses. This study was conducted in September-December 2019 in Medan. The sample was selected using the purposive sampling method, and data were collected through a questionnaire developed by the researcher related to critical thinking in nursing care. The output of data analysis uses frequency distribution. The results obtained were that the age range of nurses was 20-30 years with female gender, educated as professional nurses, and the longest work period was 1-4 years; the majority of career levels were level I. The critical thinking ability of nurses in the capable category was 92.7%. The majority of nurses have good critical thinking knowledge in nursing care for patients. Nurses who have good nursing care reflect good competence and performance. Nursing managers need to motivate and monitor nurses continuously in nursing care to patients because critical thinking affects the caring behavior of nurses. Nurses who have good critical thinking can improve performance in providing nursing care.

The Effect of ROM Exercise on Pain Intensity in Osteoarthritis Patients at RSU Sundari Medan

Fajar Amanah Ariga — 2025-01-31

Osteoarthritis sufferers generally experience pain in the joint area, pain that occurs continuously can reduce the quality of life of osteoarthritis sufferers. This study aims to determine the effect of ROM exercises on the intensity of knee joint pain with osteoarthritis at RSU Sundari. The design of this study used quasi-experimental with the one group pre post test design approach. The sampling technique in this study used Probability Sampling with the Simple Random Sampling approach and obtained 26 respondents at RSU Sundari Medan. The instrument used is a sheet SOP Range of Motion, stopwatch and NRS (Numeric Rating Scale) observation sheet. Data were analyzed using the Wilcoxon Statistical Test with significance (ρ ≤ 0.05). The results of the study showed that the average pain scale before ROM was 3.00, and the average pain scale after ROM intervention for 6 days decreased to 1.00. The results of the study show that there is influence exercise ROM vs. intensity of knee joint pain with osteoarthritis at RSU Sundari (ρ value = 0.000) with a mean ranks of 10.50 and a sum of ranks of 210.00. ROM exercises can affect the intensity of the knee joint pain scale with osteoarthritis. This is because by practicing ROM, the joints will move actively, thus affecting the blood vessel system in the extremities. That the nutrition and fluids in the joints and bones are sufficient and pain due to disease will be reduced.

The Influence of Health Education with Video Media on Stunting Prevention on Mothers' Knowledge

Rotua Sumihar Sitorus — 2025-01-19

Stunting is a chronic malnutrition condition experienced by a person since pregnancy and early childhood, failure to thrive in children (Stunting) is a challenge in the development of a quality Indonesian society. This study aims to determine the effect of health education with video media on preventing stunting. This study is a quantitative study with a quasi-experimental method. The study was conducted in the work area of the Laut Tador Health Center, Batu Bara Regency in January 2024. The population in this study were all stunted babies totaling 171 people, a sample of 47 respondents was obtained. The results of the study showed that out of 47 respondents, aged 25-30 years (61.3%) and 31-35 years (38.3%). Based on education with Senior High School education (53.2%), Elementary School education (6.4%), Junior High School education (8.5%), and Diploma/Bachelor education (31.9%), while based on occupation with jobs as IRT (Housewife) (53.2%), employees (25.5%), and teachers (21.3%). The results of the paired sample test obtained an average value before and after counseling of 13.085 with a standard deviation of 17.306 with a t value of -5.183. The significance value of the p-value is 0.000 (<0.05), so it can be concluded that there is an influence of providing video media on respondents' knowledge in preventing stunting before and after.

The Relationship between Adherence to Antihypertensive Medication and Microalbumin Levels in Hypertension Prolanis Patients

Arief Adi Saputro — 2025-01-31

Hypertension is one of the main health problems faced by people throughout the world, including in Indonesia. Uncontrolled hypertension can cause various complications such as heart disease, stroke and kidney damage. Microalbuminuria, namely the presence of small amounts of albumin in the urine, is an early indicator of kidney damage. In hypertensive patients, microalbuminuria can be an early sign of hypertensive nephropathy, which is a serious complication of high blood pressure. Compliance with taking medication affects blood pressure control. This study aims to evaluate the relationship between adherence to antihypertensive medication and microalbumin levels in hypertension prolanis patients. This research is observational analytic with a cross sectional approach. Data was obtained prospectively in the period July-August 2024 with a sample size of 33 respondents. Medication adherence was taken using a questionnaire, and data on microalbuminuria levels was obtained through medical record data. Next, the results were subjected to a chi-square statistical correlation test. Microalbumin levels and medication adherence blood pressure lowering medication, obtained a value of p = 0.0 (p < 0.05) which indicates that statistically there is a significant relationship between microalbumin levels and compliance of taking blood pressure lowering medication. The frequency distribution of hypertensive sufferers with high microalbumin levels, namely ≥ 30 mg/dL, shows a result of 51.6% (17 patients).

Cognitive Behavior Therapy Improve Intolerance of Uncertainly in Type II Diabetes Mellitus Patients

Yulis Hati — 2025-01-23

Diabetes mellitus (DM) is a chronic disease and silent killer characterized by hyperglycemia. Type 2 DM has become a global health crisis. This disease causes serious life-threatening health problems with high medical costs, decreased quality of life and increased mortality which causes uncertainty where patients feel they no longer care about their disease and the solution to overcome this with Cognitive Behavioral Therapy. Quantitative research type, Quasi-Experiment design with pretest-posttest. The population amounted to 319 people, sample selection by purposive means, a sample of 36 people. The instrument used a questionnaire. The statistical test used Wilcoxon Test. The results of the Wilcoxon test value = 0.000 < (0.005) means that there is an effect of cognitive bahavior therapy on intolerance of uncertainty in Type II Diabetes Mellitus patients at the Amplas Health Center in 2024. Based on the results of the study, it is concluded that there is an effect of cognitive bahavior therapy on intolerance of uncertainty in Type II DM patients. It is expected that DM patients with intolerance of uncertainly use non-pharmacological methods, namely cognitive behavior therapy to reduce intolerance of uncertainly.

The Relationship between Nurse Workload and Nurse Stress Level in Intensive Care Unit (ICU)

Tiarnida Nababan — 2025-01-27

Stress is generally being experienced by most of the nurses due to the duration of working hours and the number of patients. The high workload of nurses often results in fatigue, loss of concentration at work, the ability to remember information is very limited, being emotional and apathetic. This research is an analytic survey, with cross-sectional design in which the independent and dependent variables were examined simultaneously to determine the relationship between the nurse workload and stress level of nurses in the ICU wards of Dr. Pirngadi Regional General Hospital. This study uses primary data which were obtained by using questionnaires and secondary data were obtained from the medical record, with questionnaire instruments. The entire population were nurses in the ICU wards and samples in this study consisted of 24 nurses taken by total sampling technique. Based on the results of the chi square test at work variable, it is found that the X2 count 3.154, which means there is not any relationship between working hours and the level of stress of nurses working in the ICU, and the variable of the number of patients X2 count 6,446 which means there is a relationship between number of patients with stress level for nurses in the ICU wards.The study's findings indicate that while there is a correlation between the number of patients and nurses' stress levels in the General Hospital's intensive care unit wards, there is no correlation between working hours and nurses' stress levels.

The Relationship Between Compulsive-Impulsive Behavior and Online Shopping Among Medical Students

Suandy Suandy — 2025-01-30

Compulsive and impulsive buying behaviors have become increasingly prevalent in modern society, particularly among medical students who have easy access to online shopping. This study aims to explore the relationship between compulsive and impulsive buying tendencies and online shopping behaviors among students from the Faculty of Medicine at Universitas Prima Indonesia, specifically the Class of 2023. Using an analytical survey method and a cross-sectional approach, data were collected from a purposive sample of 100 students. Questionnaires were administered to assess the levels of compulsive and impulsive buying. The results indicated a significant moderate positive correlation between compulsive and impulsive buying behaviors and online shopping, with a correlation coefficient of r=0.445 (p<0.001). This research aims to enhance the understanding of shopping behavior in the digital era and to assist in developing strategies to prevent unhealthy shopping habits.

Nursing Care for Avascular Necrosis Patients After Total Hip Replacement Surgery: Case Report

Dudut Tanjung — 2025-01-01

Avascular Necrosis (ANV) is a pathological condition caused by impaired blood supply to the subchondral femur bone, causing necrosis and deformity of bone tissue. This condition causes severe pain, joint stiffness, and impaired physical mobility. Chronic avascular necrosis requires surgery to stabilize physical function. Total Hip Replacement surgery is one of the surgical options to relieve pain and restore joint function in patients with avascular necrosis. Nursing care for ANV patients is very important in managing pain, preventing complications, and promoting recovery. Through comprehensive nursing care, nurses have a significant impact on the physical and emotional health of patients, helping them live healthier and more functional lives. This article aims to implement nursing care for avascular necrosis patients undergoing surgery at Haji Adam Malik General Hospital, Medan. This study is a case report of a 63-year-old patient who had suffered from avascular necrosis for 10 years and underwent Total Hip Replacement surgery. Assessment data were collected through physical examination and supplemented with laboratory and radiology results. The postoperative diagnoses that are the priority in this patient are acute pain, impaired physical mobility, impaired skin integrity, and self-care deficit. Nurses focus on the criteria for treatment outcomes in reducing pain levels, increasing joint range of motion and physical mobility, improving skin integrity, and improving self-care. The intervention results are pain control that allows earlier mobilization and can be a reference for professional nurses in improving the quality of service, especially for avascular necrosis patients undergoing Total Hip Replacement (THR) surgery.

Nursing Care for Dengue Fever Patient in the Critical Phase, at a Hospital in West Jakarta

Nurhasanah — 2025-01-31

Dengue Haemorrhagic Fever is a disease caused by the dengue virus due to the bite of the Aedes aegypti mosquito. Patients will go through 3 phases of this disease: fever, critical, and recovery. A complication that often occurs in the critical phase is dengue shock syndrome. This case report aimed to provide an overview of nursing care for patients in the critical phase of dengue hemorrhagic fever at a private hospital in West Jakarta. Care was provided by Diploma III nursing students for 4 days using a nursing process approach that includes assessment, diagnosis, planning, implementation, and evaluation. Data was collected using interview techniques, observation, and physical and diagnostic examinations. The assessment showed that the patient was in a grade II critical phase, characterized by the appearance of petechiae on both superior extremities without a tourniquet test. The nursing problems raised were the risk of hypovolemia, the risk of bleeding, acute pain, and nausea. The interventions provided focus on preventing bleeding and fluid management. The implementation includes providing appropriate fluid resuscitation, monitoring blood hematology laboratories, and encouraging patients to rest in bed to reduce the risk of other bleeding. On the fourth day of treatment, three nursing problems were solved: the risk of bleeding, acute pain and nausea. The nursing problem that was partially resolved is the risk of hypovolemia. In conclusion, in dengue hemorrhagic patients in the critical phase, nurses need to pay primary attention to the possibility of hypovolemia even though it is not necessarily an actual problem.